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mild hyperinflation of the lungs is again identified, the chronic interstitial opacities at the lung bases, either atelectasis or scarring. no new focal consolidation, pleural effusion, or pneumothorax. cardiomediastinal silhouette is unchanged. there is a right pectoral pacer with leads in unchanged position. note is made of a g-tube projecting over the left upper quadrant.
<unk>m with non-traumatic mouth bleed, worsening cough, concern for aspiration.
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in comparison with chest radiograph from <unk>, there is little overall change. there is no focal consolidation or pneumothorax. mild to moderate asymmetric pulmonary edema, left greater than right, has continued to improve since <unk>. minimal pleural effusions, if any, are probably unchanged. moderate cardiomegaly is stable. cardiopulmonary support devices are unchanged in standard placements.
<unk> year old man s/p heartware // eval for infiltrate
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pa and lateral views of the chest demonstrate well-expanded clear lungs. the heart is normal in size and cardiomediastinal contour is unremarkable. there is no pleural effusion or pneumothorax.
<unk>-year-old female with chest pain, evaluate for pneumothorax.
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as compared to prior chest radiograph from <unk>, there is a persistent right apical triangular opacity which could be related to post-surgical changes. however, for complete evaluation, ct examination would be recommended. lungs otherwise remain clear. there is tortuosity of the aorta. the heart is mildly enlarged. there is no pleural effusion or pneumothorax. right picc line has been removed. note is made of a healing fracture in the left distal clavicle.
<unk> year old man with apical opacity noted on prior chest x-ray, assess evolution of this lesion in the setting of weight loss.
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the lungs are moderately well inflated. bilateral perihilar interstitial opacities with moderate cardiomegaly and small left pleural effusion is noted. heterogeneous opacity in the left mid lung is present. no right pleural effusion. no pneumothorax. mediastinal contour and hila are otherwise unremarkable. calcified aortic arch is present. severe degenerative disease of the right shoulder is noted. there is a new stent projecting over the left upper hemi thorax at the level of the clavicle, likely related to hemodialysis.
<unk>f with dyspnea. assess for pneumonia.
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the lungs are clear. the hilar and cardiomediastinal contours are normal. there is no pneumothorax. there are small bilateral pleural effusions. pulmonary vascularity is normal.
<unk>-year-old woman presenting with altered mental status and leukocytosis.
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et tube ends at the level of the clavicles. a left ij central venous catheter terminates in the mid svc. diffuse bilateral airspace opacities have substantially improved since the study of <num> day prior. there is no pneumothorax. mild cardiomegaly despite the projection is stable. there is no pleural effusion.
<unk> year old woman with dah // progression of dah?
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the patient is status post median sternotomy and cabg. the heart size is normal. mediastinal and hilar contours are unremarkable. lungs are clear except for minimal atelectasis at the lung bases. no pleural effusion or pneumothorax is seen. there are multilevel degenerative changes in the spine.
hypoxia, tachypnea, tachycardia, crackles in the lung bases.
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the lungs are clear, but hyperinflated. there is no evidence of pneumonia, pneumothorax, or pleural effusion. cardiac silhouette is normal in size.
<unk> year old woman with copd/asthma and worsening dyspnea // evaluate new dyspnea
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there are faint by basilar opacities seen only on the frontal view, not confirmed on the lateral. elsewhere, the lungs are clear. multiple calcified mediastinal and hilar nodes are again noted. cardiac silhouette is within normal limits for size. there is tortuosity of the descending thoracic aorta. mild height loss of a mid thoracic vertebral body is unchanged.
<unk>m with cough., hx of aortic root dilation // eval for infiltrate
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the cardiomediastinal silhouette and pulmonary vasculature are normal. the lungs are clear. there is no pleural effusion or pneumothorax.
<unk> year old man with etoh intoxication chest pain. // please evaluate for consolidation, ptx, rib fracture, etc.
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the lungs are well expanded and clear. no pleural abnormality is seen. the heart size is normal. the hilar and mediastinal silhouettes are unremarkable.
<unk> year old woman with sickle cell, in crisis with chest pain, cough, shortness of breath, low grade temp // assess for acute changes
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in comparison with study of <unk>, there is continued enlargement of the cardiac silhouette with evidence of pulmonary vascular congestion and moderate left effusion. volume loss is seen in the lower lobe on the left.
left effusion versus pulmonary edema.
