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the patient is status post sternotomy. the aortic contours appear unchanged on radiography. the cardiac, mediastinal and hilar contours appear stable. streaky basilar opacities have improved and residual remaining opacities are more suggestive of atelectasis than pneumonia. surgical clips project over the right axillary region. right-sided rib deformities appear unchanged with associated slight pleural thickening. there is no definite pleural effusion or pneumothorax. the bones are probably demineralized. loss in height among several mid through lower thoracic vertebral bodies appears unchanged.
extensive past medical history including prior aortic dissection repair and atrial fibrillation.
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a port-a-cath terminates in the lower superior vena cava. the cardiac, mediastinal, and hilar contours appear unchanged. there is no pleural effusion or pneumothorax. streaky left basilar opacity appears unchanged and suggests minor atelectasis. otherwise, the lungs appear clear.
tachycardia.
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the previously described wedge-shaped opacity in the left lung is no longer present. new focal opacity with air bronchograms in the left lower lung just below the major fissure, concerning for pneumonia. the right lung is clear. no pleural effusion, pulmonary edema, or pneumothorax. the cardiomediastinal silhouette is normal.
<unk> year old woman with previous possible pneumonia; follow-up x-ray to establish resolution.
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cardiac size is normal. tracheostomy tube is in standard position. a right pleural effusion is small. right lower lobe opacities could be atelectasis or pneumonia in the appropriate clinical setting. otherwise the lungs are clear. there is no pneumothorax . right picc tip is in the upper svc
<unk> year old woman with wheezing // ?pna
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the cardiac silhouette is moderately a markedly enlarged. the aorta is unfolded. no pleural effusion is seen. no definite focal consolidation is seen. in the left mid to lower lung retrocardiac region there is an apparent rounded opacity, measuring approximately <num> x <num> cm ; the differential diagnosis being pulmonary nodule versus artifact. recommend follow-up chest ct for further assessment. prominence of the central pulmonary vasculature suggests pulmonary vascular engorgement without overt pulmonary edema.
<unk> year old man with pmh of heart issue (pt is confused and no records), now with cp and sob, edema on exam // any e/o pulmonary edema?
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there are low lung volumes with crowding of the bronchovascular structures. there is a hazy opacity in the right lung base, unchanged from prior exam, which likely represents atelectasis with probable pleural effusion. the cardiomediastinal silhouette is mildly enlarged, stable from prior exam. there is no pneumothorax or large pleural effusion.
shortness of breath.
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the dobbhoff is seen within the stomach. it is not in the post-pyloric position. a right subclavian hemodialysis catheter ends in the mid svc. a left picc ends at least in the low svc, although the tip is difficult to visualize. a linear opacity at the right base is unchanged and likely represents chronic atelectasis. atelectasis at the left base is stable. there are no new consolidations. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.
evaluate dobbhoff tube.
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endotracheal tube tip in good position. enteric tube tip is near gastroduodenal junction. right ij central line tip in the right atrium. stable extra pulmonary of masses in the upper chest. stable bilateral pulmonary infiltrates. right pleural effusion has mildly increased. shallow inspiration accentuates heart size. stable osseous lesions. stable multilevel mild compression fractures.
<unk> year old woman intubated with new tachypnea // assess for pulm edema, interval change
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there is mild basilar atelectasis without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable, with the cardiac silhouette mildly enlarged. hilar contours are stable. there is no pulmonary edema. .
history: <unk>f with chest pain, hypoxia // eval infiltrate, chf
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no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable and unremarkable. hilar contours are stable. previously seen opacity in the medial aspect of the left upper lobe has decreased in the interval. no new focal consolidation is seen.
chest pain, shortness of breath.
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focus of air noted behind the heart on the lateral view raises the possibility of pneumomediastinum. the cardiomediastinal contours are otherwise normal. no focal consolidation, pleural effusion or pneumothorax is identified.
chest pain, shortness of breath.
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portable single frontal chest radiograph was obtained. there is mild atelectasis at the right lung base. no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. the heart size is normal. mediastinal and hilar contours are within normal limits. median sternotomy wires and closure devices are intact.
patient with acute copd exacerbation, now with fevers and worsening shortness of breath, rule out infection.
