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ill-defined right lower lung opacity is less conspicuous than on the prior exam and likely reflects atelectasis or small consolidation. left lower lobe opacity has increased and is also consistent with either consolidation or aspiration. heart size is top normal. mediastinal contours are stable.
history: <unk>f with ?foreign body/ rounded nodular opacity // ?foreign body
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ap portable upright view of the chest. a dobbhoff tube has been placed with its tip in the expected region of the proximal stomach. cardiomegaly is again noted with probable mild pulmonary edema. retrocardiac opacity could reflect underpenetrated technique. no large effusion or pneumothorax is seen. the mediastinal contour is stable. bony structures are intact. no free air below the right hemidiaphragm.
dobhoff placement.
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there is a left lower lung opacity silhouetting the left cardiac border. some of this is thought to be due to a fat pad given similar appearance on <unk> however it is more conspicuous on today's exam. cardiomediastinal silhouette is otherwise unremarkable. no acute osseous abnormalities.
<unk>m with chest pain // eval for acute process
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pa and lateral chest radiographs were obtained. a focal consolidation in the right upper lobe is associated with thickening of the right minor fissure. the opacity has become slightly more radiopaque since the preceding exam days ago. no additional consolidations, nodules, effusion, or pneumothorax is present. post-operative pleural thickening at the right costophrenic angle is unchanged. the heart and mediastinal contours are normal.
<unk>-year-old woman with right upper lobe opacity, history of cancer, status post right lower lobectomy in <unk>.
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single portable view of the chest demonstrates increased vascular shadowing and with thickened septal lines. the cardiac silhouette is enlarged. comparisons to prior is difficult given differences in technique, however, it is enlarged. the size is greater compared to <unk>. no pleural effusion or pneumothorax is seen.
shortness of breath, evaluate for infiltrate.
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the lungs are well inflated. there is mild interstitial edema. the heart size is top normal. there is a trace unilateral, perhaps right pleural effusion. there is no pneumothorax.
<unk>-year-old woman with fever, evaluate for pneumonia.
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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 facial cellulitis.
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in comparison to the most recent prior chest radiograph, there is interval development of multifocal airspace opacity throughout the right lung concerning for multifocal infectious process. the left lung is relatively clear. there is no pleural effusion or pneumothorax. the pulmonary vasculature is essentially within normal limits. a left pectoral pacemaker is unchanged with dual leads terminating in the right atrium and right ventricle, as before. the cardiac silhouette is enlarged but stable. the mediastinal contours are within normal limits.
history of chf, asd, pda and copd, now with three weeks worsening dyspnea, pedal edema and bloody sputum.
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postoperative mediastinum with median sternotomy wires in place and multiple surgical clips. heart size is normal. diffuse right greater than left opacities have progressed compared to prior study in the background of emphysema. no large pleural effusion or pneumothorax.
dyspnea.
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear except for localized linear scar atelectasis at the lung bases. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
<unk> year old woman with acute productive cough, wheeze, mild hypoxemia // r/o pneumonia
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evaluation of the left apex is limited due to patient position. bibasilar atelectasis. no focal consolidations to suggest pneumonia. vascular engorgement, but no overt pulmonary edema. stable enlargement of the cardiomediastinal silhouette with calcifications of the aortic knob. no pneumothorax. no large pleural effusion. diffusely demineralized bones with multiple thoracic compression fractures, grossly unchanged since <unk>.
<unk>f with syncope // assess for pna
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frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. note is made of mild left hemidiaphragmatic elevation. the lungs are well aerated. there is no pneumothorax, vascular congestion, or pleural effusion. note is made of relative loss of height at t<num>.
<unk>-year-old female with progressive chest pain and shortness breath. question acute process.
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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 pleuritic pain
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frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. the lungs are well expanded and clear. there is no pneumothorax, vascular congestion or pleural effusion. note is made of mildly high riding distal right clavicle, raising question of possible ac joint separation, to be correlated clinically and if indicated, consider stress views to confirm finding.
