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there is an endotracheal tube terminating approximately <num> cm above the level of the carina. an enteric tube terminates in the stomach. the lungs are clear, though the right costophrenic angle is not included in the view of this radiograph. there is no focal consolidation, pleural effusion or pneumothorax. there is no pulmonary edema. the heart is normal in size.
<unk>-year-old male intubated. evaluate for tube placement.
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there is interval placement of a right port-a-cath with tip at the cavoatrial junction. there are two chest tubes projecting over the right lung base. there has been significant decrease and right pleural effusion. no left-sided effusion is seen. bilateral interstitial opacities, most prominent in the left perihilar region are consistent with lymphangitic spread of tumor as seen on recent ct. cardiomediastinal silhouette is stable. a small right apical pneumothorax is present.
<unk> year old woman s/p thoracoscopy // effusion follow up
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patient is status post cabg with median sternotomy wires in place. lung volumes are normal. minimal bibasilar streaky opacities, slightly improved from prior study, are consistent with atelectasis. there is no focal consolidation, effusion, or pneumothorax. incidentally noted is an azygos fissure. there is mild unfolding of the descending thoracic aorta. otherwise, mediastinal and hilar contours are normal. heart size is normal.
<unk>m with chest pain // concern for aortic dissection
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low lung volumes cause bronchovascular crowding. mild subsegmental bibasilar atelectasis. there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. the cardiomediastinal silhouette is normal. there is no displaced rib fracture.
<unk>m with headache, dizziness s/p mvc, evaluate for trauma.
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right central venous catheter terminates in the right atrium. left pectoral pacemaker and its leads are in unchanged position. sternotomy wires are intact. mild bibasilar opacities are likely atelectasis in setting of low lung volumes. enlarged pulmonary vessels are slightly larger compared to <unk>. mildly enlarged cardiac silhouette is similar to before. trachea is mildly deviated to the left with luminal narrowing, similar to <unk>.
history: <unk>m with hypotension // hypotension
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there is no pleural effusion or pneumothorax. there is streaky atelectasis at the left lung base. there is no focal airspace consolidation that is worrisome for pneumonia. the pulmonary vasculature is normal. the cardiac and mediastinal contours are unremarkable.
heart failure, cirrhosis and asthma with mid chest pain and shortness of breath. evaluate for volume overload.
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hyperexpansion of the lungs is exaggerated by a pectus deformity of the sternum and elongated vertical diameter of the chest. there is no pleural effusion or pneumothorax. the cardiac silhouette is normal in size, the mediastinal contours are normal.
<unk>-year-old female with fever and productive cough.
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known pulmonary emboli and enlarged lymph nodes are better delineated on dedicated chest cta from <unk>. there is mild right basilar atelectasis. otherwise, the lungs are clear with no evidence of consolidation, effusion or pneumothorax. cardiomediastinal silhouette remains at the upper limits of normal. post cabg changes are again noted.
patient with recent pe with fever.
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frontal and lateral views of the chest demonstrate normal lung volumes. there is no pleural effusion, focal consolidation or pneumothorax. hilar and mediastinal silhouettes are unchanged. the heart size is normal. there is no pulmonary edema. scarring involving the right lung base is stable. partially imaged upper abdomen is unremarkable.
cough and fevers, in immunosuppressed patient.
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there is again a chest tube at the base of the right hemi thorax, unchanged in configuration. there is a trace remaining pneumothorax. the maximum distance between the outer pleural edge and inner chest wall measures <num> mm mm, similar to before. the patient is status post sternotomy. the cardiac, mediastinal and hilar contours appear stable. streaky opacities at the left base indicate minor atelectasis.
interval change in pneumothorax.
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heart size is mildly enlarged. the aorta is mildly tortuous and demonstrates diffuse mild atherosclerotic calcifications. pulmonary vascularity is normal and the lungs are clear. no pleural effusion or pneumothorax is present. no acute osseous abnormalities are detected.
cough, bilateral leg weakness.
