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the lungs are clear without focal consolidation or edema. blunting of the posterior costophrenic angles could be due to atelectasis or trace effusions. relative elevation of left hemidiaphragm is again noted. left chest wall dual lead pacing device is in stable position. no acute osseous abnormalities.
<unk>f with dizziness // ?pneumonia
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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. the thoracolumbar curve is slightly to the left.
dyspnea and wheezing.
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the lung volumes are normal. normal appearance of the cardiac silhouette. normal hilar and mediastinal contours. structure and transparency of the lung parenchyma is also normal. no evidence of pneumonia, pulmonary edema or other lung parenchymal changes.
man with cough since <unk>. rule out pneumonia.
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compared with <unk>, inspiratory volumes are lower, with bibasilar patchy opacities. there is minimal blunting of the right costophrenic angle, consistent with a small effusion. no overt chf. pleural parenchymal thickening along the superolateral portion of both hemithoraces, right greater the left , is noted, unchange...
<unk> year old woman with abdominal distension and increasing anion gap acidosis. concern for perforation. // air under diaphragm?
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the cardiomediastinal silhouette is unremarkable. since the most recent examination, there appears to been interval development of vascular congestion. possible septal lines are noted. these findings are likely exaggerated due to supine technique. no definite consolidation is identified.evaluation for pleural effusion ...
<unk> year old woman with sob. started on ivf overnight. ? pulmonary edema // sob
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the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax.
<unk>m with chest pain and ivdu.
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pa and lateral views of the chest. the lungs are clear. cardiomediastinal silhouette is within normal limits. no acute osseous abnormality detected.
<unk>-year-old male with fever and productive cough.
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there is increased retrocardiac opacification on the lateral radiograph corresponding to increased opacity of the left heart border concerning for left lower lobe pneumonia. a small left pleural effusion is present. no significant pneumothorax is detected. an air-filled esophagus is noted projecting along the right par...
nausea and vomiting, here to evaluate for pneumonia.
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mildly increased pulmonary vascularity, new. large esophageal hiatal hernia, similar. strands of atelectasis in the lingula, right middle lobe, similar. .
<unk> year old woman with cad, copd, pe , diastolic chf, itp with worsening sob. // ? heart failure exacerbation vs. pneumonia
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single ap view of the chest provided. an et tube ends above the clavicles and <num> cm above the carina. a left central venous line ends at the low svc. an orogastric tube terminates in the body of the stomach. significant collapse of the right lower lung is worsened with moderate rightward shift of mediastinal structu...
<unk> year old man with traumatic intracranial hemorrhage // absent right-sided breath sounds
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the cardiac silhouette is borderline enlarged. again seen is mild bibasilar atelectasis. there is mildly more pronounced right the basilar opacity than seen on prior examination, which reflects atelectasis as seen on ct of the abdomen and pelvis. from the same date there is no pleural effusion or pneumothorax.
history: <unk>f with elevated wbc cough // eval for pna
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persistently low lung volumes. overall improvement of ground-glass opacities better seen on prior ct. there are however peribronchial opacities in the left upper lobe and bilateral lower lobes, left greater than right. the cardiomediastinal and hilar contours are stable. the pleural surfaces are normal. degenerative ch...
<unk> year old man with pmhx inc recently dx'd hiv s/p mult episodes pjp w/ slow recovery persist hypoxia. denies baseline lung dz prior to pjp dx. // surveillance xr to monitor improvement from pjp and quantify degree of residual scarring/damage
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the lungs remain clear of focal consolidation, effusion, or pulmonary vascular congestion. the cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable.
<unk>-year-old man with chest pain and shortness of breath.
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sternotomy wires are intact. significant interval decrease in size of cardiomediastinal silhouette. lucency at the base of the right hemidiaphragm may represent pneumoperitoneum or small basal pneumothorax. no mediastinal shift or flattening of right hemidiaphragm. no pleural effusion. new right mid lung opacity is lik...
<unk>-year-old male status post drainage of pericardial effusion in pericardial window with right mini-thoracotomy. assess for pneumothorax or effusion.
