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MIMIC-CXR-JPG/2.0.0/files/p19648564/s55017475/45c9020d-51dd9c01-5626e4dd-8bcd0295-13b63787.jpg
ap single view of the chest has been obtained with patient in supine position. available for comparison is the next preceding pa and lateral chest examination of <unk>. during the latest examination interval, the patient has undergone an intravascular placement of a corevalve. the patient is now intubated, the ett term...
<unk>-year-old male patient status post intubation. evaluate.
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single ap view of the chest. tracheostomy tube is again seen as well as a right picc in stable position with tip in the mid svc. there has been interval improvement in the appearance of the lungs with resolution of moderate bilateral effusions. there are however persistent bibasilar left greater than right parenchymal ...
<unk>-year-old female with fever.
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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.
history: <unk>f with chest pain, dyspnea, sickle cell // ? acute chest syndrome
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portable frontal view of the chest demonstrates hyperexpanded lungs. moderate cardiomegaly is noted with perihilar vascular congestion, progressed from prio. there is no pleural effusion or pneumothorax. hilar and mediastinal silhouettes are unremarkable. most superior sternotomy wire appears fractured. biventricular p...
patient with three episodes of syncope.
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heart size is normal. mediastinal and hilar contours are unchanged. there is no pulmonary vascular engorgement. minimal atelectasis is seen in the lung bases without focal consolidation. no pleural effusion or pneumothorax is present. previously noted nodular opacity projecting over the right upper lobe is unchanged me...
history: <unk>m with fever, cough // eval for infiltrate
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there are streaky right basilar opacities, more suggestive of atelectasis than pneumonia. minimal blunting at the left costophrenic sulcus is of uncertain significance, but differential considerations include a tiny pleural eff...
hypotension.
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lungs: an nearly <num> cm triangular density projects through the left lung base which was not present on the prior study. this could represent atelectasis or consolidation. pleura: there is no pleural effusion. mediastinum: no mediastinal mass is seen on this ap examination. heart: the heart is not enlarged. osseous s...
<unk> year old woman with chest pain, concerning possibly for misplaced picc // picc line placement
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moderate enlargement of the heart size is again noted. the aortic knob is calcified. mediastinal and hilar contours are unremarkable. there is mild pulmonary vascular congestion. patchy opacities in the lung bases could reflect areas of atelectasis. infection is not excluded. there may be a trace left pleural effusion....
history: <unk>f with hypoxia and dyspnea.
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there is a residual small right pneumothorax and small right pleural effusion. assessment for change is difficult given the differences in modalites, though no large change in the size is identified. an opacity at the right base likely represents atelectasis and has increased since the initial radiograph. superimposed ...
known pneumothorax after motor vehicle crash. evaluate for change.
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the lung volumes are somewhat low. however, the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
<unk>f with fevers // ?pneumonia
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no displaced rib fractures are seen. no free air below the right hemidiaphragm is seen.
<unk>f with mvc <num> days ago, progressively worse, right chest pain worse with deep breathing, and right shoulder pain, worse with movement.
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overall lung volumes are low, which may accentuate heart size and vasculature, which appear increased in size compared with prior, with mild prominence of the pulmonary vasculature. no pleural effusion or pneumothorax is seen. there is atelectasis at the lung base.
<unk>f with unprovoked seizure undergoing toxic/metabolic/ infectious workup, no clear precipitant // eval ? infiltrate
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cardiomediastinal silhouette is normal. blunting of the left costophrenic angle, unchanged from <unk> is due to pleural parenchymal scarring. there is no focal consolidation or overt pulmonary edema, but there is an increase in peribronchovascular opacification in the lung bases, perhaps atelectasis, recent aspiration,...
<unk>m with new onset lower extremity edema; diminished breath sounds on lung exam, evaluate for pulmonary edema..
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a single ap chest radiograph was obtained. the lungs are well expanded and clear. there is no focal consolidation, effusion, or pneumothorax. well circumscribed nodular opacities projecting over both lung bases are compatible with nipple shadows. cardiomegally is mild. mild aortic arch calcifications are unchanged.
shortness of breath.