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heart size is normal. the mediastinal and hilar contours are unremarkable. pulmonary vascularity is normal. lungs are clear. no pleural effusion or pneumothorax is seen. no acute osseous abnormality is detected.
cough, fever, body aches.
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right-sided dual-lumen central venous catheter tip terminates at the junction of the svc and right atrium. moderate cardiomegaly is re- demonstrated. the aorta is diffusely calcified. mild pulmonary vascular congestion is improved compared to the previous study. moderate size left and small right bilateral pleural effusions also appear somewhat improved. opacities in the lung bases likely reflect areas of compressive atelectasis. infection in the left lung base is not excluded. there is no pneumothorax. remote left mid clavicular fracture is again noted.
history: <unk>f with acute process
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severe cardiomegaly appears increased compared to the prior study. aorta remains tortuous. rightward deviation of the trachea is unchanged, and due to an underlying large thyroid nodule, as seen on the prior chest cta. central pulmonary vascular congestion is present along with perihilar haziness and probable trace right pleural effusion with small amount of fluid in the right minor fissure. patchy atelectasis is seen in the lung bases without focal consolidation. no pneumothorax is seen.
<unk>f with history of of chf, presents with shortness of breath
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portable ap chest radiograph is obtained with the patient in the upright position. esophageal stent and port-a-cath are unchanged. a pigtail catheter again noted projecting over the left base. cardiomediastinal contour is unchanged. right pleural effusion is perhaps slightly worse, left pleural effusion is stable. mild bilateral atelectasis. no pneumothorax.
<unk>-year-old man with pleural drain, ? resolution of pneumothorax.
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frontal and lateral radiographs of the chest demonstrate normal heart size, mediastinal and hilar contours. no focal consolidation, pleural effusion or pneumothorax.
jaundice and right upper quadrant pain.
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pa and lateral views of the chest. the lungs are clear. there is no pneumothorax or pleural effusion. the cardiomediastinal silhouette is normal. no acute osseous abnormality is identified.
<unk>-year-old female with chest pain and shortness of breath.
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single frontal chest radiograph demonstrates endotracheal tube terminating at the level of the clavicles. enteric catheter courses below the left hemidiaphragm and out of view. cardiomediastinal contours are unremarkable. prominence of the bilateral pulmonary arteries. increased opacification in the left lower lung is concerning for infiltrate. in addition, there is a sharply marginated opacification in the right upper lung better assessed on the concurrent chest ct concerning for malignancy.
post-intubation, evaluate tube placement.
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the lungs are well inflated and clear. bilateral nipple shadows noted. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax.
<unk>-year-old woman with lupus presents with cough and fever, evaluate for pneumonia.
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severe cardiomegaly and mediastinal pulmonary vascular engorgement are slightly increased from <unk>. mild interstitial pulmonary edema is unchanged from <unk>. bibasilar atelectasis is improved. no large pleural effusion. stable postoperative mediastinum.
<unk> year old woman with chf, mr, cad with dyspnea // eval for pulm edema, pna
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the lungs are normally expanded except for mild bibasilar atelectasis. minimal blunting of the costophrenic angles bilaterally is unchanged. the heart is not enlarged. mediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. not well seen on the portable radiograph of <unk> anterior wedging of a mid thoracic vertebral body is new since at least ct <unk>.
<unk> year old man with af and amiodarone start // baseline for amiodarone medication
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evaluation is somewhat limited due to multiple overlying lines and tubes. however, the endotracheal tube appears appropriately positioned within the mid trachea. an enteric tube is visualized with the tip at the gastric fundus. the lungs are clear with no evidence of consolidation, effusions, or pneumothorax. cardiomediastinal silhouette appears normal. postsurgical changes are noted with an anterior fusion of cervical spine.
evaluation of patient with seizure with new intubation.
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the cardiac, mediastinal and hilar contours are normal. lungs are clear. pulmonary vascularity is normal. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities present.
productive cough, myalgias.