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pa and lateral radiographs of the chest demonstrate elevation of the left hemidiaphragm, more pronounced compared to the prior study. the lungs are clear without focal consolidation concerning for pneumonia, significant pleural effusion, or pneumothorax. the cardiac silhouette top normal size, unchanged. the mediastinal and hilar contours are within normal limits allowing for slight patient rotation.
chest pain, here to evaluate for acute cardiopulmonary process.
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ap upright 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. clips are noted in the right upper quadrant.
<unk>f with fever and ha // ? pneumonia
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the lungs are well-expanded and clear. no focal consolidation, edema, effusion, or pneumothorax. the heart size is normal. the mediastinum is not widened. no acute osseous abnormality.
<unk>-year-old man presenting with left back pain. evaluate for pneumothorax.
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et tube tip lies approximately <num> cm above the carina. ng tube extends beneath diaphragm, off film. there is upper zone redistribution with bilateral right greater left effusions and underlying collapse and/or consolidation. cardiomegaly is again noted, probably similar prior. the extreme costophrenic angles are excluded from the film.
<unk> year old man s/p bronch with hemoptysis of unclear etiology. // ?interval cahnge
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endotracheal tube terminates <num> cm from the carina. enteric tube terminates in left upper quadrant. lungs are clear aside from heterogeneous retrocardiac opacification which likely corresponds to atelectasis. cardiomediastinal silhouette is normal. no right pleural effusion. left costophrenic angle is excluded from the field-of-view.
history: <unk>f with ett, pls assess placement *** warning *** multiple patients with same last name! // history: <unk>f with ett, pls assess placement
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bilateral airspace opacities are again identified. opacification of the right lower lung is unchanged, the right midlung opacification is increased, in the left mid and lower lung opacification has improved. there is a small to moderate layering right pleural effusion. there is no pneumothorax or pulmonary edema. moderate cardiomegaly is unchanged.
mr. <unk> is a <unk>m with h/o cad s/p mi, metastatic prostate cancer, and stage iiia gastric adenocarcinoma who presented with gastric outlet obstruction c/b by nstemi, transferred to micu after aspiration pneumonia following intubation for peg, now s/p duodenal stent on mostly normal diet, undergoing radiation therapy, w/low uop giving fluids, febrile to <num> overnight evaluate for pneumonia.
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pa and lateral views of the chest. triple lead pacing device along the right chest wall is again noted with leads in unchanged position. mitral valvular replacement again noted. prominence of the interstitial markings are again seen without evidence of focal consolidation or overt pulmonary edema. there is no large pleural effusion noting persistent probable fluid within the major fissure on the lateral. degree of cardiomegaly has not changed. no acute osseous abnormalities detected.
<unk>-year-old female with dyspnea. question pulmonary edema.
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pa and lateral chest radiographs. the lungs are clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. prominent anterior osteophytes are again noted in the thoracic spine.
chest pain.
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the cardiomediastinal silhouette and pulmonary vasculature are unremarkable. minimal right basilar opacity is seen, somewhat obscuring the right hemidiaphragm. in the appropriate clinical context, this may represent a right lower lobe infiltrate. there is no large pleural effusion or pneumothorax. there is evidence of emphysema.
history: <unk>m with chest pain // r/o acute process
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lung volumes are within normal limits. the heart is not enlarged. the mediastinal contours are within normal limits. no chf, consolidation, pleural effusion or pneumothorax. no subdiaphragmatic free air identified. osseous structures are grossly unremarkable.
<unk>f with chest tightness after palpitations today // <unk>f with chest tightness after palpitations today
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since earlier same day chest radiograph, the small right apical pneumothorax is unchanged. the left lower lung base parenchymal opacity is also stable may be due to small pleural effusion and associated atelectasis. in the right clinical setting, superimposed infection cannot be ruled out. stable appearance of moderate cardiomegaly. the right chest tube position and right internal jugular central venous line is unchanged.
<unk> year old man with anca glomerulonephritis and multiple ptx // assess for ptx recurrence as water seal clamped at <time>am <unk>
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small bilateral pleural effusions with overlying atelectasis, minimally increased since the prior radiograph. there is mild pulmonary vascular congestion. no pneumothorax. the size of the cardiomediastinal silhouette is enlarged but unchanged. the patient is status post median sternotomy and mitral valve replacement.
