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MIMIC-CXR-JPG/2.0.0/files/p11610027/s59214496/ef3e14be-edd52998-b1d6c36a-5cff865d-d2a2fbd5.jpg
since the prior exam, the right picc has been pulled back. the tip is now at the cavoatrial junction. the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.
right picc. evaluate after repositioning.
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the patient is rotated to the right in the patient's chin overlies the lung apices, partially obscuring the view. given the above, there is likely a small right pleural effusion with overlying atelectasis. increased interstitial markings bilaterally suggests mild to moderate interstitial edema. more focal right upper t...
history: <unk>m with weakness // infiltrate
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pa and lateral views of the chest were reviewed and compared to the prior study. moderate-to-severe cardiomegaly and tortuosity of the aorta are unchanged. normal lungs and pleural surfaces.
inspiratory rales, greater on the right than on the left.
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pa and lateral chest radiograph demonstrates hyperexpanded lungs and flattening of diaphragms suggestive of emphysematous changes. relative to prior examination performed <unk>, there is been interval removal of a left-sided chest tube and resolution of the pleural effusion. cardiomediastinal silhouette is normal in ap...
<unk>-year-old female with cough. history of hiv.
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pa and lateral views of the chest provided. as seen on prior ct chest, there is a right lower lobe mass measuring approximately <num> x <num> cm, better characterized on prior ct. otherwise the lungs appear clear without evidence of pneumonia. no effusion or pneumothorax is seen. the cardiomediastinal silhouette is nor...
<unk>m with dizziness, known lung ca // presence of infiltrate
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there are relatively low lung volumes, which accentuate the bronchovascular markings. given this, there appears to be minimal pulmonary vascular congestion. no focal consolidation is seen. minimal blunting of the costophrenic angles is likely due to overlying soft tissue. no large pleural effusion is seen. the cardiac ...
unexplained leukocytosis with recent upper respiratory infection.
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lung volumes are low with vascular crowding. a focal opacity projecting over the lower thoracic spine on the lateral projection could reflect pneumonia. increased perihilar interstitial opacities bilaterally suggest mild pulmonary edema. the heart is moderately enlarged. there is no pleural effusion or pneumothorax.
history: <unk>m with sob and cough // r/o acute process
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ap supine view of the chest demonstrates low lung volumes, lungs are essentially clear. no pleural effusion, focal consolidation or pneumothorax. endotracheal tube is in place, projecting at the level of the carina and coursing towards the right main bronchus. the nasogastric tube terminates within the stomach. there i...
patient found down.
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pa and lateral views of the chest provided. lungs remain hyperinflated. tiny clips again noted projecting over the chest wall. there is new consolidation in the anterior left mid lung concerning for pneumonia. otherwise lungs appear clear. no pleural effusion or pneumothorax. cardiomediastinal silhouette is normal. bon...
<unk>f with cough // evaluate for pneumonia
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the lungs are clear. there is no consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>m with chest pain, question pneumothorax
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status post gastric pull-up with widening of the mediastinal contours unchanged since scout <unk>. peripheral right lower lobe opacity has improved since the prior examination. there is persistent ill-defined opacity in the costophrenic angle although much improved. no acute airspace or interstitial opacity. pneumothor...
<unk> year old man with malaise, sob; h/o esophageal cancer s/p surgery, xrt and chemo and h/o aspiration pneumonia // rule out pneumonia
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right sided picc line is seen terminating in the mid-low svc. otherwise, no relevant changes are seen compared to prior chest radiograph.
<unk> year old man with picc
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<num> views were obtained of the chest. the lungs are well expanded and clear without pleural effusion or pneumothorax. the heart is normal in size with normal cardiomediastinal contours. gastric band is noted in the left upper quadrant with appropriate orientation.
lightheadedness on chemotherapy.
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heart size is normal. the aorta remains tortuous. mediastinal and hilar contours are similar. lungs are mildly hyperinflated with mild emphysematous changes again noted in the upper lobes. there is no pulmonary edema, focal consolidation, pleural effusion or pneumothorax. patchy atelectasis is seen in both lung bases. ...
history: <unk>m with lightheadedness // evaluate for cardiomegaly
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markedly low lung volumes limits assessment at the bases. there is bibasilar atelectasis. the upper lungs are clear. the hilar and cardiomediastinal contours are normal. there is no pneumothorax. there is no pleural effusion. pulmonary vascularity is normal.