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pa and lateral views of the chest provided. lung volumes are low. there is thickening of the right paratracheal stripe which raises concern for lymphadenopathy. no focal consolidation, effusion or pneumothorax is seen. the heart size is within normal limits. the bony structures are intact. no free air below the right hemidiaphragm.
<unk>m with fever and ha and cough x<num> days // infectious process
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a right chest port terminates in the low svc. unremarkable cardiomediastinal silhouette. no pneumothorax. no pleural effusion. lungs are clear.
<unk>f w/ ?ms flare <unk> for <unk> change as infectious etiology // <unk>f w/ ?ms flare <unk> for <unk> change as infectious etiology
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there is mild to moderate enlargement of the cardiac silhouette, new since prior exams. the mediastinal contours are within normal limits. the bilateral hila are somewhat obscured by parenchymal opacities. there are diffuse bilateral airspace opacities, less prominent in the upper lobes bilaterally, new since prior exam. there is biapical pleural parenchymal scarring. there is no pleural effusion or pneumothorax.
<unk>-year-old man in respiratory distress, evaluate for chf.
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portable ap upright chest radiograph is obtained. the tip of a right-sided picc line terminates in the upper svc. basilar atelectasis is unchanged. there is no pulmonary consolidation or pneumothorax. dual-chamber pacing leads and mitral valve prosthesis are in unchanged position. sternotomy wires are intact.
<unk>-year-old man with movement of a picc line.
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the lungs are well expanded and clear. no pleural abnormality seen. the hilar and mediastinal silhouettes are unremarkable. there is no free air under the right hemidiaphragm.
<unk>m with palpitations, dizziness. // a-flutter, sob
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the lungs are clear. there is no focal consolidation, effusion, or edema. the cardiomediastinal silhouette is normal. no acute osseous abnormalities.
<unk>f with chronic cp syndrome p/w ongoing cp x<num> days // eval for acute cardiopulm process
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patient is status post median sternotomy and cabg. the cardiac, mediastinal and hilar contours are within normal limits. lungs are hyperinflated. no focal consolidation, pleural effusion or pneumothorax is present. moderate degenerative changes are noted in the thoracic spine.
history: <unk>m with cough
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there are possible small bilateral pleural effusions. pulmonary vascular congestion is improved. endotracheal tube is in the appropriate position. cardiac size is mildly enlarged. there is no pneumothorax.
<unk> year old man with ams unclear etiology, no intubated // progression on r pleural effusion
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two frontal images of the chest demonstrate well-expanded lungs. there is blunting of the left costophrenic angle due to some pleural thickening and likely small pleural effusion. chest radiograph is otherwise essentially unchanged from prior imaging. there is some slight atelectasis at the right base. cardiomediastinal silhouette is unchanged. persistent elevation of the left hemidiaphragm is again seen. there is mild cardiomegaly which is stable.
<unk>-year-old male with hemorrhagic stroke, now with concern for pneumonia.
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the cardiac, mediastinal and hilar contours appear stable including mild cardiomegaly. there is no pleural effusion or pneumothorax. streaky opacity suggesting minor scarring appears unchanged at the base of the right lung. the lungs appear otherwise clear.
altered mental status.
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there is atelectasis at the left lung base. previously seen mediastinal lymphadenopathy is not well evaluated on radiograph. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with recent pna and end exp wheezing // ? infectious process
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ap and lateral views of the chest. bibasilar opacities again noted, potentially due to atelectasis. the lungs are otherwise clear without effusion or pneumothorax. the cardiomediastinal silhouette is unchanged. surgical clips project over the left upper quadrant. no displaced fractures identified. healing left lateral <num>th rib fracture is identified.
<unk>-year-old female with multiple unwitnessed fall and confusion.
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compared to prior examination, the patient has been extubated and the ng tube has been removed. there is otherwise no significant change with redemonstration of a large layering right-sided pleural effusion as well as diffusely scattered reticulonodular parenchymal opacities. there is no pneumothorax.
recent extubation after hypoxic respiratory failure, has acute renal failure with anuria, now short of breath after albumin administration.
