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MIMIC-CXR-JPG/2.0.0/files/p11272182/s51287881/4951f028-f1392ac4-f07436df-e001c4a2-b1c0a41e.jpg
right subclavian central venous catheter tip has been repositioned, now terminating at the junction of the svc and right atrium. no pneumothorax is demonstrated. mild pulmonary vascular engorgement appears slightly worse in the interval. continued patchy opacities in the lung bases are re- demonstrated. cardiac and med...
history: <unk>f with adjusted subclavian line.
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are hyperinflated but clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. mild degenerative changes are noted within the lower thoracic spine.
history: <unk>m with shortness of breath
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. the patient is status post median sternotomy with the superior most <num> sternotomy wires again seen to be fractured.
history: <unk>m with c/o cp // ? pna
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as compared to chest radiograph from <num> day prior, no acute focal consolidation. no significant pleural effusions or pneumothorax. the lungs remain hyperinflated, with severe upper lobe predominant emphysema and endobronchial clips in the right upper lobe. mild pulmonary edema.
<unk> year old woman with emphysema, now w/ hypoxia, exam notable for crackles on l side // eval for pulm edema
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no evidence of pneumomediastinum is seen.
history: <unk>m with vomiting w small amt blood // please evaluate for pneumomediastinum
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ap portable supine view of the chest. et tube is seen with its tip positioned <num> cm above the carinal. an ng tube courses inferiorly with its tip in the expected region of the distal esophagus. aicd noted though the tip is not clearly visualized. overlying defibrillator pad is seen. diffuse pulmonary opacities conce...
<unk>m with intubated s/p arrest // ? ett placement
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exam is limited secondary to patient body habitus and portable technique. there has been no significant interval change. there is no confluent consolidation or overt pulmonary edema. prominence of the hila is again seen as well as right upper lung scarring.
<unk>f with sob // eval chf
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there is been interval resolution of the bibasilar opacities, consistent with resolved pneumonia. the lungs are over-inflated with flattening of hemidiaphragms, consistent with copd. the cardiomediastinal and hilar contours are stable. there is no new focal consolidation concerning for pneumonia. the upper abdomen is u...
<unk> year old woman with lll pneumonia late <unk> // assess for complete clearing
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the lungs are grossly clear. there is no focal consolidation. blunting of the posterior costophrenic angles suggests small bilateral pleural effusions. cardiac silhouette is mildly enlarged. median sternotomy wires are intact. no acute osseous abnormalities.
<unk>m with increased shortness of breathe // ?infectious process verse fluid overload
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patient's clinical condition required examination in sitting semi-upright position using ap frontal and left lateral views. there is marked cardiac enlargement seen involving the left heart. thoracic aorta is generally widened and elongated, but no local contour abnormalities are identified. pulmonary vasculature demon...
<unk>-year-old female patient with atrial fibrillation, presenting with syncope, new fall at bedside, evaluate for pneumothorax or cardiopulmonary process.
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frontal and lateral views of the chest are compared to previous exam from <unk>. the lungs are clear. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable.
<unk>-year-old female with seizure, presenting after seizure with generalized weakness.
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there is vague suggestion of increased opacification in the right middle lobe although of the right heart border is sharp. the finding may suggest developing pneumonia in correct clinical setting. moderate cardiomegaly is unchanged. mediastinal and hilar silhouette are normal size.
<unk> year old man with cough <num> d, fever to <num> // r/o pna
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patient is status post right upper lobectomy with expected right-sided volume loss and rightward shift of mediastinal structures noted. right apical opacification corresponds to known extrapulmonary disease extension as seen on the prior pet-ct. right hilar fullness corresponding to a known mass appears relatively unch...
history of lung cancer.
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low lung volumes. cardiomediastinal silhouette is stable. the aorta is calcified, indicating atherosclerosis. 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. there are surgical cli...
<unk>f with chest pain. evaluate for cardiomegaly
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again noted is a large hiatal hernia within the left lower chest. the cardiac, mediastinal and hilar contours otherwise are unchanged. there is atelectasis adjacent to the hernia within the left lung base. the remainder of the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is demonstra...
syncope.
