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heart size is normal. mediastinal and hilar contours are within normal limits. the pulmonary vasculature is not engorged. new ill-defined patchy opacities are seen within the right middle lobe concerning for infection. left lung is clear. no pleural effusion or pneumothorax is present. symmetric scarring is noted within the lung apices. no acute osseous abnormalities demonstrated.
history: <unk>f with history of chronic bronchitis with <num> days worsening dyspnea
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frontal and lateral radiographs of the chest demonstrate well expanded lungs. there is thickening or pleural fluid within the horizontal fissure on the right. consolidations seen in the lingula and the right upper lobe are concerning for an infectious process. the cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax or pleural effusion. centrilobular nodular opacities at the bilateral lung bases are better evaluated on ct of the abdomen pelvis from the same day.
history: <unk>f with leukocytosis // evidence of acute process
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there is persistence of the right medial opacity, concerning for pneumonia. minimal opacity seen the left lung base are likely due to atelectasis. tracheostomy tube is in stable position. the heart size is unchanged. there is no pneumothorax or pulmonary edema. there is a prominent line which has vessels continuing beyond it, compatible with skin fold.
<unk> year old man with tachypnea with concern for aspiration pneumonia versus aspiration pneumonitis // please assess for interval change
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the lungs are clear with no evidence of consolidation, effusion, or pneumothorax. the cardiac silhouette remains mildly enlarged. again identified is a <num> x <num> calcified round structure in the superior mediastinum corresponding with a calcified thyroid nodule on ct c-spine. old left posterior seventh and eighth rib fractures are noted. there is, however, no evidence of acute fractures.
evaluation of patient status post fall.
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pa and lateral views of the chest demonstrate the lungs are well expanded and clear. the heart is top-normal in size, otherwise the cardiomediastinal silhouette is unremarkable. there is no pneumothorax, pleural effusion, pulmonary edema, or focal airspace opacity.
<unk>-year-old female with chest pain.
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the heart is at the upper limits of normal size. the mediastinal and hilar contours appear within normal limits. the pulmonary interstitium is mildly prominent, particularly involving the lower lungs, most suggestive of mild fluid overload. there is no discrete focal opacity, however. fissures are mildly thickened. there is no pleural effusion or pneumothorax. very small anterior osteophytes are noted along the thoracic spine.
left arm tingling. question pneumonia.
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a right ij line ends at the cavoatrial junction. enteric tube courses below the level of the diaphragm and terminates in the region of the stomach. stable small right pneumothorax with a small basilar and a small right apical component. patchy reticular opacities are worse at the lung bases bilaterally, unchanged. cardiomediastinal silhouette is unchanged. interval removal of a right chest tube.
<unk> year old woman with r ptx // r/o increased ptx with ct removed, please do around <num>pm
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compared to the prior study, there is similar degree of mild pulmonary vascular congestion, with no evidence of pleural effusion, pneumothorax, or overt pulmonary edema. the cardiomediastinal silhouette is unchanged. the lungs are well-expanded. no focal airspace consolidation concerning for pneumonia is identified.
history: <unk>m with shortness of breath // acute process?
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pa and lateral views of the chest provided. all but a tiny residual of the left apical pneumothorax has been evacuated. there is atelectasis in the left lung base, otherwise the lungs are clear. there are no pleural effusions. mediastinal and hilar contours are normal. left-sided pigtail pleural catheter location is unchanged.
<unk> year old man with recurrent spontaneous left pneumothorax.
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heart size is moderately enlarged with a left ventricular predominance. the aortic knob is calcified. patchy ill-defined opacities are seen within the right mid lung field as well as within the lung bases bilaterally, more so on the right. lungs are hyperinflated with flattening of diaphragms suggestive of copd. no pleural effusion or pneumothorax is seen, and no pulmonary edema is demonstrated. degenerative changes are noted in the thoracic spine.
history: <unk>f with chest pain, shortness of breath for <num> day.
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in comparison with chest radiograph or few hours earlier, there has been interval removal of a left chest tube. there is a small left apical pneumothorax without evidence of tension. otherwise, there is little change. right internal jugular line terminates in the lower svc. persistent mild bibasilar atelectasis. mediastinal and cardiac contours are stable.