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right picc terminates in the right atrium and should be withdrawn by <num> cm to reach the cavoatrial junction. ng tube appears unchanged terminating in the stomach. lung volumes are low and the lungs are clear. no pneumothorax.
<unk> year old man with tachy // tachy
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear with resolution of recently described heterogeneous right lower lobe opacities. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. healed left rib fractures are again demonstrated as well as slight elevation of the left hemidiaphragm
pneumonia
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the opacity seen previously over the right upper lobe is no longer visualized. cardiomediastinal silhouette is unremarkable. lungs are well expanded and clear. no pleural effusions and no pneumothorax.
<unk>-year-old woman with left upper lobe pneumonia, now asymptomatic post antibiotics, followup radiograph to document resolution.
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the cardiac silhouette is normal. the mediastinum is not widened. minimal calcifications are noted within the aortic arch. linear opacity at the left lung base likely represents atelectasis. no focal lung consolidation is seen. there is no pleural effusion or pneumothorax.
<unk>m with epigastric pain radiating to the back // eval for wide mediastinum .
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the lungs are fully expanded and clear. the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. pleural surfaces are unremarkable.
<unk>m with fever and chills, evaluate for pneumonia.
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the heart is normal in size. the mediastinal and hilar contours appear unchanged. there is cephalization of the pulmonary vascularity, suggesting pulmonary venous hypertension or mild vascular congestion, also supported by peribronchial cuffing. there is no pleural effusion or pneumothorax.
status post fall. question fracture.
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the cardiac, mediastinal and hilar contours are within normal limits. pulmonary vascularity is normal. lungs are clear. no pleural effusion or pneumothorax is present. there are mild degenerative changes in the thoracic spine. cholecystectomy clips are present within the right upper quadrant of the abdomen.
bandlike chest pain similar to anginal equivalent.
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there is no pleural effusion, or pneumothorax. cardiomediastinal and hilar silhouettes are normal size. there is mild atelectasis at right lung base. there is a left pectoral pacemaker with a lead terminating at the right ventricle.
<unk> year old man s/p icd // confirm lead placement
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cardiac, mediastinal and hilar contours are unremarkable. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. multilevel degenerative changes are again noted in the thoracic spine.
history: <unk>m with recent colorectal surgery in <unk>, now with fever and wound dehiscence. also has cough with white phlegm.
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assessment is somewhat limited due to patient rotation. the lung volumes are hyperinflated with flattening of the diaphragms. findings are suggestive of underlying copd. the heart size remains mildly enlarged. the aortic knob is calcified. mild pulmonary vascular engorgement is present, but improved compared to the prior exam. blunting of the costophrenic angles posteriorly suggest trace bilateral pleural effusions. no pneumothorax or focal consolidation is present. wedge compression deformity of a mid thoracic vertebral body, deformity of the right proximal humerus, and right sided rib fractures are again noted
shortness of breath.
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chain sutures are noted overlying the peripheral left lung and right lung base consistent with known history of prior lung sections. a right pigtail pleural catheter appears unchanged in position. cardiomediastinal silhouette is unchanged. previously seen opacity at the right mid to lower lung appears unchanged compared to prior study and likely represents atelectasis however a superimposed pneumonia cannot be excluded in the appropriate clinical setting. small right pleural effusion is unchanged compared to prior radiograph from earlier the same day. there is persistent fluid tracking within the pleura along the right lateral chest. small right apical pneumothorax is unchanged compared to study earlier the same day. multiple postsurgical clips are noted in the mid abdomen
<unk> y/o m with a history of testicular cancer with lung metastasis s/p chemotherapy surgery in the <unk>, who had been doing well, but presented to his pcp earlier today with <num> weeks of increasing dyspnea on exertion, and was found to have a large right-sided pleural effusion on cxr. // improvement to effusion. please do at <unk>
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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 cough // <unk> yo f with persistent cough
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there has been interval removal of the left-sided chest tube. support lines and tubes are otherwise unchanged in position when compared to the prior study. no pneumothorax seen. there is pleural fluid seen tracking along the upper chest, multiple overlying rib fractures are seen. there are persistent bilateral diffuse airspace opacities consistent with pulmonary edema. overall, appearances are grossly unchanged compared to the prior study.