<unk>-year-old female with near syncope. question acute process.
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the lungs are mildly hyperexpanded, which is unchanged from the prior exam. there is no consolidation, pulmonary edema, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal.
left-sided pressure radiating to the back.
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cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax. there is no focal lung consolidation.
<unk>-year-old woman with tingling, evaluate for pneumonia
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unchanged appearance of severe infiltrative pulmonary abnormality, right greater than left, since <unk>. the previously noted bilateral pleural effusions, right greater than left, are mildly improved since <unk>. heart size is unchanged. mild leftward tracheal deviation may be due to thyroid enlargement. a left central venous line is in unchanged position. no pneumothorax.
<unk> year old man with r>l pulmonary infiltrates of unclear source, b/l pleural effusions // any change in infiltrates or pleural effusions
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frontal and lateral views of the chest were obtained. multifocal opacities in the left lung, some quite nodular, is most likely multifocal pneumonia, but needs followup radiographs to exclude other concurrent diagnoses. vague heterogeneous opacity overlying the right lower lung may also represent small consolidation. no substantial pleural effusion or pneumothorax. the heart size and cardiomediastinal contours are normal.
<unk> year old female with cough and fever. evaluate for pneumonia.
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pa and lateral views of chest demonstrate clear lungs. cardiac size is normal. no pleural effusion or pneumothorax.
fever.
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minimal lateral left base atelectasis is noted. no focal consolidation, pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. anterior osteophytes seen at several levels along the thoracic spine. partially imaged, there may be an ovoid calcification projecting over the soft tissue lateral to the right humeral head, could relate to calcific tendinosis, not well assessed on this study.
history: <unk>f with pmhx ms, ?stroke, now with worsening gait instability and word finding difficulty // r/o infiltrate
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frontal and lateral views of the chest. relatively low lung volumes are seen. there is no evidence of consolidation or effusion. the cardiomediastinal silhouette is within normal limits given this limitation. no acute osseous abnormalities detected.
<unk>-year-old female with chest pain.
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there has been no significant interval change to the bibasilar opacities since prior study, although overall improved since the initial presentation on <unk>, particularly at the right lung base. there is mild interstitial edema. the cardiomediastinal silhouette is stable. there is no pleural effusion or pneumothorax. a left upper extremity picc terminates at the superior cavoatrial junction. visualized upper abdomen is unremarkable.
<unk> year old man with pna and pulm edema, assess for interval change.
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the patient is status post median sternotomy. left-sided aicd/pacemaker device is noted with leads terminating in the right atrium, right ventricle, and coronary sinus. heart size remains mildly enlarged. the aorta is tortuous and diffusely calcified. there is no pulmonary edema. no focal consolidation, pleural effusion or pneumothorax is seen. there is minimal atelectasis in the lung bases. no acute osseous abnormalities present.
dyspnea and fever.
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pa and lateral chest radiographs demonstrate no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal. no rib fractures are identified.
cyclist struck by a car.
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the patient is status post median sternotomy with wires intact. the aorta is tortuous, unchanged from multiple priors. multiple mediastinal clips from prior cabg are unchanged. there is likely mild volume loss of the medial in the left lower lobe, unchanged from prior. the lungs are otherwise clear.
history: <unk>m with chest pain // eval for infiltrate
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portable semi-upright radiograph of the chest demonstrates moderate right pleural effusion and consolidation of the right lower lobe. additionally, there is a subpleural nodule seen in the right upper lobe, with lucent center, which suggests the presence of cavitation. the left lung is clear. no pneumothorax. a right-sided pleural drainage catheter is present, however it is not possible on the basis of this single frontal radiograph to determine whether this pleural drainage catheter is supra- or subdiaphragmatic.
<unk> year old man with large thick loculated right pleural effusion s/p chest tube placement with no output // ? ptx, ? tube placement
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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 man with tachycardia and malaise. evaluate for consolidation.
