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MIMIC-CXR-JPG/2.0.0/files/p19695954/s59387285/ed4903eb-4db95da4-893dc6fd-36dd7b01-9bba8548.jpg
ap chest radiograph. et tube terminates <num> cm above the diaphragm. median sternotomy wires are intact. mediastinal clips and mitral valve replacement are again noted. a transvenous pacer lead terminates in the right ventricle. there is probably a small left pleural effusion with retrocardiac atelectasis, though left...
intubation for respiratory distress.
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pa and lateral views of the chest provided. lung volumes are somewhat low. no focal consolidation, large effusion or convincing signs of edema or congestion. cardiomediastinal silhouette is stable. bony structures are intact.
<unk>m with liver transplant with elevated cr on outpt labs
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improved aeration seen on the current exam. opacity at the right lung base medially is now all no longer seen. the lungs are now clear. there is no effusion, consolidation or edema. cardiac silhouette is top-normal. surgical clips project over the left lung base, potentially within the overlying soft tissues. no acute ...
<unk> year old woman with h/o pna <unk>, s/p tx w azithro. still complaining of cough // r/o residual pna
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ap view of the chest. there is no focal consolidation, pleural effusion or pneumothorax. there is mild cardiomegaly. the mediastinal and hilar contours are normal.
mvc, evaluate for fracture or pneumothorax.
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the cardiac, mediastinal and hilar contours are normal. lungs are clear. pulmonary vascularity is normal. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
blurry vision this morning and hypertension.
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there is mild cardiomegaly. the mediastinum is normal. lungs are hyperinflated with flattened diaphragms. there is persistent left base atelectasis, unchanged from prior. there are no focal consolidations, pleural effusion, pulmonary edema or pneumothorax. sternotomy wires and mitral valve replacement noted.
<unk>-year-old with copd on home o<num> with one week of productive cough.
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the lungs are clear. heart size and mediastinal contours are normal. coronary artery stents are identified. there is no pleural effusion or pneumothorax. osseous structures are intact. no subdiaphragmatic free air.
<unk>m w/chest pain.
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pa and lateral views of the chest provided. midline sternotomy wires and mediastinal clips 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>m with new onset afib, generalized fatigue
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ap and lateral chest radiographs were provided. the patient is rotated to the right. the lung volumes are low. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is stable. the bones are intact. the diaphragms are elevated, likely due to large volume ascites. again seen ...
altered mental status and history of cirrhosis. evaluate for infection.
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ap view of the chest. there is asymmetric left basilar opacity. given lower lung volumes this could be due to atelectasis. elsewhere, the lungs are grossly unchanged. cardiomediastinal silhouette has not definitely changed although exact evaluation is difficult given rotation. posterior spinal fixation hardware seen in...
<unk>-year-old female with altered mental status.
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previously noted small right pleural effusion has remained stable to minimally increased. previously noted small left pleural effusion appears stable to also minimally increased. bibasilar atelectasis is noted; otherwise, the remainder of the lungs are clear. cardiac silhouette appears stable. a right-sided port-a-cath...
evaluation of right pleural effusion.
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there is moderate interstitial edema and pulmonary vascular congestion. no focal consolidation is identified. the cardiomediastinal silhouette and hilar contours are unchanged. there is no pleural effusion or pneumothorax. surgical clips are noted projecting over the right chest wall, likely related to prior surgery.
<unk>f with chest pain, evaluate heart and lungs.
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lung volumes are low. there is minimal atelectasis in the right lung base but no other focal opacities. in the left lung base there is moderate to severe atelectasis of the left lower lobe with an associated small pleural effusion. the cardiac size cannot be adequately assessed due to obscuration of the left heart marg...
<unk>f with new orthopnea, decreased breath sounds and occasional crackles at both bases.
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two views of the chest demonstrate low lung volumes with resultant bronchovascular crowding and prominence of the cardiomediastinal silhouette. moderate cardiomegaly is unchanged in is accompanied by pulmonary vascular redistribution. no focal consolidation, pleural effusion, or pneumothorax is identified. there may be...
chest pain and shortness of breath. evaluate for an acute cardiopulmonary process.