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the cardiomediastinal silhouette is within normal limits. the hila are unremarkable. subtle opacity near the right cardiophrenic angle is favored to represent crowding of normal bronchovascular structures. there is no focal lung consolidation. there is no pulmonary venous congestion or pulmonary edema. there is no pneu...
<unk> -year-old man with right rib pain after a fall, evaluate for rib fracture or pneumothorax.
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the previous right middle lobe opacity has somewhat resolved. heart is top normal in size. patient is post cabg with intact median sternotomy wires and unchanged mediastinal clips. exaggerated thoracic kyphosis is unchanged. no focal consolidation, effusion, or pneumothorax.
<unk> year old man with cough and leg edema. evaluate for chf.
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heart size is mildly enlarged. the aorta is tortuous and diffusely calcified. hilar contours are unremarkable. there is mild pulmonary vascular congestion but no overt pulmonary edema. no pleural effusion or pneumothorax is seen. mild bibasilar opacities could reflect atelectasis. no acute osseous abnormalities are vis...
fever.
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the cardiac, mediastinal and hilar contours appear stable. the chest is hyperinflated. there is no pleural effusion or pneumothorax. multifocal opacities are bronchovascular and most prominent in the lower lungs, right greater than left, with lesser left upper lobe opacity. vague opacity is less extensive in the right ...
shortness breath and mild cysts.
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frontal and lateral views of the chest. prominent interstitial markings seen throughout the lungs compatible with chronic underlying interstitial process. there is no consolidation or effusion or evidence of superimposed vascular congestion. the cardiomediastinal silhouette is within normal limits. no acute osseous abn...
<unk>-year-old male with recent falls and left-sided rib pain.
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the previously seen layering right pleural effusion has increased, now large and causing adjacent compressive atelectasis and mild leftward midline shift. there may be a small left pleural effusion, incompletely evaluated on this single ap radiograph. the mediastinal contour is difficult to evaluate due to effusion, bu...
<unk>f with dyspnea, evaluate for pulmonary edema.
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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.
<unk> year old woman with cough since <unk>, some sputum, doe. no fever. lung exam shows fine crackles in bilateral lower lung field. h/o pneumonia <unk> years ago. long h/o smoking since teenage years // r/o lung disease
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pa and lateral views of the chest were obtained. as compared to the prior study performed <unk>, the lung volumes have increased which probably reflects better inspiration. there is unchanged moderate cardiomegaly with an unchanged left pleural effusion and left lower lobe atelectasis. the opacities on the right persis...
shortness of breath with ambulation in a patient with diastolic congestive heart failure and chronic kidney disease, presenting with urinary tract infection.
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the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. no rib fracture is identified.
fall. evaluate for left rib fracture.
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no definite focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with cough // eval for pna
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pa and lateral views of the chest provided. lungs are clear. pulmonary vasculature is normal. the cardiac silhouette is slightly larger since prior study <unk> years ago. there is also new mild rightward deviation of the lower trachea, which could be due to deviation of the aorta. there are no pleural effusions.
<unk> year old woman with former smoking history, now with chronic cough.
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no new focal consolidation is seen on the frontal view, however, on the lateral view, there may be patchy opacification in the retrocardiac region, involving <num> the lower lobes. . there is no large pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are stable.
history: <unk>m with nonproductive cough and lethargy // evaluation for pna
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the heart remains enlarged. no pulmonary consolidation. numerous tubes and pacer wires unchanged.
<unk> year old man with pmh cad s/p <num>v cabg (<unk>), ischemic dilated cm (ef <unk>%), dm, esrd on hd, pe on warfarin, and recent hospitalization for chf exacerbation/pneumonia (c/b empyema) who originally presented with ruq pain and dyspnea. originally thought to be septic but now transferred to ccu due to concern...
MIMIC-CXR-JPG/2.0.0/files/p18826698/s55994322/df4c2e24-ff95a5db-3cf20ced-8af2fe20-90fa91bc.jpg
single portable upright frontal view of the chest. there are low lung volumes. there is the opacity in the left lung base, which may represent atelectasis but cannot exclude pneumonia or aspiration in the appropriate clinical setting. no pleural effusion or pneumothorax is seen. the cardiomediastinal silhouette top nor...
frequent seizures, subdural, concerning for infection.
