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the cardiac silhouette is mildly enlarged and unchanged from prior study. postoperative mediastinal contour is unchanged with median sternotomy wires and surgical clips in place. hilar contours are unremarkable. the lungs are clear. there is no pleural effusion or pneumothorax. previous boerhaave's repair is identified with gastric bubble seen superior to the diaphragm compatible with a gastric fundal flap as well as a left-sided intercostal flap.
boerhaave status post repair.
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pa and lateral views of the chest are compared to previous exams dating back to <unk> with most recent from <unk>. when compared to most recent exam, there has been apparent interval increase in size and conspicuity of multiple bilateral pulmonary nodules, more numerous at the right mid lung and right lung base compared to prior. increased density projecting over the right hilum, compatible with adenopathy as on prior. there is no large confluent consolidation, effusion, or pneumothorax. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable.
<unk>-year-old female with chest tightness yesterday, now with left-sided numbness. per medical history, the patient has history of sarcoidosis.
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the patient is status post median sternotomy and cabg. the cardiac silhouette remains enlarged. the aorta is tortuous. right hilar/perihilar opacity is grossly stable since at least <unk>. there is moderate pulmonary vascular congestion. no large pleural effusion is seen. there is no evidence of pneumothorax.
chest pain.
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an endotracheal tube terminates <num> cm above the carina. an enteric tube is growth within the stomach. a <num> cm irregularly marginated nodular opacity is present in the right upper lobe between the levels of the first and second anterior ribs. lungs are otherwise remarkable for predominantly left-sided interstitial opacities. heart is upper limits of normal in size and accompanied by pulmonary vascular congestion. with pleural thickening in the left mid and lower hemi thorax appears slightly nodular. periphery of right mid and lower hemi thorax have been excluded from the radiograph, precluding full assessment of the lung parenchyma and pleura in this region.
history: <unk>m with sp intubation // sp intubation eval placement
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compared to <unk>, there is substantial decrease in left pleural effusion, consistent with history of thoracentesis. bilateral pleural effusions are small, if any. the left lung has re-expanded and is grossly clear. left basal opacity may reflect atelectasis or pneumonia. mediastinal vessels are mildly enlarged without evidence for pulmonary edema. moderate to severe cardiomegaly is long standing. sternotomy wires are aligned and intact. aortic knob calcification is unchanged.
<unk> year old man with b/l effusions s/p right pigtail <unk> with <num>ml out total s/p left tpc with <num>ml out thus far (minimal entrainment of air during procedure).
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with joint pains, chest pain // eval for pleural effusion
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the lungs are clear with no evidence of consolidation, effusion, or pneumothorax. cardiomediastinal silhouette is normal. osseous structures are normal.
evaluation of the patient with hyperglycemia.
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no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. there may be a minimal anterior mid lung atelectasis seen on the lateral view. the cardiac silhouette remains top-normal. mediastinal contours are stable. no evidence of free air is seen beneath the diaphragms.
right upper quadrant pain, history of pancreatitis but lipase is normal today, question referred pain x.
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frontal and lateral views of the chest were obtained. the lungs are well expanded and clear without focal consolidation, pleural effusion or pneumothorax. the heart size is top normal. mediastinal silhouette and hilar contours are normal.
cerebral palsy, upper respiratory infection and increased seizure frequency.
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two views were obtained of the chest. the lungs are well expanded with slight interval increase in interstitial pulmonary edema. small bilateral pleural effusions on the previous examination have decreased in size. moderate cardiomegaly is unchanged with normal mediastinal and hilar contours.
dyspnea
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ap and lateral radiographs of the chest were acquired. lung volumes are slightly low. in the left lower lung, there is a focal patchy opacity, best appreciated on the frontal projection. the lungs are otherwise clear. the heart size is normal. the mediastinal contours are normal. there are no pleural effusions. no pneumothorax is seen. multilevel degenerative changes of the thoracolumbar spine are noted. lumbar spine hardware is incompletely evaluated. a left-sided pacemaker with right atrial and right ventricular leads is not significantly changed.
altered mental status and lethargy. evaluate for pneumonia.
