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ap view of the chest provided. compared to prior study, the degree of diffuse interstitial opacity is largely unchanged. however, more confluent opacity in the left lung base is seen, which could suggest atelectasis versus developing pneumonia. no large pleural effusions are seen. chronic dislocation of the right shoul...
<unk> year old woman with paranoid schizophrenia, recent o<num> requirement. // cough
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with fever, cough // infiltrate, effusion, edema
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frontal and lateral chest radiographs demonstrate mild cardiomegaly and hyperinflated lungs. interstitial abnormality, predominantly at the left base, could represent interstitial disease. this appears to have been present in <unk>. there is no focal consolidation, pleural effusion, or pneumothorax. the visualized uppe...
evaluate for pneumonia or chf in a patient with shortness of breath.
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large cicatricial cysts in the lung apices, parenchymal scarring and architectural distortion are similar to the prior study. lateral view suggests new material may have collected in one of the large cystic spaces, possible mycetoma. volume loss at the lung apices with associated elevated of the hila is also unchanged....
<unk> year old woman with severe pneumonia and resp failure in early <unk> // assess for degree of clearance of infiltrates emphysema, history of aspergillosis in the setting of bronchiectasis and cavitary lung disease.
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pa and lateral views of the chest <unk> at <time> is submitted.
<unk> year old man s/p chest tube pull // ptx? ptx?
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ap view of the chest. there are low lung volumes. mild-to-moderate cardiomegaly. diffuse bilateral hazy opacities are consistent with moderate pulmonary edema. there are likely small bilateral pleural effusions. bibasilar patchy opacities may represent changes due to atelectasis and chf. no definite focal consolidation...
copd and cad, shortness of breath. evaluate for chf.
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there are small left and trace right pleural effusions and moderate bibasilar atelectasis. there is mild interstitial edema, similar to prior. there is no focal consolidation or pneumothorax. the cardiomediastinal silhouette is normal. no free air below the right hemidiaphragm is seen.
<unk> year old man with bilateral pleural effusions on previous cxr in the setting of babesiosi, pheresis x <num>, transfusions, ivf and <unk> with continued doe // interval evaluation of pleural effusions
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cardiac, mediastinal and hilar contours are normal. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormalities are visualized. clips are seen within the right breast.
history: <unk>f with presyncope
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when compared to <unk> <time> chest radiograph, the right chest tube has been removed. a small right apical pneumothorax has slightly increased in size in the interval. additionally there is slight improvement of the linear atelectasis in the right juxtahilar region. the left lung is well expanded and clear. the cardio...
<unk> year old man with r spontaneous ptx // interval change post-pull, please do at <unk>
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given differences in positioning and technique, there has been no significant interval change. the lungs are essentially clear aside from linear left basilar opacity which is likely atelectasis. cardiomediastinal silhouette is stable. linear calcification again projects over the lateral aspect of cardiac silhouette.
<unk>m with dyspnea, cp // evidence of fluid overload
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frontal and lateral views of the chest were compared to previous exam from <unk>. the lungs are clear of confluent consolidation. bibasilar opacities seen, more notably on the right than on the left, likely due to atelectasis, and less conspicuous when compared to prior exam. there is no pleural effusion. cardiomediast...
<unk>-year-old male with weakness, dyspnea, recent pneumonia.
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heart size is normal. mediastinal and hilar contours are within normal limits. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is demonstrated. mild degenerative changes are seen in the thoracic spine. no displaced rib fractures are noted.
history: <unk>m with chest pain on right
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portable upright chest radiograph <unk> at <time> is submitted.