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left aicd device is redemonstrated with a single lead terminating in the right ventricle. the heart is mildly enlarged. hilar and mediastinal contours are normal. the lungs are clear without evidence of focal consolidations concerning for pneumonia. there is no pleural effusion or pneumothorax. no acute osseous abnormalities are seen.
history of chest pain. please evaluate for effusion, consolidation or fracture.
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cardiac and mediastinal silhouettes are stable. prominence of the hila persists, possibly due to vascular engorgement, however, underlying lymphadenopathy is not excluded. streaky medial right lung base and left retrocardiac opacities may be due to atelectasis and aspiration, underlying infection not excluded. no pleural effusion or pneumothorax is seen.
history: <unk>f with pain, decreased o<num> sat // pna?
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status post transbronchial biopsy ground-glass opacity. increasing right upper lobe opacity likely reflects post biopsy hemorrhage. linear lucencies along the cardiomediastinal border on the right can be minimal pneumomediastinum. no large pneumothorax or pleural effusions.
<unk> year old woman with ggos s/p rul, rll tbbx. // r/o pneumothorax
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there is no definitive evidence of a pneumothorax. multiple right lateral and posterior rib fractures are redemonstrated, some with interval callus formation, like the right ninth posterior rib. a small amount of right pleural fluid, best appreciated on the frontal view may be loculated anteriorly and laterally. no left pleural effusion is present but there is mild left basilar atelectasis. the cardiomediastinal and hilar contours are within normal limits.
right pneumothorax, here to evaluate for interval changes.
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the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. hepatic stones is unremarkable.
<unk> year old woman with l pleuritic chest pain // please eval for ptx
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the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. a lucency projecting immediately lateral to the right chest wall is probably due to abduction of the arm. a mild pectus excavatum configuration is suspected. there is possibly a trace pleural effusion on the left. a linear opacity projecting over the left upper lung appears unchanged since the remote prior studies suggesting minor scarring.
palpitations. history of pneumothorax.
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a left-sided pacemaker is again seen with leads terminating in the right atrium and right ventricle, expected location. the cardiac silhouette is mildly enlarged. there are new increased retrocardiac and right lung base opacities, worse on the left. there is pulmonary vascular congestion. there are stable left costophrenic sulcus changes likely due to scarring and pleural thickening. there are however, probable new bilateral pleural effusions. there is no pneumothorax. surgical clips are seen in the right upper quadrant.
<num>lb weight loss and vomiting. evaluate for infiltrate.
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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 <num>d cough, dyspnea, sputum, subjective fever. evaluate for pneumonia.
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heart size is borderline enlarged. mediastinal and hilar contours are unremarkable. the pulmonary vasculature is normal. the lungs are clear. no focal consolidation, pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
chest pain.
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cardiac silhouette size is mildly enlarged. the aorta is tortuous. mediastinal and hilar contours are otherwise unremarkable. pulmonary vasculature is not engorged. minimal patchy opacities are noted in the lung bases which likely reflect areas of atelectasis. no focal consolidation, pneumothorax, or pleural effusion is present. moderate multilevel degenerative changes are seen in the imaged thoracic spine.
history: <unk>m with acute onset weakness, history of lymphoma, poor historian
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the lungs are slightly underinflated but clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
history: <unk>f with chest pain.
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compared to prior, there has been interval improvement of the appearance of the lungs. prior effusions and bibasilar opacities have resolved. the lungs are now essentially clear without consolidation or effusion. there is no edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>f with fatigue, fevers // evaluate for pneumonia
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heart size is normal. aortic knob is calcified. moderate size hiatal hernia is again noted. coronary artery stent is re- demonstrated. pulmonary vascularity is normal. the lungs are clear. no pleural effusion or pneumothorax is present. no acute osseous abnormalities seen.
intermittent chest pain and for <num> weeks.