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a right picc courses into the svc but its tip is not well-visualized. heart size and cardiomediastinal contours are normal. mild reticular pattern is stable without focal consolidation, pleural effusion, or pneumothorax.
history: <unk>m with new picc line // eval picc placement
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cardiomediastinal and hilar contours are stable. again seen is pleural fluid in the right apex and along the major fissure. there is no pneumothorax. the patient is status post right upper lobectomy. no new focal consolidation for pneumonia is present. et tube and enteric tube are in standard positions. again seen is a...
status post right upper lobectomy for lung cancer.
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possible slight hyperinflation. heart size is normal. aorta is minimally unfolded. the mediastinal and hilar contours are otherwise within normal limits. no chf, focal infiltrate or effusion is identified. no pneumothorax detected. there are no acute osseous abnormalities.
history: <unk>m with cough
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there is a right-sided picc with the tip in the low svc. a left upper quadrant drain appears to be in unchanged position. the lung volumes are low, somewhat limiting evaluation. there is unchanged right basilar atelectasis. the lungs are otherwise clear without a consolidation or edema. there is no pleural effusion or ...
leg pain. evaluate picc placement.
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in comparison to the chest radiographs obtained <num> day prior, there is lateral displacement of the left hemidiaphragm apex, consistent with a subpulmonic effusion. small right pleural effusion is unchanged. increased right basilar opacities may be a combination of atelectasis and/or developing pneumonia. heart size ...
<unk> year old man with shortness of breath post cardiac surgery // eval for effusions, infiltrates, atelectasis
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portable ap upright chest radiograph was obtained. the lungs are relatively well expanded and clear without pleural effusion or pneumothorax. the heart is mildly but stably enlarged, particularly the left atrial contour, with normal mediastinal and hilar contours.
chest pain. assess for pneumothorax or pneumomediastinum.
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ap and lateral views of the chest are compared to previous exam from earlier the same day performed at an outside institution. lungs are clear of focal consolidation. calcifications project over the medial, anterior aspect of the right fourth and fifth ribs which are likely due to costochondral cartilage calcification....
<unk>-year-old female with femur fracture. preop.
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blunting of left costophrenic angle reflects a moderate left pleural effusion with associated atelectasis. patient is status post median sternotomy, cabg and aortic valve replacement. remaining visualized lung is clear though the right costophrenic angle is not fully seen. the cardiac mediastinal silhouette is unchange...
<unk> year old man with dyspnea worse with exertion // r/o infiltrate
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the cardiomediastinal contours are unchanged in appearance. as seen previously, there is nonvisualization of the right heart border secondary to known pectus deformity. the bilateral hila are normal. there are no pneumothoraces or effusions seen. there is no evidence of pulmonary vascular congestion. the lungs are clea...
<unk> year old woman with pneumonia at end of <unk> per xray. // please re-evaluate area seen on cxr <unk>: "in addition, however, in the medial parts of the lower lobe, a zone of increased radiodensity is seen. on the lateral image, the zone projects directly behind the heart than show several air bronchograms. the z...
MIMIC-CXR-JPG/2.0.0/files/p16746418/s53227761/eb3c1989-983b0e5e-072673f6-74700098-fcc64090.jpg
the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax.
<unk>-year-old female with globus sensation.
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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. breast implants are noted bilaterally.
<unk>f with chest pain
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pa and lateral views of the chest demonstrate a area of focal opacification in the superior segment of the left lower lobe, concerning for pneumonia, as well as possibly within the left lung base. there is no overt pulmonary edema. the cardiomediastinal silhouette is stable. aortic arch calcifications are present. ante...
hypoxia and fever. evaluation for pneumonia.
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hazy opacity at the right lung base may represent atelectasis. however, differential would include a small contusion or infection in the appropriate clinical setting. no other consolidation. no pleural effusion or pneumothorax. cardiomediastinal contours are normal. no acute osseous abnormalities. no subdiaphragmatic f...
<unk>f with mvc , restrained, pain in anterior chest along seatbelt line.