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there is a new dobhoff tube with the tip at the gastroesophageal junction. again visualized is a left subclavian central venous catheter with the tip at the superior cavoatrial junction. median sternotomy wires appear intact. bibasilar opacities are visualized, greater on the left than the right. there is mild pulmonar...
evaluation of patient with history of stroke, for placement of dobbhoff tube.
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ap and lateral views of the chest were obtained. the exam is limited by low lung volumes and the patient's positioning and kyphosis. the heart is moderately enlarged. there are bilateral perihilar ill-defined opacities, similar in appearance to prior radiograph and consistent with pulmonary edema. the lung bases are po...
shortness of breath, evaluate for pneumonia.
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dual-chamber pacemaker projects over left pectoral region with lead tips in the right atrium and right ventricular apex. minimal left lower lobe atelectasis and interval improvement in vascular congestion. no pneumothorax, additional focal opacity or pleural effusion. aortic arch, aortic valve, and mitral valve calcifi...
<unk>-year-old female with chronic left bundle-branch block, status post pacemaker placement. assess for lead placement and pneumothorax.
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the mid to lower lateral right chest is not fully included on the image. dual lead left-sided pacer device is grossly stable in the position. the cardiac and mediastinal silhouettes are grossly stable with the cardiac silhouette mildly enlarged. there is moderate pulmonary edema/ vascular congestion. right base opacity...
<unk> year old man with ams // ?acute intrapulmonary process
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in comparison to the prior exam, the lung volumes are lower. there are stable post-surgical changes in the right lung with linear scarring. the right pleural effusion appears to have resolved. linear opacification at the left base is stable, and likely a combination of atelectasis and some pleural calcifications. there...
status post lobectomy for lung cancer with altered mental status. evaluate for pneumonia.
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endotracheal tube ends in the distal trachea in good position, about <num> cm above the carina. enteric tube ends in the fundus of the stomach. pacemaker wires end in the right atrium and right ventricle. the right ventricular lead points up and may have become dislodged since the prior study. cardiomediastinal silhoue...
<unk>-year-old on coumadin, found down.
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heart size is mildly enlarged. mediastinal and hilar contours are within normal limits. pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is present. no acute osseous abnormality is demonstrated.
history: <unk>f with back pain, shortness of breath// acute process in chest?
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heart size is normal. cardiomediastinal silhouette and hilar contours are unremarkable. lungs are clear. pleural surfaces are clear without effusion or pneumothorax.
bilateral arm paresthesias.
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there are relatively low lung volumes. bilateral perihilar opacities are worrisome for mild to moderate pulmonary edema. superimposed infection not entirely excluded in the appropriate clinical setting. no large pleural effusion or pneumothorax. cardiac and mediastinal silhouettes are stable.
history: <unk>m with sob after fall // pna? fluid? bleed? fracture
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no pulmonary edema is seen. the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with <num>wk h/o intermittent palpitations, sob, and chest pain // eval pneumonia, edema
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markedly narrow ap diameter of the chest, with resultant compression of the cardiomediastinal structures combined with prominent mediastinal fat (mediastinal lipomatosis) accounts for the apparent widening of the cardiomediastinal contour on the chest radiograph, overall similar to the prior exams dated back to <unk>. ...
history of fever, cough, please evaluate for infiltrate.
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ap single view of the chest has been obtained with patient in semi-upright position. comparison is made with the next preceding similar study of <unk>. the heart size remains unchanged and there is no evidence of pulmonary vascular congestion. similar as on the next preceding portable chest examination, there is eviden...
<unk>-year-old female patient with shortness of breath and hypoxemia. any resolution of pleural effusion?
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lungs are clear. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.
<unk>f with chest pain // pna?
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frontal and lateral chest radiographs demonstrate low lung volumes on pa view, resulting in exaggerates the cardiac size and bronchovascular crowding. better inspiration is seen on lateral view. no focal consolidation, pleural effusion, or pneumothorax is seen. the visualized upper abdomen is unremarkable.
<unk>m with cough and fever // cough and fever
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the lungs are clear. there is no evidence of pneumonia, pneumothorax, or pleural effusion. cardiac silhouette is normal in size.