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patient is status post median sternotomy, cabg, and coronary artery stenting. moderate cardiomegaly is present. the aorta is tortuous and diffusely calcified. there is mild pulmonary vascular congestion. hilar contours are otherwise unremarkable. patchy atelectasis is demonstrated the lung bases without focal consolidation. no large pleural effusion or pneumothorax is demonstrated. no acute osseous abnormality is present.
history: <unk>m with severe chest pain, hypotension // eval for pneumothorax, acute process
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left pectoral pacemaker leads terminate in right atrium and right ventricle. no consolidation, pneumothorax, or pleural effusion is identified. cardiomediastinal silhouette is normal size. severe dextroscoliosis of the thoracic spine is noted.
history: <unk>f with ams // ams
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the patient is status post median sternotomy and cabg. the heart size is moderately enlarged, unchanged. the mediastinal contour is stable with tortuosity of the thoracic aorta again noted. prominent right upper paratracheal bulge is due to the presence of tortuous vessels and remains unchanged. hilar contours remain enlarged compatible with pulmonary arterial hypertension. lung volumes are low which causes crowding of the bronchovascular structures. prominent bilateral interstitial markings and patchy opacities in the lung bases likely reflect an element of mild pulmonary edema, though infection or aspiration the lung bases cannot be completely excluded. minimal fluid is seen along the right major fissure. there is no pneumothorax.
shoulder and neck pain with vomiting.
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there are relatively low lung volumes, but no definite focal consolidation. no definite pleural effusion is seen. there is no pneumothorax. the cardiac and mediastinal silhouettes are stable.
history: <unk>f with ? left sided pleural effusion on ct neck // eval for pleural effusion or pna
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the inspiratory lung volumes are appropriate. no infiltrate, effusion, or pneumothorax is identified. the cardiomediastinal and hilar contours are within normal limits with mild tortuosity of the thoracic aorta. no acute osseous abnormalities detected. there is no free air beneath the diaphragm.
history: <unk>m with chest discomfort, af // eval for structural process eval for structural process
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the lungs are well expanded and clear bilaterally with no focal consolidation, masses, lesions, pleural effusion, or evidence of pneumothorax. cardiomediastinal silhouette is within normal limits. pleural surfaces are unremarkable.
<unk>-year-old woman with cough, fever and asthma x<num> days.
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the heart is normal in size. the aortic arch is heavily calcified. otherwise, the mediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. streaky opacity in the left costophrenic sulcus suggests minor atelectasis or scarring. otherwise, the lungs appear clear. there no pleural effusions or pneumothorax.
dizziness and unsteady gait.
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pigtail catheter projects over the right lower hemithorax, unchanged. ett in standard position. left ij approach central venous catheter tip also unchanged projecting over the right atrium. left picc tip also unchanged. diffuse bilateral airspace opacities are indicated. interval increase in right lower lobe opacity is concerning for developing pneumonia. opacity in the left lobe is also unchanged. no pleural effusion. no pneumothorax. cardiomediastinal silhouette unchanged.
<unk> year old man with moderate ards // eval interval change
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compared with the immediate prior study of <unk>, mild pulmonary edema has resolved. persistent heterogeneous opacification of the left base is most likely atelectasis related to low lung volumes. if infectious symptoms develop, repeat radiographs to assess for developing pneumonia are recommended. there is mild atelectasis at the right base. multiple, bilateral, old, well healed rib fractures are noted. there is no pleural effusion, pneumothorax, or pulmonary edema. the heart size is stably top-normal.
<unk> year old man with epilepsy // decreased r sided breath sounds decreased r sided breath sounds
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lungs are hyperinflated. there is no consolidation, pleural effusion, or pneumothorax. cardiomediastinal and hilar silhouettes are normal size.
<unk>m with uri sxs, recent travel from <unk>, asymmetric wheezing // eval ? infiltrate
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the support devices are unchanged. no pulmonary edema, pleural effusions or pneumothorax. no acute pneumonia. mild cardiomegaly is unchanged.
<unk> year old man with chf // ?pulm edema
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an enteric tube tip is within the stomach. cardiac, mediastinal and hilar contours are normal. pulmonary vasculature is normal. atelectasis is seen within the right lung base. no focal consolidation, pleural effusion or pneumothorax is present. excreted contrast administered for a recent ct exam is seen within the collecting systems bilaterally. previously demonstrated pneumoperitoneum on ct is not well visualized on the current radiograph.
history: <unk>m with perforated abdomen
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portable semi-upright radiograph of the chest demonstrates low lung volumes which results in bronchovascular crowding. there is an area of increased opacification at the left base, likely representing a combination of pleural effusion and adjacent atelectasis. the right lung is essentially clear. there is an area of increased opacification in the left mid lung zone, an area of presumed lung biopsy. there is a small left-sided apical pneumothorax. cardiomediastinal and hilar contours are unchanged.