<unk> year old woman with s/p mvr/p<num> resection // eval pulmonary edema eval pulmonary edema
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the cardiac silhouette is normal in size. the hilar and mediastinal contours are within normal limits. there is no focal consolidation, pleural effusion or pneumothorax.
history: <unk>f with acute onset cp/sob // eval for acute process
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a right picc courses into the upper svc. an enteric tube terminates in the stomach. there has been further reduction in the volume of bilateral pleural effusions, now small. increased opacity at the right lung base is likely in part atelectasis, but early consolidation cannot be excluded. there is no pneumothorax or fo...
status post bronchoscopy for mucus plugging of the right mainstem bronchus, now with stable respiratory status. evaluate right lung atelectasis.
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the cardiomediastinal and hilar contours are within normal limits. lung volumes are low. the lung fields are clear besides mild left basilar atelectasis. there is no pneumothorax.
<unk>f with fever s/p tkr // eval for pna, structural process
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portable ap view of the chest was reviewed and compared to the prior study. a right pleural catheter courses along the lateral right chest and is unchanged in position. upper enteric tube passes into stomach and off of the radiograph. midline sternotomy wires are intact and aligned. right hilar clips and additional cli...
evaluation for mucous plugging and shortness of breath in a patient status post righ upper lobe wedge resection and superior vena cava reconstruction.
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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. cardiac silhouette size is normal.
history: <unk>f with cp // cardiomegaly
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the lungs are clear without focal consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. hypertrophic changes noted in the spine.
<unk> year old man with stroke and dysphagia // r/o aspiration pna
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a right picc ends in the low svc. a dobhoff tube course below the level of the diaphragm and off the inferior aspect of the film. a second enteric tube terminates in the region of the stomach. the cardiomediastinal silhouette is unremarkable. there is no pneumothorax. lung fields are clear.
<unk> year old man with tachypnea. // please evaluate for cardiopulmonary process.
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ap portable upright view of the chest. overlying ekg leads are present. there is mild hilar congestion with probable mild interstitial pulmonary edema. the heart is unchanged and top-normal in size. the mediastinal contour is prominent reflecting an unfolded thoracic aorta. no large effusion or pneumothorax. no convinc...
<unk>f with chb, lightheadedness
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pa and lateral views of the chest were reviewed. compared to the most recent prior study, lung volumes have increased and the small right pneumothorax has increased. the pneumothorax extends from the right apex laterally into the right costophrenic angle and along the diaphragm. a pigtail catheter in the right lung is ...
evaluation of interval of a pneumothorax in a patient status post chest tube to water seal.
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moderate left pleural effusion with overlying atelectasis. the right lung is clear. no pneumothorax identified. the size and appearance of the cardiac silhouette is unchanged.
<unk> year old man with cll/sll // worsening dyspnea, concerning for re-accumulation of pleural effusion, please re-evaluate
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frontal view of the chest demonstrates stable prominent cardiac silhouette. the mediastinal and hilar contours are unremarkable. mild atherosclerotic calcifications are seen in the aortic arch. the lungs are clear. there is no pneumothorax, vascular congestion, or large pleural effusion. previously seen small left pleu...
<unk>-year-old male with recently worsening chronic cough. question pneumonia or effusion.
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single portable view of the chest demonstrates low lung volumes without pleural effusion, focal consolidation or pneumothorax. hilar and mediastinal silhouettes are unremarkable. heart size is normal. the descending aorta is mildly tortuous.
patient with recent catheterization, who now presents with chest pain.
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the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. no rib fractures are identified.
<unk>-year-old female with syncope. evaluate for acute cardiopulmonary process.
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pa and lateral chest radiographs demonstrate volume loss in the right middle lobe. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.
dyspnea.
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chronic severe right middle lobe atelectasis is again seen. the lungs remain hyperinflated. widespread coarse reticular opacities reflect chronic interstitial disease. a small peripheral right middle zone opacity appears slightly denser, which may reflect atelectasis or new small consolidation. trace bilateral pleural ...
<unk>-year-old female with dyspnea.
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. the chest is mildly hyperinflated. there is no pleural effusion or pneumothorax. bony structures are unremarkable.
asthma and cough.