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cardiac, mediastinal, and hilar contours are normal. the pulmonary vascularity is normal. the lungs are clear. no pleural effusion or pneumothorax is identified. no pneumomediastinum is detected. there are no acute osseous abnormalities. there is no free air under the diaphragms.
nausea, vomiting, fevers, vomiting blood.
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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 cough and congestion
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there is mild pulmonary vascular congestion. trace pleural effusions are seen. there is no pneumothorax. cardiac and mediastinal silhouettes are stable with the heart size mildly enlarged. partially imaged is cervical surgical hardware.
history: <unk>m with hx of chf (ef <unk>%) w/ multiple exacerbations, hx of mi, presenting with doe, chest heaviness, // e/o chf exacerbation/pulmonary edema
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right-sided port-a-cath tip terminates at the junction of the right atrium and lower svc. heart size is normal. mediastinal contours are unchanged. hilar contours are stable. innumerable nodular lesions in both lungs are similar and compatible with diffuse metastatic disease. trace bilateral pleural effusions appear to be relatively unchanged. pulmonary vasculature is not engorged. no pneumothorax is identified. diffuse osseous sclerotic metastatic disease is re- demonstrated throughout the thoracic spine.
history: <unk>f with metastatic breast cancer presenting with dyspnea
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the lungs are mildly hyperinflated. no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. heart and mediastinal contours are within normal limits.
<unk>-year-old female with fever.
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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 decompensated cirrhosis without respiratory symptoms. rule out infection as etiology of cirrhosis decompensation. // please evaluate for pneumonia?
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pa and lateral views of the chest provided. midline sternotomy wires and mediastinal clips are again 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 chest pain.
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no evidence of pneumomediastinum is seen. there is no evidence of free air beneath the diaphragms.
history: <unk>m with chest pain s/p vigorous vomiting. // ? free air from esophageal perforation
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left picc tip terminates in the mid svc. heart size is decreased compared with the prior study, now appearing borderline enlarged. mediastinal and hilar contours are unremarkable. pulmonary vasculature is not engorged. there are mild patchy opacities in the lung bases in the setting of low lung volumes. no focal consolidation, pleural effusion or pneumothorax is present. no acute osseous abnormality is visualized.
history: <unk>m with cough, fever, hypotension
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lungs are hyperinflated and diaphragms are flattened, consistent with copd. there is probable cardiomegaly. the aorta is calcified and unfolded. no chf, focal consolidation, pleural effusion or pneumothorax is detected. minimal atelectasis and possible minimal blunting of left costophrenic angle. there is a moderately large hiatal hernia. probable diffuse osteopenia. note, there is a severe compression fracture (near vertebral plana) in the low thoracic spine that results in thoracic kyphosis.
history: <unk>f with syncope // ? infectious process
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pa and lateral radiographs of the chest do not reveal a radiopaque foreign body in the expected location of the esophagus. there is minimal left basilar atelectasis. otherwise, the lungs are clear. the hilar and cardiomediastinal contours are normal. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal.
evaluate for foreign body in a patient with food bolus sensation in esophagus.
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feeding tube tip seen to the edge of the film in the left upper abdomen. worsened left perihilar, basilar infiltrate compared with prior exam. worsened bibasilar consolidations. worsened left pleural effusion. tiny right pleural effusion, new. shallow inspiration. left perihilar fullness, likely from consolidation, development probably too rapid to represent adenopathy. postoperative changes left upper lung. remainder normal.
<unk> year old woman on tb precautions (please wear n<num>) - getting dobhoff placement for poor nutrition. two stage xray for dobhoff placement. ready for xray now. // assess dobhoff placement
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patient's condition required examination in sitting upright position using ap frontal and left lateral views. comparison is made with the examination of the preceding day, <unk>. on the frontal view, the findings are unchanged. there is status post sternotomy and the presence of multiple surgical clips mostly in the anterior left-sided mediastinum are indicative of previous bypass surgery. moderate cardiac enlargement is present; prominence of the left ventricular contour to the left and posteriorly. left atrial enlargement appears moderate. a permanent pacer device is again identified in left anterior axillary position. there exists a total of three intracavitary electrodes. one of these terminates in a position compatible with right atrial appendage. the second, a icd cable with enforced electrodes and terminating in the apical portion of the right ventricle. a third electrode aims at stimulation of the left ventricular myocardium and is seen to enter the venous coronary sinus from the right atrium advancing in rectrograde direction until reaching the level of the contour of the left atrium when the electrode turns into left-sided direction to terminate at the superior and slightly posterior direction. this termination point is compatible with a obtuse marginal coronary vein in rather central position. evaluation of the entire electrode course required manipulation with density changes on the lateral view. again there is no evidence of pneumothorax and the pulmonary vasculature does not show any significant signs of vascular congestion. no pleural effusions are found in the lateral or posterior pleural sinuses.