<unk> year old man with history of copd with increasing shortness of breath and mild congestion // please evaluate for pneumonia, worsening copd
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as compared to <unk> radiograph, an approximately <num> cm left pleural mass in the left mid hemi thorax peripherally appears similar in size. small left pleural effusion and additional pleural lesion adjacent to left heart border also appear unchanged. cardiomediastinal contours are stable. eventration of right hemidi...
<unk> year old man with prostate cancer // question of change in size of left sided plueral mass
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et tube ends <num> cm from the carina. enteric tube ends off the inferior portion of the image, at least in the stomach. left ij central venous line ends in the upper svc. decrease in bilateral lung opacities compared to <unk>. no pleural effusion or pneumothorax. cardiomediastinal and hilar contours are stable.
ng tube placement.
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ap upright and lateral views of the chest provided. mildly elevated right hemidiaphragm again noted. lungs remain clear. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>m with chest pain
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pa and lateral radiographs were acquired. moderate cardiomegaly is not significantly changed, allowing for slightly low lung volumes on today's study. subtle interstitial opacities with a perihilar predominance are compatible with mild interstitial pulmonary edema. there is minimal bibasilar atelectasis. a trace left p...
systolic dysfunction, orthopnea, and shortness of breath. evaluate for pneumonia or pulmonary edema. the technologist noted that the patient has undergone recent rotator cuff surgery of the right arm and was unable to lift this arm for the lateral view.
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left infusion port unchanged, ending in the mid svc. interval improvement in left basilar atelectasis since <unk> with no change in right basilar atelectasis. normal heart size and mediastinal contour with no displacement of aortic knob calcification. normal hilar and pleural surfaces.
aml, chest pain radiating to mid back, hemodynamics stable, any findings of enlarged mediastinum or dissection?
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lung volumes are low, exaggerating heart size and pulmonary vascular markings. no focal consolidation, pleural effusion, or pneumothorax is detected. there is mild bronchial cuffing.
<unk>-year-old female with cough and dyspnea.
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lung volumes are low, without consolidation or nodules. there is no pleural effusion. the cardiomediastinal silhouette is normal.
<unk> years old man with fever. pneumonia.
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lung volumes are low, accounting for some bronchovascular crowding. although assessment is limited due to leftward rotation of the patient, there is appearance of a bilateral hilar engorgement, more prominent in the right, with bilateral diffuse interstitial thickening and perihilar opacities. there might be a small ri...
patient with shortness of breath. evaluate for acute cardiopulmonary process.
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this radiograph demonstrates markedly improved aeration compared to the study from <num> hr previously. while the right hemidiaphragm continues to be elevated, there is improved aeration in the retrocardiac region with only minimal volume loss in the left lower lobe. there is a new small area of atelectasis/ infiltrate...
<unk> year old woman with fevers afib rvr, unclear source, new l pleural effusion // ? lll infiltrate
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the right ij line has been removed. there is minimal areas of atelectasis in both lower lungs left, more so than right. however overall the aeration is improved compared to the study from <num> days ago. there tiny bilateral pleural effusions. sternal wires and mediastinal clips are again visualized.
<unk> year old man s/p cabg // predischarge eval
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pa and lateral views of the chest. linear left basilar opacity is similar compared to previous exam and may represent atelectasis. the lungs are hyperinflated but otherwise clear. right chest wall port is seen with the catheter tip in lower svc. cardiomediastinal silhouette is within normal limits. no acute osseous abn...
<unk>-year-old male with cancer and fever. question pneumonia.
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a right picc tip projects ends in the distal svc. lung volumes are slightly low with bronchovascular crowding. no definite focal consolidation. no pleural effusion or pneumothorax. the heart is normal in size. the mediastinum is not widened. no edema. no acute osseous abnormality. surgical clips in the right upper quad...
<unk>-year-old woman woman with bilateral pelvic abscesses, productive cough, fever on immunosuppression given hx kidney transplant. evaluate for pneumonia.
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the lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. the cardiac and mediastinal contours are normal. no acute osseous abnormality. there are mild degenerative changes within the thoracic spine.
<unk>-year-old man with left leg dvt and chest tightness.
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the cardiomediastinal silhouette is normal. the hila and pleura are unremarkable. right apical scarring is seen an unchanged dating back to <unk>. no focal consolidations, pleural effusions, or pulmonary edema are seen.
