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subtle patchy right mid and lower lung opacities are improved as compared to the prior study, however, unclear whether findings are residua of prior process or a new process. suggest dedicated pa and lateral views, when patient able, for further assessment. no overt pulmonary edema is seen. no pleural effusion or pneumothorax. cardiac silhouette is top-normal are unremarkable.
history: <unk>f with productive cough x several days, c/f volume overload as well // eval for pneumonia, pulmonary edema
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pa and lateral views of the chest provided. density lateral to the aortic arch is most likely due to degenerative change at the <unk> costochondral junction. bibasilar opacities on the frontal view without correlates on lateral view most likely represent atelectasis. there is no effusion or pneumothorax. heart size is top-normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>f with l sided chest pain, pleuritic in quality, x <num> days, worsening // eval ? pneumothorax, effusion, infiltrate
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pa and lateral views of the chest provided. the heart is mildly enlarged. there is no focal consolidation. tiny bilateral pleural effusions are present. there is mild interstitial edema. hilar engorgement is noted. no pneumothorax. the mediastinal contour is stable with an unfolded thoracic aorta. the bony structures are intact. no free air below the right hemidiaphragm.
<unk>m with orthopnea, new murmur, evaluate for chf
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pa and lateral views of the chest. the lungs are clear. there is no consolidation, pneumothorax, or pleural effusion. the cardiac, mediastinal, and hilar contours are normal. there is no pulmonary vascular congestion.
positive ppd, evaluate for active lung disease.
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frontal and lateral views of the chest were obtained. the heart is of normal size with normal cardiomediastinal contours. lungs are clear. no focal consolidation, pleural effusion, or pneumothorax. pulmonary vascular markings are normal. tips is present in the right upper quadrant, similar in position to prior.
<unk>-year-old male with abdominal pain, nausea, and vomiting, with alcoholic cirrhosis.
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the endotracheal tube is <num> cm above the carinal. swan-ganz catheter is present in the main pulmonary artery. median sternotomy wires are intact. other support devices are unchanged. bilateral parenchymal opacities are unchanged.
<unk> year old man s/p pericardiectomy now w/hypoxia // interval change
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a focal consolidation is noted within the right upper lobe. there is no evidence of pleural effusion, pneumothorax, or pulmonary edema. mild cardiomegaly is stable. redemonstrated are right subclavian and left brachiocephalic vascular stents, unchanged in position from prior examination.
history: <unk>m with cough // eval for 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 fevers, status post transplant on immunosuppression
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in comparison to the prior exam, there is no significant change. again, there is left lower lung scarring and thickening of the pleural surface. the lungs are, otherwise, clear without consolidation or edema. there is no pneumothorax. the mediastinal contours are normal. the heart size is at the upper limits of normal. sternotomy wires are intact. mediastinal clips reflect changes from a prior cabg.
midsternal chest pressure.
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cardiac size is normal. patient is status post tavr . bibasilar atelectasis is noted. there is no pneumothorax or pleural effusion.
<unk> year old man post tavr // post tavr
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a right picc ends in the proximal right atrium. bibasilar opacities are most consistent with atelectasis. parenchymal opacity in the right upper lobe and bilateral lower lobes appears improved since the prior radiograph performed <num> day ago. aortic knob is calcified. the heart is mildly enlarged. there is no pleural effusion or pneumothorax.
<unk> year old woman with picc transfer from osh. confirm picc line placement.
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pa and lateral views of the chest compared to multiple previous exams including chest cts dating back to <unk>, most recent chest x-ray from <unk>. the known lung mass is again seen in the superior segment of the left lower lobe. trace right-sided pleural effusion is identified. previously identified right basilar opacity has improved, potentially due to resolved infection or atelectasis. there is some linear opacity at the left lung base laterally, also potentially due to atelectasis. vague opacities in the right mid lung can be atributed to healing posterior seventh and eighth rib fractures.
<unk>-year-old male with lung lesion and productive cough. no fever.