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there are low lung volumes. given this, lingular opacity seen on both the frontal and lateral views could be due to pneumonia in the appropriate clinical setting. the right lung is clear. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with chest pain // pls eval for pna
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the heart is not enlarged. there is elevation of the right hemidiaphragm, slightly more than on <unk>. the heart is not enlarged. within the limits of plain film radiography, no hilar mediastinal lymphadenopathy is detected. no chf, focal infiltrate, effusion, or pneumothorax is detected. there is minimal biapical pleu...
<unk> year old woman with tia/stroke possible subclavian steal // assess cxr for mass, fluid, pna
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there are no old films available for comparison. the heart is mildly enlarged. there is volume loss/early infiltrate in both lower lobes with obscuration of the right mid hemidiaphragm and left heart border. there is mild pulmonary vascular redistribution.
chf.
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frontal and lateral radiographs of the chest were obtained. the heart size and mediastinal contours are normal. no focal consolidation, pleural effusion or pneumothorax is present. no displaced rib fracture is identified.
back pain and chest pain after motor vehicle collision, evaluate for pneumothorax or fracture.
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two frontal views were provided. initial radiograph shows persistent large right pneumothorax with contralateral mediastinal shift. second subsequent radiograph shows new right chest tube and resolution of tension and mediastinal shift. small right apical pneumothorax remains. there is trace pneumothorax on the left. t...
<unk> year old man with chest tube // chest tube
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the cardiac silhouette size is borderline enlarged, but is likely accentuated due to slightly low lung volumes. mediastinal hilar contours are unremarkable. lungs are clear and the pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen.
cough and shortness of breath.
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as compared to the prior examination dated <unk>, the lung volumes are now slightly lower resulting in mild perihilar prominence. there is no lobar consolidation, large pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits.
history: <unk>m with cough // eval for pna
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the lungs are mildly hyperexpanded. there is no focal opacity or pulmonary edema. there is a small right pleural effusion. there is no left pleural effusion or pneumothorax. the aorta is tortuous. the cardiomediastinal silhouette is otherwise normal. the bones are diffusely demineralized with multiple compression defor...
cough and fever. evaluate for pneumonia.
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multiple portable radiographs demonstrating inflation of <unk> <unk> tube, with the final radiograph demonstrating the <unk> balloon inflated in the fundus of the stomach. the endotracheal tube terminates <num> cm above the carina and should be retracted by approximately <num>-<num> cm. the lungs are clear.
upper gi bleed. <unk> <unk> <unk> tube.
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dobbhoff tube has its tip projecting over the stomach. right-sided picc line has its tip projecting over the distal svc. nodular opacities are redemonstrated within the left upper lobe and these are better appreciated on prior chest ct. there is subsegmental atelectasis in the left mid lung. cardiac silhouette is unrem...
<unk> year old man with dysphagia s/p crani for iph // evaluate dobhoff placement
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left-sided port-a-cath tip terminates in the mid svc. heart size is borderline enlarged. the aorta remains tortuous. mediastinal and hilar contours within limits. pulmonary vasculature is normal. lungs are clear. no pleural effusion focal consolidation or pneumothorax is present no acute osseous abnormality visualized.
history: <unk>f with history of pancreatic cancer status post biliary stenting.
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mild bibasilar atelectasis is seen. there is no focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with intractable hiccups // pna?
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pa and lateral views of the chest. the lungs remain clear. cardiomediastinal silhouette is within normal limits. hypertrophic changes are noted in the spine. no acute osseous or soft tissue abnormality noted.
<unk>-year-old male with syncope.
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there is complete collapse of the right upper lobe along with elevation of the right hemidiaphragm and rightward shift of mediastinum, all consistent with significant volume loss. there is a very dense right hilar opacity. surgical clips are noted over the right axilla. there is no pneumothorax. no pleural effusion is ...
history of non-small cell lung cancer with chemoradiation. no history of thoracic surgery. new cough and chest pain.