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the lungs are hypoinflated with crowding of vasculature. lungs are otherwise clear. no apical cap. no pleural effusion or pneumothorax. there is stable mild cardiomegaly, likely accentuated due to low lung volumes. mediastinal contour and hila are unremarkable. a left chest wall pacer device lead tips are in the right atrium, right ventricle, and coronary sinus.
<unk> year old man with nicm s/p biv icd. assess for lead position and post procedure complications.
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no focal opacity to suggest pneumonia is seen. no pleural effusion, pulmonary edema or pneumothorax is present. chain suture in the right upper hemithorax with volume loss is compatible with prior wedge resection. a chronic area of scarring is present in the left upper lobe. there are known pleural-based nodularities seen better on the prior ct. the heart size is normal. there are surgical clips in the right upper quadrant from cholecystectomy. no interval spinal compression fracture is identified.
history of metastatic lung carcinoma, on chemotherapy, with worsening suprapubic abdominal pain and new lower extremity weakness.
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the cardiac, mediastinal and hilar contours are normal. the pulmonary vasculature is normal and the lungs are clear. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
chest pain.
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right-sided picc tip terminates at the junction of the svc/proximal right atrium. the cardiac silhouette size is normal. mediastinal contours are unremarkable. there are low lung volumes with crowding of the bronchovascular structures. patchy opacities in the lung bases likely reflect areas of atelectasis. no pleural effusion or pneumothorax is seen. there are multilevel degenerative changes in the thoracic spine.
history: <unk>m with fever // acute process?
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pa and lateral views of the chest. the lungs remain clear. note is made of an azygos fissure. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>-year-old female with shortness of breath and productive cough.
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compared to the prior study there is no significant interval change.
<unk> year old man with poems admitted with hypotension and hypoglycemia, triggered for hyotension // eval cause of hypotension, ptx/pna etc
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the heart is normal in size. the mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear. elevation of the right hemidiaphragm has resolved. findings are similar to remote baseline radiographs from <unk>.
asthma exacerbation.
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the lungs are well expanded and clear. there is mild cardiomegaly. pacemaker leads are again seen in the right atrium and right ventricle. there is mild elevation of right hemidiaphragm, unchanged to prior exam. there is no pneumothorax or pleural effusion. severe kyphosis of the thoracic spine is again noted. mild compression deformities are seen lower thoracic spine.
<unk>-year-old female awoke this morning clutching chest.
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pa and lateral chest radiographs were obtained. the lungs are well expanded and clear. there is no focal consolidation, effusion or pneumothorax. cardiac and mediastinal contours are normal. rounded bibasilar opacities are unchanged since the prior exam and likely represent nipple shadows.
chest pain.
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compared to the prior study, the chest tube has been removed. no pneumothorax is detected. lucency seen in raise supraclavicular region more likely represents anatomic fat than subcutaneous emphysema. the cardiomediastinal silhouette is unchanged. patchy increased retrocardiac density is similar to the prior film. minimal atelectasis is again noted at the right base. equivocal minimal blunting of both costophrenic angles, without gross effusion. surgical clips noted over the mid abdomen.
<unk> year old man s/p stabbing with hemothorax, s/p ct removal // please assess for interval change. please do cxr at <time>pm
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there is a large left-sided pleural effusion without mediastinal shift consistent with compensatory atelectasis and substantial collapse of the left lower lobe. the right lung fields, hemidiaphragm, cardiac border and mediastinal silhouette are normal. single lead pacemaker in left chest wall is unchanged.
<unk> year old man with cad with doe with crackles in lower lobes // pulmonary edema
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patient is status post median sternotomy and cabg. the relatively low lung volumes. no focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac silhouette is mildly enlarged. the aorta is calcified and tortuous.
history: <unk>m with pmh cva in <unk> presenting with fall from standing and worsening of weakness and numbness of left side // ich vs subacute infarct
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left chest wall dual lead pacer is again seen. there has been significant enlargement of the cardiac silhouette since <unk> with suggestion of a fat pad sign on the lateral view, suspicious for pericardial effusion. the lungs are clear. mild blunting of the posterior costophrenic angles is new and could represent trace effusions. no acute osseous abnormalities.