<unk> year old man s/p cabg and ct removal // r/o ptx
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an et tube is present, tip approximately <num> cm above the carina. an ng tube is present, tip beneath diaphragm overlying stomach. there is hazy opacity at the right base, which could reflect a small layering effusion, with underlying atelectasis and/or consolidation. there is a very small left effusion, also with left base atelectasis and/or consolidation. no pneumothorax detected. no chf. residual oral contrast noted in the hepatic flexure. <num> clips noted over the upper abdomen in the midline. no free air seen beneath the diaphragm on this semi-erect portable view. there is subtle focal irregularity along a lower right rib laterally, question the right eighth rib, raising question of a nondisplaced rib fracture.
<unk> year old woman s/p ex-lap, sbr, reintubated in sicu for oversedation // please assess ett position
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frontal view of the chest was obtained. the heart is of normal size with normal cardiomediastinal contours. the lungs are clear without focal or diffuse abnormality. no pleural effusion or pneumothorax. osseous structures are unremarkable. no radiopaque foreign body.
<unk>-year-old female with left chest wall pain after motor vehicle collision. evaluate for pneumothorax or rib fracture.
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lung volumes are lower. right mid lung atelectasis is new. there is pulmonary vasculature engorgement and mild edema. there is no consolidation, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal.
diverticulitis with new hypoxia.
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there is a moderate-sized hiatus hernia. the cardiomediastinal silhouettes are stable. the bilateral hila are within normal limits. lungs are clear without focal consolidation. the opacity projecting over the heart on prior lateral radiograph from <unk> is no longer identified. there is no pulmonary vascular congestion. there is no pleural effusion or pneumothorax. degenerative changes are noted at the shoulder and hypertrophic changes seen in the spine.
<unk>-year-old woman with unclear findings on recent x-ray, evaluate for pneumonia.
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there is mild flattening of the posterior hemidiaphragms on the lateral view. there is anterior eventration of the right greater than the left hemidiaphragm, which is unchanged. the lungs are clear without focal consolidation concerning for pneumonia, pleural effusion, or pneumothorax. the pulmonary vasculature is not engorged. the cardiac silhouette is top normal in size. the thoracic aorta is tortuous and mildly calcified at the aortic knob, similar to the prior study. the mediastinal contours are within normal limits. the trachea is slightly deviated to the right by the aortic knob. there is minimal biapical pleural scarring. mild degenerative changes are noted in the thoracic spine.
chest pressure, radiating to the back, here to evaluate for mediastinal widening.
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pa and lateral views of the chest were provided. the lungs are clear bilaterally without focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. the imaged bony structures are intact. no free air is seen below the right hemidiaphragm.
<unk>f with mvc, evaluate for pneumothorax.
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the lung volumes are low. the cardiac silhouette is enlarged, similar to the prior examinations. prominence of the central pulmonary vasculature, indistinctness of the peripheral pulmonary vasculature is noted, most consistent with edema. patchy bilateral opacities are likely related to edema as well, though underlying consolidation is not excluded.
<unk>f w/ cough congestion eval for pneumonia // <unk>f w/ cough congestion eval for pneumonia
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interval removal of the gastric tube. there is new opacification of the right mid and lower hemithorax with the exception of the right upper lung zone, likely reflecting a combination of a pleural effusion and atelectasis/ consolidation. new patchy and confluent airspace opacities at project over the left mid to lower lung zone as well. no left pleural effusion or pneumothorax bilaterally. the size of the cardiac silhouette is enlarged.
<unk> year old man with cirrhosis p/w appendicitis, acute drop in o<num> sat w/ audible wheezing // assess for acute drop in o<num> sat
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pa and lateral views of the chest provided. airspace consolidation is noted at the right lung base concerning for pneumonia. left lung is clear. no pneumothorax or large effusion. cardiomediastinal silhouette is normal. bony structures are intact.
<unk>m with fever, cough.