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the lungs are slightly underinflated with increased density at the bases on the frontal projection, corresponding to overlying soft tissue. cardiomediastinal silhouette is normal. no focal consolidation, pleural effusion, or pneumothorax. osseous structures are intact.
history: <unk>f with chest tightness, h/o asthma // eval acute process
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a left-sided pacemaker noted terminating in the right ventricle; however, the right atrial lead is positioned laterally and the right heart border is not completely evident at this level. cardiomediastinal and hilar contours are unremarkable. lungs are clear. no pleural effusion or pneumothorax evident.
axillary access for pacemaker. please assess lead position.
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chest, portable upright. there is a small left pleural effusion. there is bilateral lower lobe atelectasis. the lungs are otherwise clear. the hilar and cardiomediastinal contours are normal. there is no pneumothorax. calcifications of the aortic arch are noted. an implanted pacemaker features intact, appropriate position lesions.
right upper quadrant abdominal pain.
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heart size is top normal. increased density of the left hilum is consistent with known left hilar mass, better assessed on the prior cta chest examination. no focal consolidation, pneumothorax, or pleural effusion.
<unk>m with hemoptysis, hx sclc. eval ? free air, pneumomediastinum.
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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 malaise, nausea.
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there is new blunting of the left costophrenic angle with possible small focal opacity which may represent a small pleural effusion or infectious process. the right lung is clear and there is no pneumothorax. the cardiomediastinal silhouette is normal. there is a right central venous catheter terminating in the lower svc. there are no acute skeletal abnormalities.
<unk>-year-old woman with leukemia, fever, rule out pneumonia.
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as compared to prior chest examinations, there are increased bilateral symmetric reticular opacities in the lungs. the cardiomediastinal and hilar contours are within normal limits. there are no pleural effusions or pneumothorax. a compression fracture at l<num> is again noted and is unchanged.
<unk>-year-old female patient with myeloma, cough and congestion. study requested to rule out pneumonia.
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again seen is hilar vascular engorgement and minimal interstitial pulmonary edema. cardiac silhouette is unchanged. aorta is tortuous. no pleural effusion, consolidation, or pneumothorax.
history: <unk>f with lethargy // eval for pna
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a swan-ganz catheter is noted in the left descending pulmonary artery. given the distal positioning, the catheter should be pulled back several centimeters to position it closer to the hilum. the multiple other supportive devices are unchanged in position. there is no significant change in the appearance of the lung parenchyma. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unchanged.
status post mitral valve replacement and cabg. evaluate swan-ganz catheter.
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frontal and lateral views of the chest were obtained. the heart size and cardiomediastinal contours are normal. the lungs are clear. no focal consolidation, pleural effusion, or pneumothorax. no displaced rib fracture is visualized.
<unk>-year-old female with left chest wall tenderness. rule out pneumothorax or rib fracture.
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right-sided port-a-cath tip terminates at the junction of the svc and right atrium. heart size is normal. the aorta is diffusely calcified and tortuous. pulmonary vasculature is not engorged. low lung volumes are present with crowding of bronchovascular structures. streaky opacities in the lung bases likely reflect areas of atelectasis. spiculated opacity in the right upper lobe correlates to the spiculated lesion seen on previous chest ct. no focal consolidation, pleural effusion or pneumothorax is present. there is mild diffuse demineralization of the osseous structures without acutely displaced fracture noted.
<unk>f with fall, please eval for traumatic injuries
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frontal and lateral views of the chest demonstrate mildly prominent cardiac silhouette. the mediastinal and hilar contours are unremarkable. there is subtle increased opacity in the left lung base, new since prior exam, raising question of early evolving infection versus atelectasis, to be clinically correlated. there is no pneumothorax, vascular congestion, or pleural effusion. several clips project over the right upper abdomen.
<unk>-year-old male with fever of unclear source. question infection.
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ap view of the chest provided. compared to prior study from <num> days ago, there is better lung aeration. left lung base pneumonia is unchanged. right lung atelectasis has improved. upper lungs are clear. there may be mild pulmonary vascular congestion, but no overt edema. left pleural effusion appears smaller. mild cardiomegaly is stable.