<unk>m with pacemaker placement, doe // eval for pleural effusion
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there is bibasilar atelectasis without definite focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. surgical clips overlies the right axilla. partially imaged is a proximal right humeral prosthesis.
fever and left leg swelling and pain x.
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calcific densities project over the chest bilaterally suggesting calcified pleural plaques. the degree of opacification in the right mid lung however has progressed since prior as well as the degree of pulmonary vascular congestion. there is a possible small right pleural effusion. cardiomediastinal silhouette is stable. no acute osseous abnormalities.
<unk>m with chf // eval for pna
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compared to the prior study, no significant change is detected. possible minimal atelectasis/ scarring at the right lung base is similar to the prior film. the lungs are otherwise grossly clear, without focal infiltrate, chf, or effusion. the cardiomediastinal silhouette is stable.
<unk> year old woman with cough, recent rml pneumonia which had improved, now with slight cough, no fever, normal lung exam // r/o pneumonia
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moderate right pleural effusion and right lung base atelectasis are unchanged compared to <unk> left pleural effusion is minimal, if any. cardiomediastinal silhouette is within normal size and unchanged.
<unk> year old man with etoh cirrhosis and recurrent right pleural effusion. now s/p drainage with chest tube. // please eval for interval change in right pleural effusion.
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frontal and lateral views of the chest are provided with nipple markers. previously noted right lower lung opacity is not appreciated on today's exam. lungs are well expanded and clear. no pleural effusion, consolidation or pneumothorax. hilar and mediastinal silhouettes are unremarkable. heart size normal. there is no pulmonary edema. partially imaged upper abdomen is unremarkable.
patient with subtle right lower lung opacity, assess for interval change with nipple markers.
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ap view of the chest. a left internal jugular central venous line ends in the low svc. there is no pneumothorax or mediastinal winding. no focal consolidation or pleural effusion. the cardiomediastinal and hilar contours are normal.
aml, transplant today, evaluate central line placement.
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the lungs are well expanded bilaterally with no areas of focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is within normal limits. the hila are normal in appearance with no evidence of adenopathy. pleural surfaces are unremarkable.
<unk>-year-old female with history of ssb-positive sjogren's syndrome.
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frontal lateral views of the chest were obtained. heart size and cardiomediastinal contours are normal. the lungs are clear. no focal consolidation, pleural effusion or pneumothorax. calcification of two of three expected arch vessels is similar to prior. no radiopaque foreign body.
<unk>-year-old female with influenza like illness for <num> weeks.
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the cardiomediastinal silhouette and pulmonary vasculature are unremarkable. the lungs are clear aside from volume loss in the right lower lobe. there is no pleural effusion or pneumothorax.
history: <unk>m with chest pain // eval for pna
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pa and lateral chest radiographs were provided. the lungs are well expanded. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. imaged upper abdomen is unremarkable.
<unk>-year-old female with chest pain, elevated white count. assess for pneumonia.
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since prior exam, the patient is status post a right upper lobectomy. surgical clips are noted in the right hilum. there is tenting and scarring of the residual right upper lobe with an apical bleb. there is more opacification that what would be expected, particularly around the right hilum. ground-glass micronodular opacity in the right middle lobe is of uncertain chronicity, though may reflect an infectious or inflammatory process. the left lung is clear. there is no pleural effusion. the cardiomediastinal silhouette is normal.
left clavicle swelling.
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. there no pleural effusions or pneumothorax. bony structures appear within normal limits.
cough.
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the heart is normal in size. the mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear. the upper portions of bilateral ureteral stents are visualized. similar mild degenerative changes involve mid through lower thoracic levels.
retroperitoneal fibrosis with bilateral ureteral stents and left upper quadrant pain.