<unk>-year-old male patient with new crt-d device. evaluate lead position.
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pa and lateral views of the lungs are compared to prior from <unk>. lungs are clear of focal opacity, noting low lung volumes on the lateral view with linear atelectasis. cardiomediastinal silhouette is stable, as are the osseous and soft tissue structures.
<unk>-year-old male with fevers and cough. question pneumonia.
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there is subtle blunting of the bilateral posterior costophrenic angles suggests trace pleural effusions. prominence of the central pulmonary vasculature suggests mild vascular congestion. left basilar retrocardiac opacity could be due to atelectasis and vascular congestion however, consolidation due to infection not excluded. no pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.
history: <unk>m with two weeks of chest pain and sob. // pneumonia? chf?
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the cardiomediastinal and hilar contours are normal. the lungs are clear. there is no pleural effusion or pneumothorax. examination of the thoracic spine shows no compression deformity and no changes compared to the <unk> chest radiograph. additionally, subtle contour irregularities at the costovertebral junctions of the posterior aspect of the right upper ribs suggest old healed injury, also unchanged from <unk> chest radiograph.
<unk>-year-old female with mid thoracic pain.
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when compared to prior, there has been interval development of bibasilar opacities, more extensive on the left than on the right. superiorly, the lungs are clear. cardiomediastinal silhouette is stable. no acute osseous abnormality is identified.
<unk>-year-old female with cough. question pneumonia.
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increased opacification with obscuration of the right and left heart borders and dense consolidation on the lateral is compatible with multifocal right middle and lingular pneumonia. concomitant mild vascular congestion is also seen. heart and mediastinum are normal.
<unk>-year-old woman with acute dyspnea, left lower lobe congestion and productive cough. assess for pneumonia.
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the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. lungs are well-expanded and clear without focal consolidation concerning for pneumonia. the upper abdomen is unremarkable.
<unk>m with sp seizure.
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in comparison to the chest radiograph obtained <num> day prior, right greater than left left pleural effusions are probably unchanged, taking into account changes in patient positioning. bibasilar atelectasis is also unchanged. lungs are otherwise clear without focal consolidations. heart size and cardiomediastinal silhouette are unchanged. mild pulmonary edema has resolved.
<unk> year old woman with large bowel obstruction s/p sigmoid colectomy, ileocecectomy, tah/bso, and diverting loop ileostomy who has been given large volume resuscitation and has increased o<num> requirement // please eval for interval change
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the lungs are clear with no evidence of consolidation, effusion, or pneumothorax. cardiomediastinal silhouette is normal. no acute fractures are identified.
fever and cough.
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indwelling support and monitoring devices are stable and in appropriate position. mild pulmonary edema is worse than on <unk>. a moderate to large left-sided pleural effusion is increased from <unk>. postoperative mediastinum is unchanged. no pneumothorax.
<unk> year old man with s/cabg tvr // eval for effusion
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pa and lateral views of chest: lungs are clear. there is no pleural effusion, pneumothorax or focal airspace consolidation to suggest pneumonia. heart size is normal. the mediastinal contours are unremarkable.
generalized weakness with change in speech, evaluate for cardiopulmonary process.
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pa and lateral views of the chest provided. lungs are well inflated and grossly clear. no pleural effusion or pneumothorax. hilar and cardiomediastinal contours are normal.
<unk> year old woman <num> weeks pregnant with cough, fever // ? pneumonia
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lung volumes are slightly low. a small to moderate left pleural effusion may be minimally decreased compared to <unk>. adjacent atelectasis and/or consolidation persists. lungs are otherwise clear. no pleural effusion on the right. there is no pneumothorax. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.