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right-sided picc is grossly similar in position. midline tracheostomy tube is again seen. cardiac and mediastinal silhouettes are stable. continued worsening of pulmonary edema is seen. there are bilateral, left greater than right, pleural effusions, re- demonstrated.
history: <unk>m with sob,. trach // eval for pna or chf
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frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs without focal consolidation, large pleural effusion, or pneumothorax. mild blunting of posterior costophrenic angles could represent trace effusions. vague opacity projecting over the left anterior fourth rib is most suggestive callus formation from prior rib fracture.
<unk>f w/chest tightness, please eval for pna // <unk>f w/chest tightness, please eval for pna
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ap and lateral views of the chest are compared to previous exam from <unk>. there is blunting of the costophrenic angles suggestive of trace effusions. apparent increased density projecting over the right upper lung laterally thought to be in part due to rotation and a superimposed pleural thickening in the setting of multiple old posterior and lateral rib fractures. cardiac silhouette is enlarged, but stable in configuration. post-kyphoplasty changes are seen in the lower thoracic level as well as compression deformity in the mid thoracic spine, unchanged from ctpa from <unk>.
<unk>-year-old female with altered mental status. recently started on coumadin.
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compared to prior exam there has been improvement in left lower lobe collapse with greater aeration. additionally, there has been improvement in the left pleural effusion which remains moderate in size. there has also been marked improvement of the right pleural effusion which is now minimal. fluid is seen tracking along the left major fissure on the lateral view. bibasilar atelectasis is unchanged. cardiomediastinal silhouette and hilar contours are stable. there is no pneumothorax. increased ap chest wall diameter is consistent with given history of copd.
copd with chronic left lower lobe pneumonia/collapse and bilateral effusions.
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streaky left basilar opacity is most suggestive of atelectasis. the lungs are otherwise clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk> year old woman with fevers, rash, expiratory wheezing, cough // eval pneumonia
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pa and lateral chest radiographs were obtained. lungs are fully expanded and clear. the cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. there is no pleural effusion or pneumothorax.
racing heart, evaluate for acute cardiopulmonary process.
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the heart size is top normal. mediastinal and hilar contours are unremarkable. there is no pneumothorax or pleural effusion. the lungs are adequately expanded and clear without focal consolidation concerning for pneumonia. pulmonary vasculature is within normal limits. the upper abdomen is unremarkable.
history: <unk>f with tachycardia, chest pain // eval for acute process
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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 man with chest pain and shortness of breath
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there is no focal consolidation, pleural effusion, or pneumothorax. there is flattening of the left hemidiaphragm, and less flattening of the right hemidiaphram only on the pa view, consistent with hyperinflation. cardiomediastinal silhouette is normal. osseous structures are unremarkable.
<unk>-year-old woman with copd, recent gyn surgery at <unk> and postop course with hypoxemia, pleural effusions, and status post three liters diuresis, assess for persisting pleural effusions and infiltrates.
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severe cardiomegaly and mediastinal vascular engorgement are stable. again noted is enlargement of the pulmonary arteries. there is no pulmonary edema or pleural effusion. no focal consolidations concerning for infection are identified. there is no evidence of a pneumothorax.
history of shortness of breath and chest pain, pneumonia, please evaluate.
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the heart size is moderately enlarged, overall stable compared to the prior exams. there is mild pulmonary vascular congestion with cephalization of the vessels and bilateral hilar fullness, without evidence of definite pulmonary edema. there is a new focal consolidation overlying the right lower lobe compared to the prior exam. there is increased left lung base atelectasis. no large pleural effusions are identified. there is no evidence of a pneumothorax.
history of end-stage renal disease who spiked a fever, please evaluate for pneumonia.
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lumbar luminal lobe, accounting for some bronchovascular crowding. no focal opacities concerning for pneumonia. cardiac size is unchanged compared with the previous exam. the aorta is tortuous as before. there is no pleural effusion or pneumothorax.
<unk>-year-old male with slurred speech and chest pain.