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the lungs are well-expanded and clear. no focal consolidation, effusion, or pneumothorax. the heart is normal size. mediastinum is not widened. no evidence of a fracture.
<unk>m s/p fight endorsing right scapular pain and right pectoral pain. evaluate for fracture.
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chest, pa and lateral. the lungs are clear. the hilar and cardiomediastinal contours are normal. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal.
evaluate for aspiration pneumonitis in a patient who ingested scented oil.
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the heart size is borderline enlarged. mediastinal contours are unremarkable. hilar contours are similar compared to the prior exam. diffuse increased interstitial markings bilaterally suggest mild interstitial pulmonary edema. no pleural effusion or pneumothorax is identified. no acute osseous abnormality seen.
chest pain and dyspnea on exertion.
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low lung volumes are noted, particularly on the lateral view. there is subsequent bibasilar right greater than left atelectasis. there is no focal consolidation worrisome for pneumonia. there is no effusion. the cardiomediastinal silhouette is within normal limits. anterior vertebral body height loss at the thoracolumb...
<unk>m with lower back pain s/p fall. also with recurrent syncopal events so eval for cardiopulmonary process. // fracture? infiltrate?
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the cardiomediastinal and hilar contours are within normal limits. lungs are well expanded and clear. there is no focal consolidation, pleural effusion or pneumothorax.
history: <unk>f w transfusion reaction, evaluating for taco, trali // eval e/o pulmonary infiltrates, eval e/o pulmonary infiltrates,
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the heart size is within normal limits. the mediastinal and hilar contours are normal. prominence of the pulmonary vasculature is present compatible with mild congestion, but there is no evidence of frank pulmonary edema. the lungs <unk> volumes which also exaggerate pulmonary markings, but there is no consolidation. t...
<unk>-year-old female with chest pain.
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the lungs are hyperinflated, similar when compared to the prior study. an endotracheal tube is in-situ, the tip terminates <num> cm above the level the carina, the nasogastric tube terminates in the stomach, a side hole is at the level the gastroesophageal junction, this is withdrawn slightly when compared to the prior...
<unk> y/o m with pmhx copd (never intubated), htn, bph presenting with increased dyspnea, transferred from osh on bipap now with with stable respiratory status near baseline, on treatment for copd exacerbation and possible pna. // compare to prior
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there are new slightly confluent airspace opacities in the left mid and lower lung zones concerning for early developing pneumonia. no pleural effusion or pneumothorax is detected. the pulmonary vasculature is not engorged. the cardiac silhouette is normal in size. the mediastinal and hilar contours are within normal l...
cough, fever and right-sided rhonchi on physical exam, here to evaluate for pneumonia.
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lung volumes are low. the lungs are clear. mediastinal contours, hila, and mild cardiomegaly are stable. no pleural effusion.
<unk> year old man with metastatic rcc p/w n/v // eval for possible esophageal distention
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ap and lateral views of the chest. the cardiomediastinal contours are normal. there is no focal consolidation. there is no pleural effusion or pneumothorax. aortic calcifications are unchanged. there is a mid thoracic compression fracture, unchanged.
seizure, question of underlying infection.
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similar to multiple prior exams, there is relative opacification of the left lower lobe which is partially atelectatic but also in part consolidation without volume loss resulting in the relatively bizarre morphology in the retrocardiac left lung. no further consolidation is noted. there is no superimposed edema. the m...
respiratory distress.
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frontal and lateral chest radiographs again demonstrate a vascular stent and surgical clips. moderate to severe cardiomegaly is unchanged. there is no definite focal consolidation. pleural and parenchymal scarring have been more fully evaluated by cta of the chest of <unk>. a small right pleural effusion is seen. there...
evaluate for pneumonia in a patient status post fall with possible seizure.