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the right picc line again loops around and terminates in the right subclavian vein. the left ij central venous catheter is unchanged. no pneumothorax. no consolidation. the pulmonary venous congestion is unchanged. no pleural effusion. the cardiac silhouette is slightly enlarged but unchanged. the mediastinum is normal...
<unk> year old woman with cellulitis, post picc placement // in correct location?
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no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. the heart size is normal. mediastinal contours are normal.
cough x<num> weeks.
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the heart is mild to moderately enlarged. the mediastinal and hilar contours appear unchanged. there is a mild interstitial abnormality suggestive of mild congestion, but improved since the prior examination. there is no definite pleural effusion or pneumothorax, although it is noted that the left lung apex is partly o...
tremor and weakness.
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a left picc terminates at the cavoatrial junction. right-sided central venous catheter terminates deep within the right atrium. borderline enlargement of the cardiac silhouette has increased since <unk>. bilateral pulmonary opacification looks more like edema in the right lung and concurrent consolidation on the left, ...
<unk> year old man with cough, persistent leukocytosis // acute intrathoracic process?
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the cardiac, mediastinal and hilar contours appear unchanged. the heart is at the upper limits of normal size. there is no pleural effusion or pneumothorax. central streaky opacities suggesting airway inflammation, including peribronchial cuffing. although other etiologies including mild fluid overload are differential...
cough and bodyache.
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the position of the right-sided picc line is unchanged. heart appears enlarged. trachea is midline. there is some widening of mediastinum, mainly on the right side of the carina suggestive of a loculated pleural effusion. this does not appear to be significantly changed from the prior study. a small left pleural effusi...
<unk>-year-old gentleman with leukemia, neutropenia, and fever. please evaluate for infiltrates.
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the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. no pleural effusion or pneumothorax.
<unk>-year-old female with myasthenia <unk> and shortness of breath. evaluate for evidence of infiltrate.
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there has been interval decrease in amount of left pleural effusion. there is residual left basal atelectasis, though improved compared to prior. there is no significant change in the right lung or the cardiomediastinal silhouette. there is no pneumothorax.
<unk> year old man with pleural effusion s/p l thoracentesis. evaluate for ptx.
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no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. heart and mediastinal contours are within normal limits.
<unk>-year-old male with cough and hemoptysis.
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the heart size is normal. the aorta is slightly unfolded. the mediastinal and hilar contours are unremarkable. on the lateral view, there is a <num> cm rounded opacity projecting over the lower lobes and descending thoracic aorta, not clearly delineated on the frontal view. the remainder of the lungs are clear. no pleu...
chest pressure and shortness of breath.
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frontal and lateral views of the chest demonstrate normal lung volumes. there is no focal consolidation or pneumothorax. small left pleural effusion has decreased in size since <unk>. there is no right pleural effusion. hilar and mediastinal silhouettes are unremarkable. heart size is normal. there is no pulmonary edem...
patient is status post coronary artery bypass grafting, now with chest pain.
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the lungs are hyperexpanded with flattening of the hemidiaphragms compatible with copd. the lungs are clear without focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. the pulmonary vasculature is not engorged. the cardiomediastinal and hilar contours are within normal limits. multilevel deg...
cough and hypoxia.
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pa and lateral views of the chest were obtained. lung fields are clear bilaterally with no evidence of focal consolidation or congestive heart failure. there is no pleural effusion or pneumothorax. a left picc line ends in the region of the low superior vena cava. the cardiomediastinal silhouette is normal. there is no...
neutropenic fever.
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ap upright and lateral views of the chest provided. a right-il access tunneled dialysis catheter terminates in the right atrium unchanged from prior study. a dobhoff tube is noted to pass into the distal stomach and tip extends outside the field of view. mild bibasilar pleural effusions are present, improved from prior...
<unk>m with malfunctioning hd catheter r subclav // hd catheter placement
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the lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. radiopaque linear focus at the right upper lung is a skin fold. cardiomediastinal silhouette is normal. no acute fractures are identified.
chest pain.
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there has been interval resolution of the left lower lobe opacity previously seen. no new focal opacities are seen. the heart size is normal. the hilar and mediastinal contours are unremarkable. there is no evidence of pleural effusion or pneumothorax. the visualized osseous structures are unremarkable.