<unk> year old woman with productive cough, decreased peak flow (history of asthma), igg deficiency // ? pneumonia
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a left chest cardiac conduction device generator is contiguous with cardiac leads. aortic arch calcifications are dense. biapical pleural calcifications are noted. there is no focal consolidation. no pleural effusion or pneumothorax.
history: <unk>m with sdh // ? infectious process
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left lower lobe consolidation has improved slightly since <unk>. interstitial pulmonary edema, and patchy hazy opacity throughout the lung as increased. moderate to severe pulmonary and mediastinal vascular congestion persist. heart size normal. no pneumothorax. et tube and left pic line in standard placements. nasogas...
mr. <unk> is a <unk> yo m with a history of hyperlipidemia and ?reactive airway disease who presented to <unk> with cough, sob, and fever intubated for hypoxemic/ hypercarbic respiratory failure found to have left lower lobe pneumonia course s/p intubation // eval for interval change, volume overload?
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median sternotomy wires are intact. a tracheostomy tube is noted. in comparison to the prior radiograph on <unk>, lung volumes are lower. dense left retrocardiac opacity has slightly improved, and likely represents atelectasis. there is no other focal consolidation. small pleural effusion on the left. no right pleural ...
<unk>-year-old male presenting with a clogged tracheostomy tube. evaluate for evidence of mucous plugging.
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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. patient is status post median sternotomy and cardiac valve replacement.
history: <unk>m etoh found down // eval ? infiltrate, aspiration, ptx, fractures
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heart size is normal. the mediastinal silhouette is unremarkable. there is increased right perihilar density with lobular lucencies which correspond to previously identified subpleural consolidation with adjacent cavitation in the posterior right lower lobe. a <num> cm nodular opacity in the right lower lobe appears in...
fever. metastatic esophageal cancer.
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ap upright and lateral views of the chest provided. vague nodular opacity in the right upper lobe is again noted which could represent pneumonia versus metastatic disease. the lungs appear otherwise grossly clear. detection of small nodules is limited on radiograph. no large effusion or pneumothorax. heart and mediasti...
<unk>f with known breast cancer with mets to bone and brain. increased fever, and fatiguex<num> days. // rule out pneumonia
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right-sided port-a-cath tip terminates at the junction the svc/right atrium. lung volumes are low. mediastinal and hilar contours are normal. pulmonary vasculature is not engorged. patchy atelectasis is noted in the lung bases without focal consolidation. no pleural effusion or pneumothorax is seen. there are no acute ...
history: <unk>m with malaise
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the lungs are hyperinflated with severe emphysematous changes again noted. the cardiac, mediastinal and hilar contours are unchanged, with a small hiatal hernia again noted. there is no pulmonary vascular congestion. increased interstitial markings in the lung bases appear slightly increased compared to the prior chest...
acute shortness of breath.
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mild cardiomegaly is unchanged. the aorta is slightly tortuous but similar previous study. mediastinal and hilar contours are unremarkable. the pulmonary vasculature is engorged. no focal consolidation, pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities detected.
history: <unk>m with fever , history of renal transplant <unk>
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there increased patchy opacities in the most marked in the right lower lobe, but also present in the left lower lobe and perihilar regions. there small bilateral effusions, left greater than right. there is mild pulmonary vascular redistribution. there is volume loss in both lower lungs
<unk> year old man with polytrauma with ett in place and hcap // hcap progression? ett position?
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compared with the prior exam there has been no significant change. there is likely a tiny right pleural effusion as well as persistent right basal opacity which has been previously characterized as atelectasis on chest ct, though difficult to exclude a component of pneumonia. left lung is grossly clear. cardiomediastin...
<unk>m with abdominal pain // eval for pna
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left-sided port-a-cath tip terminates at the cavoatrial junction. there has been interval removal of the right-sided chest tube. there is minimal residual apical pneumothorax but there is no mediastinal shift or diaphragmatic flattening to suggest tension and the extent of the pneumothorax is unchanged compared to prio...
<unk>-year-old male with right upper lobe wedge resection for metastatic rectal cancer, now with removal of a right-sided chest tube.