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there are low lung volumes. no focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac silhouette is top-normal, likely accentuated by low lung volumes. mediastinal contours are unremarkable.
history: <unk>m with dyspnea // ?pna
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endotracheal tube tip terminates approximately <num> cm from the carina. enteric tube is distally coiled within the stomach which demonstrates moderate gaseous distension. heart size is normal. widening of the superior mediastinum is likely due to a combination of low lung volumes and ap technique with a tortuous aorta...
history: <unk>m with pea arrest, unresponsive // evaluate for tube placement
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the right-sided catheter is seen terminating in the cavoatrial junction. a tracheostomy is in unchanged position from prior exam. aortic endograft are again noted. the lungs are moderately well expanded. mild pulmonary edema is similar to prior exam. there is no pleural effusion or pneumothorax. the cardiomediastinal s...
tracheobronchomalacia status post tracheostomy, recurrent pneumonias, now with increased secretions.
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right-sided port-a-cath tip terminates at the junction of the svc and right atrium. heart size is mildly enlarged. mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is visualized. there are no acute osseous abnormality detected.
history: <unk>m with metastatic gastric cancer, on chemo, presenting with fever
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free air is seen beneath the diaphragm, compatible with the patient's recent cholecystectomy. the lungs are clear without focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is with normal limits.
<unk>f <num>d s/p chole with acute onset luq pain and sob // any acute cpd
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a right picc terminates in the mid svc. there is no pneumothorax. the lungs are clear with no pleural effusion or pneumonia. heart size and mediastinal contours are normal.
history: <unk>f with picc placed // picc
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no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac silhouette is top-normal. the mediastinum is unremarkable. no overt pulmonary edema is seen. no displaced fracture is identified.
chest pain.
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the heart size is top normal and there is marked prominence of the main pulmonary artery and right descending pulmonary artery. linear opacities in the left greater than right lung bases are consistent with atelectasis. pulmonary vascular markings appear within normal limits and there is no focal consolidation. no pleu...
history: <unk>f with bypoxia // volume overload?
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no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. there is no overt pulmonary edema. the cardiac and mediastinal silhouettes are stable.
cough, shortness of breath.
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cardiomediastinal contours are normal. the lungs are hyperinflated and clear. there is no pneumothorax or pleural effusion. there are moderate degenerative changes in the thoracic spine
<unk> year old man with fever, cough? lll pna. // r/o pna
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the cardiac silhouette is mildly enlarged. subtle opacity projecting over the right lower lung may be due to atelectasis but early consolidation is not excluded. there is slight blunting of the costophrenic angles which can be seen with trace pleural effusions. no pneumothorax is seen. mediastinal contours are unremark...
history: <unk>m with cp/sob x<num>days // eval for cardiomegaly
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frontal and lateral views of the chest. lung the lungs are clear of focal consolidation or pulmonary vascular congestion. cardiac silhouette is enlarged but stable in configuration. dual lead pacing device again noted with leads in unchanged position. surgical clips in the right upper quadrant are again noted. no acute...
<unk>-year-old female with chf weight gain and shortness of breath.
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no focal consolidation to suggest pneumonia is seen. linear opacities at the bases likely reflect subsegmental atelectasis. no pneumothorax or pleural effusion is seen. no pulmonary edema is present. the heart, mediastinal and pleural surface contours are normal.
worsening dyspnea. history of als.
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frontal and lateral views of the chest. the heart size and cardiomediastinal contours are stable with minimal tortuosity of the aortic contour. biapical scarring is small and unchanged. the lungs are otherwise clear without focal consolidation, pleural effusion, or pneumothorax.
<unk>-year-old female with cough and shortness of breath.
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the heart size is normal. the mediastinal and hilar contours are normal. pulmonary vascular is normal and the lungs are clear. no pleural effusion or pneumothorax is present. no acute osseous abnormality is seen.
right back pain.