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heart is normal in size. mediastinal and hilar contours are unchanged. increased interstitial lung markings, primarily at the bilateral bases, are likely due to ground-glass and peribronchiolar opacities described on the most recent ct chest. no new focal consolidation to suggest superimposed infection, pleural effusion, or pneumothorax.
<unk>m with pmh ra, anti-synthetase syndrome, mctd nos p/w myalgias, fever, sore throat, cough. evaluate for pneumonia.
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frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. the cardiomediastinal and hilar contours are unchanged. there is no pneumothorax, pleural effusion, or consolidation.stable calcified right hilar lymph node.
history: <unk>m with chest pressure, shortness of breath, palpitations // r/o pna
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the lungs are hyperinflated. the cardiomediastinal silhouette and pulmonary vasculature are within normal limits, except for prominence of the pulmonary hila. these have a tapered appearance and this could reflect pulmonary hypertension. no chf, focal infiltrate or effusion is identified. minimal blunting of the costophrenic angles is unchanged and may relate top hyperinflation.
history: <unk>f with sob // pna?
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the lungs are clear without consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. coronary artery stent is noted. cervical fixation hardware is partially visualized.
<unk>m with melanoma, now with fatigue, weight loss // r/o infection/mass
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there is moderate interstitial pulmonary edema, increased compared to most recent radiograph from <unk>. small bilateral pleural effusions are unchanged on the right and decreased on the left. the heart is markedly enlarged, not significantly changed. there is a right-sided picc, ending in the mid svc. on the previous radiograph from <unk>, the picc was seen extending into the right internal jugular vein. there is no pneumothorax.
history of end-stage renal disease and chf, presenting with dyspnea. assess for fluid overload.
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frontal and lateral views of the chest were obtained. the heart size is top normal, with stable cardiomediastinal contours. the mitral annulus is densely calcified. lung volumes are low. the right hemidiaphragm is stably elevated. no focal consolidation, large pleural effusion, or pneumothorax. pulmonary vascular markings are normal.
<unk>-year-old female with shortness of breath. evaluate for pneumonia.
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the heart is at the upper limits of normal size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. the lungs appear clear. the bones are probably demineralized to some degree.
calcaneus fracture. preoperative.
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ap upright and lateral views of the chest provided. the lungs appear hyperinflated. no focal consolidation, effusion or pneumothorax. no signs of congestion or edema. heart size is mildly prominent. mediastinal contour is normal. no acute osseous abnormality. widened right ac joint likely reflects old injury. no displaced rib fracture seen. no free air below the right hemidiaphragm.
<unk>f with ad, falls // ?cpd
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pa and lateral views the chest provided demonstrate clear well expanded lungs of focal consolidation, large effusion or pneumothorax. cardiomediastinal silhouette is normal. bony structures are intact. no free air below the right hemidiaphragm. a metallic coil and tips shunt noted within the upper abdomen.
<unk>m with, question pneumonia.
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two views of the chest demonstrate clear lungs without effusion, or pneumothorax. the cardiac silhouette is normal in size, the mediastinal contours are normal. there is no displaced rib fracture. if there is further concern for fracture, recommend repeat dedicated views with bb marker to mark the site of pain.
<unk>-year-old female status post assault. evaluate acute process.
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compared with prior radiographs on <unk>, there is improved vascular congestion and a decrease in mediastinal widening. there is no edema. there are at least small bilateral pleural effusions. there is at least moderate basilar atelectasis. no pneumothorax. there has been interval removal of a swan-<unk> catheter. the left ij catheter in stable position, terminating in the left brachiocephalic vein just before the origin of the svc. the feeding tube is in the upper stomach. a drainage tube passes into the stomach. an endotracheal tube is at the thoracic inlet. mediastinal wires are stable in position.
<unk>m s/p avr (<num>mm magna ease tissue)/cabg x<num> (lima-lad, svg-rpda) <unk>. // rule out any acute process
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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 lvh on ekg // cardiomegaly?
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right middle lobe triangular opacity is unchanged and is atelectasis/scarring as seen on prior ct thorax. no acute consolidation. no pleural effusions or pneumothorax. prominent mediastinal contour on the lateral radiograph could be the right pulmonary artery pulled inferiorly due to volume loss as documented also prior ct thorax from <unk>.