<unk>-year-old man status post transbronchial biopsy. evaluate for pneumothorax.
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again seen is cardiomegaly, with upper zone redistribution and diffuse vascular blurring, small to moderate left effusion with underlying collapse and/or consolidation, and patchy opacity at the right base, with possible small right effusion. patchy opacity at the right base has increased slightly compared with the prior film. no pneumothorax detected.
<unk> year old woman with increased sob // pneumothorax, pleural effusions?
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pa and lateral views of the chest. the lungs are clear. the cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable.
<unk>-year-old female <num> weeks of cough and shortness of breath.
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cardiomediastinal contours are stable with cardiac size top-normal. . the lungs are clear. there is no pneumothorax or pleural effusion. the osseous structures are unremarkable
<unk> year old woman with asthma who continues to feel short of breathe after exposure to a fire and a lot of smoke. difficulty taking deep breathes because of pain extending from mid right back to right flank area. // evaluate for pathology
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ap and lateral chest radiographs were provided. lung volumes are low. there is no focal consolidation, pleural effusion, or pneumothorax. cardiomediastinal silhouette is normal. the bones are intact.
<unk>-year-old female with right shoulder pain, evaluate for pneumothorax or fracture.
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frontal and lateral views of the chest. streaky bibasilar opacities are likely due to atelectasis given lower lung volumes on the current exam. the lungs are otherwise clear. the cardiomediastinal silhouette is unchanged. no acute osseous abnormality is identified.
<unk>-year-old male with headache.
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ap single view of the chest was obtained with patient in semi-upright position. comparison is made with the next preceding similar study obtained eight hours earlier during the same day. the patient remains intubated, the ett in unchanged position. bilateral subclavian approach central venous lines are present, now indicating that a new right-sided subclavian central venous line has been placed. the termination of this line is very close to that of the pre-existing left-sided line and is located to the mid portion of the svc. no pneumothorax can be identified. the previously described bilateral pleural effusions persist and result in crowded appearance of the basal pulmonary vasculature. there also is an element of perivascular haze and prominence of the vasculature in the upper zones suggestive of markedly increased pulmonary venous pressure. in comparison with the next preceding, the hazy parenchymal densities in the periphery have regressed. an ng tube is present and appears in unchanged position, reaching far below the diaphragm.
<unk>-year-old female patient with subdural hematoma and subarachnoid hemorrhage, intraparenchymal hematoma and pneumonia, check left subclavian central venous line placement, assess for pneumothorax.
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ap portable upright view of the chest. an endotracheal tube and orogastric tube are unchanged in position. there is continued mild opacification at the right apex with adjacent atelectasis, unchanged in comparison to radiographs dating back to <unk>. there is no pneumothorax. small bilateral pleural effusions are minimally changed since <unk>. no new superimposed consolidation is seen.
<unk> year old woman with vent dependent resp failure, increased secretions // please assess for worsening of lung fields
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frontal and lateral chest radiographs demonstrate a normal cardiac silhouette and hyperinflated lungs with elevation of the hila. there appears to be biapical scarring, but no focal consolidation, pleural effusion, or pneumothorax. the visualized upper abdomen is unremarkable.
evaluate for pneumonia in an <unk>-year-old man with confusion.
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the lungs are clear without focal consolidation or effusion. cardiomediastinal silhouette is stable. median sternotomy wires and mediastinal clips are again noted. sclerotic focus in the proximal left humerus may represent a bone island.
<unk>m with unsteady gait ,leaning to the r with walking // code stroke
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chest, pa and lateral. the lungs are clear. the hilar and cardiomediastinal contours are normal. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal. the patient is status post median sternotomy with multiple surgical clips in the region of the heart.
shortness of breath.
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focal increased density compared to the prior exam in the right middle lobe is consistent with pneumonia given the provided history. no pleural effusion, edema, or pneumothorax. the heart is normal in size. the mediastinum is not widened.
<unk>-year-old man with cough and fever. evaluate for pneumonia.