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the endotracheal tube appears high, located <num> cm above the carina, above the level of the clavicle. this may be related to the position of the neck. the tip of the nasogastric tube is at the level of the pylorus/first portion of duodenum. there is improved aeration of the lungs when compared to the prior. the veil ...
<unk> year old woman with fall from <unk> feet. s/p intubation // eval for interval change
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cardiac silhouette size remains mildly enlarged. the aorta is slightly tortuous, as seen previously, with re- demonstration of a moderate size hiatal hernia. pulmonary vasculature is normal. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is present. there are mild to moderate degenerat...
history: <unk>f with post-op shortness of breath
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a left chest wall single lead pacing device is unchanged in appearance compared to the prior study. the thoracic aorta demonstrates moderate unfolding. this accounts for at least some of the widening of the mediastinum. this is also likely exaggerated by the technique. no consolidation seen. no pneumothorax or pleural ...
<unk>m with a past medical history of afib on coumadin, schf (ef <unk>%) s/p icd in <unk>, htn, cad, dm<num>, and copd who presents with cough, dyspnea now with new dyspnea // evaluate for infiltrate vs. effusion vs congestion
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right and left ij central line tips overlie the mid svc. no pneumothorax is detected. again seen is cardiomegaly, similar to the prior study. there is upper zone redistribution, by no overt chf. retrocardiac opacity, compatible left lower lobe collapse and/or consolidation, is again seen, minimally worse. there is blun...
<unk> year old man with positional midsternal pain, ? rib fracture // ? rib fracture
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heart size is mildly enlarged. mediastinal and hilar contours are normal. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
history: <unk>f with left -sided weakness, left -chest pain, left -leg pain
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superimposed on background nodular parenchymal architecture is more focal <num> cm to <unk> cm nodule at the right apex not evident on the study from <unk>, suggesting this may be infectious or inflammatory in nature. retrosternal nodular density of similar size seen on the lateral view is presumably the same lesion. n...
history: <unk>f with sob // r/o pneumonia
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pa and lateral chest radiograph demonstrate clear lungs bilaterally. cardiomediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. visualized osseous structures appear without an acute abnormality. compression deformities of upper thoracic vertebral body levels are unch...
<unk>-year-old male with shortness of breath.
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pa and lateral views of the chest provided. midline sternotomy wires and mediastinal clips are again noted. cardiomegaly again noted. lungs are clear without focal consolidation, large effusion or pneumothorax. no signs of congestion or edema. bony structures are intact. no free air below the right hemidiaphragm. clips...
<unk>f with history of chf presenting with shortness of breath
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the lungs are well expanded and clear. the heart remains enlarged with persistent tortuosity of the aorta. there is no pleural effusion or pneumothorax. mediastinal and hilar contours are unremarkable. no displaced rib fractures are identified.
left flank pain extending to left ribs. assess for acute process.
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the cardiac, mediastinal and hilar contours appear unchanged. there is no pleural effusion or pneumothorax. there is a retrocardiac opacity that is not specific obscuring medial left hemidiaphragmatic contours. otherwise the lungs appear clear.
leg swelling.
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cardiac and mediastinal contours are normal. the lungs are clear. no pleural effusion or pneumothorax is present. minimal bi-apical thickening is present. there are no acute osseous abnormalities. no radiopaque foreign bodies are present.
possible aspirated pill.
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there is no consolidation, pleural effusion, or pneumothorax. cardiomediastinal and hilar silhouettes are normal size.
history: <unk>f with cough x <num>wks // eval for pneumonia
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left-sided pacemaker device is seen with unchanged lead position. the lungs appear well expanded and clear. no focal consolidation, pleural effusion, or pneumothorax is seen aside from retrocardiac atelectasis. the heart is normal in size with normal cardiomediastinal contours.
<unk>-year-old man with shortness of breath and unsteady gait, assess for acute process.