<unk> year old woman with a chronic cough // rule out infiltrate
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basilar opacity seen on the lateral view best corresponds to a retrocardiac opacity suspicious for developing left lower lobe pneumonia or aspiration event in the setting of altered mental status. chronic peribronchiolar opacities seen bilaterally are similar in distribution and slightly more apparent due to lower lung volumes and ap technique. there is no pleural effusion or pneumothorax. the heart size is normal with normal cardiomediastinal silhouette.
altered mental status. assess for pneumonia.
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the heart is markedly but stably enlarged. pulmonary vasculature is normal. there is no focal consolidation, pneumothorax, or pleural effusion.
<unk> year old man with non-ischemic cardiomyopathy, with ef of <num>%, presenting with hypoxia and doe after cardioversion for paroxysmal atrial fibrillation today // ? pulmonary edema
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postoperative appearance of the mediastinum with left chest wall pacer and tavr stent appear unchanged. pulmonary vascular congestion, interstitial edema, and asymmetrical perihilar airspace opacification (left greater than right) are new from <unk>. small right pleural effusion, new from <unk>. elevation of the right hemidiaphragm is stable with adjacent right basilar atelectasis.
<unk>f with chf with acute dyspnea // effusion? edema?
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there are patchy regions of consolidation throughout the right lung. the left lung is clear. cardiomediastinal silhouette is within normal limits. orthopedic hardware noted in the left glenoid. prior right-sided central venous catheter is not visualized.
<unk>f with hip dislocation // pre op
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the cardiac, mediastinal and hilar contours appear stable. there is probably a small new pleural effusion on the left side only with minimal associated atelectasis. however, lung fields appear otherwise clear. there is no evidence for pleural effusion on the right.
right-sided chest pain.
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lung volumes are low with stable elevation of the left hemidiaphragm. there is stable mild left basilar subsegmental atelectasis with otherwise clear lungs. the heart and mediastinum are magnified by the projection.
<unk> year old woman with diaphoresis, fever, chills. ? aspiration // assess for pneumonia
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heart size is normal. the aorta is mildly unfolded but unchanged. mediastinal and hilar contours are unremarkable. pulmonary vasculature is not engorged. elevation of the right hemidiaphragm is unchanged with continued blunting of the right costophrenic angle compatible with a small pleural effusion, as seen on the previous mri, and perhaps minimally decreased in size. there is associated right basilar atelectasis. left lung is clear. no pneumothorax or left-sided pleural effusion is present. mild degenerative changes are seen in the thoracic spine.
history: <unk>m with complaints of shortness of breath with known right pleural effusion
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pa and lateral views of the chest. the lungs are clear. the cardiomediastinal silhouette is normal. there is no acute osseous abnormality.
<unk>-year-old female with myalgias and cough.
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the lungs are well expanded. minimal scarring is again seen at the right base. there is no consolidation, effusion or pneumothorax. a left-sided internal jugular catheter tip terminates in the mid svc. an enteric catheter extends inferiorly out of the field of view. a tracheostomy tube is in unchanged position.
<unk>-year-old man with tracheostomy, status post bronchial lavage. rule out pneumothorax.
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frontal and lateral views of the chest were compared to previous exam from <unk>. relatively low lung volumes are again noted. the lungs are clear without consolidation or effusion. cardiomediastinal silhouette is normal. osseous and soft tissue structures are unremarkable.
<unk>-year-old female with palpitations.
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the right port-a-cath terminates in the right atrium. there is increasing bibasilar atelectasis. multiple patchy opacities overlying the left thorax likely correspond to sclerotic ribs. diffuse sclerotic and lytic bone lesions are again noted, consistent with known osseous metastatic disease. there are small bilateral pleural effusions, unchanged. compression deformities in the mid thoracic vertebral bodies is noted.
metastatic breast cancer, admitted for shortness of breath with pneumonia diagnosed on ct from <unk>. followup of pneumonia.
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. the lungs appear clear.
chest pain.