<unk> year old man with hf and ischemic ileitis, now w/ worsening crackles, hypotension // effusion vs pneumonia
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the cardiomediastinal silhouette and pulmonary vasculature unremarkable. the left hemithorax is clear. a moderate sized right-sided pleural effusion is associated atelectasis is noted. a linear opacity in the mid right lung his consistent with linear atelectasis. underlying focal consolidation is not entirely excluded. there is no pneumothorax.
<unk>m with effusion // r/o pna
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pa and lateral views of the chest. the lungs are clear. there is no evidence of effusion, consolidation, or pneumothorax. there is no evidence of pneumomediastinum. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is identified.
<unk>-year-old female with eating disorder, rule out pneumonia or pneumothorax.
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endotracheal tube tip is still within <num> cm of the carina. enteric tube seen with tip at the gastric fundus, side port not clearly identified on the current exam. right ij line in stable position. the appearance of the lungs is unchanged with hazy bilateral opacities, the streaky left basilar likely atelectasis and post-op changes in the right mid lung. prominence of the right hilum is unchanged.
<unk>-year-old male, unresponsive. evaluate endotracheal tube position.
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there are trace bilateral pleural effusions. pulmonary vascular congestion. mild left mid lung and right base opacities are seen which could be due to multifocal infection versus component of vascular congestion. no pneumothorax is seen. cardiac silhouette is top-normal in size. aortic knob is calcified. degenerative changes along the spine.
history: <unk>m with cough and fever // ?pneumonia
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the heart is normal in size. the mediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. the lungs appear clear.
chest pain on the right side.
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single portable radiograph is provided. the et tube is approximately <num> cm from the carina. ng tube courses below the diaphragm. there is opacity at the right lung base, which likely represents atelectasis or pneumonia. there is no pneumothorax or pleural effusion. the cardiomediastinal silhouette is normal. the osseous structures are intact.
intubation, question tube placement.
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severe cardiomegaly has minimally increased from prior study. there is moderate pulmonary edema. there is no pneumothorax pleural effusion
<unk> year old woman with new o<num> requirement, dysarthria // eval for pna, fluid overload
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ap upright and lateral views of the chest provided. there is a layering small right pleural effusion. mild hilar congestion noted. no convincing signs of pneumonia. no overt edema. no pneumothorax. heart size is top-normal. mediastinal contour is stable. bony structures are intact.
<unk>f with nstemi // eval for pulmonary edema
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lungs remain hyperinflated but clear. the cardiomediastinal silhouette and hilar contours are stable. there is no pleural effusion or pneumothorax. chronic deformity of right-sided ribs are again identified.
history: <unk>m with productive cough and malaise // eval for pneumonia, chf
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new, moderate right pleural effusion with linear atelectasis at the right base. superimposed pneumonia cannot be excluded. normal mediastinal and hilar contours. no cardiomegaly. no definite osseous or soft tissue abnormalities.
<unk>-year-old woman with a history of lupus and pulmonary embolism, now with pleuritic chest pain and decreased breath sounds at the right base. evaluate for right pleural effusion and pneumonia.
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frontal and lateral views of the chest were obtained. the heart is of normal size with normal cardiomediastinal contours. lung volumes are low, exaggerating bronchovascular markings. small atelectasis is seen at the bilateral lung bases. no focal pulmonary consolidation, pneumothorax, or pleural effusion. osseous structures are unremarkable. no radiopaque foreign body.
<unk>-year-old male with chest pressure and cough for four days. evaluate for cardiopulmonary disease or infiltrate.
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mild pulmonary congestion on a background of interstitial lung disease appears similar to the prior chest radiograph performed <num> hours prior. there are small pleural effusions. the lung volumes are low each may accentuate the probably enlarged heart. mediastinal contours are normal. airspace opacity at the left lung base likely reflects interstitial lung disease although infection cannot be excluded. no pneumothorax.
<unk>-year-old man with poor oxygen saturation after fluids. evaluate for pulmonary edema.
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single portable view of the chest. when compared to prior chest x-ray there has been interval development of moderate size left pleural effusion. there is persistent small right pleural effusion. underlying component of infection atelectasis is also possible. there is indistinctness of the pulmonary vascular markings superiorly suggestive of interstitial edema. superiorly however there is no confluent consolidation. cardiomediastinal silhouette is unchanged. right chest wall port is seen with catheter tip in the mid svc. surgical clips project over the neck on the right.
