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MIMIC-CXR-JPG/2.0.0/files/p19398915/s57368049/65764501-34929472-9b28c722-c86b9cfc-35b5a04f.jpg
a chest tube remains in place with a small right apical pneumothorax. there is also a moderate-sized pleural effusion on the right. allowing for slight differences in positioning and decreased lung volumes, the extent of fluid is not clearly changed. there is probably some degree of atelectasis at the right lung base, ...
shortness of breath. question effusion.
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frontal and lateral views of the chest demonstrate moderate to severe cardiac enlargement, stable from priors. mediastinal widening, secondary to mediastinal lipomatosis, is also unchanged. lymphadenopathy is better appreciated on chest ct from <unk>. there is no pleural effusion. homogeneous opacification of the lungs...
<unk> year old woman with cough and malaise, assess for pneumonia.
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cardiac silhouette size is borderline enlarged. the mediastinal and hilar contours are unremarkable. patchy and somewhat nodular opacities within the right lung base and right mid lung field, likely involving the upper lobe, are concerning for infection. no pulmonary edema is clearly noted. there is no pleural effusion...
history: <unk>m with chest pain, shortness of breath
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the patient is rotated and the lung volumes are low which limits evaluation. there are moderate bilateral pleural effusions with adjacent atelectasis which have increased in size from prior. the cardiac silhouette remains mildly enlarged. there certainly isn't evidence of severe pulmonary edema. no pneumothorax. there ...
significant coronary history having an acute chest discomfort and reproducible on the left side. evaluate for a fracture.
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compared to chest radiographs from <unk>, there has been interval development of an air-fluid level within the right axilla containing surgical clips, which could represent a developing fluid collection or abscess. upper mediastinal widening has improved, consistent with probable evolving postoperative hematoma. tiny b...
<unk> year old man pod <num> from a bentall // eval effusion
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heart size is normal. the hilar and mediastinal contours are normal. there appears to be mild interval increase in the diffuse bilateral pulmonary edema. there are small bilateral pleural effusions. there is no pneumothorax. there is bibasilar atelectasis. there appears to be slight interval increase in consolidation o...
history of lymphoma, presents with stemi and pulmonary hypertension on echo. please evaluate for pulmonary edema.
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. there no pleural effusions or pneumothorax. bony structures are unremarkable.
chest pain and cough.
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. the lungs appear clear. bony structures are unremarkable.
hip and pelvic pain.
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large right pleural effusion is minimally increased in size compared to the prior exam. right basilar opacity likely reflects compressive atelectasis. the heart size is difficult to assess given the presence of the large right pleural effusion. mediastinal contour where visualized appears unchanged with similar leftwar...
history: <unk>f with liver failure secondary to hepatitis-c presents with shortness of breath and abdominal distension
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there is no focal consolidation, pleural effusion, evidence of pneumothorax is seen. there is no overt pulmonary edema. the aorta is slightly tortuous and is calcified. the cardiac silhouette is not enlarged. there is likely right middle lobe atelectasis.
cough and congestion.
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac silhouette is top-normal to mildly enlarged. mediastinal contours are unremarkable.
persistent cough
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the heart size is normal. the aortic knob is calcified. the mediastinal contours are unremarkable. patchy opacities are noted in the lung bases which is concerning for infection. no pleural effusion or pneumothorax is seen. there is likely mild pulmonary vascular congestion. no acute osseous abnormalities are visualize...
cough and fever.
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the lung volumes are low but without focal airspace opacity to suggest pneumonia. the heart is not enlarged. again there are calcified mediastinal lymph nodes. the aorta is calcified. there is no pleural effusion or pneumothorax. no displaced rib fracture is seen.
fall.
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cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax. there is no focal lung consolidation.
<unk>f with chest pain in the setting of acute life stressor..
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the patient is status post median sternotomy and aortic valve replacement. right-sided pacemaker/aicd device is again noted with leads terminating in the right atrium, right ventricle, and the region of the coronary sinus, unchanged. enlargement of the cardiac silhouette is moderate, and similar compared to the previou...
congestive heart failure, pacer, on coumadin with copd and shortness of breath.