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pa and lateral views of the chest provided. lung volumes are low. 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
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compared to the prior study there is no significant interval change.
<unk> year old man with seizure, pneumperitoneum // ?worsening pneumoperitoneeum
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the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. the soft tissues are unremarkable.
laceration over the right ribs. evaluate for pneumothorax.
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there is increased irregular opacity surrounding a left upper lobe mass corresponding to post-procedural hemorrhage. there is no focal consolidation, effusion or pneumothorax present. cardiac contour remains mildly enlarged.
<unk>-year-old woman with cough status post left transbronchial biopsy. evaluate for pneumothorax.
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the right picc line terminates in mid svc, slightly changed from prior. the lungs are clear. 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 osteomyelitis receiving abx via picc line, slightly pulled out during dressing change // confirm picc placement
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moderate cardiomegaly is unchanged. calcifications of the entire thoracic aorta denoted a focal dilatation of the descending thoracic aorta. pulmonary vascular engorgement is present with pulmonary edema. no effusions or focal consolidation concerning for pneumonia. the left defibrillator icd lead is continuous and terminates in the right ventricle. multiple linear radiopaque opacities projecting over the anterior chest are likely residua of sternal wires or epicardial leads.
<unk> year old woman with alcoholic cirrhosis, complicated by ascites and chronic renal failure, presenting with worsening renal failure adn abdominal distension. now newly hypotensive. working up for sepsis. evaluate for pneumonia.
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frontal and lateral chest radiographs again demonstrate surgical clips projecting over the left mediastinum. the heart is unchanged in size, mildly enlarged. there is mild to moderate pulmonary edema, similar compared to <unk>. previously noted more focal opacity in the left mid lung at that time appears improved. patchy opacities in the right lower lung likely reflect atelectasis, though infection cannot be excluded. there are small bilateral pleural effusions. no pneumothorax is visualized.
history: <unk>f with dyspnea and cough x<num> days. bilateral wheezes and rales on posterior lung fields // please evaluate for causes of dyspnea
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. the lungs appear clear.
weakness and hypotension.
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cardiac, mediastinal, and hilar contours are within normal limits. there is no evidence for pulmonary consolidation, pulmonary edema, pleural effusion, or pneumothorax. no displaced left rib fracture is seen, but the ribs are not adequately penetrated on chest radiography.
left rib pain status post fall. evaluate for left rib fracture.
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the cardiomediastinal silhouette and pulmonary vasculature are unremarkable. linear opacities at the lung bases are most consistent with atelectasis. there is no pleural effusion or pneumothorax.
history: <unk>f with hx asthma, with cp, sob. // pneumonia?
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low lung volumes with an area of linear scarring at the lingula. no focal consolidation is identified. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax. surgical clips project over the right upper quadrant.
<unk>-year-old woman with chest pain, evaluate for pneumonia.
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blunting of the left costophrenic angle persists, likely related to adjacent rib metastasis. prominent hila bilaterally likely reflect known hilar adenopathy. no focal consolidation, right pleural effusion, pneumothorax, or pulmonary edema is seen. left retrocardiac opacity likely reflects atelectasis.
<unk>-year-old female with metastatic lung cancer and worsening hypoxemia.
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pa and lateral chest radiographs demonstrate stable positioning of left-sided pectoral pacer lead. severe cardiomegaly is chronic. there is no pleural effusion or evidence of pulmonary edema. there is no focal consolidation or pneumothorax.
three days of chest pain.
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pa and lateral views of the chest. the lungs are hyperinflated. the cardiomediastinal and hilar contours are within normal limits for age. aortic calcification noted. there is no chf, focal consolidation, pleural effusion, or pneumothorax. there is a likely small hiatal hernia. ostepenia, mild degenerative changes, and slightly accentuated kyphosis of the thoracic spine are noted.
multiple syncopal episodes.
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the right picc line is unchanged position. the lung volume is small. no new consolidation. multiple areas of subsegmental atelectasis have improved. left pleural effusion has increased. pulmonary venous congestion is mild. no pulmonary edema. no pneumothorax. the cardiomediastinal silhouette is unchanged. multiple diverticuli with retained contrast are seen in the descending colon.