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the tracheostomy tube is in place without complication. the right picc line is positioned with tip in the lower svc. compared to chest radiograph dated <unk>, there is no significant change. the left lower lobe atelectasis is unchanged. no new consolidation or pulmonary edema. small right pleural effusion is mostly unchanged. the cardiomediastinal silhouette is unchanged. no pneumothorax.
<unk> year old man with lung mass, pna, recent self-self ext // interval worsening?
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the lungs are hyperinflated. heart size is mildly enlarged. there is no pleural effusion or pneumothorax. no focal consolidation is seen. <unk> rods are noted along the lower thoracic spine. there is an acute kyphosis in the lower thoracic spine with a wedge compression deformity which appears chronic, however without the benefit of a comparison study, chronicity cannot be established.
<unk>f with sob // ptx, pulm edema, pleural effusions
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no focal consolidation, pleural effusion or pneumothorax identified. the size of the cardiac silhouette is at the upper limits of normal, unchanged.
<unk>-year-old man who is brought in by ems after having a witnessed cardiac arrest w/ekg showing possible signs of ischemia. // pre-cabg
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heart size is top normal. mediastinal and hilar contours are within normal limits. the pulmonary vasculature is normal. no focal consolidation, pleural effusion or pneumothorax is demonstrated. patchy opacities are seen in the lung bases, likely areas of atelectasis. degenerative changes with hypertrophic spurring are again seen involving the thoracic spine.
history: <unk>f with headache and visual field changes. neuro requesting infectious workup.
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blunting of the left costophrenic angle is chronic, and is consistent with a combination of pleural effusion and collapse of the left lower lobe. right basal opacity likely reflects atelectasis. no evidence of pulmonary edema or pneumothorax.
history: <unk>f with cough and fever // eval pneumonia or chf
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there is right basilar opacity on the frontal view without localization on the lateral. elsewhere, lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>f with uri sxs x <num> days, initially improving now w/ <num> hrs nausea, malaise, r sided wheezing on exam // eval ? r pna
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the lungs are clear. the cardiomediastinal silhouette is normal. no acute osseous abnormalities.
<unk>f with shortness of breath // shortness of breath
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single portable chest radiograph demonstrates the feeding tube within the stomach below the diaphragm. again seen is layering moderate left pleural effusion. bilateral parenchymal opacities are unchanged. the right apical pneumothroax is stable. the cardiomediastinal silhouette is unchanged.
evaluate dobbhoff placement.
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the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. atherosclerotic calcifications are noted at the aortic arch.
right lower lobe consolidation on ct. evaluate for pneumonia.
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right internal jugular venous catheter terminates in mid svc. pulmonary vascular congestion, bibasilar atelectasis and moderate bilateral pleural effusions appear similar to before. cardiomediastinal silhouette is normal size.
<unk> year old woman with sepsis <unk> perirectal abscess // please evaluate for pleural effusion, signs of volume overload
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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 present. no acute osseous abnormalities are identified.
chest pain.
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there has been interval placement of the left chest tube with resolution of the left pneumothorax. however, the pneumothorax in the right lung has increased in size. there is no significant mediastinal shift. projecting over the right axilla, there is a linear in needle-like opacity, which could be a marker outside the patient. there is stable severe cardiomegaly.
<unk> year old woman with s/p tvr. s/p ct placement.
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the radiograph from <time> hours shows no change in the position of pre-existing bilateral chest tubes, right subclavian central venous catheter, and metallic fragments from the known gunshot wounds. the left lung remains almost completely atelectatic with increased leftward deviation of the heart and mediastinum, indicating worsening atelectasis. a pneumothorax is still present. the right lung remains clear, and the tiny right apical pneumothorax is stable. the followup radiograph from <time> hours shows worsening near complete left lung atelectasis and an increased left pneumothorax. the patient has also been intubated, and the endotracheal tube tip is just distal to the clavicles. the tiny right apical pneumothorax has resolved. the most recent radiograph from <unk> hours shows marked re-expansion of the left lung with substantial decrease in the left pneumothorax, which has essentially resolved. there is now a combination of left midlung subsegmental atelectasis and re-expansion pulmonary edema. the right lung remains clear.