<unk> year old man s/p l ct removal // eval interval change
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no radiopaque foreign body is seen along the expected course of the esophagus. sternal wires and mediastinal clips likely reflect prior cabg. no pleural effusion, pneumothorax, or pulmonary edema is seen. scarring and suggestion of bronchiectasis at the right lung apex has slightly increased compared to <unk>. heart and mediastinal contours are within normal limits.
<unk>-year-old male with foreign body sensation and vomiting after eating.
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frontal and lateral radiographs of the chest were acquired. the lungs are clear. note is made of an azygous lobe and fissure. the heart size is normal. mediastinal contours are normal. there is no pneumothorax. no displaced rib fractures are identified.
status post mvc, now with left flank pain. evaluate for rib fracture or pneumothorax.
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mild cardiomegaly is stable. severe global pulmonary opacification has worsened considerably over <num> hr. transvenous right atrial and right ventricular pacer leads follow their expected courses, unchanged, continuous from the left pectoral generator. bilateral pleural effusions are trace.
history: <unk>f with xfer from osh for flash edema vs worsening cardiogenic shock, bibasilar edema on osh cxr // eval ? worsening edema
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pa and lateral chest radiographs demonstrate clear lungs. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.
fever and shortness of breath.
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the cardiac and mediastinal silhouettes are grossly stable given differences in patient position. left basilar atelectasis/ scarring is seen without definite focal consolidation no large pleural effusion or pneumothorax. no pulmonary edema. chronic deformities of the bilateral shoulders and acromioclavicular joints
history: <unk>f with ams // eval for infiltrate
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heart size is normal. cardiomediastinal silhouette and hilar contours are unremarkable. lungs are clear. pleural surfaces are clear without effusion pneumothorax. no displaced rib fracture is seen.
history of recent pulmonary embolus presenting with right-sided rib pain.
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central venous catheter entering via a right internal jugular approach terminates at the junction of the svc and right atrium. no pneumothorax is identified. moderate pulmonary edema appears slightly worse in the interval. there is persistent moderate enlargement of cardiac silhouette. small bilateral pleural effusions and bibasilar atelectasis persists.
right central line placement.
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left-sided port-a-cath tip terminates in the proximal right atrium. heart size is top normal. aorta remains tortuous. mediastinal and hilar contours are similar. pulmonary vasculature is not engorged. lung volumes are low with bibasilar patchy opacities, likely atelectasis. no focal consolidation, pleural effusion or pneumothorax is present. skin <unk> are seen overlying the upper abdomen as well as intra-abdominal catheters and several clips. no subdiaphragmatic free air is seen.
history: <unk>m with vomiting, upper abdominal pain
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frontal and lateral views of the chest demonstrate prominent cardiac silhouette and mildly tortuous thoracic aorta, with arch calcifications. the lungs appear hyperexpanded with perihilar retractile changes and diaphragmatic flattening, configuration compatible with emphysema. there is no pneumothorax, vascular congestion, or large pleural effusion. plate-like atelectasis is seen in the left base. there may have been prior healed fracture of the posterolateral left second rib.
<unk>-year-old male status post fall while on coumadin. question trauma.
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pa and lateral chest radiographs were obtained. the lungs are well expanded and clear. there is no focal consolidation, effusion, or pneumothorax. cardiac and mediastinal contours are normal.
fever and cough
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portable ap chest radiograph is obtained. cardiomediastinal silhouette is unchanged. increased hazy opacification at the right base likely represents layering of the pleural effusion. lungs are clear. no pulmonary edema. small right pleural effusion; no effusion on the left. no pneumothorax.
<unk>-year-old man with a history of recent aortic valve replacement, now presenting with rectal bleeding and mild shortness of breath in the setting of holding diuresis, please assess for pulmonary edema.