<unk>-year-old female with a history of left lower lobe pneumonia who presents for evaluation of interval resolution.
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the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. there is no pulmonary edema or focal consolidation concerning for pneumonia.
tobacco abuse, hypertension with cough.
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portable frontal chest film dated <unk> at <time> is submitted.
<unk> year old woman with new ngt placement // evaluate placement of ngt evaluate placement of ngt
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a right central venous catheter courses to the level of the cavoatrial junction. heart is not enlarged. aorta is unfolded. no overt chf. although the retrocardiac consolidation has improved from <unk>, a retrocardiac opacity persists with air bronchograms. otherwise, no focal infiltrate or consolidation identified. lef...
fever and immunocompromise. evaluate for pneumonia.
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lower lung volumes noted on the current exam. bibasilar opacities, left greater than right may be secondary to atelectasis. superiorly, lungs are clear. cardiomediastinal silhouette is stable. right shoulder arthroplasty changes are noted. old left lateral rib fractures are noted.
<unk>m with anuric renal failure, wheezing, crackles // ? fluid overload
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the lungs are well expanded and clear without focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits.
history: <unk>m with fever // eval pneumonia
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an endotracheal tube terminates approximately <num> cm above the carina. right ij catheter is appropriately positioned. an enteric tube courses to at least the body of the stomach, although the distal tip is not captured on the current study. multifocal consolidation and smaller nodular opacities, some apparently cavit...
history: <unk>f with pna, flu // eval ett placement
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et tube terminates approximately <num> cm above the carina. there is an enteric tube which extends below the diaphragm with the tip out of view of this film. there is a large left posterior mediastinal mass, as well as evidence of a large left hilar mass, incompletely evaluated on this exam, however concerning for mali...
history of seizure, intubated at outside hospital. please evaluate et tube placement. per report, patient had an outside hospital ct which demonstrated a necrotic pulmonary mass and enlarged heterogeneous left thyroid lobe extending to the anterior mediastinum and into the left hilum.
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there is been interval placement of an et tube which terminates in the right mainstem bronchus. this can be safely retracted approximately <num> cm for proper positioning in the distal trachea. there are again seen low lung volumes. the cardiomediastinal silhouettes are unchanged. there is interval increase in opacific...
<unk> year old woman with respiratory failure s/p intubation // s/p intubation
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the lungs are clear, the cardiomediastinal silhouette and hila are normal. there is no pleural effusion or pneumothorax.
<unk>-year-old with left arm weakness.
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left basilar opacity has decreased compared with prior, suggesting improving atelectasis. the lungs are otherwise clear without focal consolidation, pleural effusion, or pneumothorax. the cardiac and mediastinal contours are normal. there is no pulmonary edema. a right chest port is unchanged in appearance with its tip...
<unk>-year-old female with oral cancer and hypoxia.
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heart size is normal. lungs are clear. central mediastinal vasculature is congested. no interstitial edema. no pleural effusions.
history: <unk>m with hypotension, r/o infection // eval for pna
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the inspiratory lung volumes are low with resultant bronchovascular crowding. there is no focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. no pulmonary vascular congestion or edema is seen. the cardiac silhouette is enlarged, but stable. the mediastinal contours are prominent, with tortuo...
chronic diastolic congestive heart failure, weight gain, edema and wheezing.
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the lungs are clear without focal consolidation, pleural effusion or pneumothorax. there is no pulmonary edema. the heart is normal in size, and the mediastinal contours are normal.
<unk>-year-old female with pleuritic chest pain. evaluate for pneumonia.
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portable ap chest radiograph is obtained with the patient in the supine position. tip of ng tube ends at the level of the diaphragm in the lower esophagus. the cardiomediastinal contour is stable. the lungs remain clear. no significant pleural effusions and no pneumothorax.
<unk>-year-old woman with mvc stroke, ng tube location?
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a left-sided chest tube and left subclavian catheter appear similarly positioned with few foci of left pleural air. a small left pleural effusion persists with persistent but decreased left lower lung opacity, which likely represents atelectasis. no pneumothorax is seen. heart and mediastinal contours are stable with a...