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patient is rotated somewhat to the right. given this, no focal consolidation is seen. there is no large pleural effusion or pneumothorax. cardiac silhouette size is borderline. the aorta is tortuous. the bones are diffusely osteopenic, limiting assessment for subtle fractures.
history: <unk>m with s/p fall with chest pain // ? effusion, consolidation, evidence of traumatic injury
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there is a left-sided port-a-cath seen, appropriately positioned, coursing through the left subclavian and terminating within the mid svc. there is no kinking, evidence of breakage or radiopacities within the catheter. there is minimal blunting of the left costophrenic angle suggestive of a small pleural effusion. the ...
<unk>-year-old male with a port-a-cath which has not been flushed for months.
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chest, pa and lateral. the lungs are clear. the hilar and cardiomediastinal contours are normal. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal.
abdominal and chest pain.
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upright ap and lateral radiographs of the chest. there is a small left pleural effusion and left lower lobe atelectasis with chronic elevation of the left hemidiaphragm. mild cardiomegaly is also chronic, with sternotomy wires noted. there is pulmonary vascular congestion, but no frank interstitial edema. median sterno...
one day of chest pain and shortness of breath in a patient with a history of coronary artery disease and congestive heart failure.
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the cardiac silhouette is stable in size. again noted is pulmonary edema, improved since the most recent radiographs. there are bilateral pleural effusions, larger on the left than on the right. no new focal consolidation is identified. there is no pneumothorax. a left-sided picc line terminates in the right atrium.
<unk> year old man with aml // interval change, r/o ptx
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pa and lateral views of the chest provided. there is a <num> cm nodular appearing soft tissue opacity in the right mid lung, difficult to localize to a specific lobe based on the latter. otherwise, there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous str...
<unk>f with cough and chills. rule out pneumonia.
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the right apical pneumothorax persists and measures approximate <num> cm. right chest tube and left picc line are unchanged in position. low lung volumes continued to be seen with bibasilar atelectasis. the cardiac and mediastinal contours are unchanged.
<unk>-year-old male with pneumothorax, evaluate size of pneumothorax.
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lung volumes are normal. diffuse airspace opacities predominantly affecting the right lung have substantially improved since ct of <unk>. incidental calcified granuloma in left upper lobe. . there is no pleural effusion or pneumothorax. heart size is top normal. there is no free air under the bilateral hemidiaphragms. ...
history: <unk>m with seizure, head mass // cat chest: eval for pulm hemorrhage? no cough, no hemoptysis
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the lungs are clear. there is no effusion or pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>f with chest pain // acute process?
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there has been placement of a right internal jugular central line which upon first attempt was positioned within the ivc and upon second attempt after pullback is in the low right atrium. recommend retracting about <num>-<num> cm to be in the distal svc. there is no pneumothorax. otherwise, there is no significant chan...
history of hypotension status post central venous line.
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there are low lung volumes. allowing for changes due to this, the cardiomediastinal silhouettes are within normal limits. the bilateral hila are unremarkable. there may be minimal bibasilar atelectasis; otherwise, the lungs are clear without focal consolidation. there is no evidence of pulmonary vascular congestion. th...
<unk>m with fever following endoscopy, evaluate for infiltrate.
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et tube is <num> cm above the carina but remains below the thoracic inlet. an enteric tube terminates within the stomach. a right picc line is seen terminating in the mid superior vena cava. the lungs are hyperexpanded. improved haziness at the lung bases compatible with resolving pleural effusions. small bilateral ple...
status post et tube placement.
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. a nodular opacity in the left lower lung is likely a nipple shadow. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>m with fever // eval for pna
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ap upright and lateral views of the chest provided. low lung volumes. lungs are clear. heart is mildly enlarged with mitral annular calcification noted. mediastinal contour is normal. no signs of congestion or edema. no large effusion or pneumothorax. bony structures are intact.
history: <unk>f with hx of kidney txp with weakness // eval for infiltrate
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the lungs are normally expanded and clear. et tube terminates <num> cm in the carina. enteric tube courses to just beyond the left hemidiaphragm and then out of view. right hemodialysis catheter is in the low svc. the heart is partly obscured due to positioning. the mediastinal and hilar contours are normal. there is n...