<unk> year old man with advanced dementia, hcap, with persistent oxygen requirement // eval for interval change in pna, edema, effusion
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frontal and lateral views of the chest were obtained. the heart size and cardiomediastinal contours are normal. the lung is are hyperinflated with bibasilar lucency consistent with bullous emphysema, as seen on prior ct. no focal consolidation, pleural effusion, or pneumothorax. no radiopaque foreign body.
<unk>-year-old male with shortness of breath. evaluate for pneumonia.
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the heart is normal in size. the mediastinal and hilar contours are unremarkable and appear not significantly changed allowing for differences in technique including low lung volumes. there are patchy opacifications in the lingula and even more extensive within the left lower lobe, where air bronchograms can also be seen, most suggestive of pneumonia. elsewhere, the lungs appear clear. there are no pleural effusions or pneumothorax.
fever and cough.
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ap upright and lateral views of the chest provided. the lungs appear clear. a large retrocardiac opacities compatible with a known hiatal hernia. no overt signs of pneumonia or chf. no pneumothorax or large effusion. cardiomediastinal silhouette is stable. no displaced rib fracture noted. degenerative changes of bilateral shoulders again noted.
<unk> year old woman with fall, c/o left rib pain // r/o pneumothorax
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heart size is mildly enlarged with in particular left atrial enlargement, unchanged. mediastinal and hilar contours are unremarkable and stable. pulmonary vascularity is normal. linear opacities in the lingula are compatible with scarring. there is no focal consolidation, pleural effusion or pneumothorax. there are no acute osseous abnormalities.
fever.
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single portable view of the chest is compared to previous exam from <unk>. the lungs are clear. cardiomediastinal silhouette is normal. osseous and soft tissue structures are unremarkable. no visualized free intraperitoneal air is seen below the diaphragm.
<unk>-year-old female with renal failure and right upper quadrant pain. hypotension.
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upright chest radiograph <unk> at <time> is submitted.
<unk> year old man with mds, admitted with sepsis of unknown origin, now with acutely worsening acute hypoxic respiratory failure. // evidence of pleural effusions, pneumothorax evidence of pleural effusions, pneumothorax
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lung volumes are slightly decreased. blunting of the costophrenic sulcus posteriorly on the lateral view may suggest the presence of trace pleural thickening or pleural effusions. there is no focal consolidation or pneumothorax. there is no central vascular congestion or overt pulmonary edema. slightly widened mediastinum with unfolding of the thoracic aorta is similar. moderate-to-severe cardiomegaly is unchanged. there are moderate calcifications of the aortic knob.
history: <unk>m with weakness, abdominal pain
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again seen and not significantly changed is mild cardiomegaly and mild tortuosity of the aorta. biapical thickening is again visualized. the chest is in large compatible with patient's known history of copd. there is no new infiltrate.
followup copd, question pneumonia
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the lungs are well expanded and clear bilaterally with no opacities, suspicious for lesion or mass. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is stable and within normal limits. the pleural surfaces are unremarkable. no adenopathy is appreciated.
<unk> y/o male with history of lymphoma presents now with cough.
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the lungs are clear of focal consolidation, effusion or vascular congestion. there is abnormality of the cardiomediastinal silhouette within extremely tortuous both ascending and descending thoracic aorta. the aortic knob is likely located to the right of the trachea as opposed to its normal position on the left. the trachea is significantly displaced laterally the left and anteriorly. a component of and thoracic aortic aneurysm or potentially a diverticulum of kommerell is possible. no acute osseous abnormalities identified. no free air seen below the diaphragm.
<unk>f with ruq/flank pain x <num> week // eval for effusions
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pa and lateral views of the chest provided. lungs appear hyperinflated. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. mild dextroscoliosis of the t-spine again noted. no free air below the right hemidiaphragm is seen.
history: <unk>f with fatigue, cough, elevated wbc // eval for infiltrate
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interval removal left-sided picc.no discrete focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.
<unk> year old woman with cough // rule out pna
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there is a large right pleural effusion. the lung markings in the right upper lobe are not well visualized. the cardiomediastinal silhouette and hila are normal. the left lung is clear. pacemaker wires end in the right atrium and right ventricle.