<unk>-year-old female with cll and pleural effusions on prior ct, now desaturating.
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in the interval since the prior study the right internal jugular catheter has been withdrawn, the tip is now in the proximal to mid svc. no pneumothorax seen. there is persistent hyperinflation of the lung but with bilateral pleural effusions versus scarring, larger on the right than the left. this is unchanged compared to the earlier study. there is associated atelectasis in the right middle and lower lobes. compared to the preoperative study there is increased airspace opacity in the right upper lung. a clip is seen projecting over the calcified mitral valve annulus. heart size is unchanged compared to the prior study, moderately enlarged.
<unk> year old woman with rij replaced // line r ij adjustment
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ap view of the chest. a right ij and central venous catheter ends in the mid svc. tracheostomy ends <num> cm from the carina. there is bibasilar opacities likely representing atelectasis. there is new small amount of free peritoneal air under the diaphragms. no pneumothorax. mediastinal and hilar contours are normal.
evaluate trach placement, evaluate for pneumothorax. patient also s/p peg placement by surgery today.
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frontal and lateral radiographs of the chest depict clear lungs and normal hilar and cardiomediastinal contours. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal.
possible left upper lobe pneumonia on clinical exam status post-antibiotic therapy for three weeks. persistent cough.
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cardiac silhouette size is top normal. the mediastinal and hilar contours are within normal limits. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is demonstrated. there are no acute osseous abnormalities.
history: <unk>f with dyspnea on exertion, dizziness
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lung volumes are low and there compressive changes at the bases. small infiltrates in the lower lobes cannot be excluded. the heart is mildly enlarged. there is minimal pulmonary vascular redistribution.
<unk> year old woman with tachycardia and pleuritic chest pain concerning for pe vs pericardial effusion // any change in cardiac silouhette
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the small right pleural effusion with adjacent compressive atelectasis is unchanged compared with the prior study of <unk>. a right-sided pigtail catheter is in unchanged position. there is no pneumothorax. the left chest wall biventricular pacemaker leads are in unchanged position. there may be a small left pleural effusion. there is stable moderate cardiomegaly.
<unk> year old woman with ovarian/cervical cancer, e. coli bacteremia, uti, right pleural effusion s/p chest tube. // please assess interval change in pleural effusion
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compared to the prior study there is no significant interval change.
<unk> year old man with esophageal cancer and radiation pneumonitis, now with acute-on-chronic hypoxia // infiltrates, pulmonary edema
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ap upright and lateral views of the chest provided. left chest wall vagal nerve stimulator again seen with leads extending into the left neck. lung volumes are low limiting assessment though allowing for this the lungs are clear. the heart is normal in size. the aorta appears unfolded as on prior. no large effusion or pneumothorax. imaged osseous structures are intact.
<unk>f with weakness, nausaea // evaluate for acute process
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there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable. osseous structures are intact.
<unk>-year-old female with mild dyspnea, left lower chest pain, evaluate for lower lobe pneumonia.
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pa and lateral views of the chest are compared to previous exam from <unk>. the lungs are clear of consolidation. there is no pulmonary vascular redistribution. the cardiomediastinal silhouette is stable and notable for postoperative changes with median sternotomy wires and mediastinal clips. there is no evidence of pleural effusion on the current exam. osseous and soft tissue structures are stable.
<unk>-year-old female with chest pain status post bypass in <unk>.
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portable frontal ap view of the chest <unk> at <time> is submitted.
<unk> year old woman with ?aspiration event vs pneumonia, fever but otherwise well appearing // interval change in consolidation? interval change in consolidation?
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the inspiratory lung volumes are appropriate. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. the pulmonary vasculature is not engorged. the cardiac silhouette is mildly enlarged, which is unchanged from <unk>. prominence of the right supracardiac mediastinal contour is likely due to enlargement of the ascending aorta, which is also stable. the hilar contours are within normal limits. no acute osseous abnormality is detected.
history: <unk>m with cp // ? left pleural abnl
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pa and lateral views of the chest provided. left chest wall pacer device is again seen with leads extending into the region the right atrium and right ventricle. cardiomediastinal silhouette is unchanged with marked cardiomegaly again noted. elevation of the right hemidiaphragm is again noted. there is no focal consolidation, large effusion or pneumothorax. no convincing evidence for edema. bony structures are intact. no free air below the right hemidiaphragm is seen.