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the lungs are well expanded and clear, without focal infiltrates or vascular congestion. the heart is normal in size. the aorta is moderately widened and elongated and additionally, there are calcifications at the level of the arch, unchanged in comparison with next preceding study. there is mild biapical thickening of...
cough. rule out pulmonary pathology.
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ng tube tip at level of t<num> that has not significantly changed in position since prior radiograph. otherwise no interval change. cardiomediastinal silhouette is unchanged. severely distended bowel loops likely ileus or obstruction.
<unk> with ileus, dilated loops of bowel, s/p ngt placement and repositioning x <num> // ngt repositioned, noted to previously not be passing gej. please evaluate gej and ngt placement specifically
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significant decrease in the bibasilar opacities, with mild residual left lower lobe opacity. moderate pulmonary edema has also improved in is now mild. probable small left effusion decreased since the prior. mild cardiomegaly. no pneumothorax. prior median sternotomy and cabg.
<unk> year old man with pna and continuing desaturation on abx and recent cardioversion. any other acute intrathoracic process? // <unk> year old man with pna and continuing desaturation on abx and recent cardioversion. any other acute intrathoracic process?
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there is moderate relative elevation of the right hemidiaphragm. the heart is normal in size. the mediastinal and hilar contours appear within normal limits. streaky right infrahilar opacities probably reflect atelectasis associated with diaphragmatic elevation. there is no definite evidence for pneumonia or congestive...
productive cough.
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the lungs are clear. there are no pleural effusions or pneumothorax. mild degenerative changes are similar along the mid thoracic spine.
acute mental status change. question pneumonia.
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the lungs are well-expanded and clear. the cardiomediastinal silhouette is unremarkable. the hilar and pleural surfaces are normal.
<unk> year old man with sah. // <unk> year old man with sah. pre procedure. surg: <unk> (angiography)
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picc line is unchanged with its tip in the upper svc. bilateral pleural effusions and basilar atelectasis persist with a possible component of mild edema. small amount of fluid tracks along the minor fissure. there is no pneumothorax. in the interval, there is development of large amounts of free air below the right an...
<unk> year old woman with tachypnea, <num> days of n/v // concern for aspiration pna.
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frontal and lateral radiographs of the chest show no evidence of pneumonia or pneumothorax at this time. no pleural effusion is present. the pulmonary vasculature is not engorged. the cardiac silhouette is top normal in size, but unchanged. the mediastinal and hilar contours are within normal limits and stable. the aor...
<unk>-year-old female with palpitations, here to evaluate for pneumonia or pneumothorax.
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hyperinflated lungs, consistent with patient history of copd. no focal consolidations are seen. the lungs are otherwise clear. the heart size is normal. no pneumothorax, pleural effusion, or pulmonary edema.
<unk> year old man with hx of myeloma, copd, progressive cough and fever. please r/o pna. // <unk> year old man with hx of myeloma, copd, progressive cough and fever. please r/o pna.
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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. degenerative changes are seen in the spine. there is mild dextroscoliosis.
history: <unk>f with sob // ? infiltrate
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chest pa and lateral radiograph demonstrates dense opacification of the right middle and lower lobe suggesting pneumonia on a background of mild pulmonary edema. minimally increased retrocardiac opacification likely represents atelectasis. no pleural effusion or pneumothorax evident. mediastinal and hilar contours are ...
fever, cough. please evaluate for acute process.
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the heart is mildly enlarged with a left ventricular configuration. the patient is status post sternotomy. fissures are mildly thickened, but without evidence for parenchymal edema. a focal opacity projects along the left lung base, new since the prior study, raising concern for pneumonia. the left hemidiaphragm remain...
ekg changes and syncope.
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portable chest radiograph demonstrates dobbhoff tube with the tip near the distal stomach, and a second radiodensity which projects over the dobbhoff tube, which may represent the guidewire, is noted. left chest wall pacemaker and leads and median sternotomy wires are stable. the heart is enlarged, but stable and the l...
stroke with nasogastric tube placement. evaluate position of nasogastric tube.