<unk>-year-old with tachypnea and right pleural effusion.
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frontal and lateral views of the chest. again seen are bibasilar opacities. there is also blunting of the right posterior costophrenic angle, potentially from small effusion. superiorly the lungs are clear. cardiovascular cardiomediastinal silhouette is unchanged in size. no acute osseous abnormality detected noting hypertrophic changes in the spine.
<unk>-year-old male with shortness of breath and cough.
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bilateral moderate pleural effusions with superimposed atelectasis are unchanged from the prior study of <unk>. the right apical pneumothorax is stable. a right pleural drain and left chest pigtail catheter are in unchanged position. the right-sided picc line ends at the low svc. note is made of median sternotomy wires, left mediastinal clips, and a prosthetic mitral valve. overall, there is little change from the prior study of <unk>.
<unk> year old woman with h/o b/l chylothorax, s/p repair, now w/ effusion left lung // pls eval interval change pls eval interval change
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left chest wall pacing device is seen with leads terminating in stable positions. mitral valve replacement is again noted. the heart size is mildly enlarged. mediastinal and hilar contours are stable. there is no pleural effusion or pneumothorax. lungs are well-expanded without focal consolidation concerning for pneumonia. there is no pulmonary edema. the upper abdomen is unremarkable. degenerative changes are seen throughout the thoracic spine. median sternotomy wires again noted.
<unk>m with chf, cp, dyspnea.
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temporary pacemaker wire appears in appropriate position. sternotomy wires and mediastinal clips are stable. the mild-to-moderate cardiomegaly is unchanged. no focal consolidation, pleural effusion or pneumothorax.
icd extraction and temporary ppm placement, evaluate for pneumothorax.
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frontal radiograph of the chest demonstrates interval placement of a dobbhoff tube which projects past the diaphragm and over the stomach. compared to the prior radiograph from <unk>, there is otherwise no significant change.
melas, status post fall with iph and altered mental status. evaluate ng tube placement.
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heart size is difficult to discern given the presence of left basilar opacity which likely reflects a combination of small left pleural effusion with atelectasis or infection. the heart size is slightly increased, now appearing moderately enlarged. the aorta remains mildly tortuous. the pulmonary vascularity is not engorged. no right-sided pleural effusion is seen, and there is no pneumothorax. an osseous excrescence off of the left humeral head may be posttraumatic in etiology. there are no acute osseous abnormalities otherwise demonstrated.
shortness of breath.
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large right and small left effusions are unchanged. the right lower lobe large area of atelectasis and probably atelectasis in the right middle lobe have improved. there is a small right pneumothorax. cardiac size cannot be evaluated. mild vascular congestion is a stable
<unk> year old woman with rib fractures <unk> // expiratory film. pneumothorax interval change
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frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. hilar and mediastinal silhouettes are unremarkable. the heart size is top normal. there is no pulmonary edema. partially imaged upper abdomen is unremarkable.
pleuritic chest pain.
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frontal and lateral views of the chest. there is moderate cardiomegaly. indistinct pulmonary vascular markings seen bilaterally. small bilateral pleural effusions are present. the trachea is deviated to the right at the thoracic inlet, potentially due to right-sided thyroid enlargement. no acute osseous abnormality is identified.
<unk>-year-old female with shortness of breath, told she had fluid in her lungs.
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compared with prior radiographs performed on same day on <unk> at <time>, there is an increase in prominence of central pulmonary vessels, likely reflecting elevated pulmonary venous pressure. lung volumes are decreased. cardiomediastinal silhouette is unchanged. an et tube and ng tube are appropriately positioned.
<unk> year old man with hypoxia // pls eval for pulm edema, interval change
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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.
acute appendicitis.
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there is redemonstration of a left-sided port-a-cath, ending in the low svc. the lungs are clear. the heart size is normal. the mediastinal contours are normal. there are no pleural effusions. no pneumothorax is seen. mild sclerosis is seen within the left humeral head, nonspecific in nature.
history of sickle cell disease presenting with right shoulder pain and left hip pain. evaluate for acute intrathoracic process.