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pa and lateral chest radiographs demonstrate a right port-a-cath terminating in low svc. the lungs are clear. the cardiomediastinal silhouette is normal.
history of lymphoma with cough and congestion.
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pa and lateral views of the chest are compared to previous exam from <unk>. the lungs are clear of focal opacity or large confluent consolidation. minimal linear opacity seen at the left lung base on the frontal view, not visualized on the lateral, which could be due to atelectasis. the costophrenic angles are sharp. the cardiomediastinal silhouette is within normal limits. hypertrophic change is seen in the spine.
<unk>-year-old male with shortness of breath and cough and intermittent fevers and weight loss.
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left-sided port-a-cath terminates in the low svc/ cavoatrial junction without evidence of pneumothorax. slight prominence of the central pulmonary vasculature suggests central pulmonary vascular engorgement without overt pulmonary edema. no pleural effusion is seen. left base atelectasis without focal consolidation. cardiac and mediastinal silhouettes are stable.
history: <unk>m with neck pain // eval portacath
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pa and lateral views of the chest were reviewed and compared to the prior study. the lungs are clear, and minimally hyperinflated. the heart size is normal and calcification in the arch of the aorta is unchanged. there is no evidence of vascular congestion, pleural effusion, or pneumothorax. there are no concerning osseous or soft tissue abnormalities.
cough for one month.
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the lungs are relatively well expanded with mild atelectasis in the left lung base. the heart is mildly enlarged. the aorta is tortuous, with calcifications noted in the aortic arch. there is no pleural effusion, pulmonary edema, pneumothorax, or focal consolidation worrisome for pneumonia.
history: <unk>m with pre-op, hypoxia // infiltrate
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the cardiac, mediastinal and hilar contours appear unchanged. there is no pleural effusion or pneumothorax. a vague opacity is new in the right mid lung, probably in the anterior segment of the right upper lobe, although not well depicted on the lateral view. elsewhere, the lungs remain clear. the chest is hyperinflated.
fever and congestion.
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linear opacities at the lung bases bilaterally reflect a combination of scarring and atelectasis as seen on a prior cross-sectional study of the chest. there is no new focal consolidation, pleural effusion, or pneumothorax. heart size and mediastinal contours are stable. osseous structures appear intact.
<unk>f with weakness and pre-syncopal // r/o pna
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there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. the imaged upper abdomen is unremarkable. the bones are intact.
history: <unk>m with cough and fevers // ? pna
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the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. an azygos fissure is incidentally noted. there is no pleural effusion or pneumothorax.
<unk>-year-old female with syncope. evaluate for acute cardiopulmonary process.
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the cardiomediastinal silhouette and pulmonary vasculature are unremarkable. there is no pleural effusion or pneumothorax. no focal consolidation is seen.
<unk>m with h/o carotid stenosis presenting with transient aphasia // ?acute abnormality, evidence of pna
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the feeding tube remains curled within the stomach, with the tip at the fundus. there is improved inspiratory effort, with interval decrease in the right basilar atelectasis. there is increasing right upper lobe atelectasis/consolidation in the appropriate clinical setting. there is also worsening left retrocardiac opacity. no pneumothorax. the cardiomediastinal silhouette is unchanged.
<unk>f with h/o lupus, on steroids, p/w headache and found to have iph and ivh // increasing oxygen requirement
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there is mild interstitial pulmonary edema. otherwise no focal consolidation. trace bilateral pleural effusions. no pneumothorax. mild cardiomegaly is stable.
history: <unk>m with dyspnea // eval edema vs. pna
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there is no focal consolidation, edema, or effusion. there is a <num> mm nodular opacity projecting over the left lung apex suggestive above the clavicular head not seen on prior. cardiac silhouette is mildly enlarged. thoracolumbar s-shaped scoliosis is noted without acute osseous abnormalities. surgical clips noted in the upper abdomen.
<unk>f with feeling unwell, dizziness // ? ichcxr- ? pna
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mild cardiomegaly is unchanged. compared with the most recent chest radiographs, the lungs appear more aerated and expanded, with continued improvement in previously described interstitial pulmonary edema. there has been improvement in the left lung basal atelectasis. no large pleural effusions are identified. no new focal consolidation to be concerning for pneumonia identified. increased basilar interstitial lung markings may be due to chronic pulmonary interstitial abnormality, as described on the recent ct chest.