<unk>f with hx abdominal abscess with complicated hx presenting with left sided pain. evaluate for worsening effusion.
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two views of the chest were obtained. the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the heart is normal in size with normal cardiomediastinal contours.
cough and fever.
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portable semi-upright radiograph of the chest demonstrates low lung volumes. the cardiac silhouette is stable. no focal consolidation is identified. there are possible small pleural effusions. a right-sided venous catheter terminates in the mid svc.
<unk> year old man with l hip fracture, plan for orif. +r basilar crackles, chronic cough, ?orthopnea. patient unable to stand <unk> hip fracture. please do portable. // please eval for chf; pneumonia surg: <unk> (l hip orif)
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normal heart size. increased pulmonary vascularity. mild perihilar opacities, subtle interstitial prominence, may represent edema. no pleural effusions. mild right basilar atelectasis.
<unk> year old man with stemi s/p des // evaluate for sudden hypoxia
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the heart is mildly enlarged. mild unfolding is noted along the thoracic aorta. the chest is hyperinflated. there is no pleural effusion or pneumothorax. vague peripheral reticulation in each lower lung is suggestive of mild interstitial lung disease, which is most likely chronic. no prior comparison is available. elsewhere, the lung fields appear clear. bony structures are unremarkable.
weakness after the fall. history of chronic lymphocytic leukemia.
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enteric catheter courses below the level of the diaphragm, the curving superiorly, with its tip located along the gastric cardia. there is mild bilateral lower lobe atelectasis. there is no focal consolidation. there is no evidence of pulmonary edema. the heart is top-normal in size. the mediastinal contours are normal, aside from mild unfolding of the descending thoracic aorta. there are no definite pleural effusions. no pneumothorax is seen.
postop day <num>, with shortness of breath. assess for fluid overload or other acute process.
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large bilateral layering pleural effusions with associated lower lobe collapse and moderate cardiomegaly are unchanged. moderate pulmonary edema has improved, now mild. there is no pneumothorax or focal consolidation. the left-sided picc line ends in the upper svc.
<unk> year old man s/p ulcer repair // eval pneumo
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lung volumes are low with stable mild elevation of the right hemidiaphragm. a left subclavian access port-a-cath remains in place with the distal tip in the high right atrium. a coil and cbd stent projects over the right upper quadrant. cardiomediastinal silhouette and hilar contours are unremarkable. scarring at the right base. lungs are otherwise clear. pleural surfaces are clear without effusion or pneumothorax.
fever.
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the cardiomediastinal silhouette and pulmonary vasculature are stable. no definite consolidation is identified. there is no pleural effusion or pneumothorax.
<unk>m with palpitations // eval for palpitations
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the lungs are well expanded and clear. the mediastinum is unremarkable. the cardiac silhouette is within normal limits for size. no effusion or pneumothorax is noted. the visualized osseous structures are unremarkable.
sudden onset chest pain.
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ill-defined opacity at the right lateral costophrenic angle is similar compared to prior chest x-rays, potentially due to scarring given persistence over time. elsewhere, the lungs are clear. cardiomediastinal silhouette is within normal limits. coronary artery stents are noted. no acute osseous abnormalities identified.
<unk>f with cough // eval for pneumonia
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as compared to prior chest radiograph from <unk>, intra-aortic balloon pump has been repositioned, now proximal to the left main stem bronchus. the swan-ganz catheter is projecting in the right pulmonary artery, the device should be pulled back by approximately <num> cm. et tube terminates <num> cm above the carina. lung volumes remain low. slight blunting of the left hemidiaphragm could be attributed to volume loss and a small effusion. opacification of the right lung base could reflect atelectasis, however, in the appropriate clinical setting, pneumonia should also be considered.
<unk>-year-old female patient with acute mr with iabp in place. study requested for evaluation of pneumonia and line/balloon placement.
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pa and lateral views of the chest. the lungs are clear. note is made of an azygos fissure. the cardiomediastinal silhouette is normal. no acute osseous abnormalities.