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the lungs are clear of focal consolidation, pleural effusion or pneumothorax. no over poor edema is seen. the cardiac silhouette is normal in size. the mediastinal and hilar contours are normal.
<unk>-year-old female with shortness of breath and cough. evaluate for pneumonia.
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there is no focal consolidation, pleural effusion, or pneumothorax and no change from prior radiograph. heart size is top normal, and the mediastinal silhouette is unremarkable. osseous structures are unremarkable.
<unk>-year-old woman with intermittent shortness of breath, rule out infiltrate, surgery three months ago.
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the lungs are clear, the cardiomediastinal silhouette and hila are normal. there is no pleural effusion and no pneumothorax.
<unk>-year-old man with cough and shortness of breath.
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there is a dobbhoff tube with the tip in the midesophagus. 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.
<unk> year old woman with gastric bypass with hypoalbuminemia s/p dobbhoff prior to further advancement by fluoroscopy. // eval position of dobbhoff
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the heart is again mildly enlarged. the aorta is similarly tortuous. there is perhaps slight slight increased widening of the vascular pedicle which could be seen with fluid overload. there is also a slight indistinct prominence of pulmonary vascularity suggesting slight vascular venous hypertension or perhaps congestion. patchy left basilar opacities are not specific, but suggest atelectasis. there are no pleural effusions or pneumothorax.
chest pain.
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there has been interval placement of a right ij central venous catheter which terminates in the mid svc. there is no pneumothorax. remainder of exam is unchanged.
status post central line placement, evaluate for position.
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endotracheal tube tip is in standard position, terminating approximately <num> cm from the carina. an enteric tube tip courses below the left hemidiaphragm, through the stomach, and off the inferior borders of the film. lung volumes are lower compared to the previous exam. there is moderate enlargement of the cardiac silhouette. the aorta remains tortuous. moderate pulmonary edema is new in the interval with small bilateral pleural effusions. patchy opacities in the lung bases likely reflect areas of atelectasis. no acute osseous abnormality is visualized.
history: <unk>f with ett placement
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the lungs are well expanded and clear. there is mild left lower lobe atelectasis. the hila and pulmonary vasculature are normal. no pleural abnormalities or pneumothorax. the cardiomediastinal silhouette is normal and unchanged. no fractures.
<unk> year old man with h/o renal transplant with fever, cough // assess for infiltrate
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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 pa and lateral chest examination of <unk>. heart size is unchanged and remains within normal limits. unremarkable appearance of thoracic aorta. no mediastinal abnormalities are present. the pulmonary vasculature is not congested. deep inspiration results in some flattening of the pleural sinuses, but there is no evidence of pleural effusion in the lateral or posterior sinuses as they are free. there is now a moderately sized poorly delineated parenchymal infiltrate on the left lung base obliterating partially the apical cardiac contour. the lateral view confirms the infiltrate to be located in the peripheral lingula of the left upper lobe located quite anterior and low which matches well the description of the positive findings on physical examination.
<unk>-year-old male patient with cough and wheezes and rhonchi on lung examination. evaluate for infiltrates ? left lower lobe.
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there are low lung volumes. no focal opacity to suggest pneumonia is seen. no pleural effusion, pulmonary edema or pneumothorax is present. the heart is mildly enlarged. the pleural surface contours are normal.
back pain.
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pa and lateral views of the chest were obtained. there is no focal consolidation, pleural effusion or pneumothorax. there is stable minimal blunting of the right costophrenic angle, likely due to pleural thickening. the cardiomediastinal silhouette is unremarkable. there is no evidence of chf. hardware in the cervical spine is partially imaged.
<unk>-year-old man with copd, hiv, hep c, and new cough, question pneumonia.
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lung inflation is top-normal. the round hyperdense focal region at the the right heart border represents the right ninth costovertebral joint. there are no consolidation, opacities, masses, pneumothorax, or pleural effusion appreciated. the cardiomediastinal silhouette and hilar silhouettes are normal size. the heart size is normal. there is no acute bony abnormality nor evidence of acute fracture.