<unk>f with weakness. evaluate for pneumonia.
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the cardiomediastinal silhouette and pulmonary vasculature are unchanged. the lungs are clear. there is no pleural effusion or pneumothorax. no acute osseous injury.
<unk>m with dyspnea, hx cmv, immunocompromised
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pa and lateral views of the chest are compared to previous exam from <unk>. compared with prior, there has been significant interval enlargement of the right-sided pleural effusion which is now large. there is some aerated right upper lobe however there is essentially complete collapse of the lower lobe with underlying consolidation not completely excluded. left lung is clear and there is no left pleural effusion. osseous and soft tissue structures are unremarkable.
<unk>-year-old male with dyspnea and renal cell carcinoma, on chemotherapy.
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cardiac silhouette size is normal. right paratracheal mass appears unchanged from the previous chest ct allowing for differences in modality. prominence of the right hilum is unchanged and due to adenopathy, better assessed on prior ct. there is continued volume loss in the right lung with elevation of the right hemidiaphragm. known right upper lobe spiculated lesion is re- demonstrated. no focal consolidation, pleural effusion or pneumothorax is present. the pulmonary vasculature is not engorged. no acute osseous abnormalities detected.
history: <unk>f with svc encasement here with shortness of breath
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pa and lateral views of the chest. somewhat linear opacity seen in the right mid lung similar yo prior suggestive of scarring. the lungs are otherwise clear. there is no effusion. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities detected. surgical clips seen in the upper abdomen.
<unk>-year-old female with dyspnea at night.
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there is mild bibasilar atelectasis. the heart is mildly enlarged. the endotracheal tube ends <num> cm from the carina. an enteric tube coils in the stomach, with its tip near the gastroesophageal junction. chronic appearing fractures are seen involving the right posterior lateral fifth, sixth, and seventh rib. there is an acute on chronic fracture of the posterior lateral right eighth rib.
<unk> year old man with et tube // et tube placement
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portable semi-erect chest radiograph <unk> at <time> is submitted.
<unk> year old man with multifocal pneumonia now hypotensive // assess for worsening infection, and for cvl kinks assess for worsening infection, and for cvl kinks
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the cardiomediastinal and hilar contours are stable and within normal limits. lung volumes are slightly low however there is no focal consolidation, pleural effusion or pneumothorax. lucency of the upper lungs is consistent with emphysema and stable from prior exams.
<unk>m with l sided cp of <num>d duration, h/o copd // c/f acute change, pna
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the patient is status post median sternotomy and cabg. the heart size is borderline enlarged. the aorta is mildly tortuous. the pulmonary vascularity is normal. lungs are clear. no focal consolidation, pleural effusion or pneumothorax is present. no acute osseous abnormalities seen.
chest pain.
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there is opacity in the right lower lobe silhouetting posterior aspect of right hemidiaphragm on lateral view. this may be atelectasis, however pneumonia as possible in correct clinical setting. there is no pulmonary edema or pleural effusion. borderline enlarged cardiac silhouette is smaller compared to <unk>.
<unk> year old man with productive cough x <num> weeks. denies fever or chills. is s/p liver transplant. // pt with productive cough x <num> weeks. he has had a liver transplant
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pa and lateral views of the chest are compared to previous exam from <unk>. the lungs remain hyperinflated. there is new opacity at the left lung base potentially due to infiltrate. elsewhere the lungs remain clear. cardiomediastinal silhouette is stable. there is no pleural effusion. osseous and soft tissue structures are unchanged. no free air identified below the diaphragm.
<unk>-year-old female with abdominal pain, change in ostomy output. evaluate for free air, obstruction, or pneumonia.
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there is mild cardiomegaly. note is also made of diffuse bilateral interlobular septal thickening, which could be secondary to patient's pulmonary edema, however an atypical infection or potential interstitial lung disease should also be considered. there is a new focal consolidation seen at the right lung base. there is a .<num>-cm nodular opacity at the mid right lung, as well as a .<num>-cm nodular opacity at the left lung base. there is no pleural effusion or pneumothorax. visualized osseous structures are unremarkable.
history of left arm paralysis. please evaluate.
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there is mild elevation of the left hemidiaphragm. low lung volumes persist and there is left base atelectasis. no large pleural effusion is seen although trace pleural effusion be difficult to exclude. no definite focal consolidation. cardiac and mediastinal silhouettes are grossly stable given differences in inspiration.