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lung volumes are low. there is no focal consolidation, effusion, or pneumothorax. mediastinal and hilar contours are normal. heart size is normal. vp shunt projects over the chest.
<unk> year old man with sepsis, spina bifida // r/o pna
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low lung volumes persist in the patient is somewhat rotated. elevation of the right hemidiaphragm persist. right base opacity could be due to atelectasis although consolidation, potentially due to infection or aspiration, is not excluded in the appropriate clinical setting. no large pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are not well assessed due to the low lung volumes although mediastinal contours are unremarkable and similar to prior.. chronic deformity at the right shoulder is re- demonstrated. the study is suboptimal for the assessment of rib fractures.
<unk> year old woman with cellulitis and recent fall // eval for pna, also look for rib fractures with recent fall
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semi-upright portable chest radiograph demonstrates interval improved aeration of the bilateral upper lungs; however, there is persistent if not slightly improved bibasilar opacifications, possibly due to atelectasis and bilateral pleural effusions, though superimposed infectious process is not excluded.
shortness of breath, afebrile, assess for pulmonary edema.
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heart size is normal. the mediastinal and hilar contours are unchanged, with tortuosity of the thoracic aorta again noted. atherosclerotic calcifications are seen throughout the aorta. pulmonary vasculature is normal. no focal consolidation, pleural effusion or pneumothorax is present. multilevel degenerative changes are seen in the thoracic spine. clips in the right upper quadrant of the abdomen are re- demonstrated.
history: <unk>f with malignancy, recent cycle chemo last week, dvt last month, now w/ sirs+ presentation, malaise, jvd, epig abd pain since last night
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since the prior exam, a new right internal jugular central venous catheter is in place with the tip in the upper svc. the bilateral opacities have worsened, and there is new mild vascular congestion without overt pulmonary edema. there is no pleural effusion, though of the very inferior costophrenic angles are not included in the field of view. there is no pneumothorax. the cardiopulmonary silhouette is normal.
evaluate placement of the right internal jugular catheter.
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the lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. cardiomediastinal silhouette is normal. no acute fractures are identified.
cough and congestion.
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endotracheal tube terminates <num> cm above the carina. enteric tube is in the stomach with tip not visualized. right picc is in the mid svc. cardiomediastinal silhouette is stable. increased heterogeneous right basilar peribronchial opacities could represent aspiration or pneumonia. mild left basilar atelectasis. no large effusion or pneumothorax.
<unk> year old woman with ms changes, here on the med floor for a month, now found aspirating // intubated also check ngt placement
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left picc line is in unchanged position. tracheostomy tube is in unchanged position. the lung volume is small. left perihilar opacity has worsened, likely worsening pneumonia. left lower lobe atelectasis has improved. no pleural effusions or pneumothorax. the cardiomediastinal silhouette is unchanged.
<unk> year old man with concern for pneumonia // eval for pneumonia
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a portable ap radiograph of the chest demonstrates clear lungs and normal hilar and cardiomediastinal contours. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal. left lower lobe mass seen on subsequent ct is not visible on this study.
chest pain.
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cardiac, mediastinal and hilar contours are normal. the pulmonary vasculature is not engorged. linear areas of scarring within the right middle and lower lobes compatible with prior regions of wedge resection are unchanged as is elevation of the right hemidiaphragm. blunting of the right costophrenic angle appears to be chronic, likely related to scarring. no focal consolidation, pleural effusion or pneumothorax is seen. no acute osseous abnormality detected.
cough, chills
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cardiac, mediastinal and hilar contours are normal. lungs are clear and the pulmonary vascularity is normal. no pleural effusion or pneumothorax is seen. no acute osseous abnormality is identified.
cough.
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the heart size is mildly enlarged, stable compared to the exam from <unk>. the hilar and mediastinal contours are normal. no focal consolidations, pleural effusions, or pneumothoraces are seen. the visualized osseous structures are unremarkable.
<unk>-year-old female with cough and fever x<num> days with decreased breath sounds in the right lower lobe who presents for evaluation.