<unk>-year-old male with hemoptysis status post bronchoscopy on <unk>.
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lungs are hyperinflated but clear. no focal consolidations concerning pneumonia are identified. the heart size is normal. the hilar and mediastinal contours are normal. there is no pleural effusion, or pneumothorax. the visualized osseous structures are notable for multilevel laminectomies spanning majority of the mid ...
<unk>f with fever // eval for pneumonia
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spinal fixation hardware overlies the entire thoracic spine. a dobbhoff catheter extends to the stomach. the lung volumes are low. the hilar and mediastinal contours remain unchanged since the <unk> study. there is no pneumothorax, focal consolidation, or pleural effusion.
dobbhoff tube placement.
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frontal and lateral views of the chest were obtained. the heart is of normal size with normal cardiomediastinal contours. there is calcification of the aortic knob. the lungs are clear without focal or diffuse abnormality. no pleural effusion or pneumothorax. no acute rib fracture is present. patient is status post low...
<unk>-year-old female with left-sided posterior chest wall pain. evaluate for rib fractures.
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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 cp // r/o infiltrate
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the et tube is <num> cm above the carina. left subclavian line tip is in the svc. left-sided chest tube. projects over the mid spine and is still too far medial. right chest tube has the side port in the subcutaneous tissues of the chest and has likely been pulled back <num> <num>r there is a right upper lobe area of v...
<unk>f s/p mvc vs wall, gcs <num> at scene, b/l chest tubes in bay, +fast, s/p ex-lap and splenectomy. occipital condyle fx, pelvic fx, multiple spinous process fx, l <unk> rib fx // eval for position of ett
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there is a right lower lobe opacity. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with cough and fever // cough and fever for two days
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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 pa and lateral chest examination of <unk>. moderate enlargement of cardiac contours similar as before. noted is a regression of the previously existing distention of the azygos v...
<unk>-year-old female patient with asthma, right lower lobe pneumonia diagnosed on <unk> on ct. evaluate for progression.
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the heart is normal in size. the mediastinal and hilar contours are unremarkable. the lungs are mildly hyperexpanded but clear, without pneumothorax, vascular congestion, or pleural effusion.
<unk>-year-old male smoker with recurrent asthma exacerbation. question pneumonia or mass.
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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 sob // r/o pna
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massive enlargement of the pulmonary arteries is again noted consistent with known pulmonary arterial hypertension. this is accentuated by low lung volumes and bronchovascular crowding. no definite consolidation or edema is noted. the cardiac silhouette is stable in size. no effusion or pneumothorax is noted. the osseo...
cough and right upper quadrant pain.
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an endotracheal tube tip ends in the mid thoracic trachea approximately <num> cm above the carina. the cardiomediastinal silhouette is normal. a patchy opacity at the right base, unchanged from prior radiograph, could represent atelectasis, although aspiration is also possible. there is no pleural effusion or pneumotho...
<unk>m with sah, intubated, evaluate for endotracheal tube position..
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the cardiomediastinal and hilar contours are within normal limits. the lungs are mildly hyperinflated but clear. there is no evidence of pulmonary vascular congestion or pulmonary edema. there is no consolidation, effusion or pneumothorax.
history: <unk>f with bilateral leg swelling // eval for chf
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lung volumes are low. heart size is exaggerated due to low lung volumes but is appears moderately enlarged. widening of the mediastinum is likely due to low lung volumes. there is crowding of the bronchovascular structures without overt pulmonary edema. patchy opacities in the lung bases likely reflect atelectasis. no ...
history: <unk>m with intracranial hemorrhage
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lung volumes are low with crowding of bronchovascular structures. there are increased pulmonary interstitial markings with fullness of the bilateral hila, likely reflecting some mild pulmonary edema. no focal consolidation is identified. bibasilar atelectasis is again seen. there is no pneumothorax. small bilateral ple...
<unk>f w/nausea, vomiting, rigors, please eval for pna
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left chest wall dual lead pacing device is again seen. lower lung volumes are noted. there are persistent bibasilar opacities now more conspicuous the left when compared to the right which could represent pneumonia. superior lungs are clear consolidation but notable for pulmonary vascular congestion. the cardiomediasti...