<unk> year old man with sirs physiology // please eval for pna
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the enteric tube is not clearly identified below the level of the carina though there is the suggestion that it does is far as the gastroesophageal junction. cardiac size is normal. the lungs are clear. there is no pneumothorax or pleural effusion.
<unk> year old woman with rt mca stroke // please assess for ngt placement
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since prior, there has been interval placement of a right ij central venous catheter with tip projecting over the upper svc. there is no visualized pneumothorax. otherwise, there has been no significant change given differences in positioning and technique.
<unk>m with new r ij central line // central line placement verification
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linear opacities within the right mid lung and at the left base are likely due to subsegmental atelectasis. no focal consolidations to suggest pneumonia. heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
history: <unk>m with cough, fever
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increased opacity in the right lung base seen best on lateral view could represent a developing infection. no pleural effusion or pneumothorax. heart size and mediastinal contours are within normal limits.
<unk> year old man with newly diagnosed rpgn also with recent cyclical fevers and productive cough. // evidence of pna
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again visualized is right subclavian central venous catheter with the catheter tip in the lower svc. previously visualized opacity in the left lower lobe is again noted but appears less confluent. otherwise, there is no evidence of new consolidations, effusions, or pneumothoraces. the cardiomediastinal silhouette remains at the upper limits of normal.
evaluation of patient with history of myeloma and pneumonia for persistent cough.
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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 chest pain // r/o acute process
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable..
history: <unk>m with fever to <num> for <num> days, post-op knee arthroscopy // eval for pna or atelectasis; eval for septic joint
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pa and lateral chest radiographs were obtained. the lungs are well expanded and clear. there is no focal consolidation, pleural effusion, or pneumothorax. cardiac and mediastinal contours are normal. median sternotomy wires are intact and mediastinal clips are in the expected positions.
fatigue.
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a right internal jugular approach central venous catheter tip projects within the mid svc. a left internal jugular approach swan-ganz catheter tip is within the main pulmonary artery. an endotracheal tube is <num> cm above the carina. enteric feeding tube courses below the diaphragm. a right basilar chest tube is in stable position. interstitial pulmonary edema is improved, with remaining mild pulmonary vascular congestion. there is bibasilar opacification, likely atelectasis with low lung volumes. there are no new focal opacities concerning for pneumonia. there are no pleural effusions or pneumothorax. the cardiomediastinal and hilar contours are stable. there is moderate cardiomegaly.
<unk>-year-old female status post liver transplant. evaluate for interval change.
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lungs are well expanded and clear. there is no pneumothorax or pleural effusion. cardiomediastinal silhouette is unremarkable. visualized osseous structures are unremarkable. radiopaque surgical material is noted in the right upper quadrant.
<unk>-year-old female with cirrhosis, now requiring assessment for pleural lesions.
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there are bilateral parenchymal opacities at the bases, more confluent on the left than on the right. there is no effusion or pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified
<unk>f with pna // pt with bil pna
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pa and lateral chest radiograph demonstrate clear lungs bilaterally. there is no pleural effusion or pneumothorax. the left chest pacer defibrillator is identified, its leads in standard position. cardiomediastinal and hilar contours are within normal limits. two tubular structures are identified he over the right upper quadrant in keeping with known bilateral internal external biliary drains. osseous structures are without an acute abnormality.
<unk>-year-old female with fever.
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there is no the chest radiograph obtained <num> day prior, a right internal jugular temporary pacing wire is unchanged in position and probably terminates in the right ventricle. mild pulmonary edema is minimally improved. moderate cardiomegaly and pulmonary vascular congestion are unchanged. small, left pleural effusion probably unchanged. the lungs are otherwise fully expanded and clear without focal consolidation. no pneumothorax.
<unk> year old woman with complete heart block, temporary pacemaker placement // please eval temp pacer placement
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compared with the prior radiograph, there has been interval improvement, but not complete resolution of the right pleural effusion. right pigtail catheter is in place. small left pleural effusion is constant. heart size, mediastinal, and hilar contours are normal. the upper lung fields remain clear. unchanged left port-a-cath terminates in the right atrium.
<unk> year old woman with chest tube in place for drainage of pleural effusion. eval for improvement of effusion.