<unk>-year-old man with likely need for abdominal surgery. evaluate for acute abnormality (pre op cxr).
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the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear.
cough and fever.
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the lungs are well expanded and clear. a small opacity in the left upper lung field has been present since at least <unk> and likely represents summation of structures. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax.
<unk>-year-old female with severe chest pain for two minutes and history of hypertension. evaluate for acute cardiopulmonary process.
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on review of single ap view, there has not been much change in the lungs over last eight to nine hours. previously described bibasilar opacities are unchanged. no new lung opacities. heart size, mediastinal and hilar contours are normal. there is no pleural abnormality.
new onset fever, to look for infection.
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the cardiomediastinal contours are within normal limits. the bilateral hila are unremarkable. the lungs are clear without focal consolidation. there is no evidence of pulmonary vascular congestion. there is no pneumothorax or pleural effusion.
<unk>f with cough and bloody sputum, evaluate for infiltrate.
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lung volumes are low. linear right basilar opacities likely represent atelectasis. there is no consolidation, pleural effusion, or pneumothorax. cardiomediastinal silhouette is unremarkable. left rib deformities are chronic.
<unk>m with dyspnea, cough
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cardiac silhouette size is mildly enlarged, increased in the interval. the aorta is tortuous. mediastinal and hilar contours are otherwise unremarkable. pulmonary vasculature is normal. lungs are hyperinflated but clear without focal consolidation. no pleural effusion or pneumothorax is seen. no acute osseous abnormali...
history: <unk>f with right back pain
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the lung volumes are reduced. the cardiac silhouette size appears normal. the aortic arch is calcified. mediastinal contours are unremarkable, and there is no evidence of pulmonary vascular congestion. streaky bibasilar airspace opacities appear slightly worse compared to the prior exam, and concerning for aspiration p...
recurrent aspiration pneumonia, dyspnea.
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pa and lateral views of the chest <unk> at <time> are submitted.
<unk> year old man s/p cabg // predischarge eval predischarge eval
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single portable chest radiograph was provided. a right chest wall port catheter tip terminates in the mid svc. a pacemaker with a lead in the right ventricle is present. the lungs are well expanded. there is no focal consolidation, pleural effusion or pneumothorax. there is linear atelectasis in the left lower lobe. he...
history of hypotension, gi bleed, question pneumonia.
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single frontal portable view of the chest. endotracheal tube terminates <num> cm above the carina. the side port of a nasogastric tube is below the diaphragm. pulmonary vasculature is ill-defined, compatible with severe pulmonary edema. hazy opacity overlying both lungs and blunting of the costophrenic angles are compa...
respiratory distress. evaluate for pneumonia.
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pa and lateral views of the chest. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are normal. coarse interstitial markings are unchanged.
cough for one month.
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there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are normal.
history: <unk>f with gtc seizure, ? precipitant // ? acute cardiopulm process
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lower lung volumes seen on the current exam. the lungs however are clear without consolidation, effusion, or edema. left chest wall port is again seen. the cardiomediastinal silhouette is stable. no acute osseous abnormalities. surgical clips seen in the upper abdomen and there are surgical clips projecting over the ri...
<unk>f with fever, chemo // r/o pna
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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 cough
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lungs well expanded and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is top normal in size.
history: <unk>f with sob, hx of chf // chf?
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right ij tip is in mid svc. mild bibasilar plate-like atelectasis in the left mid and right lower lobes. improved lung volumes without pleural effusion, pneumothorax, pulmonary edema or additional focal opacities. heart size, mediastinal contour and hila are normal. no bony abnormality.
female with obstructive sleep apnea requiring cpap at night, now with desaturation. please assess for effusions, pulmonary edema or pneumonia.
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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 left sided chest pain // eval for cardiomegaly, acute process
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moderate enlargement of the cardiac silhouette is present. the aorta is tortuous with atherosclerotic calcifications noted at the knob. there is likely a moderate-sized hiatal hernia. hilar contours are normal. no pulmonary edema seen. linear and streaky opacities in the lung bases likely reflect areas of atelectasis. ...
<unk>m with question of recrudescence of stroke, please eval for occult pneumonia
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lower lung volumes are seen on the current exam with secondary basilar atelectasis. lungs are otherwise clear. no pleural effusion or pneumothorax is seen.