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ap portable supine view of the chest. there has been interval intubation with the endotracheal tube seen with its tip residing <num> cm above the carinal. the orogastric tube extends into the left upper quadrant. otherwise, no change.
<unk>f with s/p intubation // tube placement
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chest pa and lateral radiograph demonstrates unremarkable hilar, and cardiac contours. there is a small irregularity in the contour of the aortic arch. bilateral low lung volumes cause vascular crowding. no focal opacification evident. no pleural effusion or pneumothorax identified. no displaced fractures present.
motor vehicle collision, transferred from outside hospital, please evaluate for acute cardiopulmonary process.
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frontal and lateral views of the chest were obtained. low lung volumes results in bronchovascular crowding. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. heart size is normal. mediastinal silhouette and hilar contours are normal.
chest pain.
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compared with the prior chest radiograph, chronic cardiomegaly and a tortuous aorta are unchanged. patient is post median sternotomy and aortic valve replacement, with intact median sternotomy wires. no new focal consolidation, pleural effusion, or pneumothorax.
history: <unk>m with aphasia, weakness. evaluate for pneumonia.
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lungs are clear. there is no pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is normal.
<unk>m with <unk> time seizure, tachycardic, evaluate for pneumonia.
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the patient has been intubated. an endotracheal tube terminates approximately <num> cm above the carina. a right internal central jugular venous catheter terminates in the lower superior vena cava. a feeding tube projects over the left upper quadrant, partly imaged. there is again leftward rotation of cardiomediastinal...
hypoxia and tube placement.
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
history: <unk>f with chest pain // eval cause of chest pain
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heart size is mildly enlarged. the mediastinal and hilar contours are unremarkable. atherosclerotic calcifications are noted in the aorta diffusely. pulmonary vasculature is normal. blunting of the costophrenic angles posteriorly on the lateral view suggests minimal pleural effusions bilaterally. no focal consolidation...
history: <unk>f with chest pain
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<num>. numerous mediastinal surgical clips are again seen. there is persistent mild elevation of the left hemidiaphragm. the mediastinum appears widened, but possibly very slightly less so than on the prior study. no pleural effusion is seen. there is no focal consolidation. the cardiac silhouette is stable. no overt p...
chest pain status post aortic repair <unk>.
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there is a biventricular pacemaker with leads terminating in the expected positions of the right atrium and right ventricle. sternotomy wires are also present. there is mild cardiomegaly. the mediastinal silhouette is stable with mild widening of the aorta and mild calcification. no pulmonary edema is seen. there is no...
<unk>-year-old male with subxiphoid chest pain.
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the cardiac, mediastinal and hilar contours appear unchanged. there is no pleural effusion or pneumothorax. the lungs appear clear. prior healed rib fractures are noted on the left. a severe thoracolumbar vertebral compression fracture, probably t<num>, shows no evidence for change. there is, however, below that level,...
weakness and minimally responsive.
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apparent widening of the mediastinal silhouette and a density projecting over the left heart border are consistent with extensive mediastinal fat seen on ct <unk> and low lung volumes. a right perihilar mass is better evaluated on ct <unk>. an opacity at the left lung base is new. no evidence of fracture or dislocation...
history: <unk>m with fall down <unk> stpes pls evla for rib fx // history: <unk>m with fall down <unk> stpes pls evla for rib fx
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heart size is normal. mediastinal and hilar contours are unremarkable. pulmonary vasculature is not engorged. patchy opacity is noted in the left lung base, which may reflect atelectasis but infection is not excluded. right lung is clear. no focal consolidation, large pleural effusion or pneumothorax is present, though...
history: <unk>m with nonprod cough and fever
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complete opacification of the entire left lung associated with left tracheal deviation, post-pneumonectomy findings which have remained stable. there is no significant change in appearance of the right lung, with no areas of focal consolidation or pneumothorax. the svc filter is again seen. no acute osseous abnormaliti...
<unk> year old woman with nsclc // assess interval change
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lungs well expanded. there is been interval development of a homogeneous opacity in the right lung base, most consistent with a pleural fluid collection. the morphology of this collection is suspicious for possible loculated effusion. above this fluid collection, there is an area of consolidation that could represent a...