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frontal and lateral views of the chest. the lungs are clear without focal consolidation, effusion or pneumothorax. the cardiomediastinal silhouette is within normal limits. mid-to-lower thoracic dextroscoliosis is noted. no displaced rib fracture is identified.
<unk>-year-old male with left-sided rib 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. a tortuous aorta is incidentally noted.
preoperative film for repair of tibio-fibular fracture.
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asymmetric hazy air space consolidation, right greater than left appears slightly increased from yesterday morning study and this could represent pneumonia, pulmonary hemorrhage, or, less likely, asymmetric edema. right-sided pleural of pleural fluid appears stable as does a small amount of residual subcutaneous emphys...
<unk> yo s/p r thoracotomy, rll wedge // tachypnea, ? interval change
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frontal and lateral radiographs of the chest demonstrate tracheal deviation to the right, from a thyroid mass, better seen on the ct of the chest, abdomen and pelvis obtained roughly concurrently. the lung parenchyma are clear with no obvious masses, which are better seen on the concurrently obtained chest ct. bibasila...
leukocytosis with known liver nodules. evaluate for presence of lung nodules.
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frontal and lateral radiographs of the chest demonstrate well expanded clear lungs. the cardiomediastinal and hilar contours are unchanged. there is no pneumothorax, consolidation, or pleural effusion. a left-sided pacemaker is seen with the leads in the appropriate position. there is minimal irregularity of the poster...
<unk>-year-old man with pain in the right anterior ribcage following massage. evaluate for rib fracture.
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heart size is normal. the aorta is unfolded. mediastinal and hilar contours are otherwise unremarkable. pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities identified.
<unk> year old man with history of melanoma // please evaulate disease status
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the heart continues to be enlarged, and there is now mild edema. there is a small bilateral pleural effusion. patient is status post median sternotomy and cabg.
<unk>f with sob and cp // overload
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the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable.
<unk>f with chest pain // ptx?
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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 chest pain
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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 slide off moped with right shoulder pain
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portable semi upright chest radiograph was obtained. dobbhoff tube courses into the upper stomach but can be advanced <num> to <num> cm if desired for more optimal positioning. the lungs are well expanded with bandlike left midlung atelectasis as well as newly evident left pleural effusion and accompanying atelectasis....
stroke, assess ng tube placement.
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right chest wall power injectable port, the tip projecting over the superior cavoatrial junction. the cervicothoracic spinal hardware is incompletely evaluated. bilateral pleural based masses are grossly unchanged with associated osseous destruction of multiple ribs bilaterally. no pneumothorax or pleural effusion iden...
<unk> year old woman with myeloma and multiple lytics lesions with pleuritic chest pain // evaluate for cause of pleuritic chest pain
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postoperative appearance of the right lung is unchanged. the lungs are clear with no consolidation, pleural effusion, or pneumothorax. cardiomediastinal contours are normal. median sternal wires are intact with the exception of the known fracture of the inferior most portion of the inferior wire. no concerning osseous ...
<unk>m with electrolyte abnormality, prior osteosarcoma. evaluate for bony lesion or pneumonia.
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diffuse ill-defined airspace opacities are present bilaterally. low lung volumes cause bronchovascular crowding. a more mass-like opacity in the right upper lung measures up to <num> x <num> cm. there is a small to moderate left pleural effusion. the cardiomediastinal silhouette is within normal limits. there is no pne...
<unk>m with sob, hypercalcemia evaluate for pneumonia or mass.
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no focal opacity to suggest pneumonia is seen. no pneumothorax or pulmonary edema is present. there may be a trace right pleural effusion. the heart size is top normal. there is mild tortuosity of the aorta.
nausea and vomiting.
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compared to the prior study the pulmonary edema continues to improve. however there is persistent increased opacity in the right upper lung which could reflect residual asymmetric pulmonary edema but an underlying infectious process is possible. stable top-normal heart size. the small left pleural effusion persists wit...