<unk> year old man with bilat chest tubes, s/p bronch // ?interval change ; <unk> year old man with intubation // ?tube placement ; <unk> year old man with bilat chest tubes, resp distress // ?collapse, ptx
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compared with prior radiographs on <unk>, there is an increase in left basilar atelectasis and probable effusion. right basilar atelectasis is unchanged. no pneumothorax. cardiomediastinal silhouette is unchanged. a dobhoff tube is better positioned, terminating in the stomach. left pleural drain is unchanged.
<unk> year old man with rll infiltrate s/p bronchoscopy for aspiration event // please evaluate for interval change
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area of opacity in the right lung base is likely atelectasis. left lung base atelectasis is improved compared to <unk>. pleural effusion is minimal, if any. mild pulmonary vascular congestion is noted. moderately enlarged cardiac silhouette is similar to prior. right dual channel dialysis catheter terminates in and right atrium.
<unk> year old woman with prolonged hospital stay now with cough and inc wbc count. // please evaluate for pneumonia
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right lung is essentially clear. slightly increased density along the periphery and base of the left lung is likely due to the pleural-based hematoma seen on the concurrent chest ct. no effusion or pneumothorax. mild cardiomegaly. mediastinal contours are normal. acute fractures of the left fifth through ninth ribs are displaced.
history: <unk>f with left rib pain after mechanical fall // please evaluate for acute cp process
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the right picc line terminates in the mid svc. a left pacer has leads taking an expected course and terminating in the right atrium and right ventricle. median sternotomy wires are well-aligned. lung volumes remain low. the left lower lobe is consolidated from atelectasis or pneumonia. the cardiomediastinal silhouette is unchanged. bilateral moderate pulmonary edema is worse. the thoracic aorta is tortuous and calcified. there is no pneumothorax.
picc line, please evaluate placement.
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ng tube is coiled in the stomach. right picc in lower svc is unchanged in position. cardiac size is normal. mild bibasilar opacities consistent with atelectasis, unchanged compared to chest radiograph performed earlier in the same day. there is no pneumothorax or pleural effusion.
<unk> year old woman with ngt re-placed // assess for ngt placement, interval change
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heart size is top normal. the mediastinal and hilar contours are normal. bilateral central interstitial congestion is slightly more prominent. thickening of the fissures is mildly more prominent. bilateral pleural effusions are mild. new right lower lung opacity could be atelectasis or coalescent edema or pneumonia. no pneumothorax. aortic calcification is prominent. sternotomy wires and surgical clips are noted.
<unk> year old man with pmhx renal transplant, dchf - leukocytosis, anemia, pleural effusions // ?signs of consolidation
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pa and lateral views of the chest provided. midline sternotomy wires and mediastinal clips are noted. right humeral head prosthesis noted. chronic deformity the left shoulder noted. lungs are clear without focal consolidation, large effusion pneumothorax. the heart size is normal. the aorta is markedly unfolded and appears a ectatic and partially calcified. no definite pneumothorax or effusion.
<unk>f with diminished breath sounds at bases and crackles, ? worsening cxr from prior today
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frontal and lateral views of the chest. again seen are diffusely increased interstitial markings throughout the lungs bilaterally. there is no new confluent consolidation, effusion, or pneumothorax. previously seen left basilar region of consolidation has essentially resolved. lung volumes are appropriate. cardiomediastinal silhouette is within normal limits. the anterior and posterior cervical spinal fixation hardware is partially visualized. no acute osseous abnormality identified.
<unk>-year-old male with shortness of breath.
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the lungs are free of focal consolidations, pleural effusions or pneumothorax. no suspicious pulmonary nodules or masses are noted. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. there is a small soft tissue calcification adjacent to the c<num> vertebral body, which may be due to atherosclerotic calcification at the carotid bifurcation.