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feeding tube in situ, coursing out of sight inferiorly. surgical clips in the left upper quadrant in keeping with previous gastric surgery. left-sided picc line in situ with the tip in the mid svc. bilateral lower lung zone airspace consolidation is slightly increased compared to yesterday. no pulmonary edema. no pleur...
<unk> year old woman with pe, aspiration // ?worsening lung exam
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the cardiomediastinal silhouettes are within normal limits. the bilateral hila are unremarkable. the lungs are clear. there is no pulmonary vascular congestion. there is no pneumothorax or pleural effusion.
<unk>f with type <num> dm increase blood glucose and likely dka, evaluate for pneumonia.
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no focal opacity to suggest pneumonia is seen. no pleural effusion, pulmonary edema or pneumothorax is present. the heart size is normal. a previously seen right internal jugular venous catheter has been removed.
shortness of breath.
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the lung fields are clear without focal consolidation, pleural effusion, or pneumothorax. heart and mediastinal contours are within normal limits.
<unk>-year-old female with tachycardia and possible alternans on ekg.
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frontal upright view of the chest was obtained. the heart is mildly enlarged, similar to prior. aeration is improved compared with the prior exam. small linear opacity is present at the left lung base and the left costophrenic angle is indistinct. no focal consolidation or pneumothorax. right humeral head screw is simi...
<unk>-year-old female with hepatitis c cirrhosis and hcc. no fever. evaluate for effusion or pneumonia.
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the lungs are low in volume but otehrwise clear. left hemidiaphragm is somewhat obscured in its lateral-most component, though this could be projectional. the left lung base is poorly imaged. there is no definite pleural effusion or pneumothorax. stable marked cardiomegaly is noted.
a-fib, assess for acute cardiopulmonary abnormality
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lungs are well inflated and clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax. visualized upper abdomen is unremarkable. osseous structures are grossly intact. a spinal stimulator device is again noted projecting over the lower thoraci...
new onset ruq pain, occasional sob since surgery <num> week ago, evaluate for pneumonia.
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lungs are well inflated without focal opacities. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax.
<unk>-year-old female with right-sided chest pain. evaluate for acute cardiopulmonary process.
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interval decrease in size of a right pleural effusion, now small to moderate in extent. no pneumothorax identified. there is right basilar atelectasis. the left lung is clear. again noted is mild pulmonary vascular congestion. the size of the cardiac silhouette is mildly enlarged.
<unk> year old woman with pleural effusion s/p thoracentesis // s/p thoracentesis
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heart size is normal. the aorta is slightly unfolded. mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. subsegmental atelectasis is seen in the left lung base. no focal consolidation, pleural effusion or pneumothorax is present.
history: <unk>m with headache and arm numbness
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the lung volumes are very low. a swan-ganz catheter appears slightly retracted, remaining within a right pulmonary artery. there has been interval extubation and removal of mediastinal drain and left thoracostomy tube. multiple intact sternal wires and mediastinal clips are unchanged in orientation. moderate central pu...
removal of chest tube.
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a right subclavian central venous catheter tip projects over the cavoatrial junction. an ovoid airspace opacity projects over the right mid lung zone and may reflect a focus of pneumonia. there is no pleural effusions or pneumothorax identified. the size the cardiomediastinal silhouette is within normal limits.
<unk> febrile neutropenia // r/o pna
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ap and lateral views of the chest. severe cardiomegaly is stable in configuration. lungs are clear of focal consolidation. there are, however, moderate bilateral effusions, larger on the right than on the left and likely slightly enlarged from prior. left chest wall dual-lead pacing device is unchanged. no acute osseou...
<unk>-year-old male with fall and now increasing weakness.
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the patient is in status post midline sternotomy for cabg with sternal metal wire and mediastinal clips. the cardiac and great vessel contours are unchanged and still enlarged. the left subclavian picc line was removed. the lungs are well inflated and clear without consolidation or nodules. there is no pleural effusion...