<unk> year old man with duodenal perforation s/p repair now febrile // ?pna
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the lungs are clear. the heart size is normal. the mediastinal and hilar contours are normal. there are no pleural effusions. no pneumothorax is seen. note is made of dextroscoliosis of the thoracic spine.
cough, assess for pneumonia.
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there is likely a small left pleural effusion. atelectasis and pleural thickening is seen at the left lung base. the right lung is essentially clear. a tortuous aorta and top normal cardiac silhouette are again noted. there is no pneumothorax.
status post left vats decortication for empyema. evaluate for interval change.
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the heart size is top normal. the mediastinal and hilar contours are unremarkable. there is no pneumothorax or large pleural effusion. chronic interstitial markings likely correlates to the known nsip and is better characterized on prior cts. however, this finding is clearly progressed from the chest radiograph from <u...
<unk>f with fall from standing, oa // r/o l sided thoracic trauma
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compared to the prior study there is no significant interval change.
<unk> year old man with spon ptx s/p pigtail and now with tube clamped // please eval for interval change. please perform at <time>
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pa and lateral views of the chest demonstrate bilateral pleural effusions, decreased in size compared to the prior radiographs, with persistent moderate cardiomegaly. there is no pneumothorax, overt pulmonary edema, or focal consolidation concerning for pneumonia. no subdiaphragmatic free air is noted.
abdominal pain with nausea and vomiting.
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frontal and lateral views of the chest were obtained. leads of a left chest wall pacer terminate in the right atrium and right ventricle. moderate cardiomegaly is similar to prior and mediastinal contours are stable. rounded calcification at the base of the heart is consistent with a known left ventricular aneurysm. bi...
productive cough and shortness of breath.
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frontal and lateral views of the chest demonstrate low lung volumes, which accentuate bronchovascular markings. linear bibasilar opacities most likely represent atelectasis. no pleural effusion, focal consolidation or pneumothorax is seen. hilar and mediastinal silhouettes are unremarkable. heart size is normal. there ...
abdominal and chest pain.
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mild bibasilar atelectasis is noted. no large focal consolidation is identified. there is no pneumothorax, pleural effusion, or pulmonary edema. the cardiomediastinal silhouette, pleural surfaces, and hilar contours are grossly normal. pectus excavatum is unchanged. the known metastatic pulmonary lesions are better ass...
<unk>m with history of bladder cancer status post resection and history of pulmonary metastasis, now with hemoptysis
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the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is an unfolded aorta. no pleural effusion or pneumothorax.
patient with substernal chest pain. evaluate for evidence of pneumonia.
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median sternotomy wires are intact. prosthetic aortic valve appears intact. borderline cardiomegaly is stable. mediastinal and hilar contours are normal. increased, small right pleural effusion with adjacent atelectasis. stable, small left pleural effusion with adjacent atelectasis. stable, tiny left apical pneumothora...
<unk>-year-old woman status post chest tube removal with increased drainage from the chest tube site. evaluate for pleural effusion.
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pa and lateral chest views have been obtained with patient in upright position. analysis is performed in direct comparison with the next preceding similar study of <unk>. the heart size remains unchanged and is within normal limits. also unchanged appearance of thoracic aorta. no pulmonary vascular congestion is presen...
<unk>-year-old female patient with copd and known lung mass, now with low oxygen saturation, hemoptysis and dyspnea, infiltrates. evaluate for progression of lung mass.
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the swan-ganz catheter terminates in a branch of the descending right pulmonary artery, advanced in position compared to chest radiograph from <unk>. the heart is severely enlarged, unchanged compared to prior study from <unk> but increased compared to radiograph from <unk>. the mediastinal silhouette is unremarkable. ...
<unk> year old man with pmhx hiv, p/w hf with pa catheter in // catheter placement
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lungs are clear. there is no consolidation or pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk> year old woman with sudden onset of chest pain, localized around the sternum // r/o ptx
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the tracheostomy tube is in appropriate position. compared to the prior study performed <num> hours prior, there is increase in consolidation in the right lower lobe and possibly more septic emboli throughout the right lung. there is increased left basilar atelectasis and the left pleural effusion has increased. there ...