<unk> year old woman with smoker with chronic cough // r/o ca, infiltrate
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heart size is normal. the mediastinal and hilar contours are within normal limits. the pulmonary vasculature is normal. no focal consolidation, pleural effusion or pneumothorax is identified. minimal atelectasis is seen in the left lung base. multilevel mild degenerative changes are noted in the thoracic spine.
history: <unk>m with recent fall
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subtle opacity in the right mid lung, in the right perihilar region, may be due to prominent vessels versus focal consolidation. there is no pleural effusion or pneumothorax. the cardiac silhouette is mildly enlarged. mediastinal contours are unremarkable.
history: <unk>m with cough, syncope // pneumothorax or infiltrate?
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the heart is at the upper limits of normal size but with a left ventricular configuration. the mediastinal and hilar contours appear unchanged. there is no pleural effusion or pneumothorax. the lungs appear clear. mild degenerative changes are similar along the thoracic spine.
tachycardia.
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the heart is moderate enlarged, and there is no overt pulmonary edema or focal consolidation. the mediastinal contours are normal.
<unk> year old female with new agitation, confusion evaluate for pneumonia.
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left-sided chest tube appears unchanged. there is persistent unchanged subcutaneous emphysema which has redistributed somewhat. endobronchial valves appear unchanged along the left hilum. there is persistent extensive atelectasis of the left upper lobe with mild volume loss in the left hemithorax. there is a trace left-sided pleural effusion although not necessarily changed in degree allowing for differences in positioning.
pneumothorax status post chest tube.
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single ap view of the chest provided. right picc ends at the upper and mid svc. the carina is difficult to visualize and the et tube may be within <num> cm of the carina. left lower lobe opacity is unchanged from the examination <num> hours prior. no pleural effusion or pneumothorax. cardiomediastinal contours are normal.
<unk> year old woman sp failed extubation and subsequent reintubation // ett position
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the cardiac silhouette size remains top normal. the mediastinal and hilar contours are stable, and within normal limits. lungs are clear. no pleural effusion or pneumothorax is present. there is no evidence for pulmonary edema. no acute osseous abnormalities are seen. clips are noted within the neck compatible with prior thyroidectomy.
status post thyroidectomy with chest pain for <num> week.
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there is a left retrocardiac opacity, small bilateral (left greater than right) pleural effusions, and worsened, now moderate edema. no pneumothorax. the endotracheal tube ends <num> cm above the carina is the prone position. the right cordis catheter sheath ends at the junction of the brachiocephalic vein with the proximal smv. there is no pneumothorax.
<unk>-year-old with right ij cordis placement. please assess line placement.
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allowing for differences in lung volumes the lingular consolidation appears unchanged. low lung volumes cause bibasilar atelectasis. there is no pleural effusion, pulmonary edema, or pneumothorax. the cardiomediastinal silhouette is unchanged.
<unk>m with recent pneumonia, persistent cough and vomiting, evaluate pneumonia, other acute process
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ap single view of the chest has been obtained with patient in sitting semi-upright position. comparison is made with the next preceding similar study <unk> <unk>. moderate cardiac enlargement persists and appearance of thoracic aorta is unchanged. there is a moderately improved inspirational effort with better aeration of the lung fields bilaterally in comparison with the previous examination. less marked crowding of pulmonary vasculature and lesser degree of perivascular haze. the lateral pleural sinuses remain free and there is no evidence of pneumothorax in the apical area. no signs of any discrete local pulmonary parenchymal infiltrate on this portable ap single view chest examination.
<unk>-year-old male patient with worsening cough, evaluate for pneumonia if present after being volume depleted.
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the et tube is in satisfactory position with the tip at least <num> cm above the carina. left basilar atelectasis and pleural effusion is stable. right-sided pleural effusion and atelectasis is worse. cardiomediastinum and hilar silhouettes are stable.
<unk>-year-old woman status post bronchoscopy, evaluate et tube position.
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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.
<unk> year old woman with newly diagnosed hiv, presenting with nausea, vomiting, headache.