<unk> year old woman with copd s/p aaa rupture, ex-lap for hematoma evac, now closed w/o<num> requirement and pulm edema. // eval pulm edema
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evaluation is somewhat limited by overlying trauma board. an endotracheal tube terminates <num> cm above the level of the carina. and oral gastric tube is seen terminating within the stomach. a left-sided central venous line terminates near the cavoatrial junction. there is a dual lead left pectoral pacemaker noted. su...
history: <unk>m on dialysis, found down, unresponsive. unclear mechanism. fall vs syncope vs collapse. //
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cardiomediastinal contours are stable with moderate cardiomegaly. pacer lead is in standard position. left-sided cardiac device is in unchanged position. large right pleural effusion tracking in the fissure has increased with increasing adjacent atelectasis. small left effusion has also increased. bibasilar atelectasis...
<unk> year old man with dilated cardiomyopathy s/p heartware lvad with new onset shortness of breath and cough // r/o chf
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in the interval the right picc line has formed a loop directed into the right internal jugular vein and the tip ending in the right brachiocephalic vein proximal to the svc. lung volumes are low but clear. there is no pleural effusion or pneumothorax. heart size is normal. mediastinal and hilar contours are normal. the...
<unk> year old man with cirrhosis with ams and cough // eval for cardiopulmonary process
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frontal and lateral views of the chest are obtained. no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the hilar contours are stable. cardiac and mediastinal silhouettes are stable.
<unk>f with hypotension // eval infiltrate
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pa and lateral views of the chest are compared to previous exam from <unk>. when compared to prior, there has been no change. again noted are nodular opacities in the lungs bilaterally, stable in configuration. there is no evidence of new consolidation or effusion. cardiomediastinal silhouette is within normal limits. ...
<unk>-year-old female with productive cough.
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compared to the prior film, patchy opacity right base is more pronounced and there is a new small right pleural effusion. atelectasis at the left base is also a more pronounced. no left pleural effusion. the cardiomediastinal silhouette is grossly unchanged. upper zone redistribution is again seen, unchanged, without o...
<unk> year old man sp adrenalextomy, chest then removed <unk> now with new dyspnea and o<num> requirement // eval pnthx vs effusion
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lungs are well-expanded. no new focal opacity, though persistent bibasilar atelectasis is probable. interval increase in the pulmonary edema, now moderate to severe. asymmetric increased opacities at the left apex are new, but similar compared <unk>. small bilateral pleural effusions have likely increased in size. mild...
<unk> year old woman s/p exp lap, ileo-colonic diverting anastomosis, now with sob, decreased oxygen saturation // evaluate for interval change
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frontal and lateral chest radiographs demonstrate the right chest wall port which terminates in the right atrium. the lungs are well-aerated, without focal consolidation, pleural effusion, or pneumothorax. the visualized upper abdomen is unremarkable.
evaluate for pneumonia in a patient with elevated temperature.
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right picc tip is in mid svc. stable bilateral diffuse reticular opacities and heterogeneous opacities with peribronchial cuffing and focal areas of luceny, suggesting a stable acute interstitial and alveolar process on a scaffolding of severe emphysema. emphysema is better characterized on ct. no pneumothorax or pleur...
<unk>-year-old male with shortness of breath. assess for acute process.
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the heart is mildly enlarged and there is pulmonary vascular redistribution. with ill-defined vascularity. there is increased retrocardiac opacity. the prior study demonstrated increased lung markings compatible with chronic lung disease. the current finding suggest acute on top of chronic disease. in particular, the r...
<unk> y/o <unk> male with dm ii, htn, hld, copd, schizoaffective disorder, bipolar type, and alcohol use admitted with disorganized behavior and agitation now resolved with course complicated by falls and gait instability, acute component likely related to severe cervical disease, with coughing during mealtimes, c/f a...
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compared with the prior radiograph, no significant change in bilateral increased interstitial lung markings, basal predominant, consistent with fibrosis/ chronic lung disease. there is persistent blunting of the right costophrenic angle without large pleural effusion or pneumothorax. cardiomediastinal silhouettes are u...
<unk>m with cough. evaluate for pneumonia, masses.