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lung volumes are low, with the left lung less well expanded than the right, likely due to splinting. rib fractures are better appreciated on the patient's recent ct. the cardiac silhouette is top normal in size, the mediastinal contours are normal. there is no pneumothorax or large pleural effusion.
<unk>-year-old male with trauma.
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the lungs are mildly low in volume but clear. no pleural abnormalities are seen. the heart is mildly enlarged. the mediastinum and the hilar contours are normal. left-sided port terminates in low svc.
<unk> year old woman with history of frequent pna. evaluate for pneumonia.
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cardiomediastinal and hilar contours are unchanged with stable rightward mediastinal shift. tubular opacity projecting over the right hemithorax likely represents a structure extrinsic to the patient and severely limits assessment of the right lung. likely stable bibasilar opacities with a right juxtaphrenic peak suggesting stable right lower lobe volume loss. no pneumothorax.
<unk>-year-old woman with known lung cancer, now with pneumonia and possible copd exacerbation. evaluate for interval change.
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cardiac silhouette size is mildly enlarged but unchanged. the mediastinal and hilar contours are similar. there is no pulmonary edema. minimal streaky bibasilar opacities are felt to reflect atelectasis. no focal consolidation, pleural effusion or pneumothorax is present. anterior compression deformities of <num> adjacent vertebral bodies within the mid thoracic spine with focal kyphosis are unchanged.
cough.
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the study is slightly limited due to patient's kyphotic positioning. the cardiac and mediastinal contours appear unchanged, with the heart size likely mildly enlarged. the aorta remains tortuous. there is crowding of the bronchovascular structures with possible mild pulmonary vascular congestion, but no overt pulmonary edema. no focal consolidation or pneumothorax is present. blunting of the costophrenic angles posteriorly on the lateral view suggests the presence of trace bilateral pleural effusions. there are multilevel degenerative changes of the thoracic spine with a compression deformity of a lower thoracic vertebral body, unchanged. no pneumothorax is present.
syncope.
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there is no focal consolidation, pleural effusion or pneumothorax. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.
history: <unk>m with l cn iii palsy, l sided weakness, hx of afib on coumadin // evaluate vasculature
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the lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. osseous structures are grossly normal.
evaluation of patient with asthmatic bronchitis for possible pneumonia.
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cardiomediastinal contours are normal. there are low lung volumes. small right and large left pleural effusions are associated with adjacent atelectasis, grossly unchanged from prior study allowing the difference in positioning of the patient. there is no pneumothorax. there are mild degenerative changes in the thoracic spine.
<unk> year old man with elevated wbc. // r/o pna
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portable semi-upright radiograph of the chest demonstrates low lung volumes, which results in bronchovascular crowding. the region of opacification of the left upper and lower lobes, corresponding to pleural effusion and atelectasis seen on ct from <unk>, has decreased in size over the interval. there are moderate-sized bilateral pleural effusions with adjacent atelectasis. the cardiac silhouette remains enlarged which may reflect cardiomegaly although pericardial effusion should also be considered. multiple overlying surgical clips and intact sternotomy wires are seen. calcification of the both diaphragmatic pleura is unchanged and consistent with prior asbestos exposure.
<unk> year old man with pleural effusions, fever // ?enlarged pleural effusions or new pneumonia
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frontal and lateral views of the chest are compared to previous exam from <unk>. there is new patchy consolidation identified in the left lower lobe. given low lung volumes, the lungs are otherwise grossly clear. cardiac silhouette is enlarged but stable. osseous and soft tissue structures are unremarkable.
<unk>-year-old male with end-stage renal disease on hemodialysis with abdominal pain and vomiting and shortness of breath.
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pa and lateral chest views have been obtained with patient in upright position. comparison is made with the next preceding single view ap projection chest examination of <unk>. the on previous examination identified linear and partially calcified scattered abnormalities in both apical portions remain completely unchanged as can be identified by ordinary radiography. thus, they most likely represent fibrotic and calcified scars after old and now inactive specific infection. no new parenchymal abnormalities identified. the lateral pleural sinuses are free. as apparently followed our previous recommendations, lateral views were obtained and the integrity of both posterior pleural sinuses appears preserved. thus, there is no evidence of any acute pleural effusion in the pleural spaces.
<unk>-year-old male patient with central nervous system lymphoma on rituxan, history of tb exposure with cough, questionable infiltrates, compatible with tb reactivation.