<unk>f with dyspnea // evidence of infection
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the a left pectoral mediport terminates in the low svc. there are cholecystectomy clips. lung volumes are adequate. the lungs are clear. there is no pleural effusion, pneumothorax or focal airspace consolidation. subpleural opacity involving the right lung apex is less conspicuous than prior study. heart is normal size...
status post fall now with fever and chest pain. evaluate for pneumothorax or pneumonia.
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no previous images. the heart is normal in size and there is no vascular congestion, pleural effusion, or acute focal pneumonia.
eating disorder protocol.
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the heart size, mediastinal, and hilar contours are normal. the lungs are clear without pleural effusion, focal consolidation, or pneumothorax.
<unk> year old woman with hand swelling. evaluate for upper lobe lesion.
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since prior, there is no significant change in the appearance of the chest. cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax. there is no focal lung consolidation.
<unk>-year-old man with shortness of the and recent hip surgery evaluate for pneumonia.
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right-sided port-a-cath tip terminates in the low svc. heart size is normal. mediastinal and hilar contours are unchanged. pulmonary vasculature is normal. scarring/fibrotic changes in the left apex are similar. remainder of the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. n...
history: <unk>f with metastatic breast cancer presenting status post fall.
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pa and lateral views of the chest. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are normal. clips are seen in the upper abdomen, unchanged.
afib.
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heart size is normal. mediastinal and hilar contours are within normal limits. the pulmonary vascularity is normal. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is visualized. no acute osseous abnormalities are visualized.
headache, intermittent muscle tightening in the right forearm.
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a dual-lead pacemaker/icd device with leads terminating in the right atrium and ventricle, respectively, appears unchanged. the patient is also status post coronary artery bypass graft surgery. the heart is mildly enlarged, as before. the lungs appear clear. there is no pleural effusion or pneumothorax.
cough.
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no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. mild degenerative changes are seen along the spine.
chest pain.
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left basilar chest tube is unchanged in position. moderately-sized left pleural effusion appears slightly increased from the prior study on <unk>. no pleural effusion on the right. there is no pneumothorax. pulmonary vascular congestion is mild. mild cardiomegaly.
<unk> year old woman with chest tube // eval chest tube positioning and effusion
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again seen is near complete opacification of the left hemi thorax, with a small amount of residual aerated left upper lobe. the loculated component of the left pleural effusion has increased over the interval. a left-sided pleural drainage catheter is again seen. otherwise, the right lung is essentially clear, and ther...
<unk> year old woman with nsclc l lung with known pl. effusion and atelectasis. has cough, no fever. // re-eval re any r lung findings
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in comparison to the chest radiograph obtained <num> day prior, there has been interval improvement in opacification at the left lung base, though there remains a retrocardiac consolidation with faint air bronchograms, likely atelectasis, dependent edema, or pneumonia. pleural effusions small, if any. heart size top-no...
<unk> year old man with altered mental status, rigors, fevers, desaturations on ventilator // evidence of new infiltrate or volume overload
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pa and lateral views of the chest provided. elevated right hemidiaphragm again noted. there is persistent right hilar and perihilar atelectasis. left lung is clear. no convincing evidence for pneumonia. cardiomediastinal silhouette is normal. no pneumothorax. bony structures are intact. no free air below the right hemi...
<unk>f with sob // pna
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there are multiple, vague opacities in the bilateral lungs, without overt airspace consolidation. these are partially demonstrated on the thoracic spine ct performed on the same date. the hilar and cardiomediastinal contours are normal. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal.
<unk>-year-old woman with fever, headache, neck pain, and back pain, status post spinal fusion.
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cardiac size is top normal. lung nodules, right upper lobe opacities, mediastinal lymphadenopathy are better evaluated on prior ct. there is no pneumothorax or pleural effusion.
<unk> year old man with metastatic melanoma // new leucocytosis to rule out pneumonia
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low lung volumes continue to be seen. a left pleural effusion and associated atelectasis is seen, and interval appearance of mild vascular congestion is seen. no consolidation or intraperitoneal free air is seen. the cardiac and mediastinal contours are normal, and the previous left subclavian central venous line has b...
<unk>-year-old man with worsening abdominal pain, tachypnea pod#<num> from abdominal closure. evaluate for free air.
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the lungs are clear without focal consolidation, effusion, are congestion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.
<unk>m with ams and glioblastoma multiforme // altered mental status
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no fracture. there is a mild scoliosis. no pleural effusion, pneumothorax or focal airspace consolidation. normal heart size, mediastinum and hilum.
mva. rule out injury.