<unk> year old woman with non specific chest pain. // assess for consolidation/rib fracture
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lung volume is low. mild bibasilar opacities likely reflect atelectasis, although pneumonia is not fully excluded at the left base. small left pleural effusion is noted. cardiac silhouette is difficult to assess due to low lung volumes. no displaced rib fracture is identified. compression deformities of the spine appear similar to before.
history: <unk>f with l flank pain // rib fx or infiltrate
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a tiny left apical pneumothorax is no longer visible. the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the lungs are clear. there are no pleural effusions. slight anterior wedging of a mid thoracic vertebral body with a schmorl's node along the inferior endplate appears unchanged.
question persistent pneumothorax.
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overall no significant interval change from the most recent exam. bilateral extensive opacities, most prominent in the perihilar regions, could be secondary to pulmonary edema and underlying pneumonia. some degree of pulmonary hemorrhage given the clinical history is also possible. mild cardiomegaly is overall unchanged. no pneumothorax. superimposed plate pleural effusions are likely but difficult to fully assess on a background bilateral increased opacities.
<unk> year old man with hcc cirrhosis and worsening liver function, ain with pulmonary edema, continued hypoxemia // please evaluate for interval change in interstitial infiltrates and pleural effusions
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lung volumes are low. the right hemidiaphragm is elevated and there is interposition of the colon between the diaphragm and the liver. the heart size is normal. the aorta is mildly unfolded. the pulmonary vasculature is not engorged. minimal streaky opacity in the left retrocardiac region and likely reflects atelectasis. no focal consolidation, pleural effusion or pneumothorax is present. nondisplaced fractures of the right <unk> and <unk> lateral ribs appear to be present.
fall with subdural hematoma.
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the patient is status post median sternotomy and cabg. the heart size is top normal. the aorta remains unfolded. the mediastinal and hilar contours are stable. the pulmonary vasculature is normal. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is present. a clip is noted within the right upper abdomen. there are no acute osseous abnormalities.
chest pain.
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cardiac, mediastinal and hilar contours are normal. pulmonary vascularity is normal and the lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. mild scoliosis of the thoracic spine, convex to the right is present.
two episodes of left leg weakness and left hand weakness.
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pa and lateral chest radiographs were provided. lung volumes are slightly low. there is no focal consolidation, pleural effusion or pneumothorax. linear opacities at the bases are likely atelectasis. the cardiomediastinal silhouette is notable for a tortuous aorta. the bones are intact.
pancreatitis. evaluate for pleural effusion.
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the lungs are clear, the cardiomediastinal silhouette and hila are normal. there is no pleural effusion and no pneumothorax.
<unk>-year-old with epigastric pain.
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no significant change since the previous exam. again bilateral lower lobe opacities seen and the left pleural effusion. et tube above the carina, <num> cm. left ij line in mid svc. ng tube in the stomach.
<unk> year old woman with sepsis, intubated // evaluate for interval change
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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 cp and sob + cough, also radiates to back, pls eval for pna and widened mediastinm
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one ap portable erect view of the chest. there is no free air. the lungs are clear. the cardiac, mediastinal and hilar contours are normal. nonspecific gas pattern in the upper abdomen.
<unk>-year-old female with tenderness to palpation right lower quadrant, question free air.
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portable chest. compared to the prior study, there has been further retraction of the left ribcage with increased displacement of the multiple rib fractures. the lung volume is lower than on the prior study. there is now denser opacity in the lower lung, demonstrated to be pulmonary contusions based on the prior ct. there is more extensive soft tissue air now tracking superiorly into the left neck and inferiorly into the abdomen. the chest tube is unchanged in position. there is no pneumothorax. no pleural effusion is present. the heart and mediastinum are unchanged in appearance. the right lung is clear.
evaluate for interval change in traumatic injury to the left chest.
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the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. lungs are well-expanded without new focal consolidation concerning for pneumonia. nodular opacities at the lung bases bilaterally is again noted, and may be slightly increased compared to the prior exam. there is no pneumoperitoneum.
history: <unk>m with <num>h n/v, epigastric pain s.p outpatient endoscopic botox injections les/stomach // free air
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right picc line terminates in the mid svc. the ng tube appears to be coiled within the midline and must be removed for re-attempt at placement. there is a right-sided ij which terminates in the upper svc. moderate left pleural effusion is persistent. there is small bibasilar atelectasis. mild pulmonary edema is unchanged. moderate cardiomegaly is stable. there is no evidence of pneumothorax.
history of ng tube placement. please check placement.