<unk>-year-old woman with history of cml and status post allo transplant in immunosuppressant, <num> week of history of cough indication: assessment for acute pneumonia.
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the lungs are clear of confluent consolidation, large effusion or pulmonary vascular congestion. the cardiomediastinal silhouette is within normal limits for technique and positioning. no acute osseous abnormality is identified.
<unk>f with ams // eval for infiltrate
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sternotomy wires are intact and aligned. bilateral interstitial and airspace opacities are not appreciably changed. a right upper lobe mass-like scar should be evaluated in light of the patient's clinical history. mild cardiomegaly despite the projection is stable. there is no pneumothorax or pleural effusion.
<unk> year old man with chf, cad // r/o pulm edema, acute process
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the lungs are clear. there is no pleural effusion, pneumothorax or focal airspace consolidation. the heart is normal size. the mediastinal and hilar structures are unremarkable. there is no displaced rib fracture seen.
productive cough and right rib pain. evaluate for pneumonia or rib fracture.
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portable frontal radiograph of the chest demonstrates a left-sided dual-lead pacemaker with leads in the expected location. a shunt catheter is incompletely visualized projecting over the right hemithorax and right upper quadrant. there is moderate enlargement of the cardiac silhouette with calcification of the aortic ...
head bleed and bilateral rhonchi on exam, question pneumonia.
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there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. the cardiomediastinal contour is normal.
<unk> year old woman with cough, wheezing, sarcoid, thyroid cancer, evaluate for abnormality.
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the lungs are well inflated and clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax.
history: <unk>f with cough, congestion, abd pain x<num> week // eval for pna
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the cardiomediastinal and hilar contours are normal. diffuse patchy airspace opacification noted in the right lung base, which is concerning for an acute infectious process versus aspiration. the left lung is well expanded and clear. no pleural effusion or pneumothorax is seen. no acute osseous abnormality is seen. mil...
<unk>-year-old man with history of prostate cancer and vomiting.
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there is a three-lead pacemaker/icd device in place. the heart is mildly enlarged. the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear.
palpitations.
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cardiac silhouette size is top normal. mediastinal and hilar contours are within normal limits. pulmonary vasculature is normal. lungs are clear. no pleural effusion, focal consolidation or pneumothorax is identified. no acute osseous abnormalities detected
history: <unk>f with cough
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opacity at the left base with obscuration of left hemidiaphragm is likely atelectasis. there is a small left pleural effusion. the right lung is clear. the cardiac silhouette is unremarkable. displaced fractures of the left fourth through eighth ribs are present.
history of fall, clavicle fracture, question pneumothorax or other acute process.
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pa and lateral views of the chest were provided. tiny bilateral pleural effusions are noted with mild interstitial edema. no frank alveolar edema is seen. there is no focal consolidation to suggest the presence of pneumonia. no pneumothorax. heart size is stable and normal. mediastinal contour is unremarkable. bony str...
<unk>-year-old male with elevated bnp, assess for congestive heart failure.
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low lung volumes. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact.
history: <unk>m with upper back pain, pleuritic in nature // eval for pneumothorax
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right internal jugular central venous catheter projects over mid svc. there is no pneumothorax. lung volumes remain low. there is blunting of the left costophrenic angle suggestive of pleural effusion. trace right pleural effusion is likely. perihilar vascular congestion is noted. bibasilar opacities may represent atel...
patient status post line change.
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pa and lateral views of the chest provided. compared to prior study from <num> days ago, there is significant decrease in the left pleural effusion. there is a small right pleural effusion. there is no pulmonary edema. heart is mildly enlarged. left-sided chest tube is in unchanged position.
<unk> year old man with pleural effusion
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pa and lateral views the chest were provided. there are subtle opacities in the lower lungs which may reflect gynecomastia as no corresponding opacity is seen on the lateral projection. lungs are otherwise clear. cardiomediastinal silhouette appears unchanged. no large effusion or pneumothorax. bony structures are inta...