<unk> year old man with cad, hx gib, myasthenia <unk>, w/inc wob on exam. infection? effusion? // infection? effusion?
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the heart is mildly enlarged. there is pulmonary vascular redistribution and hazy alveolar infiltrate bilaterally. there is a probable small left pleural effusion.
<unk> year old man s/p r sc joint resection for osteo // assess for ptx
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pa and lateral views of the chest. the lungs remain clear. the cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable.
<unk>-year-old male with torn achilles, to operating room in a.m. preop evaluation.
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the lungs are hyperinflated. there is no focal consolidation, pleural effusion or pneumothorax. the heart is mild to moderately enlarged, as seen previously, possibly slightly increased. a left chest wall pacemaker is present with leads in the right atrium and right ventricle, unchanged in position. clips are present in the upper abdomen. there are no displaced fractures.
<unk>-year-old with fall and head injury. evaluate for traumatic injury.
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frontal and lateral views of the chest are provided. normal lung volumes. no pleural effusion, focal consolidation or pneumothorax. hilar and mediastinal silhouettes are unremarkable. heart size is normal. no pulmonary edema.
patient with history of heroin withdrawal, who presents with chills.
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spinal stimulator leads are again noted. cardiomediastinal silhouette is stable. the lungs are clear. there is no pleural effusion or pneumothorax. no displaced fractures.
history: <unk>f with pelvis, neck pain nd leg pain post mvc // ?fx
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the lungs are clear of focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.
<unk>f with shortness of breath worsening for weeks. // r/o pneumothorax, effusion
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pa and lateral views of the chest provided. lung volumes are low limiting assessment. allowing for this, no definite signs of pneumonia or edema. no large effusion or pneumothorax. cardiomediastinal silhouette is stable. no acute bony abnormality.
<unk>m with hypoglycemia, recent heavy etoh use, recent falls // eval ? infectious process in chest, r clavicular or shoulder injury
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subtle opacities in the left midlung are more obscure. bilateral small pleural effusions are new and there are increased bibasilar opacities, which may represent aspiration or pneumonia. the cardiomediastinal silhouette is unremarkable.
<unk> year old woman with o<num> sat to <unk> known pneumonia // please eval for pulm process
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single ap view of the chest provided. cephalization and diffuse alveolar and interstitial opacities are consistent with moderate pulmonary edema. no pneumothorax. small right pleural effusion is unchanged. hilar contours are normal. moderate cardiomegaly is mildly increased. a well-circumscribed sclerotic lesion in the humeral head has a nonaggressive appearance.
<unk> year old woman with severe lupus with likely flair and schf now with increased o<num> requirement from baseline // interval change
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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.
shortness of breath, cough.
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streaky left base opacity likely represents atelectasis. otherwise, the lungs are clear. there is no pneumothorax or pleural effusion. the hilar and cardiomediastinal contours are normal. pulmonary vascularity is normal. no free air is seen under the diaphragm.
<unk>-year-old woman status post sphincterotomy, presenting with pain. assess for free air under the diaphragm.
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the lung volumes are low which causes crowding of the bronchovascular structures. bilateral, right greater than left, lower lobe opacities most likely represent atelectasis. no pleural effusion or pneumothorax. a vascular stent projects over the trachea at the level of the clavicles. the trachea is deviated to the right. enlargement of the mediastinal and cardiac contours may be due to technique.
history: <unk>m with hypotension // evidence of pneumonia or effusion
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ap portable semi upright view of the chest. fusion hardware is noted in the cervical and upper thoracic spine though only partially imaged. the heart is stably mildly enlarged. there is no focal consolidation concerning for pneumonia. however, there is central pulmonary vascular engorgement which may reflect congestion. there is no overt edema. no large effusion or pneumothorax. prominence of the mediastinum is unchanged. bony structures are intact.
<unk> year old man with elevated crp // rule out pna
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the lungs are well expanded, but clear of focal consolidation. there is blunting of the right posterior costophrenic angle which could potentially be due to atelectasis, although small effusion would also be possible. biapical scarring is seen, right greater than left. the cardiac silhouette is mildly enlarged. no acute osseous abnormality.