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increased interstitial markings are noted in the lungs. there is no consolidation or effusion. cardiomediastinal silhouette is within normal limits. coronary artery stents are noted. no acute osseous abnormalities. no free intraperitoneal air. surgical material projects over the upper abdomen on the frontal view.
<unk>f with abdominal pain, sore throat, chest pain, diffuse weakness, and pain radiating down r arm.
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>f with cough, fatigue // ?pna
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dual lead left-sided aicd is again seen, similar in appearance as compared to the prior study. the cardiac silhouette is quite enlarged, although stable. prominence and indistinctness of the hila and other pulmonary vessels consistent with moderate pulmonary edema, slightly worsened as compared to the prior study. pleu...
history: <unk>m with sob // r/o acute process
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the lungs are fully expanded and clear. cardiomediastinal and hilar silhouettes are normal. pleural surfaces are normal. surgical clips projecting over the left breast and left axilla reflecting prior breast surgery. stable postradiation changes in the left apex.
<unk> year old woman with bronchiectasis, asthma exacerbation, h/o breast cancer in remission with known radiation fibrosis after treatment <unk> // any pneumonia
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the lungs are well expanded and clear. there is a moderate hiatal hernia. there is no pneumothorax. there is no pleural effusion. the cardiomediastinal silhouette is unremarkable. chronic appearing deformity of the proximal left humerus suggests prior fracture. left lateral ninth rib fractures seen.
<unk>f with syncope // infiltrate? ptx?
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lung volumes have decreased in the interim with associated bronchovascular crowding. slight interval increase in retrocardiac opacity with air bronchograms likely reflects atelectasis and/or vascular crowding in the setting of lower lung volumes. no pneumothorax. mild cardiomegaly persists. trace fluid in the center fi...
<unk> year old woman with low grade fever - with hypoxia // infiltrate?
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two portable views of the chest. no prior. lungs are clear. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are notable for degenerative changes of the acromioclavicular joint.
<unk>-year-old male with bradycardia and diaphoresis.
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the lungs are well expanded and clear. coarsened interstitial markings are unchanged. cardiomediastinal silhouette is slightly enlarged but unchanged from prior exam. there is no pneumothorax or pleural effusion. an old fracture of the left clavicle is noted.
chest pain.
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focal right upper lobe opacity seen on <unk> persists, extending more into the periphery of the lung and now better seen on the lateral. no pleural effusion or pneumothorax is seen. there is no evidence for pulmonary edema. heart and mediastinal contours are within normal limits.
<unk>-year-old male with pneumonia.
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since chest radiographs dated <unk>, diffuse, right lung opacities are grossly unchanged and the left lower lobe opacities are minimally improved. a calcified left ventricular aneurysm appears grossly unchanged. a right-sided ij terminates within the right atrium. mild cardiomegaly is stable. median sternotomy wires ar...
<unk> year old man // eval for pneumonia
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lungs are clear. there is no effusion or pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>m with chest pain // ?acute cp process
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ap portable upright view of the chest. the overall appearance of the chest is not significantly changed with peripheral reticular opacities likely reflecting known bronchiolitis as seen on prior ct chest. no new consolidation is seen. no large effusion or pneumothorax. cardiomediastinal silhouette appears stable. bony ...
<unk>f with palpitations with crackles at bases
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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 hilar contours are unremarkable, without findings to suggest lymphadenopathy.
productive cough and enlarged axillary lymph node.
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frontal and lateral chest radiographs demonstrate mildly hypoinflated lungs. the left lung is clear. within the right upper lobe there is new subtle opacity. right lower lobe linear opacity is most consistent with linear atelectasis. no pleural effusion or pneumothorax. stable mild cardiomegaly. mediastinal contour and...
<unk>f with cough, weakness. assess for pneumonia.
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portable ap upright chest radiograph <unk> at <time> is submitted.
<unk> year old man with hypoxia, not responding to increased fio<num> // etiology of hypoxia etiology of hypoxia
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the endotracheal tube terminates <num> cm above the carina. left pectoral pacer is visualized, with <num> lead terminating in the right ventricle but tip of the second lead is not visualized on this study. lung volumes are low. there is opacification of the left lung base which is likely due to atelectasis. there is no...