<unk>m with weakness, infectious workup // eval pna
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known right lower lobe pulmonary nodule is not clearly delineated on this study. the lungs are otherwise clear with no evidence of a consolidation, effusion, or pneumothorax. prominence of the right hilum remains stable and consistent with pulmonary artery hypertension. cardiac and mediastinal silhouettes are stable. n...
cough and myalgias.
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again seen is a dual-lead pacemaker/icd device with leads terminating in the right atrium and ventricle, respectively. the heart is again moderately enlarged, not necessarily changed, however, allowing for differences in technique. however, some widening of the vascular pedicle including venous distention is suspected ...
right-sided chest pain of acute onset.
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the left subclavian dobbhoff catheter and feeding tube are unchanged in position. the feeding tube coils in the stomach with its tip projecting over the gastric fundus. bilateral airspace and interstitial opacities are unchanged.
<unk> year old woman with new dobhoff placement // *please include upper abd* for feeding tube placement.
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as compared to <unk>, market cardiomegaly is again demonstrated accompanied by pulmonary vascular congestion. severity of interstitial edema has decreased, and bilateral pleural effusions are no longer evident, although a small amount of fluid is present in the fissures.
<unk> year old woman with shortness of breath // sob
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pa and lateral views of the chest provided. elevation of the right hemidiaphragm noted. associated with this is crowded bronchovascular sure in the right lower lung. there is no convincing evidence of pneumonia or edema. no large effusion or pneumothorax is seen. the heart size is top-normal. mediastinal contour is unr...
<unk>m with ams // eval for acute process, pna
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single frontal view of the chest shows an et tube whose tip terminates <num> cm above the carina. a feeding tube is present with its distal tip seen in the stomach. abdominal drain is noted. pneumoperitoneum is not appreciated on this supine study. the cardiomediastinal, pleural and pulmonary structures are unremarkabl...
status post gastric perforation.
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the patient is status post median sternotomy and cabg. moderate enlargement of cardiac silhouette is unchanged. aortic knob calcifications are re- demonstrated. there is mild pulmonary vascular engorgement, but no overt pulmonary edema. patchy retrocardiac and right basilar opacity could reflect atelectasis. no pleural...
cough, atrial fibrillation to <num>.
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the heart is borderline in size. the mediastinal and hilar contours are unremarkable. nipple shadows are visible bilaterally, but the lungs appear clear. there are no pleural effusions or pneumothorax.
stroke symptoms.
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pa and lateral chest radiographs were provided. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. the bones are intact. the imaged upper abdomen is unremarkable.
<unk>-year-old female with cough and fever. rule out pneumonia.
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pa and lateral chest radiographs were obtained. lungs remain hyperinflated. a small to moderate left pleural effusion is unchanged. there is no new consolidation or pneumothorax. cardiac and mediastinal contours are normal. thoracic spine degenerative changes are stable.
worsening cough and history of gastric cancer.
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heart size is normal. the mediastinal and hilar contours are remarkable for unchanged tortuosity of the thoracic aorta. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
<unk> year old smoker with copd, remote hx of sarcoidosis with cough/sob // r/o infiltrate
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compared to the prior study there has been some minimal increase in aeration in the right lower lobe. however there continues to be a right lower lobe infiltrate. in addition there is now increased opacity in the left lower lung with vascular crowding and some alveolar infiltrate. the et tube, pacemaker, and right ij c...
check interval change after bronchoscopy.
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patient is status post median sternotomy and cabg.the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no pulmonary edema is seen.
history: <unk>m with cp associated w/ sob // r/o infiltrate or any cardiac abnormaties
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. median sternotomy wires and mediastinal clips are noted. no acute osseous abnormalities identified.
<unk>m with cough // ?pna
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again seen is the right middle lobe infiltrate. there is also left lingular infiltrate that is slightly increased in conspicuity compared to prior. there are small bilateral pleural effusions that have increased compared to prior. the patchy upper lobe infiltrate seen on ct is not as well visualized on the chest x-ray.
renal transplant with multifocal pneumonia with new left-sided pleuritic chest pain.