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the right ij catheter terminates in the upper to mid svc. the patient has been extubated in the interim and an enteric tube has been removed. the lung volumes are unchanged. there is improved aeration of the lung bases with minimal residual atelectasis. the pulmonary vasculature is normal. the cardiac and mediastinal contours are normal. there is no pleural effusion or pneumothorax.
persistent oxygen requirement after extubation. evaluate for an acute process.
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the cardiomediastinal and hilar contours are normal. the lungs are clear. there is no pleural effusion or pneumothorax.
<unk>-year-old male with shortness of breath.
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ap portable upright view of the chest. left chest wall pacer device is noted with leads extending into the right heart as on prior. bilateral small pleural effusions persist with basilar opacities most compatible with atelectasis versus aspiration. the overall appearance of the chest is unchanged. cardiomediastinal silhouette appears grossly stable allowing for differences in position. bony structures remain intact.
<unk>m with dyspnea.
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cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax. streaky right basilar opacity most consistent with atelectasis.
<unk> year old woman with bowel obstruction, evaluate for acute pathology.
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the cardiomediastinal silhouette is normal. the hila and pleura are unremarkable. there is <unk> appearance of opacification of the right lower lobe with a reticular appearance that most likely represents vascular crowding secondary to low lung volumes, however in the appropriate clinical setting could represent a superimposed pneumonia. there is no pleural effusions or pulmonary edema.
<unk> year old man with productive cough for several days // eval cough
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cardiac silhouette size remains mildly enlarged. mediastinal contour is unchanged. there is mild pulmonary edema, new in the interval with increased size of small bilateral pleural effusions, right greater than left. worsening focal opacities in the lung bases may reflect areas of atelectasis, but infection or aspiration cannot be excluded. no pneumothorax is present. there are no acute osseous abnormalities.
history: <unk>f with dchf, assess for volume overload
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the lungs are hyperinflated with relative lucency at the bilateral lung apices suggestive of copd/emphysema. there has been interval development of small bilateral pleural effusions from <unk>. streaky opacities in the bilateral bases most likely reflect atelectasis. no focal consolidation or pneumothorax is detected. the pulmonary vasculature is not engorged and there is no overt pulmonary edema. the cardiac silhouette is normal in size. the mediastinal and hilar contours are within normal limits and unchanged from the prior study.
dyspnea, here to evaluate for acute cardiopulmonary process.
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patchy left lower lobe opacity could be due to atelectasis or less likely subtle/very early pneumonia. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with cough // pneumonia
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pa and lateral views of the chest provided. the drain is poorly visualized though appears to extend from the lateral right lung base, then courses medially at the level of the hilum along the posterior pleura and terminate in the medial posterior- basal right pleural space. there is continued decrease in right pleural effusion. in this patient with extensive metastatic disease within the chest, residual opacities in the right hemi thorax likely correspond with known sites of metastatic involvement. the left lung remains clear. there is no pneumothorax.
<unk>f with small cell lung cancer with r sided drain
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the endotracheal tube is slightly high-riding, terminating in the thoracic inlet. advancement by about <num> cm is suggested for more optimal ventilation. a right subclavian central venous catheter terminates at the superior cavoatrial junction. a nasogastric tube terminates in the stomach. there is no pneumothorax. new left perihilar airspace and interstitial opacities may be due to asymmetric pulmonary edema, aspiration or infection in the appropriate clinical setting. increased obscuration of the medial left hemidiaphragm may also be due to atelectasis, aspiration or infection.
<unk> year old man with intubated // interval change
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the lungs are clear without focal consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>f with dyspnea, wheeze // eval heart and lungs
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lungs are clear. pulmonary vasculature is normal. cardiomediastinal and hilar contours are normal. pleural surfaces are normal.