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as compared to chest radiograph from the same day, new endotracheal tube <num> cm from the carina. mild pulmonary vascular congestion and moderate cardiomegaly unchanged. small bilateral pleural effusions. linear opacities along the right fissure have slightly increased. no pneumothorax. cholecystectomy clips and g-tub...
<unk> year old woman with c.diff, flash pulm edema // ?flash pulm edema
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lung volumes are low which accentuates bronchovascular markings. the heart is moderately enlarged on this ap view. there is mild to moderate vascular congestion and pulmonary edema. no pneumothorax. no pleural effusion.
history: <unk>m with fall, h/o tib frx // ? traumatic injuries
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there is volume loss in the right lung with predominantly right upper lobe reticular opacities, this displaces the right hilum superiorly. appearances are consistent with post radiotherapy change as seen on the prior ct. the right hilum is enlarged, again similar in appearance to the prior ct streaky left lower lobe op...
<unk> year old man with lung cancer, ckd // weight loss
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the cardiac, mediastinal and hilar contours appear similar to the prior study. there is no definite pleural effusion or pneumothorax. aside from improved aeration in the lateral right lower lung, more generally, multifocal opacities, the radiographic highlights of which are within the left upper and retrocardiac region...
dyspnea.
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no evidence of pneumonia. there is mild pectus excavatum. linear atelectatic changes are seen at the left lung base. no pleural effusions or pneumothorax. a right subclavian catheter is unchanged in position. the cardiopericardial silhouette is unremarkable.
<unk> year old with multiple myeloma // s/p auto transplant with intermittent low grade fevers, evaluate for pna
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two views were obtained of the chest. the lungs are somewhat low in volume but appear clear. there is no pleural effusion or pneumothorax. the heart is normal in size with normal cardiomediastinal contours. no displaced rib fractures are seen.
fall.
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there is a right picc line which terminates in the low svc, as unchanged compared to prior. the heart remains enlarged. the pulmonary vascular congestion has resolved. the mediastinal and hilar contours are stable. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
<unk> year old man with heart failure exacerbation // evaluate for interval change, pulmonary edema
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lung volumes are slightly low. the heart size is moderately enlarged. there is pulmonary vascular redistribution with ill-defined vascularity and hazy alveolar infiltrates predominantly in the lower lobes.
<unk> year old woman with leukocytosis // eval for pna
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the lungs are clear without focal opacity, pleural effusion or pneumothorax. the cardiac and mediastinal contours are normal. a right port-a-cath ends in the mid superior vena cava.
<unk> year old woman on chemotherapy with fevers.
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. the lungs appear clear.
dyspnea.
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single portable view of the chest demonstrates decreased lung volumes when compared to study obtained the day prior. increased perihilar markings may be likely due to decreased lung volumes. no pleural effusion, focal consolidation or pneumothorax. hilar and mediastinal silhouettes are unremarkable. heart size is norma...
dyspnea.
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the cardiomediastinal and hilar contours are normal. there is no pneumothorax or large pleural effusion. the lungs are well-expanded, and a new small opacity at the right lung base medially is concerning for an infectious process. the upper abdomen is unremarkable.
<unk>m with dyspnea, cough // ?pna, ptx
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frontal and lateral views of the chest. the lungs are clear of consolidation, effusion, or pulmonary vascular congestion. cardiac silhouette is top normal in size. atherosclerotic calcifications seen at the aortic arch. mild hypertrophic changes are seen in the spine without acute osseous abnormality.
<unk>-year-old male with weakness. question pneumonia.
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there is increased vascular congestion with interstital prominence suggesting mild pulmonary edema. small bilateral pleural effusions are present. there is no consolidation or pneumothorax. the cardiac silhouette is significantly enlarged, most prominent on the right side. atherosclerotic calcification of the aorta is ...
chest pain.
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endotracheal tube tip is <num> cm from the carina on the second view. lung volumes are low with secondary bronchovascular crowding. bibasilar opacities medially could be atelectasis although aspiration or contusion or possible in light of trauma setting. cardiomediastinal silhouette is grossly normal given positioning ...