<unk>-year-old female with seizures.
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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 abdominal tenderness // xcr eval for pnaruq ultrasound eval for acute cholcytisti
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as compared with the prior examination dated <unk>, there has been interval resolution of the previously described left, lingular opacity. no new, focal consolidations are identified. there is no pleural effusion, pneumothorax, or pulmonary edema identified. the heart size is normal. mediastinal contours are normal.
recent pneumonia, evaluate for resolution.
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single portable view of the chest. the lungs are clear. cardiomediastinal silhouette is within normal limits. no acute osseous abnormality identified.
<unk>-year-old female with palpitations.
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enteric tube tip is within the stomach. a right subclavian central venous catheter tip terminates in the lower svc, unchanged. patient has been extubated. heart size is mild to moderately enlarged. widened mediastinal contour is unchanged. there is crowding of the bronchovascular structures with mild pulmonary vascular congestion. persistent consolidative opacity in the right upper lobe likely reflects continued pneumonia. streaky bibasilar opacities may reflect areas of atelectasis. small bilateral pleural effusions are likely present. no pneumothorax is demonstrated. degenerative changes are noted in the right acromioclavicular joint as well as within the imaged thoracic spine.
history: <unk>m with altered mental status
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the lungs are well expanded. there is no focal consolidation. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax.
<unk>-year-old female with generalized weakness and cough. evaluate for acute process.
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mild pulmonary vascular congestion is seen with central pulmonary vascular engorgement. there is minor linear left base atelectasis. no pleural effusion is seen. there is no pneumothorax. enlargement of the cardiac and mediastinal silhouettes is stable. a battery pack overlies the left hemi thorax.
history: <unk>m with dyspnea and leg swelling // r/o acute process
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in comparison to the prior study, there is little interval change in markedly enlarged cardiac silhouette. no definite vascular congestion. there is no focal consolidation. there is no pleural effusion or pneumothorax.
<unk>-year-old woman with dyspnea on exertion, l leg swelling x<num> days, evaluate for acute process
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the cardiomediastinal silhouette and hilar contours are unchanged. the lungs are clear. there is no pleural effusion or pneumothorax. minimal elevation of the left hemidiaphragm is unchanged. mild anterior compression deformities of <num> of the thoracic vertebral bodies is unchanged since <unk>.
cough.
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there is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits.
history: <unk>f with presyncope, volume overload // eval for cardiopulmonary process
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a left-sided picc line courses into the chest. its tip is not well visualized but it appears to terminate in the left brachiocephalic vein, similar to prior findings. partly visualized cervicothoracic fusion shows no definite change. the cardiac, mediastinal and hilar contours appear state unchanged. an increasing opacity is noted in the left retrocardiac area with bronchograms. there is no definite pleural effusion or pneumothorax. the lungs appear otherwise clear.
shortness of breath.
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the lungs are well inflated and clear. the cardiomediastinal silhouette and hilar contours are normal. there is no pleural effusion or pneumothorax. patient is status post median sternotomy with surgical clips projecting over the left mediastinal region. the spleen appears mildly enlarged and measures <unk>.<num> cm.
<unk>-year-old man with chest pain and recent cabg, evaluate for pulmonary edema.
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pa and lateral views of chest. a pacemaker is in place with <num> leads terminating in the right ventricle. an additional abandoned lead is curled within the chest wall. cardiac size is top normal. there is no pneumonia, pulmonary edema, pneumothorax or pleural effusions. the patient is status post cervical spinal surgery with anterior cervical discectomy and fusion hardware. the patient is status post cholecystectomy.
shortness of breath
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right picc remains in place. it is seen to at least the at the level of the cavoatrial junction but tip is not clearly delineated. left chest wall triple lead pacing device is again noted. degree of cardiomegaly is stable. there is no edema or effusion. no focal consolidation.
<unk>m with fall with headstrike on eliquis with missing teeth concerning for possible aspiration of tooth // foreign body (tooth) in airway? head bleed? facial fracture?