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cardiomediastinal contours are normal. the lungs are clear. there is no pneumothorax or pleural effusion. the osseous structures are unremarkable
<unk> year old woman with ?? aspiration pneumonia // pneumonia?
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in comparison to the prior radiograph on <unk>, the right ij catheter has been removed. median sternotomy wires are intact. bronchovascular markings are accentuated by low lung volumes. pulmonary vascular congestion is mild. a small left pleural effusion is similar, or perhaps smaller compared to <unk>. there is no focal consolidation or pneumothorax. heart size is mildly enlarged, and postoperative appearance of the cardiomediastinal silhouette is unchanged. there is a prosthetic aortic valve. no acute osseous abnormalities are identified.
history: <unk>f with recent cabg on <unk>, now with dyspnea and afib with rvr // please eval for edema, infection, or other abnormality
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pa and lateral radiographs of the chest show no evidence of consolidation or pneumonia. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. multiple air filled loops of bowel are noted in the left upper quadrant.
hypotension. evaluate for pneumonia.
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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. a coronary stent projects over the heart. imaged osseous structures are intact. mild elevation the right hemidiaphragm noted. no free air below the right hemidiaphragm is seen.
<unk>f with cp // chest pain
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et tube is <num> cm show the carina. enteric tube courses into the stomach and beyond the field of view. loculated right pleural effusion is overall unchanged. there may be slightly improved aeration of the right mid and lower lung.small left pleural effusion is unchanged. the left lung is otherwise clear. the overall contour of the heart is unchanged with known mild cardiomegaly and moderate pericardial effusion.
<unk> year old man with septic shock and ams s/p intubation eval for interval change // eval for interval change
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there has been slight interval improvement in degree of lung inflation compared to the prior study. heart size remains mild to moderately enlarged. atherosclerotic calcifications are demonstrated in the aorta is mildly tortuous. as seen previously, rightward deviation of the trachea at the thoracic inlet is due to left-sided thyroid enlargement. mediastinal and hilar contours are otherwise unchanged. pulmonary vasculature is not engorged. patchy opacities the lung bases may reflect atelectasis, but infection or aspiration is not excluded in the correct clinical setting. no pleural effusion or pneumothorax is detected. no acute osseous abnormality is present.
history: <unk>m with weakness
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frontal and lateral views of the chest. lower lung volumes seen on the current exam. there is secondary crowding of the bronchovascular markings. linear left retrocardiac opacity is seen. there is no effusion. the cardiomediastinal silhouette is stable. no acute osseous abnormality is identified.
<unk>-year-old male with altered mental status.
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there is no significant interval change since the prior radiograph performed yesterday evening. a biventricular pacer defibrillator is visualized. the hemodialysis catheter is unchanged in position and terminates in the right atrium. there is persistent mild pulmonary vascular congestion accompanied by interstitial pulmonary edema. no new areas of focal consolidation are identified. left lung base opacity is probably due to a combination of a small pleural effusion and adjacent atelectasis. a small right pleural effusion is also noted. stable cardiomegaly.
<unk> year old woman with fever, ? pna; on pripor x-ray question atelectasis vs conosolidation // r/o pna
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new opacity in the lingula is worrisome for pneumonia. the remaining lung fields are clear and normally expanded. the heart is not enlarged. the mediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax.
history: <unk>m with lightheadedness, drowsiness, borderline leukocytosis // eval for pna
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are mildly hyperinflated but clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
history: <unk>m with hemochromatosis, migraines and chest pain
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the heart is again mild to moderately enlarged. the cardiac, mediastinal and hilar contours appear stable. streaky opacity in the lingula suggests minor atelectasis associated with an epicardial fat pad. otherwise, the lungs appear clear.
diastolic congestive heart failure and shortness of breath.
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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 free air is seen beneath the diaphragms. right upper quadrant surgical clips are seen from presumed prior cholecystectomy. otherwise, no radiopaque foreign body identified.
history: <unk>f with epigastric pain <num>/p swallowing object // eval for fb in abdomen
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portable supine ap view of the chest. the endotracheal tube ends below the thoracic inlet <num> cm above the carina. enteric tube ends of the inferior edge of the film. there are bilateral diffuse patchy opacities representing pulmonary edema. no pleural effusions or pneumothorax are seen. the heart is mildly enlarged.
status post cardiac arrest, evaluate endotracheal tube placement.