<unk>m s/p mvc now s/p b/l hip repairs // interval change, confirm ett
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pa and lateral views of the chest provided. platelike left lower lung atelectasis. tiny clips noted in the right breast and right axilla. no evidence of pneumonia, edema, pleural effusion or pneumothorax. cardiomediastinal silhouette appears normal. bony structures appear intact.
<unk>f with chest pain // acute process?
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the tip of the right internal jugular central venous catheter extends to the upper svc. new skin <unk> project over the left lung apex. numerous wires project over the right lower hemithorax, limiting its evaluation. unchanged retrocardiac opacity likely reflecting atelectasis. there is new mild pulmonary vascular cong...
<unk> year old woman with sob following cath // pulm edema
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frontal and lateral views of the chest are compared to previous exam from <unk>. again seen is elevation of left hemidiaphragm. the lungs are clear of consolidation, effusion, or pulmonary vascular congestion. left chest wall dual-lead pacing device is seen with lead tips in unchanged position. no acute osseous abnorma...
<unk>-year-old female with dyspnea. question pneumonia.
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heart size is top normal. the aorta remains tortuous but unchanged. the pulmonary vascularity is normal. the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is present. no acute osseous abnormalities are detected.
asthma and shortness of breath.
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compared to the prior study there is no significant interval change.
<unk> year old woman with als with decreasing o<num> sats (<unk>% today on ra). // r/o pna
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left chest walled single lead pacing device is again noted. the lungs are clear without consolidation, effusion, or edema. cardiac silhouette is mildly enlarged. no acute osseous abnormalities.
<unk>f w/lethargy, please eval for occult pna // <unk>f w/lethargy, please eval for occult pna
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lungs are well-expanded and clear. no focal consolidation, edema, effusion, or pneumothorax. the heart is normal in size. no mediastinal widening. no acute osseous abnormality. degenerative changes in the lower thoracic spine are moderate.
<unk>-year-old woman with multiple seizures. evaluate for pneumonia.
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left-sided pacemaker device with leads terminating in the right atrium and right right ventricle is again noted. assessment of the cardiac silhouette size is difficult due to the presence of a large right pleural effusion, which has markedly increased compared to the prior study. a small left pleural effusion is also m...
cough, fatigue and for <num> weeks.
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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>m with headache, neck pain, subjective fever and cough
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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.
fatigue and cough // cough, concern pna
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frontal lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs which are clear. there is no focal consolidation, pleural effusion, or pneumothorax. the visualized upper abdomen is unremarkable.
chest pressure.
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ap upright and lateral views of the chest provided. lung volumes are markedly low with bibasilar atelectasis noted. no convincing evidence of pneumonia, edema, large effusion or pneumothorax. the cardiomediastinal silhouette appears grossly unchanged though lung volumes somewhat limit assessment. the imaged bony struct...
<unk>m with neck pain, hypotension // r/o acute prtocess
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a new endotracheal tube is in appropriate position. a nasogastric tube enters the stomach and terminates off the radiograph. normal lungs, heart, pleural and mediastinal surfaces.
history: <unk>m s/p intubation // eval ett position
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pa and lateral views of the chest provided. left breast implant with port again noted. the heart is mildly enlarged. the lungs appear clear. relative increased opacity projecting over the left mid to lower lung likely reflects the presence of the breast implants. no large effusion or pneumothorax. no signs of congestio...
<unk>f with htn, ota, parkinsons disease who p/w syncope s/p fall // ?pna
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an endotracheal tube has been placed in the interval, terminating approximately <num> cm from the carina. an enteric tube courses below the left hemidiaphragm, into the stomach and tip located off the inferior borders of the film. heart size remains within normal limits. mediastinal contours unchanged. bilateral hilar ...
history: <unk>m with shortness of breath now intubated
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compared with prior radiographs on <unk>, there is a new left lower lobe opacity. there is bibasilar atelectasis and small left pleural effusion with blunting of the right costophrenic angle. no pneumothorax. the cardiac and mediastinal silhouettes are unremarkable.