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the patient is status post median sternotomy and ascending aortic repair. the cardiac silhouette size remains moderately enlarged. the aorta is remains mildly enlarged and tortuous but this is unchanged. the mediastinal and hilar contours are otherwise unchanged. the pulmonary vasculature is normal. no focal consolidation, pleural effusion or pneumothorax is visualized. multilevel degenerative changes within the imaged thoracic spine are noted with ossification of the anterior longitudinal ligament.
confusion.
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the lungs are well-expanded and clear. no focal consolidation, edema, effusion, or pneumothorax. the heart is normal in size. the mediastinum is not widened. the hila and pleura are unremarkable. the partially visualized bowel gas pattern in the upper abdomen is nonspecific and nonobstructive. no acute osseous abnormality.
<unk>-year-old female presenting with fever. evaluate for infiltrate.
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there is dense opacification of the right lung base representing a combination of pleural effusion and atelectasis, overall improved compared to prior. there is increased opacification in the region of prior effusion, likely representing re-expansion edema. there is no left-sided pleural effusion. the cardiomediastinal silhouette is normal. there is no focal lung consolidation.
<unk> year old man s/p tips procedure for recurrent hepatic hydrothorax. // evaluate for pleural effusion .
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no displaced fracture identified.
history: <unk>m with left chest wall pain s/p bike accident // eval for any injuries
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there are relatively low lung volumes. no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac, mediastinal, and hilar contours are stable. there is mild anterior wedging of a mid thoracic vertebral body, stable since the prior study.
cough and chest pain.
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since the radiograph obtained <num> day prior, there has been a small amount of improvement in aeration of the mid left lung and at the large, mid left lung opacity corresponding to the patient's known mass is better appreciated. the small, loculated, left pleural effusion appears grossly unchanged. bilateral interstitial edema has decreased. there is no pneumothorax. subcutaneous emphysema of the left chest wall and left neck has decreased. the left-sided pigtail catheter and left lower lung pleural drainage catheter are unchanged in position.
<unk> year old woman s/p chest tube placement // eval interval change
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the patient is rotated towards the right. allowing for this, the cardiomediastinal silhouette is within normal limits. the lungs are well inflated without focal consolidation, pleural effusion, pneumothorax, or pulmonary edema.
history: <unk>m with chest pain // ?pna ?ptx
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the right chest tube in unchanged position. the moderate right pneumothorax is slightly larger compared with yesterday, but there is no evidence of tension. there is a small right pleural effusion. right lateral chest wall subcutaneous emphysema is not significantly changed from yesterday. normal heart size and mediastinal contours. no left pleural effusion or pneumothorax. nodular opacities at the right apex are better characterized on ct from <unk>.
prior hydropneumothorax, now on waterseal. evaluate for interval change.
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single frontal view of the chest demonstrates interval placement of an ng tube with tip in the proximal stomach and sideport near the ge junction. heart size is borderline. the lungs demonstrate bibasilar dependent atelectasis. upper lungs are well aerated. possible small right effusion.
<unk>-year-old female status post ng tube placement.
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the patient is status post median sternotomy and mitral valve replacement. the heart size is normal. the mediastinal and hilar contours are within normal limits and unchanged. the pulmonary vascularity is normal. the lungs are hyperinflated. linear band like opacity in the left lung base is compatible with atelectasis. scarring is noted within the right upper lobe. no pleural effusion, focal consolidation or pneumothorax is present. there are mild degenerative changes in the thoracic spine.
hiv, confusion.
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in comparison to the prior radiograph, there is better inspiratory effort. the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiac size is at the upper limits of normal. the mediastinal contours are normal. a known thyroid goiter is causing mild rightward tracheal deviation and upper mediastinal widening, unchanged from prior exams.
evaluate possible pneumothorax versus bleb.
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lung volumes continue to be low with normal heart size and mild-to-moderate pulmonary edema. no appreciable pleural effusion, pneumothorax or focal consolidation is seen. et tube <num> cm from the carina. right central line is at cavoatrial junction, unchanged from prior. transesophageal drainage to is in the stomach and out of view. fixation hardware is in place and aligned.
<unk> year old man with ett/og. evaluate for line placement.