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the heart size is normal. the hilar and mediastinal contours are unremarkable. the lungs are well expanded and clear. there is no evidence of a pneumothorax or pleural effusion. the visualized osseous structures are unremarkable.
<unk>-year-old male from <unk>, with a positive ppd who presents for evaluation.
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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.
history: <unk>m with atrial fibrillation with rapid ventricular rate. evaluate for pneumonia.
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streaky bibasilar opacities are noted, most likely atelectasis given slightly lower lung volumes. elevation the right hemidiaphragm is again noted. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>f with preop for cholecystitis // pneumonia
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the heart size is top normal. mediastinal and hilar contours are unchanged with prominence of the right upper mediastinal contour likely due to the presence of a known thyroid goiter. pulmonary vasculature is not engorged. small left pleural effusion appears slightly improved with mild adjacent atelectasis. there is no focal consolidation, right pleural effusion or pneumothorax. mild degenerative changes are seen in the thoracic spine.
history: <unk>m with chest pain
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heart size is top normal. mediastinal and hilar contours are normal. there is no pulmonary vascular congestion, pulmonary edema or pleural effusion. the lungs are well expanded and clear. there is excess soft tissue in the retrosternal airspace at the level of manubrium appreciated on the lateral view. no pneumothorax.
<unk>-year-old with history of tb, with <num> days of worsening cough and pain.
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single frontal radiograph of the chest demonstrates a moderately enlarged cardiac silhouette. diffuse bilateral airspace opacities are noted most consistent with pulmonary edema. likely small left pleural effusion.
respiratory distress, question pneumonia.
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the lungs are clear besides mild bibasilar atelectasis. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.
<unk>f with chest pain // ? chf
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again seen are calcific densities projecting over the left lung base which are unchanged. not definitively calcified right base pulmonary nodule is seen projecting over the posterior eighth rib. the lungs are otherwise clear with consolidation. the cardiomediastinal silhouette is within normal limits.
<unk>m with tremor, weakness // eval for pneumonia
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there is no focal consolidation, effusion or pneumothorax. the cardiomediastinal silhouette is normal. there has been interval resolution of pulmonary vascular congestion since <unk>.
lymphoma, shortness of breath. history of chf. assess for abnormalities.
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the heart is borderline enlarged. the mediastinal and hilar contours appear within normal limits. there are no pleural effusions or pneumothorax. the lungs appear clear.
chest pain.
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ng tube is seen coursing into the stomach. cardiac size is top normal. cardiac pacemaker with lead in right ventricle is present. right-sided pleural fluid is again present. a more oval opacity on the right is also part of the pleural fluid. patient is status post right-sided lobectomy.
ng tube placement.
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compared to the prior exam, lung volumes are slightly lower. slight interval increase in left infrahilar opacity may reflect developing atelectasis. elevation of the left hemidiaphragm is unchanged. mild right basilar atelectasis. aortic knob calcifications are similar the prior exam. no pneumothorax. no pleural effusion. heart size is difficult to assess. nonspecific gaseous distension of visualized bowel loops in the left upper quadrant.
<unk>-year-old woman presenting with dyspnea; evaluate for acute cardiopulm 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>f with agitation // ?pna
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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. <num> lead left-sided pacer is seen with leads extending the expected positions of the right atrium and right ventricle. no pulmonary edema is seen. degenerative changes are incidentally noted along the spine. no acute displaced fracture seen.
history: <unk>m with left arm pain // ?cause for chest/arm pain
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as compared to prior chest radiograph from <unk>, lung volumes remain low. there is increased retrocardiac density and increased density at the right lung base, most suggestive of atelectasis. small bilateral pleural effusions are likely present. there is no pneumothorax. the cardiomediastinal and hilar contours are unchanged.
<unk>-year-old male patient with tracheobronchomegaly, multiple prior pneumonias status post bronch on <unk>, and worsening dyspnea. study requested for evaluation of pneumonia and/or other acute processes.