<unk> year old woman with cough, i e wheezing and sob. // r/o pneumonia
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low lung volumes are noted with secondary crowding of the bronchovascular markings. there is superimposed dense consolidation at the left lung base obscuring the lateral costophrenic angle. cardiomediastinal silhouette is within normal limits. no visualized free intraperitoneal air.
<unk> year old man with abd distention, pls do portable upright chest to eval free air
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the tip of the endotracheal tube projects over the mid thoracic trachea. the tip of the nasogastric tube projects below the level the diaphragms but beyond the field of view of this radiograph. a left central venous catheter tip projects over the mid svc. low bilateral lung volumes. increasing hazy opacities throughout the right lung likely reflect a layering pleural effusion. more discrete opacities project over the right lower lung zone and may reflect atelectasis and/or pneumonia. small left pleural effusion. no pneumothorax identified. the size and appearance of the cardiomediastinal silhouette is unchanged.
<unk> year old woman with new fever // assess interval change
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cardiac silhouette size is normal. mediastinal and hilar contours are unremarkable. pulmonary vasculature is not engorged. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is demonstrated. no acute osseous abnormality is visualized.
history: <unk>f with question of stroke vs transient ischemic attack
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lung volumes are low. mild pulmonary edema and small left effusion are similar. a left chest pacemaker is new with its lead projecting over the expected positions of the right atrium and right ventricle on the single projection. median sternotomy wires are intact. aortic arch is calcified.
pacemaker placement.
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streaky bibasilar opacities likely represent atelectasis. no other focal consolidation. there is no pleural effusion or pneumothorax. no pulmonary edema. cardiomediastinal contours are unchanged. heart size is top-normal. calcifications are noted along the aortic arch. no subdiaphragmatic free air. no acute osseous abnormalities identified.
<unk>-year-old female with chest pain
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frontal and lateral chest radiographdemonstrates well expanded lungs. there is a rounded density in the right cardiophrenic region seen on the frontal view, without definite correlate on the lateral view --? due to localized atelectasis. possible minimal blunting of the costophrenic angle posteriorly. otherwise, no chf, focal infiltrate pleural effusion or pneumothorax detected. heart size, mediastinal contour, and hila are unremarkable. a right central line or other port tip is seen in the low svc. no free air seen beneath the diaphragm. please see additional findings on the abdominal film obtained the same day.
nausea, vomiting, malaise. history of multi dysplastic syndrome. assess for acute process.
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frontal and lateral radiographs of the chest demonstrate appropriately positioned right chest tube with small residual right apical pneumothorax, unchanged from the prior radiograph. otherwise, the lung parenchyma is clear with small bilateral pleural effusions. increased lung volumes with improvement of bibasilar atelectasis. the cardiac and mediastinal contours are unchanged since the prior radiograph.
status post chest tube. evaluate for pneumothorax.
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portable frontal chest radiograph demonstrates moderate cardiomegaly and mild interstitial edema. the costophrenic angles are blunted and there is a small right pleural effusion. there is no pneumothorax. atherosclerotic calcifications and tortuosity of aortic arch are noted.
evaluation for acute cardiopulmonary process.
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the heart is at the upper limits of normal size. the mediastinal and hilar contours appear unchanged. the lungs appear clear. there are no pleural effusions or pneumothorax.
chronic gait instability.
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the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. cardiac size is top normal, unchanged from prior. there is no pleural effusion or pneumothorax.
<unk>-year-old female with fever and cough.
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mild hyperinflation and flattened diaphragms is consistent with copd. left basilar bronchiectasis is stable, although new impaction cannot be excluded. there is no consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.
history of copd with cough. evaluate for pneumonia.
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a trauma board slightly limits evaluation of this radiograph. lung volumes are low, causing exaggeration of the heart size and accentuation of the pulmonary vasculature. there is minimal bilateral lower lung atelectasis. the lungs are otherwise clear. there are no definite pleural effusions. no pneumothorax is seen. the heart is normal in size. apparent widening of the superior mediastinum relates to mediastinal fat, as seen on subsequent ct.
head trauma, intoxicated. evaluate for acute intrathoracic process.