<unk>m with bradycardia and cough // eval for pna
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permanent pacemaker is present with leads in the right atrium and right ventricle. heart is upper limits of normal in size. considering apical lordotic projection. pulmonary vascularity is normal, and lungs are grossly clear. thoracic aorta is tortuous and calcified. there are no pleural effusions. right shoulder prosthesis is incidentally noted and is difficult to assess due to patient positioning.
<unk> year old woman with chf, cough x <num> wks, no better after course of abx. chest exam is clear // ?infiltrate, chf?
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endotracheal tube is noted with the tip projecting over the mid thoracic trachea. there is moderate cardiomegaly, moderate pulmonary vascular congestion and interstitial pulmonary edema. a small-moderate right pleural effusion with adjacent atelectasis is noted. there is no large pneumothorax.
<unk>m with intubated
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support devices remain in standard position. moderate left effusion and substantial retrocardiac opacity are unchanged. mild pulmonary vascular congestion unchanged. no pneumothorax. mild cardiomegaly.
<unk> year old woman who is intubated for pulmonary edema // ?interval change
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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 cough and fever // eval for pneumonia
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portable frontal semi-erect radiograph of the chest demonstrates a tracheostomy tube in expected position. new air under the right hemidiaphragm likely related to recent peg placement. lung volumes remain low with persistent pulmonary edema. stable bibasilar atelectasis and possible small left pleural effusion.
right thalamic bleed and bilateral lung opacities and pleural effusions. evaluate for interval change.
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heart size is normal. mild tortuosity of the thoracic aorta is unchanged from <unk>. hilar contours are unremarkable. lungs are clear. pleural surfaces are clear without effusion or pneumothorax.
dyspnea and chest tightness.
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is unchanged with tortuous thoracic aorta again noted. no acute bony abnormality. numerous chronic fractures of the right posterolateral ribcage re- demonstrated. no free air below the right hemidiaphragm is seen.
<unk>f with cough and chills. s/p fall // pneumonia?
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the cardiomediastinal and hilar contours are normal. the lungs are clear; subtle opacity at the right lung base likely represents the overlying breast shadow. there is no pleural effusion or pneumothorax. no subdiaphragmatic free air is present. right axillary clips are compatible with prior lymph node dissection.
<unk>-year-old female with a history of metastatic breast cancer and recent colonoscopy, now with fevers.
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upright portable view of the chest demonstrates right internal jugular central venous catheter tip projecting over mid svc. dual-chamber pacemaker leads are in unchanged position. lung volumes are low, which accentuate bronchovascular markings. mild pulmonary vascular congestion persists. left costophrenic angle is blunted, suggestive of possible small pleural effusion. there is no right pleural effusion. no pneumothorax. heart is mildly enlarged. left atrium is prominent. heavy aortic arch calcifications are noted. bibasilar opacities are likely atelectasis.
assess for line placement.
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the lungs are hyperinflated. there is an opacity projecting over one of the lower thoracic vertebra on the lateral view with an apparent correlate on the frontal view, which may represent atelectasis, but left lower lobe pneumonia should be considered the appropriate clinical setting. no pleural effusions or pneumothorax. mildly prominent interstitial markings are probably related to chronic lung disease. the cardiomediastinal silhouette is within normal limits. surgical clips are noted in the right upper quadrant.
<unk> year old man with h/o mild asymptomatic copd, now with some fever and slight hypoxia of unclear etiology. want to rule out early pna. // rule out pna
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there is streaky density bilaterally consistent with subsegmental atelectasis. density in the lower left mid lung is somewhat increased and superimposed focal consolidation cannot be excluded but is unlikely. the left hemidiaphragm appears elevated as before. the heart appears large. the aorta is calcified. mediastinal structures are stable. a right picc now terminates in the region cavoatrial junction. there is no other significant change.
shortness of breath, interval=al changes
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worsening pulmonary edema is moderate. asymmetric opacification of the right lung, most pronounced in the right upper lobe is new since the prior. right middle lobe opacity reflecting pulmonary infarct unchanged. no pleural effusions or pneumothorax. heart size is normal.
<unk> year old man with pulmonary emboli, history of emphysema/copd, lung cancer, now acutely hypoxemic // fluid overload, infection, or other acute change?