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there is a new small right-sided pleural effusion. there is bibasilar atelectasis. the heart is stable in size. calcifications are seen along the aortic knob. no new focal consolidation or pneumothorax seen.
<unk> year old woman with pleural effusion // eval eval
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the heart is normal in size with a left ventricular configuration and a tortuous aorta. there is a focal opacity in the left retrocardiac region, which obscures the descending thoracic aortic interface. the lungs are hyperinflated. there is a mild dextroscoliosis and the bones appear generally demineralized. the pleura...
history of cough. evaluation for pneumonia.
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lung volumes are low and there is mild bibasilar atelectasis. there is no definite pneumonia, pneumothorax or large pleural effusion. the cardiomediastinal and hilar contours are stable.
chest fluttering, rule out pneumonia.
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single supine frontal view of the chest was obtained. bilateral pleural effusions are difficult to directly compare to the prior exam due to difference in patient position. allowing for this limitation, right pleural effusion appears similar to prior, still large, and left pleural effusion appears decreased status post...
<unk>-year-old female with metastatic breast cancer with bilateral pleural effusions now status post left thoracentesis.
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accounting for differences in lung volume and positioning, study is essentially unchanged from prior. there is no evidence of pneumonia. diffuse bilateral reticular nodular pattern consistent with chronic fibrosis is seen again. the cardiac and mediastinal silhouette is within normal limits. the pleural surfaces are un...
increased cough and symptoms suspicious for pneumonia.
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the cardiac, mediastinal and hilar contours are unchanged. multiple clips are again demonstrated within the left hemithorax as well as within the upper abdomen, unchanged. the pulmonary vascularity is normal without evidence of pulmonary edema. no focal consolidation, pleural effusion or pneumothorax is present. no acu...
altered mental status.
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the lungs are clear, without consolidation, pleural effusion or pneumothorax. cardiomediastinal silhouette is within normal limits.
history: <unk>f with sob // eval for pneumonia
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pa and lateral views of the chest provided. fibrotic changes are again seen in this patient with known interstitial lung disease, with possible mild progression. there is no large effusion or pneumothorax. no focal consolidation concerning for pneumonia. cardiomediastinal silhouette is unchanged with dense aortic calci...
<unk>f with cough and sob x<num> days // cough, sob
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compared to the prior study there is no significant interval change.
<unk> year old man with vt storm and heart failure with lvad // ?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 are no pleural effusions or pneumothorax. bony structures are unremarkable.
hemoptysis.
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pa and lateral chest views were obtained with patient in upright position. analysis is performed in direct comparison with the next preceding ap portable single view chest examination of <unk>. the previously described right-sided chest tube remains in place seen to terminate in apical area of the right hemithorax. rig...
<unk>-year-old male patient status post esophagectomy, evaluate interval change.
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there is opacity at the right lung base, which is suspicious for pneumonia. there is no pleural effusion or pneumothorax. cardiac silhouette is top normal in size.
<unk> year old woman with persistent fevers s/p svd and d c for retained pocs // please eval for acute process
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portable semi-upright radiograph of the chest demonstrates a normal cardiomediastinal silhouette and pulmonary vasculature. there are mild bibasilar opacities likely atelectasis. no definite pneumothorax or pleural effusion is identified.
<unk>f with cp // ptx?
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normal heart size, mediastinal and hilar contours. no focal consolidation, pleural effusion or pneumothorax.
<unk> year old man with cough, low grade fever // pneumonia?
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pa and lateral views of the chest provided. lungs appear grossly clear. subtle areas of scarring in the right mid lung not significantly changed from recent ct. no focal consolidation concerning for pneumonia. no effusion or pneumothorax. cardiomediastinal silhouette is stable. vertebroplasty changes at the lower thora...
<unk>f with increased sob/doe // ?pna
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the lungs are clear of focal consolidation, pleural effusion or pneumothorax. there is no pulmonary edema. the heart is normal in size. mediastinal and hilar contours are within normal limits. the patient is status post median sternotomy, and mediastinal surgical clips are noted.
<unk>-year-old female with dysphagia. evaluate for hiatal hernia.
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the cardiac, mediastinal and hilar contours are normal. lungs are clear and the pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
chest pain.
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the lungs are clear of focal consolidation, effusion, or pulmonary edema. the cardiomediastinal silhouette is normal. no acute osseous abnormalities.