<unk> year old woman with cough and dyspnea // please eval for consolidation, edema
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the cardiac, mediastinal and hilar contours are normal. lungs are clear. the pulmonary vasculature is normal. no pleural effusion or pneumothorax is visualized. no acute osseous abnormalities seen. there is mild dextroscoliosis.
repeated vomiting, tachycardia.
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the cardiac, mediastinal and hilar contours appear stable including fullness of the upper mediastinal contour to the left of midline, reflecting a combined shadow of the aorta and main pulmonary artery, which is probably borderline enlarged. this area did not show involvement for malignancy on the prior pet-ct but the ...
chest pain and shortness of breath.
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an ng tube is in place with the tip in the distal stomach. cardiomediastinal silhouette and hilar contours are normal. lungs are clear. there is no pleural effusion or pneumothorax.
pml. gagging when pills are being pushed through ng tube.
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compared to the prior exam there is increased alveolar infiltrate left greater than right. there is moderate pulmonary edema. there bilateral pleural effusions left greater than right. it is unclear if this is asymmetric pulmonary edema which would be unusual given that this is left greater than right in appearance or ...
<unk> year old man with chf exacerbation // volume overload?
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there are low lung volumes. no focal consolidation concerning for pneumonia, pleural effusion or pneumothorax is detected. cardiac silhouette is normal in size. mediastinal and hilar contours are within normal limits.
<unk>-year-old female patient with prolonged asthmatic flare now presenting with worse chest tightness.
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subtle airspace opacity is noted at the medial right lung base adjacent to the right heart border, and may represent early/developing pneumonia. there is no pleural effusion, pneumothorax or pulmonary edema. the cardiomediastinal silhouette is unremarkable in appearance.
history: <unk>m with cough chills // ? pneumonia
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frontal and lateral views of the chest demonstrate mildly prominent cardiac silhouette. the thoracic aorta is minimally unfolded. prominent right paratracheal stripe may be related to prominent mediastinal fat. there is no evidence of pneumothorax, vascular congestion, or pleural effusion. the lungs are clear. although...
<unk>-year-old male with sharp chest pain. question acute process.
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there is a small right pleural effusion tracking superiorly into the minor fissure, essentially unchanged allowing for differences in technique. the known right infrahilar lung mass is partially obscured by adjacent atelectasis. interstitial opacities within the aerated portion of the right lower lung could potentially...
<unk> year old man with lung cancer // assess pleural effusion
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since the prior radiograph, there has been interval placement of a right ij introducer and an enteric tube. an endotracheal tube terminates approximately <num> cm above the carina. within the lungs, there are diffuse bilateral parenchymal opacities, which likely represents pulmonary edema. however, there may also be fo...
<unk> year old woman, intubated // eval for volume overload
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only a single image is provided. a dobhoff tube tip is not visualized. a right ij catheter tip projects over the expected region of the svc-ra junction. lung volumes remain low. there is moderate edema. no significant pleural effusion. no pneumothorax. the heart is enlarged, overall unchanged.
<unk> year old man with dobhoff placement // multistep dobhoff placement
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frontal and lateral radiographs of the chest demonstrate well expanded clear lungs. the cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion, pneumothorax, or consolidation.
history of hiv on art with <num> week of fever, hemoptysis, and pleuritic chest pain. evaluate for pneumonia.
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when compared to <unk> chest radiograph, there is significant improvement of the right middle and lower lobe atelectasis. additionally, the right pleural effusion has significantly improved with minimal residual pleural effusion. the left lung is clear and there are no opacifications nor consultations nor effusions see...