<unk> year old man withsp tpa continued altered // ett placement
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tiny right apical pneumothorax is new or newly apparent. small bilateral effusions with associated atelectasis have increased on the right. perihilar atelectasis have increased on the left. sternal wires are aligned. patient is status post cabg. the lungs are hyperinflated suggesting copd.
<unk> year old man with bentall // r/o inf, eff
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again, the right picc is malpositioned with the tip heading into the right internal jugular vein. the tip is out of the field of view. the extensive right lung opacity is stable from the prior exam, though worsened from the exam on <unk>. the left lung is clear. there is no pleural effusion or pneumothorax. the cardiom...
evaluate picc after re-positioning.
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ap and lateral views of the chest. again, low lung volumes are noted. there is secondary crowding of the bronchovascular markings but no confluent consolidation the cardiomediastinal silhouette is stable. eventration of the right hemidiaphragm again noted. degenerative changes noted at the left shoulder.
<unk>-year-old female with altered mental status.
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enteric tube is seen to pass below the diaphragm. low lung volumes are noted with crowding of the bronchovascular markings. streaky left basilar opacity is compatible with atelectasis. the cardiomediastinal silhouette is stable. no acute osseous abnormalities.
<unk>m with bibasilar crackles // please eval for pna
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. there are no pleural effusions or pneumothorax. mild degenerative changes along the thoracic spine are similar.
cough.
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endotracheal tube terminates approximately <num> cm above level the carina. enteric tube courses into the left hemi thorax, terminating in the midline below the diaphragm. please note that on subsequent ct, the enteric tube is seen terminating in the proximal stomach. however, the side port may remain high in position....
history: <unk>m intubate // ett? og?
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is increased volume loss at both bases. in addition, there is an increased area of opacity in the right upper lobe compatible with small/early infiltrate.
<unk> year old man with newly diagnosed malignancy with new o<num> requirement and ams // assess for pna, aspiration, pulm edema
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the cardiomediastinal and hilar contours are within normal limits. the lung fields are clear. there is no pneumothorax, fracture or dislocation. limited assessment of the abdomen is unremarkable.
history: <unk>m with cp, sob // pna?
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with flu-like illness*** warning *** multiple patients with same last name! // r/o pna
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ap portable chest radiograph again demonstrates moderate bilateral pleural effusions, greater on the right. these are unchanged from <unk>. right subclavian catheter is in stable position. moderate cardiomegaly is not as well visualized due to the surrounding effusions, but there is some mild vascular congestion in the...
c. diff colitis requiring the micu admission. evaluation for interval change.
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ap and lateral images of the chest demonstrate clear lungs bilaterally. the cardiomediastinal and hilar contours are within normal limits. there is no pleural effusion or pneumothorax. visualized osseous structures are without acute abnormalities.
<unk>-year-old male with weakness.
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the heart appears normal in size. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. there are no pleural effusions or pneumothorax. no fracture is identified. mild reversed s-shaped curvature is noted along the thoracic spine.
traumatic fall. question rib fractures.
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. patient is status post median sternotomy and cabg.
history: <unk>m with syncope // acute cardiopulm disease
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compared to the study obtained approximately <num> hr earlier, the retrocardiac patchy opacity appears worse, likely reflective of worsening atelectasis. mild atelectasis in the right lung base is unchanged. no large pleural effusion or pneumothorax is present. the cardiac and mediastinal contours remain unchanged. pul...
history: <unk>f with sudden onset dyspnea
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heart size remains mildly enlarged. the aorta is diffusely calcified. mediastinal and hilar contours are unchanged. the pulmonary vasculature is not engorged. minimal patchy bibasilar airspace opacities are similar on the right, and slightly worse on the left, and may reflect areas of atelectasis, though infection or a...
history: <unk>f with fall, headstrike. recently treated for pneumonia last week, crackles bilateral lung bases. constipation worsening for several days.