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frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation.
history: <unk>f with lower back pain and intermittent pleuritic lower right rib cage pain x<num> week // evaluate for focal consolidation
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heart size is moderately enlarged. mediastinal contours unremarkable. hyperinflation of the lungs is suggestive of underlying chronic obstructive pulmonary disease. large left pleural effusion is noted with retrocardiac opacity likely reflective of atelectasis. infection is not excluded. no pneumothorax is noted. mild ...
bilateral lower extremity swelling, history of cancer and left upper extremity swelling.
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the heart is moderately enlarged. the aorta is mildly tortuous. there are mild congestive changes in each lung but no focal opacification. there is no pleural effusion or pneumothorax.
shortness of breath and fever.
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portable semi upright radiograph of the chest demonstrates hyperexpanded lungs. chronic interstitial markings suggests elevated pulmonary venous pressure. the lungs are not significantly changed from the prior study. there are small bilateral pleural effusions. as before, the area of increased opacification in the left...
<unk> year old man with recent desaturation and agitation requiring ventilator change, pt presented with hemoptysis // please evaluate for acute change
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ap and lateral views of the chest are compared to previous exam from <unk>. the lungs remain clear of consolidation or effusion. cardiomediastinal silhouette is stable. atherosclerotic calcifications again noted at the arch. surgical clips and ivc filter seen in the upper abdomen. osseous and soft tissue structures are...
<unk>-year-old female with coronary artery disease and recurrent chest pain, now with mild dyspnea and bibasilar crackles on exam.
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there has been interval placement of a right sided port with distal tip projecting over the superior svc, and a right-sided picc line has been removed. there is again visualized a torturous thoracic aorta without significant interval change. there is no cardiomegaly. the bilateral hila are within normal limits. there i...
<unk> year old man with metastatic colon cancer now with fever and cough // please evaluate for pneumonia
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the patient is status post coronary artery bypass graft surgery. the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear. there has been no significant change.
chest pressure.
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the tip of the endotracheal tube is at the level of the clavicles, which is roughly <num> cm above the carinal. an endotracheal tube enters the stomach, but the tip is not visualized. the lungs are clear. there is no pneumothorax or pleural effusion.
<unk>-year-old male with acute on chronic bilateral subdural hematomas status post craniotomy; evaluate for possible aspiration.
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opacity in the right lower lobe is concerning for pneumonia. . no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
<unk> year old woman with <num>-week h/o cough, myalgias // pneumonia?
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the lungs are well expanded and clear. hila and cardiomediastinal contours and pleural surfaces are normal.
<unk> year old woman with persistent coughing // pneumonia
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mild cardiomegaly is again noted. lung volumes are low, likely exaggerating pulmonary vasculature which is mildly prominent. no focal consolidation or pneumothorax is detected. there is possibly a small left pleural effusion. an esophageal catheter is incompletely evaluated due to exposure. sternal wires are noted.
<unk>-year-old male with hematemesis.
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endotracheal tube terminates <num> cm above the level of the carina, withdrawal is advised. stable extensive pulmonary edema, bilateral pleural effusions, and cardiomegaly. monitoring and support devices are stable.
<unk> year old woman with new hypoxemic respiratory failure s/p emergent intubation. // confirm ett placement
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portable chest radiograph demonstrates persistently low lung volumes with new right mid lung atelectasis. there are no new consolidations, pleural effusion, or pneumothorax. the heart is top-normal in size. a left central line is seen low within the superior vena cava.
<unk>-year-old male status post craniotomy now intubated. evaluate for pneumonia.
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heart size is mildly enlarged, unchanged. mediastinal and hilar contours are similar. pulmonary vasculature is not engorged. pleural calcification is again noted on the lateral view suggestive of prior asbestos exposure. minimal patchy opacity is seen within the left lung base, as seen previously on the chest radiograp...
history: <unk>m with recent left middle lobe pneumonia on cipro here with generalized weakness and bilateral crackles.