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the heart appears borderline enlarged in size. the mediastinal and hilar contours are probably within normal limits for technique. there is no pleural effusion or pneumothorax. the lungs appear clear. the bones are probably demineralized. each acromiohumeral interval is effaced, suggesting rotator cuff tears, with severe degenerative changes.
elevated bnp. question effusion.
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portable ap chest radiograph. there is a tiny right apical pneumothorax, not clearly visible at <time>. there is subcutaneous emphysema in the right supraclavicular region and along the right flank. again noted is mild atelectasis in the left lung base. there is no pleural effusion. the cardiomediastinal silhouette is normal.
<unk> year old man s/p rvats wedge resection x<num>. chest tube pulled <time>. evaluation for pneumothorax.
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frontal and lateral views of the chest. left picc is no longer visualized. the lungs are clear of consolidation or effusion. cardiomediastinal silhouette is stable as are the osseous structures.
<unk>-year-old male with weakness.
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compared to the prior study, the large left pleural effusion resulting in complete collapse of the left lung is now moderate to large, with residual partial collapse of the left upper and lower lobes, although improved.small right pleural effusion is unchanged.
<unk> year old woman with bronchiectasis s/p bronchoscopy // ?improvement in lll collapse
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pa and lateral views of the chest. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are normal. again seen is s-shaped scoliosis of the spine.
fever.
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frontal and lateral views of the chest. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are normal.
dyspnea.
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lungs: the lungs are well inflated. there is no consolidation. pleura: no pleural effusion is seen. heart: the heart is not enlarged. mediastinum and hila: there is no mediastinal mass. osseous structures: the osseous structures are normal for age. other findings: none
history: <unk>f with chest pain // evaluate for infiltrate
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pa and lateral views of the chest provided. opacities are again seen in bilateral lung bases, not substantially improved from prior study, and is consistent with bilateral lower lung pneumonia. extensive bronchiectasis is again seen. heart size is normal. mediastinal and hilar contours are normal.
<unk> year old woman with bronchiectasis, evaluate change in rml infiltrate
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linear bibasilar opacities are likely atelectasis given lower lung volumes. superiorly, the lungs are clear. there is no effusion or pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.
<unk>f with chest pain // eval for pna, chf
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the heart size is normal. the 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. the visualized osseous structures are unremarkable.
history of smoking, pneumonia. please evaluate.
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cardiac and mediastinal silhouettes are stable with the cardiac silhouette quite enlarged. other may be mild vascular congestion. no overt pulmonary edema is seen. no focal consolidation. slight blunting of the right costophrenic angle is felt to more likely due to atelectasis and a trace pleural effusion. partially imaged aortic stent graft noted but not well evaluated on this study.
history: <unk>f with cp and ruq pain // evidence of fluid overload or pneumo, ruq infection/cholecystits
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again visualized is a right apical pneumothorax measuring <num> cm, with interval decrease compared to a prior measurement of <num> cm. lung volumes are low with worsening bilateral diffuse lung opacities. right sided chest tube and right port-a-cath remain unchanged in position. likely worsening left pleural effusion. cardiomediastinal silhouette are obscured by worsening lung opacities. no interval change in bony thorax.
<unk> year old woman with pleurex placed, small pneumo // eval progression of pneumo
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there is interval development of multifocal patchy opacities in the left lung as well as left base consolidation. right base consolidation is again seen with some associated atelectasis. no definite pleural effusion is seen although a small left pleural effusion be difficult to exclude. the cardiac and mediastinal silhouettes are grossly stable. partially imaged is cervical metallic.
copd and recurrent pneumonia now with fever, shortness of breath.
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right internal jugular catheter ends at the cavoatrial junction. right atrial and <num> right ventricular pacer leads are in place. low lung volumes accentuate the interstitial markings; however, no focal consolidation is present. bibasilar opacities likely represent atelectasis. no pleural effusion or pneumothorax.
right ij line placement.
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lung volumes are low. this accentuates the size of the cardiac silhouette which appears borderline enlarged. mediastinal and hilar contours are unremarkable. there is crowding of bronchovascular structures without overt pulmonary edema. minimal streaky opacities in the lung bases likely reflect areas of atelectasis. no pneumothorax or pleural effusion is visualized. there are no acute osseous abnormalities.
history: <unk>m with cough, chest pain
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cardiac, mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. two calcified granulomas are noted within the right upper lung field. no acute osseous abnormalities present.
fever.