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ap portable semi upright view of the chest. interval placement of an ng tube noted with the tip in the left upper quadrant. in this patient with a known paraesophageal hiatal hernia, there is a persistent gas-filled loop of the distal stomach projecting over the right lung base. bibasilar atelectasis is again noted. no definite signs of free air below the right hemidiaphragm.
<unk>f with hypoxia, pls eval interval change of hernia s/p ngt
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the cardiomediastinal silhouettes are stable, and within normal limits. the bilateral hila are unremarkable. equivocal left lower lobe alveolar opacities could represent pneumonia in the appropriate clinical setting. the lungs are otherwise clear. there is no pulmonary vascular congestion or pulmonary edema. there is no pneumothorax or pleural effusion.
<unk>-year-old woman with dyspnea, evaluate for infiltrate.
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pa and lateral chest radiograph demonstrates mild cardiomegaly. there is no evidence of pulmonary edema. prominent hila bilaterally is unchanged and probably reflects mildly engorged central vessels. there is no pneumothorax or large pleural effusion. no focal opacity convincing for pneumonia is seen.
<unk>f with <unk> <unk> swelling // fluid? chf?
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sternotomy wires are intact. moderate cardiomegaly is similar to prior. large right pleural effusion is new since the prior exam with right base opacity consistent with atelectasis though infection is not excluded. there is a loculated left pleural effusion with left mid and lower lung opacity. the pulmonary vascular structures are prominent, consistent with congestion. no pneumothorax. no displaced rib fracture.
history: <unk>m with dyspnea s/p fall // eval for pna, effusions
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there has been interval resolution of the previously seen small left-sided apical pneumothorax. the right paramediastinal soft tissue opacity is stable and consistent with the known juxtahilar mass seen on recent ct from <unk>. there are no pleural effusions. the hilar and mediastinal contours are stable. the heart size is normal. the previously seen subcutaneous emphysema has resolved in the interim.
<unk>-year-old male status post left vats lung biopsy, presents for evaluation of interval change.
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right upper lobe nodule measuring up to <num> x <num> cm is better seen on ct from <unk>. left lower lobe nodule is better seen on prior ct. chronic, unchanged left costophrenic angle blunting may represent pleural thickening or small effusion.heart size is within normal limits.mediastinal and hilar contours are unremarkable. there is no evidence for pulmonary edema, pulmonary consolidation or pneumothorax.
<unk> year old woman with cough and dyspnea basilar r>l changes eval for consolidation.
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appliances in good position. stable extensive bilateral pulmonary infiltrates. stable heart size, pulmonary vascularity. postoperative change upper abdomen.
<unk> year-old gentleman with a history of t<num>dm, gws s/p partial gastrectomy c/b gastroparesis who is being transferred back to the icu given recurrence of respiratory distress as well as anion gap metabolic acidosis. // eval pulmonary vascular congestion
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single portable view of the chest. the lungs are clear focal consolidation or effusion. the cardiomediastinal silhouette is normal. hypertrophic changes are seen in the spine.
<unk>-year-old female with altered mental status.
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frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs without focal consolidation, pleural effusion, or pneumothorax. the visualized upper abdomen is unremarkable.
evaluate for pneumonia in a patient with confusion and tremors.
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a right-sided indwelling catheter is present, with tip at cavoatrial junction. there is a small to moderate left pleural effusion, with underlying collapse and/or consolidation. no right-sided effusion is identified. no chf, focal infiltrate, or pneumothorax is detected. heart size is at the upper limits of normal. the aorta is minimally unfolded. the subpleural and perifissural pulmonary nodules described on the report of the <unk> chest ct are not appreciated radiographically. multiple drains/stents are seen in the right upper quadrant and upper mid abdomen.
<unk> year old woman with decreased bs at rll // effusion?
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the <unk> shunt is again demonstrated in unchanged position, terminating in the low svc. lung volumes are low. heart size is accentuated as the result of low lung volumes, and appears borderline enlarged. mediastinal contour is unremarkable given the presence of low lung volumes. there is crowding of the bronchovascular structures without overt pulmonary edema. streaky opacities are noted in the lung bases most likely reflective of atelectasis. no large pleural effusion or pneumothorax is visualized.
history: <unk>m with chest pain, dyspnea
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frontal and lateral views of the chest demonstrate low lung volumes. no pleural effusion, focal consolidation, or pneumothorax. hilar and mediastinal silhouettes are unchanged. descending aorta appears tortuous. heart size is normal. there is no pulmonary edema. dual-chamber aicd device leads terminate in right atrium and ventricle. left lung base opacities likely represent atelectasis. partially imaged upper abdomen is unremarkable.
chest pain.