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lungs are well-expanded and clear. cardiomediastinal hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation. no acute displaced rib fractures identified.
history: <unk>m with mvc // r/o trauma
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the patient is status post sternotomy. a dual-lead pacemaker/icd device is in place, with leads terminating in the right atrium and ventricle, as before. an aortic stent graft is partly visualized along the upper abdomen. the heart is normal in size. the mediastinal and hilar contours appear unchanged. irregular pulmon...
upper abdominal tenderness and gastrointestinal bleeding.
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frontal and lateral chest radiographs were obtained. the lungs are fully expanded and clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax.
patient with dyspnea on exertion, rule out pneumonia, pcp.
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endotracheal tube tip projects approximately <num> cm above the carina. left basilar opacity may represent a small left subpulmonic effusion but focal consolidation cannot be excluded. no pneumothorax is detected. interstitial abnormality persists. mild to moderate cardiomegaly is again demonstrated. an esophageal cath...
<unk>-year-old female status post intubation.
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the patient is status post median sternotomy, cabg, and mitral valve replacement. cardiac silhouette size is borderline enlarged. mediastinal and hilar contours are within normal limits. there is mild upper zone vascular redistribution, as seen previously without overt pulmonary edema. lung volumes remain low. no focal...
history: <unk>f with shortness of breath, decreased breath sound on the right
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the lungs are clear. the hilar and cardiomediastinal contours are normal. there is no pneumothorax. there is no pleural effusion. pulmonary vascularity is normal.
history: <unk>f with chest pain // ?ptx <unk>-year-old woman with chest pain. evaluate for pneumothorax.
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the lungs are normally expanded without focal airspace opacity to suggest pneumonia. there is mild pleural thickening at the lung apices, likely chronic scarring. the heart is not enlarged. the mediastinal and hilar contours are normal. the aorta is somewhat tortuous. there is no pleural effusion or pneumothorax. there...
chest pain. evaluate for effusion.
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ap supine view of the chest provided there is been interval placement of a right ij central venous catheter that terminates in the low svc. endotracheal tube again seen terminating approximately <num> cm above the carina. an enteric tube extends into the left upper abdomen. no pneumothorax or significant interval chang...
<unk>m with hypotension, respiratory failure s/p cvl placement
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patient is status post median sternotomy and cardiac valve replacement. the lungs remain hyperinflated, suggesting chronic obstructive pulmonary disease. no focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac silhouette remains moderately enlarged. mediastinal contours are stable. no ...
history: <unk>m with hx of systolic and diastolic hf, a fib, comes in for bradycardia with a sinus pause of <num> seconds. // ? chf findings
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cardiac, mediastinal and hilar contours are normal. lungs are clear. pulmonary vasculature is normal. no focal consolidation, pleural effusion or pneumothorax is visualized. no acute osseous abnormality is visualized.
history: <unk>m with fever
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the lungs are normally expanded. previous layering effusions appear smaller possibly due to redistribution in upright positioning. there is mild right infrahilar opacity. the heart is moderately enlarged. left chest wall pacer defibrillator leads are in stable position. there is no pneumothorax.
history: <unk>m with dizziness, // eval for pna, effusions
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the cardiomediastinal and hilar contours are within normal limits. there is marked elevation of the right hemidiaphragm. bibasilar opacities, left greater than right could represent atelectasis or infection in the appropriate clinical setting. there is no effusion or pneumothorax. no evidence of pulmonary edema. note i...
history: <unk>f with pna // eval for pna
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lung volumes are low, exaggerating pulmonary vascular markings. otherwise, the cardiomediastinal silhouette is within normal limits. mild bibasilar atelectasis is accompanied by small pleural effusions. there is no pneumothorax. no acute fractures are identified. air and contrast material is visualized throughout the c...
fever.
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since <unk>, multifocal opacifications are seen in the left upper lobe, right middle lobe, and right upper lobe, consistent with multifocal pneumonia. additionally, there may be some component of underlying vascular congestion. the heart size is normal. no pneumothorax.
<unk> year old man with kidney/panc transplant, rectal cancer, mssa bacteremia. new cough, leukocytosis, immunosuppressed on tacro, // pneumonia?