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frontal and lateral views of the chest were obtained. the heart size is normal and cardiomediastinal contours are stable. slightly tortuous appearance of aorta is similar to prior. pre-existing right apical calcified granuloma is stable. the lungs are otherwise clear. no focal consolidation, pleural effusion, or pneumothorax. the patient is status post cabg with both saphenous and lima grafts. sternotomy wires and mediastinal clips are intact.
<unk>-year-old male with chest pain.
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the patient is status post median sternotomy and cabg. mild to moderate cardiomegaly is similar compared to the previous study. the mediastinal and hilar contours are unchanged. mild pulmonary vascular congestion is re- demonstrated. no focal consolidation, pleural effusion or pneumothorax is identified. there are no acute osseous abnormalities.
history: <unk>f with past medical history of coronary artery disease status post cabg in <unk>, nstemi in <unk>, diastolic chf, presenting for right calf cramping and right thigh swelling and dyspnea on exertion.
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the cardiac, mediastinal and hilar contours are normal. pulmonary vasculature is normal. no focal consolidation, pleural effusion or pneumothorax is seen. there is minimal patchy opacity in the lung bases. no acute osseous abnormalities detected.
history: <unk>m with chest pain
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the cardiomediastinal silhouettes are stable and within normal limits. the bilateral hila are unremarkable. the lungs are clear. there is no pulmonary vascular congestion. there is no pneumothorax or pleural effusion. there is no evidence of a displaced rib fracture.
<unk>m with s/p wrestle left rib lower intercoastal pain, evaluate for broken rib.
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portable semi supine chest radiograph <unk> at <time> is submitted.
<unk> y/o male with pmh of hfref (ef <unk>%), afib on pradaxa, aortic stenosis s/p bioprosthetic avr (<unk>), cad s/p cabg, admitted s/p cardiac arrest, now s/p failed rij hd line placement // eval for evidence of pneumothorax eval for evidence of pneumothorax
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the patient is rotated to the left. there is no focal airspace opacity to suggest pneumonia. left retrocardiac opacity has improved since the prior study with some residual atelectasis at the left base. there is no focal airspace opacity to suggest pneumonia. moderate cardiomegaly is unchanged. apparent widening of the mediastinum is likely due to patient rotation. there is no large pleural effusion or pneumothorax. left chest wall pacemaker has leads terminating in the right atrium and right ventricle. mid thoracic compression deformities are similar to prior studies. although chest radiographs have limited sensitivity for rib fracture, no definite displaced fracture is detected.
right leg and hip pain status post fall. evaluate for evidence of fracture or bleed.
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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 demonstrated. endotracheal tube terminates approximately <num> cm from the carina. orogastric tube tip courses below the left diaphragm, off the inferior borders of the film. radiopaque markers are noted projecting over the midline lower thoracic spine, which may be the distal aspects of spinal catheters.
history: <unk>m with status epilepticus // evaluate tube placement, eval for aspiration / pneumonia
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there is no new consolidation or pleural effusion. multiple subcentimeter nodules are better seen on the recent chest ct. there is no pneumothorax. the heart and mediastinum are within normal limits despite the projection.
? new dx mds, with new <unk> requirement // ? new infiltrates
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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>f with chest pain // presence of pneumothorax, infiltrate
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a left single-lead cardiac device with tip projecting over the expected region of the right ventricle is unchanged. external material projecting over the right hemithorax limits detailed evaluation of the lungs in this region. lung volumes are low with bronchovascular crowding. nonetheless, there is mild central pulmonary vascular prominence and new mild interstitial edema. no pleural effusion. no pneumothorax. aortic knob calcifications are moderate, unchanged.
history: <unk>m with hyperk brady // acute process
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pa and lateral views of the chest provided. the pulmonary hila appear mildly congested. there is minimal interstitial pulmonary edema. no large effusion or pneumothorax. no convincing evidence for pneumonia. cardiomediastinal silhouette is stable. bony structures are intact.
<unk>m with dyspnea on exertion, hx chf // pneumonia vs chf