<unk> year old man with left chest tube to water seal s/p hemo/pneumo // water seal cxr. eval for pneumo/hemo
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the lungs are clear but hyperexpanded and the cardiac and mediastinal contours are normal. intact median sternal wires are noted. loop recorder is seen overlying the left heart border. no pleural effusion or pneumothorax. osseous structures are unremarkable with no evidence of rib fracture or thoracic spine abnormality...
history: <unk>m with sdh transfer from outside hospital with fall on left side.
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bibasilar effusions and atelectasis are similar to yesterday's exam. no new consolidation, effusion, pneumothorax is present. a right apical pneumothorax is tiny and unchanged.
<unk>-year-old man status post cardiac surgery.
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the dobhoff tube has been advanced and the tip is now in the fundus of the stomach. lung volumes remain low. assessment is somewhat limited as the right apex is obscured by the patient's chin. no pleural effusion seen. unremarkable bowel gas distribution.
<unk> year old man with sah, dobhoff replaced // ?dobhoff placement
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the cardiomediastinal and hilar contours are stable. left pleural effusion is small if present. the is no right pleural effusion. there is no pneumothorax. lung volumes are low without new focal consolidation. a bulbous opacity at the left base is less conspicuous than on the prior study but persists, new since <unk>. ...
<unk>m with hx of multiple abd operations as sequelae from gsw in <unk> now s/p ex lap, bladder repair, duodenotomy repair, sbr, takedown ileostomy, vhr with component separation by prs // interval change
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lung volumes are low. heart size is top normal. mediastinal and hilar contours are unchanged. pulmonary vascularity is normal. lungs are clear. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities are seen.
left-sided chest pain.
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there is no frank pulmonary edema, pleural effusion, focal consolidation, or pneumothorax. heart size is top normal. the cardiomediastinal contour is normal. the aortic is partially calcified and tortuous.
<unk>m with doe, evaluate for etiology.
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portable semi-upright radiograph of the chest demonstrates increased consolidation at the bilateral bases, consistent with pulmonary edema superimposed on pneumonia. small bilateral pleural effusions are slightly increased in size. cardiomediastinal and hilar contours are unchanged. the right internal jugular central v...
<unk>-year-old female with pneumonia. evaluate for interval change.
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heart size is normal and unchanged. 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. there are bridging osteophytes of the visualized spine.
<unk>-year-old man with intermittent chest pain. evaluate for vs. infiltrate
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lung volumes are low causing bronchovascular crowding; however, there does appear to be mild edema. no focal opacity to suggest pneumonia is seen. no pleural effusion or pneumothorax is identified. there is mild cardiomegaly and tortuosity of the aorta.
chest and abdominal pain.
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cardiac silhouette is top normal in size. mediastinal and hilar contours are normal. subtle bibasilar opacities are worrisome for infection. there is no pleural effusion or pneumothorax. a left port-a-cath is unchanged in position with the tip projecting over the low svc.
aml status post induction chemo with decreased blood return from port.
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heart size is normal. mediastinal and hilar contours are unremarkable. the pulmonary vasculature is normal. elevation of the right hemidiaphragm is demonstrated. <num> cm rounded opacity projecting over the lateral aspect of the right lung base may reflect a nipple shadow. atelectasis in the right lung base is present....
history: <unk>m status post fall with open foot fracture. preoperative assessment.
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frontal and lateral views of the chest demonstrate low lung volumes. there is no pleural effusion or focal consolidation. no pneumothorax. the left hemidiaphragm is obscured. no pulmonary edema. partially imaged upper abdomen is unremarkable.
confusion.
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exam is limited secondary to portable technique, patient body habitus and low lung volumes. increased interstitial markings throughout the lungs could be due to be technical factors with superimposed pulmonary edema suspected as well. cardiopulmonary silhouette is grossly within normal limits for technique.
<unk>f with anasarca and dyspnea, hypoxia, heavy drinking x <num> months, ddx includes alcoholic cardiomyopathy, cardiac effusion, pulm edema, hepatitis, cirrhosis, perforation // eval ? free air, enlarged cardiac silhouette
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ap and lateral views of chest were reviewed. the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. there is no focal consolidation concerning for pneumonia.
change in mental status.
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compared to the prior study there is no significant interval change.
<unk> year old man with trach // please eval interval change