<unk> year old woman with p,.e. follow up effusion // s/p pulmonary emboli with right sided effusion
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there are low lung volumes, which results in bronchovascular crowding. right perihilar opacity may represent atelectasis or aspiration. cardiomediastinal and hilar contours are unchanged. endotracheal tube ends <num> cm from the carina. a nasogastric tube courses into the stomach, with the last side port at the ge junc...
history: <unk>f with thalamic hemorrhage, intubated/unresponsive*** warning *** multiple patients with same last name! // eval tube position
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there are small bilateral pleural effusions with adjacent atelectasis. elsewhere, lungs are clear. cardiac silhouette is mildly enlarged as on prior. there is tortuosity of the descending thoracic aorta. no acute osseous abnormalities.
<unk>m with afib, esrd on hd with hypotension and syncope at dialysis today also with <num>mo history of cough eval for pna // eval for pna
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heart size remains mild to moderately enlarged. the aorta is unfolded and diffusely calcified. there is mild pulmonary edema, new in the interval. no pleural effusion or pneumothorax is identified. there are no acute osseous abnormalities seen.
history: <unk>f with chf with worsening sob // eval edema, effusion
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right-sided port-a-cath terminates at the cavoatrial junction. there has been interval advancement of the ng tube which now terminates in the mid neo esophagus which is filled with barium. persistent unchanged linear opacities in the right lower lobe, likely atelectasis. there is asymmetric increased lucency of the lef...
<unk> year old man with ngtube placement // evaluate placement of ng tube
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the lungs are free of focal consolidations, pleural effusions or pneumothorax. mild left retrocardiac atelectasis. cardiomediastinal silhouette is within normal limits. atherosclerotic calcifications are noted in the aortic arch. multiple surgical clips are visualized in the right upper quadrant. of note, the endotrach...
<unk> year old woman with hcv cirrhosis, presenting with hematemsis and leukocytosis // please assess for consolidation
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the lungs are well-expanded and clear. no focal consolidation, effusion, edema, or pneumothorax. the heart is normal in size. the mediastinum is not widened. no acute osseous abnormality. visualized bowel gas pattern the upper abdomen is nonspecific.
<unk>-year-old woman with a history of hypertension who presented <num> days of shortness of breath and chest pain. evaluate for acute process.
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lung volumes are slightly decreased. left retrocardiac atelectasis is noted. there is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. allowing for ap projection, the cardiac silhouette is top-normal in size.
history: <unk>m with altered mental status // ? acute process, pneumonia
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bibasilar atelectasis and pleural effusions are new since <unk>. there is mild interstitial pulmonary edema. mildly enlarged cardiac silhouette is exaggerated by low lung volumes.
history: <unk>m with bilat <unk> edema, fatigue, h/o chf // r/o acute process
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there is near-complete opacification of the right hemithorax with rightward mediastinal shift, suggesting a combination of pleural effusion, consolidations and volume loss as demonstrated on the same date chest ct. a chest tube is present within the right lung base. a moderately-sized pleural effusion is also present o...
<unk>-year-old female with metastatic breast cancer, now presenting with chest pain
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there is no focal consolidation, pleural effusion, or pneumothorax. there is flattening of both hemidiaphragms suggesting hyperinflation. the cardiomediastinal silhouette is normal. the osseous structures are unremarkable.
<unk>-year-old man with asthma, uncontrolled despite maximal therapy, bilious sputum production, any evidence of infiltrates.
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three ring-like densities at the cardiac base suggest prior cabg. median sternotomy wires appear intact. an increase in reticular markings in the right mid and lower lung and less pronounced at the left base is noted. additionally, the right middle fissure is displaced inferiorly representing volume loss. increased rad...
gentleman recently moved from <unk>, abnormal lung exam. please evaluate for tuberculosis.
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a dialysis catheter terminates at the cavoatrial junction. 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. bony structures are unremarkable.
lupus and end-stage renal disease with fever.
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>f with dka, cough // evidence of pneumonia
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et tube terminates <num> cm above the carina. transesophageal tube terminates in the stomach. there is increased left lung base opacification, probably atelectasis. cardiac silhouette is exaggerated by poor lung volume. there is severe degenerative changes of bilateral glenohumeral joint, right more than left.
<unk> year old man with small bowel obstruction, now pod#<unk> s/p ex-lap with lyis of adhesions and new endotracheal tube // please assess ett placement
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lung volumes are low, accounting for some vascular crowding. however, increased interstitial markings and indistinctness of the hila suggests interstitial edema and vascular congestion. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax.