<unk>m s/p bike fall // please eval acute injury, ett
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heart size is normal. cardiomediastinal silhouette and hilar contours are normal. lungs are clear. pleural surfaces are clear without effusion or pneumothorax.
palpitations.
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the visualized lung fields are clear without any focal opacities, pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are unremarkable. there are no signs of pneumomediastinum.
chest pain status post endoscopy, evaluate for pneumomediastinum or pneumothorax.
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the cardiomediastinal and hilar contours are stable, with left ventriculomegaly. there is no pleural effusion or pneumothorax. there are low lung volumes. there is no focal consolidation concerning for pneumonia. pulmonary vasculature is within normal limits.
chest pain and weakness.
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as compared to <unk>, poorly defined opacities in the lower lobes bilaterally have slightly improved. there are associated small bilateral effusions. the cardiac silhouette is unremarkable. no pneumothorax.
<unk> year old man with iph <unk> avm. fever. // <unk> year old man with iph <unk> avm. fever.
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ap and lateral views of the chest. the lungs are clear of focal consolidation or large effusion. lateral view is limited due to patient's arms being down by her side. cardiac silhouette is enlarged but unchanged. relatively recent proximal left humerus fracture is as seen on previous exam. no interval displaced fractur...
<unk>-year-old female with fall.
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the heart size is normal. the mediastinal and hilar contours are unremarkable. the pulmonary vasculature is normal. paraseptal emphysema is re- demonstrated, most pronounced at the lung apices, as well as increased interstitial markings predominantly along the periphery of both lungs, compatible with chronic interstiti...
hcc, confusion.
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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 dyspnea, cough, evaluate for pneumonia.
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. incidentally noted are bilateral cervical ribs. no acute osseous abnormality identified.
<unk> year old man with hx of myeloma. confusion with new neutropenia. please further evaluation // <unk> year old man with hx of myeloma. confusion with new neutropenia. please further evaluation
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the ett and ng tube are unchanged. there is new dense retrocardiac opacification consistent with volume loss/infiltrate/effusion. normal is mild pulmonary vascular redistribution with.
bacterial meningitis.
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single frontal view of the chest demonstrates interval removal of a left transjugular central venous catheter and a left-sided chest tube in the interim. mild cardiomegaly is accentuated by ap technique and low lung volumes. there is increased right sided atelectasis. vague left apical opacity likely reflects atelectas...
<unk>-year-old male with history of loculated effusion status post left vats decortication.
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frontal and lateral views of the chest. the lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. the cardiac and mediastinal contours are normal. no acute osseous abnormality is seen.
fever.
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frontal and lateral radiographs of the chest demonstrate hyperexpanded and clear lungs. the cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation.
<unk>-year-old man with cough, coarse breath sounds, leukocytosis. evaluate for pneumonia.
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lungs are hyperexpanded, as before. heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
history: <unk>f with chest pain. evaluate for pneumothorax
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rounded opacity in the left upper chest represents loculated fluid within left major fissure, is similar. there is a small left pleural effusion, not appreciably changed. small left apical pneumothorax is stable. mildly more prominent left basilar opacity, likely atelectasis. there is minimal new right basilar atelecta...
<unk> year old man with pleural effusion, s/p thoracentesis // thoracentesis
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the lungs are well expanded. multiple calcified granulomas are redemonstrated throughout both lungs, unchanged compared with prior exam. linear opacity in the periphery of the right mid lung is unchanged from prior and likely represents thickening and scarring of the minor fissure seen on prior ct. there is no new foca...
<unk>-year-old male with right-sided chest pain.
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there is a large left-sided pleural effusion that has increased when compared to examination from <unk>. heart size cannot be evaluated due to pleural effusion. the hilar and mediastinal contours are normal. there are ill-defined opacities in the right middle lobe and left upper lobe which are better characterized on p...
<unk>-year-old female patient with large left effusion status post thoracentesis with <num> liters removed. study requested for evaluation of interval change.