<unk>f with sob // pna?
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no consolidation, pleural effusion or pulmonary edema is seen, and the cardiac and mediastinal contours are normal. median sternotomy wires are intact midline, and no bony abnormalities are seen.
<unk>-year-old man with right rib pain, evaluate for fracture or lung contusion.
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sternal wires appear intact. multiple mediastinal surgical clips are noted heart size is considerably enlarged, particularly the left atrium. the lungs demonstrate moderate interstitial edema. bilateral pleural effusions are small. there is no evidence of pneumonia retrocardiac opacification likely reflects atelectasis...
<unk>m with apparent chf exacerbation. doe. weight gain // pna? pulm edema
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expected postoperative appearance of the neoesophagus which appears less distended compared to the prior radiograph. interval development of multifocal right pulmonary abnormalities with ring shadow and small irregular opacities in the second and fifth anterior interspaces. small right pleural effusion. no left pleural...
<unk>-year-old man with crackles at right base a/w weakness, doe and h/o esophageal cancer rx's in past year with esophagectomy and chemoradiation; also episodes of dysphagia requiring dilatation. evaluate for pneumonia.
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>f with hiv p/w <num> days of cough, subjective fever and diarrhea
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pa and lateral views of the chest. the lungs are mildly hyperinflated. no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal and hilar contours are normal.
syncope.
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there is an opacity in the right upper lobe, a portion of which is wedge shaped and grossly similar to the recent ct on <unk>, accounting for differences in technique. however, more superiorly near the apex, there is also increasing hazy alveolar opacities. this is new from the preoperative chest radiograph on <unk>, a...
<unk> year old woman with rul infiltrates s/p rul biopsy // ? pneumothorax
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right chest wall port is seen in stable position. the lungs are clear without consolidation. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>f with fever after starting chemotherapy recently. // evaluate for pneumonia
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heart size is mildly enlarged. the aorta is slightly tortuous with atherosclerotic calcifications noted at the knob. the pulmonary vasculature is not engorged. the hilar contours are normal. lungs are clear without focal consolidation, pleural effusion or pneumothorax. <num> mm calcified granuloma is seen in the left u...
history: <unk>m with syncope
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a frontal upright view of the chest was obtained portably. low lung volumes result in bronchovascular crowding. there is bibasilar atelectasis. there is no focal consolidation, pleural effusion or pneumothorax. pulmonary vasculature is normal allowing for lung volumes. heart size is upper limits of normal. the dual-cha...
<unk>-year-old woman with new dyspnea.
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the cardiac silhouette is normal. the aorta is tortuous otherwise the mediastinal contours are normal. the hila and pleura are unremarkable. no focal consolidations, pleural effusions, pulmonary edema, or pneumothorax are seen.
<unk> year old woman with productive cough x <num> days. // any evidence for pneumonia?
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there is interval placement of a single lead pacemaker with its distal tip in appropriate position in the right ventricle. the cardiopericardial silhouette is enlarged and there is vascular redistribution. there is no evidence of consolidation or pneumothorax. chronic left rib fracture.
<unk> year old woman with htn, tia with cerebellar hemorrhage, with need for mri and pacemaker assessment // please assess pacemaker placement
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there are somewhat low lung volumes, but the lungs are clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable.
history: <unk>m with chest pain // r/o acute process
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frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidations or pneumothorax. mild cardiomegaly, predominantly left ventricular enlargement, has increased. hilar and mediastinal silhouettes are unchanged. descending aorta is slightly tortuous. heart is mildly enl...
palpitations.
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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>m with chest pain // r/o acute process
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heart size is normal. mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. lungs are clear. no focal consolidation, pleural effusion or pneumothorax is present. clips are seen within the left breast and left axillary region. there are moderate multilevel degenerative changes seen in the tho...
history: <unk>f with shortness of breath
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the patient is status post right upper lobectomy with redemonstration of volume loss in the right lung and rightward shift of the mediastinal structures. emphysematous changes are again seen. pleural thickening along the right apical lateral chest is unchanged from the recent prior radiograph. although there has been i...
history of fall, on coumadin. please evaluate.