<unk>-year-old male with end-stage liver disease, confusion and hepatic encephalopathy. evaluate for evidence of acute cardiopulmonary process.
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right upper lobe nodule is no longer visible. band-like opacity seen in right middle lobe is more distinct with chain sutures. fullness of right hilum is as seen on prior ct. lungs are fully expanded and otherwise clear, without pleural effusion or pneumothorax. heart size, mediastinal contour are normal. no bony abnor...
female status post vats resection x<num>, <unk>, for pulmonary nodules. assess for interval change.
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portable semi-upright radiograph of the chest demonstrates low lung volumes with resulting bronchovascular crowding. there is the expected post-operative cardiomediastinal silhouette. interval increase in bibasilar atelectasis, left greater than right. persistent left-sided pleural effusion, unchanged. there is no pneu...
<unk>-year-old female status post aortic valve replacement. evaluate for pneumothorax.
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when compared to prior, there is new airspace disease in the left mid to lower lung. the right lung is essentially clear with minimal opacity at the right costophrenic angle perhaps slightly increased since prior. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>m with fever, tachypnea // eval for acute process
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pa and lateral views of the chest provided. port-a-cath resides over the right chest wall with catheter tip in the region of the mid svc. lungs are clear. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the r...
<unk>f with abd distension, sob, peritoneal carcinomatosis // effusion?
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the lungs are clear, cardiomediastinal silhouette and hila are normal. there is no pleural effusion and no pneumothorax. unchanged fibronodular scarring at the lung apices.
<unk>-year-old with chest pain.
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both lungs are well expanded and clear. there are no lung opacities concerning for pneumonia. heart size, mediastinal and hilar contours are normal. both pleural spaces are normal.
evaluate for infiltrates.
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>f with left sided cp x <num> hours
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the lungs are clear, cardiomediastinal silhouette and hila are normal. the pulmonary arteries are slightly prominent or granulomatous lymph node calcifications causing sligthly prominent hila. there is no pleural effusion and no pneumothorax.
<unk>-year-old with fever.
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lung volumes are normal. there is no consolidation, pleural effusion or pneumothorax. cardiomediastinal contours are normal. no acute osseous abnormalities.
<unk>m with still's dz hx pericardial effusion presenting with chest pain/presyncope today, exertional // <unk>m with still's dz hx pericardial effusion presenting with chest pain/presyncope today, exertional
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
history: <unk>m with chest pain x <num> days*** warning *** multiple patients with same last name! // ? pulmonary disease
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heart size is normal. the aortic knob is densely calcified. mediastinal and hilar contours are unchanged. pulmonary vasculature is normal. lungs are hyperinflated without focal consolidation. no pleural effusion or pneumothorax is demonstrated. clips are again noted projecting over the left breast. fusion hardware with...
history: <unk>f with chronic depression, worsening, headache
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the left lower lobe is better aerated with decreasing retrocardiac opacity compared with <unk>. no new focal consolidation, effusion or pneumothorax. normal cardiomediastinal silhouette.
left lower lobe carcinoma, currently receiving chemoradiation. new dyspnea on exertion, anemic and receiving radiation to left lung. question infection, inflammation or pneumonitis.
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single frontal view of the chest was obtained. mild cardiomegaly is stable. the mediastinal contours are normal. increased pulmonary vascular markings are stable since <unk> but worsened since <unk>, suggestive of chronic pulmonary vascular congestion. no focal consolidation, pleural effusion, or pneumothorax. asbestos...
<unk>-year-old male with shortness of breath. evaluate for pneumonia.
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et tube terminates <num> cm above the carina. transesophageal tube courses below the diaphragm and out of view. left subclavian venous catheter terminates at the cavoatrial junction. lung volume is low. there is persistent right lower lobe atelectasis. right pleural effusion is small. cardiac silhouette is mildly enlar...