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the lungs are poorly inflated, accounting for some vascular crowding, more conspicuous in the lower lobes. allowing for these limitations, the lungs are clear without focal opacities. cardiac size is top normal. mediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax.
<unk>-year-old male with chest pain. evaluate for evidence of pneumothorax or pneumonia.
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apparent increase in cardiac size and widening of the mediastinum is due to differences in technique. the hilar contours are stable. there is no pleural effusion or pneumothorax. kerley b lines are noted, consistent with mild interstitial pulmonary edema. there is no focal consolidation concerning for pneumonia.
worsening dka.
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lungs are clear. no convincing evidence for pneumonia or edema. no large effusion or pneumothorax. cardiomediastinal silhouette appears stable with top-normal heart size. bony structures are intact. no free air below the right hemidiaphragm.
<unk>f with presyncopal symptoms
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cardiomediastinal contours are normal. aside from any linear scarring in the left midlung the lungs are clear. there is no pneumothorax or pleural effusion. the osseous structures are unremarkable
history: <unk>f with h/o histoplasmosis, ovarian ca with productive cough x <num> weeh and chest tightness // any pulmonary infiltrates
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frontal and lateral chest radiographs were obtained. a hereterogeneous right lower lung opacity is difficult to localize on the lateral view and may reflect a new alveolar process. small bilateral pleural effusions are present, right greater than left with a possible loculated component at the right lateral chest wall....
patient with prior pleural effusion, eval lung fields.
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the heart size is normal. the mediastinal and hilar contours demonstrate clips about the bilateral hila. perihilar consolidation/scarring is present on the right and the hemidiaphragm is chronically elevated, likely reflecting components of post-resection and radiation changes. there is no pneumothorax. best seen on la...
<unk>-year-old male with pleural effusion, needs evaluation.
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there has been interval placement a right internal jugular central venous catheter which terminates in the proximal to mid svc without evidence of pneumothorax. the right costophrenic angle not fully included on the image. given this, the remainder of the lungs appear clear. no pleural effusion is seen. the cardiac and...
history: <unk>f with hypotension, nausea, vomiting, diarrhea. // central line placement
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left picc line tip in the upper svc. heart size at the upper limits are normal. increased pulmonary vascularity, more apparent. more prominent interstitial markings, basilar opacities, may represent edema or infection. new trace pleural effusion. postoperative change left chest. postoperative change right shoulder.
<unk> year old woman with myelofibrosis here with fever // eval pna
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there is mild hyperinflation of the lungs. the cardiomediastinal silhouette and hila are normal. there is no pleural effusion and no pneumothorax.
<unk>-year-old with chest pain.
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frontal and lateral views of the chest. the lungs remain clear. there is no effusion or pulmonary vascular congestion. cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is detected.
<unk>-year-old female with shortness of breath.
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mild bibasilar atelectasis is noted. there is no evidence of lobar consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities are detected.
history: <unk>f with sob, h/o copd // eval for infection, pulmonary edema
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tiny left apical pneumothorax has improved. otherwise stable exam.
<unk> year old woman with s/p cabg // eval ptx chest tube on suction
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the cardiac silhouette is mild-to-moderately enlarged. there is mild engorgement of the pulmonary vasculature. no definite focal consolidation or pneumothorax is identified. no large pleural effusions seen. a left-sided pacemaker is seen with its tip terminating in the right atrium and right ventricle, expected locatio...
cough and pleuritic chest pain.
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an ng tube is present, tip extends beneath the diaphragm and overlies the stomach. low inspiratory volumes. the cardiomediastinal silhouette is unchanged. there is new dense increased retrocardiac density, with new obscuration left hemidiaphragm, consistent left lower lobe collapse and/or consolidation. a small left ef...
<unk> year old woman with lupus with abdominal distention and enteritis // please assess for change in pulm edema
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better aeration of the right lung with persistent right lower lobe atelectasis at the base. <num> right chest tubes in place. no pneumothorax. cardiomegaly as previously
<unk> year old man with pna and empyema s/p vats decortication w/ <num> chest tubes placed // <num> chest tubes in place