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the heart size is top normal and mediastinal contours are unremarkable. the aortic knob is calcified. there is asymmetric elevation of the right hemidiaphragm. bilateral diffuse interstitial markings are likely chronic. no focal consolidation, pleural effusion, or pneumothorax. the patient is status post orif of a righ...
history: <unk>f with r-femur fx // pre-op eval
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there has been interval resolution of the previously seen right lung base opacity. no new focal opacities are identified. there is no pleural effusion or pneumothorax. the heart size is normal. the hilar and mediastinal silhouettes are unremarkable.
<unk>-year-old male with a history of alcoholic cirrhosis, who presents for evaluation of leukocytosis and rhonchi on exam.
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no focal consolidation is seen. there is no large pleural effusion or pneumothorax. the cardiac silhouette is not enlarged. the mediastinum is not widened. no pulmonary edema is seen.
history: <unk>f with palpitations, fever, chest pain // consolidation? effusion? cardiomegaly?
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a single portable supine chest radiograph was obtained. since yesterday's exam, central pulmonary vascular diameter and indistictness has increased, mostly on the right. a small right pleural effusion is new. cardiomegaly is similar.
<unk>-year-old man with question of aspiration, question interval change.
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pa and lateral chest radiographs demonstrate engorged pulmonary vasculature, mild interstitial edema, and mild cardiomegaly. there is no large pleural effusion or pneumothorax. severe degenerative changes are noted in the glenohumeral joints bilaterally.
chest pain. evaluate for pneumonia or chf.
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comparison with prior study is difficult due to changes in obliquity. bilateral pleurx catheters are unchanged. post-surgical and post-radiation changes are again noted in the right apex, but the apical cavity seen previously is no longer visualized. mild pulmonary edema seen previously is improved. no pneumothorax.
<unk>-year-old woman with metastatic non-small cell lung cancer, bilateral pleural effusions, bilateral pleurx catheters, assess for interval changes.
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pa and lateral views of the chest provided. midline sternotomy wires and a prosthetic aortic valve are noted. 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 double vision // thymus mass?
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the lungs are slightly hyperinflated. otherwise, the lungs are clear without focal consolidation or pulmonary edema. no pleural effusion or pneumothorax. no suspicious pulmonary nodule or mass. no acute rib fracture on this nondedicated study. the cardiomediastinal silhouette, hila, and pleura are unremarkable. no pneu...
<unk> year old man with anterior rib pain and ? underlying malignancy. evaluate for bony abnormality.
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again seen is a right pigtail catheter overlying the right lung base. there is a large right effusion with underlying collapse and/or consolidation. allowing for differences in positioning, this is essentially unchanged compared with <num> day earlier. no pneumothorax is detected, though faint lucency overlying the rig...
<unk> year old man with pmhx of treated syphilis who is transferred from<unk> for management of post-viral cap c/b loculated pleural effusions. now s/p chest tube placement, which is no longer draining. // interval change in pleural effusion? positioning of catheter?
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right indwelling port catheter tip terminates at the cavoatrial junction. lungs are fully expanded and clear. there is no focal consolidation, effusion, or pneumothorax. mediastinal and hilar contours are normal. heart size is normal.
<unk> year old man with lymphoma, now with coughing and uri symptoms // rule out pneumonia
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the cardiac, mediastinal and hilar contours are normal. the pulmonary vascularity is not engorged. new patchy ill-defined opacity is noted within the right lower lobe concerning for pneumonia. left lung is clear. there is minimal scarring within the lung apices. no pleural effusion or pneumothorax is present. there are...
renal transplant, fever, cough.
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the cardiomediastinal and hilar contours are within normal limits. note is made of coronary artery calcifications. lungs are well expanded and clear. there is no focal consolidation, pleural effusion or pneumothorax. pulmonary nodules identified on prior chest ct are not appreciated on this examination.
history: <unk>f with chest pain // presence of infiltrate presence of infiltrate
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overlying soft tissue limits assessment. there is mild cardiomegaly. the mediastinal and hilar contours are unremarkable. there is no pneumothorax or large pleural effusion. there may be a small left pleural effusion. the lungs are well-expanded. mild increased patchy opacity at the right lung base, new since the prior...
<unk> year old woman with r mca stroke, vomiting.
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a small to moderate right hydropneumothorax remains after placement of right basilar pigtail catheter drained most of the previously large right pleural effusion. opacification of the right mid lung is likely atelectasis or re-expansion edema. inferior approach central venous catheter ends at the inferior cavoatrial ju...
<unk>f with right pleural effusion, now s/p drainage with pigtail, evaluate effusion..