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lung volumes are low. moderate enlargement of the cardiac silhouette is re- demonstrated. the aorta remains tortuous. the pulmonary vasculature is normal. minimal patchy opacities in the lung bases likely reflect atelectasis. no focal consolidation, pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. levoscoliosis of the thoracic spine is noted.
dizziness, not feeling well.
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lower half of the chest has not been included on this radiograph. again visualized is a large right pleural effusion with underlying right lower and middle lobe atelectasis. swan-ganz catheter is in appropriate position. intra aortic balloon pump remains less than <num> cm from the apex of the aortic arch and should be slightly retracted. small left pleural effusion persists. no interval change in bony thorax.
<unk> year old man with chf exacerbation, right sided pleural effusion and iabp. // evaluate for interval change
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endotracheal tube terminates <num> cm above the carina. bibasilar atelectasis and scarring is seen without pleural effusion. retrocardiac opacity could reflect atelectasis as well. there is no pneumothorax, with normal cardiomediastinal contours. nasogastric tube terminates in the distal esophagus and could be advanced <num> cm.
intubation, assess tube placement.
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the lungs are well inflated. mediastinal clips and median sternotomy wires, as well as aortic arch calcifications are unchanged. there is no pleural effusion, pulmonary edema, pneumothorax, or focal consolidation. right glenohumeral degenerative change with osteophyte formation is again noted.
history: <unk>m with shortness of breath // eval for pna
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pa frontal and lateral chest radiographs demonstrate an well-expanded lungs. there is no focal consolidation. there is a small left-sided pleural effusion with atelectasis of the left base. the hilar and mediastinal is better appreciated on ct dated <unk>. there is no pneumothorax. no pneumoperitoneum is identified on this upright radiograph.
<unk>-year-old female with lymphoma and possible bowel wall involvement with recurrent severe abdominal pain. rule out free air in the abdomen.
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no focal consolidation, pleural effusion or pneumothorax identified. the size of the cardiac silhouette is within normal limits. there is soft tissue prominence in the right hilar region which may represent a prominent ascending aorta or lymphadenopathy.
<unk> year old woman with asthma, here for diverticulitis, increased wheezing and anxiety // ?fluid overload
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frontal and lateral views of the chest were obtained. the heart is of normal size with normal cardiomediastinal contours. the lungs are clear. no pleural effusion, focal consolidation, or pneumothorax. no radiopaque foreign body.
<unk>-year-old female with cough and fever. evaluate for pneumonia.
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pa and lateral views of the chest provided. clips are noted in the right upper quadrant. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>f with <num> weeks of night sweats // pna, tb
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lungs are well-expanded and clear. cardiomediastinal hilar contours are stable. the aorta is tortuous. there is no pneumothorax, pleural effusion, or consolidation.
history: <unk>m with right upper quadrant pain // pneumonia
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there is volume loss and increased areas of opacity in both lower lungs. lung markings are increased.small bilateral effusions
dyspnea.
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on prior chest, patient had a bilateral bronchiectasis, bronchial wall thickening, and mucoid impaction, most severe in the lower lobes bilaterally. bibasilar opacities on the current study are similar in distribution in comparison to the prior ct. cardiac and mediastinal silhouettes are stable. hilar contours are stable.
history: <unk>m with sob and hx of bronchiectasis // eval pneumonia
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extensive pleural disease and calcification is present. subtle chf may be difficult to exclude in this field of the increased interstitial markings which was present on the previous study. the interstitium markings may have increased slightly. the heart is grossly enlarged and has increased in size somewhat since the previous study. this could be due to cardiac decompensation, but a pericardial effusion might be considered.. the osseous structures are normal for age. the patient has median sternotomy closures and mediastinal clips consistent with coronary artery bypass graft.
<unk> year old man with <unk> yo m transfer with cabg, paf on xarelto, pulm htn, pulm asbestosis, diastolic chf presents to the ed for hf decompensation and has had fevers to <unk>.<num>. // pneumonia?
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the lungs are symmetrically well expanded and well aerated without focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. 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.
history of recurrent pneumonia, now with cough and congestion, here to evaluate for pneumonia.