<unk>-year-old female with near syncope.
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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 left lower lobe is re-expanded with minimal residual atelectasis. heart size is normal. mediastinal silhouette and hilar contours are normal.
<unk>-year-old woman with history of copd and left lower lobe collapse. evaluate for resolution.
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single frontal view of the chest shows et tube whose tip is <num> cm above the carina. an og tube tip courses through the esophagus and terminates out of view. a right subclavian catheter is present, whose tip is in the high svc. compared to the prior film, there is improving mild pulmonary edema as well as improvement in the right basilar consolidation. there is an unchanged retrocardiac opacity. the cardiac silhouette is enlarged but stable. there is no pneumothorax.
increased work of breathing, evaluate et tube placement.
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lungs are well-expanded and clear. cardiomediastinal and hilar contours are unremarkable. no pneumothorax, pleural effusion, or consolidation. no displaced rib fractures identified.
<unk>m with chest pain // ? ptx
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there is left mid lung opacity adjacent to the hilum. elsewhere, lungs are clear. there is no effusion or pneumothorax. cardiomediastinal silhouette is grossly within normal limits. no acute displaced fractures identified. deformity of the left scapula is compatible with prior fracture. thoracolumbar s-shaped scoliosis is noted. compression deformity of the t<num> vertebral body appears to have progressed since prior ct scan from <unk>.
<unk>f with pain s/p fall // rib fx?, acute process
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extensive subcutaneous emphysema persists but is appears to be decreasing over time. pneumomediastinum is suggested as well, not increasing. obscuration of the hemidiaphragms appear similar to chest radiograph of the <unk> and pneumonia could be contributing to this consolidation. left upper mediastinal contours unchanged.
<unk> year old man s/p asc ao replacement- wbc // interval change-?infiltrates
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frontal and lateral views of the chest were obtained. the heart is of normal size. lungs are clear without focal or diffuse abnormality. no pleural effusion or pneumothorax. sternotomy wires are intact. osseous structures are unremarkable.
bibasilar crackles. evaluate for infiltrate.
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a right-sided picc line ends in the mid svc. hazy bilateral airspace opacities are likely due to pulmonary edema. retrocardiac airspace opacities are likely due to atelectasis. there is a moderate layering right pleural effusion. moderate cardiomegaly is present. there is no pneumothorax.
<unk> year old man with picc placement at osh. picc placement.
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single portable view of the chest. no prior. the lungs are clear of focal consolidation. there is no visualized large effusion. no pneumothorax. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable.
<unk>-year-old male with syncope and low back pain. question pneumonia or chf.
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pa and lateral chest radiographs were obtained. the lungs are well inflated and clear. no focal consolidation, effusion, pneumothorax is present. the cardiac and mediastinal contours are normal.
<unk>-year-old woman with cough, shortness breath.
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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 pancreatitis // pleural effusion** ordered portable by mistake, told tech, did not do portable. re-ordered pa and lateral
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frontal dance lateral views of the chest. tracheostomy and left chest wall port are in stable positions. there is no evidence of a new consolidation nor effusion. cardiomediastinal silhouette is normal. osseous structures are unremarkable. prominent gaseous distention of the colon and stomach is again noted.
<unk>-year-old female tracheostomy and pseudomonas.
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there is hazy opacification of bilateral apices, right greater than left, from known apical malignancy. otherwise, no new areas of consolidations, pleural effusions or pneumothorax or pneumomediastinum. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. the left hemidiaphragm is minimally elevated, unchanged from prior.
<unk> year old man with lung cancer sp mediastinoscopy // ptx
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the lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
history: <unk>f with hip pain, fever, and tachycardia. // please evaluate for consolidation or other abnormality
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frontal and lateral views of the chest were obtained. the heart size and cardiomediastinal contours are normal. the aortic contour is tortuous. the lungs are clear. no focal consolidation, pleural effusion, or pneumothorax. no radiopaque foreign body.
<unk>-year-old female with chest pain.