<unk>m with sob // evidence of pneumonia
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the patient is status post median sternotomy and cabg. the cardiac silhouette size remains at least mildly enlarged. mediastinal contours are unchanged, with mild calcification of the aortic arch. mild pulmonary edema appears slightly progressed compared to the previous exam. small pleural effusion is again demonstrate...
hypoxia.
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ap chest radiograph. the heart is mildly enlarged and there is mild to moderate interstitial edema. the right heart border is obscured, likely due to atelectasis. there is no pneumothorax.
history of asthma, presenting with hypoxemia, productive cough.
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac, hilar and mediastinal silhouettes are unremarkable. the <num> mm calcified nodule is stable and is likely a granuloma. bridging osteophytes of the thoracic spine are again noted. vertebral disc heights are preserv...
<unk> year old man with recent positive quanteferon gold, no symptoms. // r/o tb
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ap and lateral radiographs of the chest demonstrate mild interval improvement in the left lower lung field opacity seen on the previous radiograph. again seen is the eventration of the left hemidiaphragm with a prominent gastric bubble. there is prominence of the pulmonary vasculature which may be due to poor inspirato...
possible pneumonia on previous chest x-ray. altered mental status. evaluate for change in pneumonia.
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the heart is again moderately enlarged. the main pulmonary artery contour is also prominent. indistinct pulmonary vascularity and hilar engorgement suggest mild pulmonary venous hypertension. a moderate pleural effusion on the right appears unchanged with likely atelectatic changes in the right middle and dependent low...
tachycardia, chest pain and reduced right-sided breath sounds.
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there are low lung volumes that may be due to poor inspiratory effort. suboptimal evaluation of the left lung base. there is opacification in this area but is likely due to overlying soft tissue edema. a small pleural effusion cannot be completely excluded. the cardiomediastinal silhouette is within normal limits. the ...
altered mental status. evaluate for pneumonia.
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lungs are well-expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation. no rib fractures. a bullet-shaped metallic density fragment projects over the left scapula. several additional small and punctate foci of metallic density material proj...
history: <unk>m with mvc // r/o trauma
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the lungs are clear. there is no pneumothorax. the heart and mediastinum are within normal limits. mammilation of the bilateral hemidiaphragms is unchanged. multiple right upper quadrant metallic surgical clips may be due to prior cholecystectomy. the bones are unremarkable.
<unk> year old woman with rll pneumonia in late <unk>, treated at outside hospital. current smoker. also has asthma. // f/u cxr
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no focal consolidation, pleural effusion or pneumothorax identified. there is minimal left basilar atelectasis. the size of the cardiac silhouette is within normal limits. there is prominence of the upper mediastinum which appears to be enlarged since <unk> however represents abundant adipose tissue as seen on the ct s...
<unk> year old woman with all sp allo and persistent fevers. getting ct torso tomorrow, but needs premedication. would like to eval with cxr tonight // eval fever
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ap and lateral views of the chest demonstrate relatively low lung volumes, with chronic interstitial prominence, unchanged compared to prior studies. there is no pleural effusion, overt pulmonary edema, or focal airspace consolidation. the cardiomediastinal silhouette is unremarkable. aortic arch calcifications are aga...
<unk>-year-old female with dyspnea and history of lymphoma. evaluation for lung mass or acute cardiopulmonary process.
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lungs are well inflated and clear. the cardiomediastinal silhouette and hilar contours are normal. there is no pleural effusion or pneumothorax.
history: <unk>f with acute onset <unk> dull back pain x <num> hour, resolved spontanesouly. evaluate for widened mediastinum
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frontal and lateral chest radiographs demonstrate a heart which is normal in size. left lower lobe and lingular opacities are substantially improved but still persistent. apical scarring is unchanged. the left pleural effusion has resolved.
followup pneumonia.
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compared to the most recent comparison, there are new nodular opacities in the left upper and mid lung zones as well as the right lower lung zone. there is also a heterogeneous opacity in the left suprahilar region. there is no pneumothorax or pleural effusion. the hilar and cardiomediastinal contours are otherwise nor...
neutropenic patient with cough and fever.