<unk> year old man with ams in setting of ivh, ica aneurysm, multiple msk injuries s/p fall from ladder // ? interval change
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again there are bilateral pleural effusions, left greater than right, similar in extent as compared to the prior study. there is persistent heterogeneous opacity projecting over the left mid lung, could relate to chronic aspiration. no pneumothorax is seen. the cardiac and mediastinal silhouettes are grossly stable.
history: <unk>m with c/o cough with sob and cp // ? pna
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assessment is limited due to anteroposterior projection and positioning. allowing for these limitations: compared with the previous exam there appears to be worsening cardiomegaly, which now is moderate to severe allowing for limitations of this ap view. minimal interstitial edema is present. there is also a new right ...
<unk>-year-old female with fever and cough. evaluate for evidence of pneumonia.
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the patient is status post sternotomy and cabg, with sternotomy wires seen well aligned. there is a biventricular pacemaker seen with leads extending into the right atrium and right ventricle. the patient is status post a right left mastectomy, and several small metallic clips are noted in the right axillary region. th...
bibasilar crackles, rule out chf.
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a new right internal central jugular venous catheter terminates in the uppermost part of the atrium. the patient is status post coronary artery bypass graft surgery. the cardiac, mediastinal, and hilar contours appear unchanged. there is no evidence for pneumothorax or pleural effusion. new streaky left basilar opaciti...
status post right internal jugular placement.
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there are no pleural effusions or pneumothorax. streaky opacities at the lung bases suggest minor atelectasis. otherwise, the lungs appear clear. pulmonary nodules mentioned in the recent ct report are not apparent on radiograp...
cough and fever.
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the right pigtail chest tube is unchanged. no pneumothorax. the right lower lobe atelectasis is unchanged. the right apical fluid collection has improved slightly. the left lung is clear. the right upper lobe opacification abutting the minor fissure is concerning for pneumonia in the appropriate clinical setting. no pl...
<unk> year old woman with hemothorax and chest tube // pleural effusion assessment
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endotracheal tube well positioned. a nasoenteric tube ends in the stomach. heart size is enlarged. there is a dense retrocardiac opacity. right lung is grossly clear. there is calcification of the aortic knob. there is no pneumothorax. there is a small left pleural effusion.
<unk>-year-old woman with pna, intubated
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lung volumes are low. bilateral pleural effusions are probably moderate in size with likely adjacent relaxation atelectasis. concurrent pneumonia in the lower lobes cannot be completely excluded in the appropriate clinical situation, difficult to assess on this exam in the setting of effusions. the heart size is diffic...
<unk>-year-old woman with dyspnea. evaluate for infiltrate.
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linear opacities at the left lung base likely reflect atelectasis. no focal consolidations to suggest pneumonia. stable appearance of the cardiomediastinal silhouette. no pneumothorax. no pleural effusion. cervical fixation hardware is partially visualized.
history: <unk>m with fall, abdominal ttp and hct drop // eval for hemothorax, intraabdominal injury
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the lungs are clear of consolidation or effusion. the cardiomediastinal silhouette is normal. no acute osseous abnormality is identified. no free air below the diaphragm.
<unk>-year-old female with right upper quadrant abdominal pain.
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since <unk>, the moderate left basilar atelectasis is improved, moderate right pleural effusion is slightly increased, and small right apical pneumothorax persists. additionally, pleural and parenchymal opacities in the right apex appears improved since <unk>. no evidence of tension. the heart size is normal. note is a...
<unk> year old woman with bilateral pleural effusions, s/p l pigtail placement and removal for pleural fluid removal, with residual ptx. // resolution of left ptx, reaccumulation of pleural effusion
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low lung volumes are noted. right basilar opacity is likely secondary to atelectasis. elsewhere, the lungs are clear. there is no large effusion or vascular congestion. the cardiomediastinal silhouette is within normal limits. a linear radiopaque density with tip overlying the cervical spinal canal may be a spinal stim...
<unk>f with hypoxia // eval for pna, chf
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frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. subtle minimal opacity projecting over the left base is not seen on the lateral and likely represents superimposed breast tissue. the cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or...
<unk>f with syncope // eval for cardiomegaly.