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the lungs are clear. heart size and mediastinal contours are normal. there is no pleural effusion or pneumothorax. osseous structures are intact.
<unk>f with ruq pain // evaluate for pneumonia, pe
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lower lung volumes seen on the current exam. there is increased opacity at the right lung base which is confirmed on the lateral view, localizing to the lower lobe. left basilar regions of scarring and pleural thickening are noted. superiorly the lungs are clear. there is no overt pulmonary edema. elevation of the posterior aspect of the left hemidiaphragm is unchanged seen on the lateral view. moderate cardiomegaly with aortic and mitral valve prostheses are again noted. right sided mediastinal vascular stent is identified.
<unk>m with <unk>, crackles // pulm edema?
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frontal and lateral chest radiographs were obtained. median sternotomy wires are intact. left chest pacemaker has leads terminating in the right atrium and right ventricle. on the frontal view only, there is a subtle area of increased radiodensity in the right upper lobe. there is persistent moderate cardiomegaly with left atrial enlargement. the mediastinal and hilar contours are stable. there is no pleural effusion or pneumothorax.
patient with cough, fever for one week, rule out pneumonia.
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pa and lateral images of the chest demonstrate well-expanded lungs. again seen are diffuse tiny lung nodules which have improved since prior imaging. there is no pulmonary edema. mediastinum is unremarkable. there is no evidence of consolidation. there is no pneumothorax. the heart is of normal size. visualized osseous structures are unremarkable.
<unk>-year-old male with disseminated bcg infection status post treatment for bladder cancer.
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the lungs are clear with no evidence of consolidation, effusion, or pneumothorax. cardiomediastinal silhouette is normal. no acute fractures are identified.
chest pain.
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the right internal jugular central venous catheter has been withdrawn, now terminating in the mid svc. an apparent kink in the tubing is external to the patient. no pneumothorax. endotracheal tube and nasogastric tube are stable and in appropriate position. lung volumes are low with bibasilar atelectasis. a small left-sided pleural effusion is unchanged from <unk>.
<unk> year old man with sepsis, intubated // evaluate central line change
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there is mild cardiomegaly with distention of mediastinal vessels. there is no pneumothorax or large pleural effusion. the lungs are well expanded and clear without focal consolidation. mild vascular engorgement again noted.
history: <unk>f with sob/wheezing // pneumonia?
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suture material indicate remote resection from the chronically hypovascular right upper lobe, which is unchanged from multiple prior studies. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are within normal limits with unfolding of the thoracic aorta. the lung volumes are slightly decreased from the prior study.
cough and dyspnea, here to evaluate for pneumonia.
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moderate cardiomegaly and large mediastinal fat pad, unchanged in appearance from <unk>. the aorta is tortuous. lung volumes are somewhat low. a chronic appearing interstitial abnormality is stable in appearance likely related to underlying copd. no focal consolidation or pneumothorax. no pleural effusions.
<unk> year old woman with sob // effusions, copd changes
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a right-sided picc line terminates in the medial proximal right brachiocephalic vein. it probably terminates near the junction of the brachiocephalic vein and internal jugular vein. the cardiac, mediastinal and hilar contours appear stable. the lungs appear clear. trace bilateral pleural effusions are new. there is no pneumothorax. upper to mid thoracic degenerative changes appear similar.
picc line placement.
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heart size is normal. moderate sized hiatal hernia is present with otherwise normal appearance of the mediastinal and hilar contours. lungs and pleural surfaces are clear.
<unk> year old man with low-grade fevers, cough, swallowing difficulties // ?aspiration pna
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the lungs appear clear. the cardiomediastinal silhouette, hilar contours, and pleural structures are normal. no pneumothorax or pleural effusion. no evidence of a focal apical lesion causing brachial plexopathy.
<unk> year old woman with right shoulder pain and neuropathy of her right hand. please assess for any cause of brachial plexopathy. // assess for cause of chest pain
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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.
<unk>m with hypertensive emergency, episode of chest pain // hypertensive emergency, endorgan damange, pulm edema?
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single frontal view of the chest demonstrates evidence of prior cabg and median sternotomy. the lungs are mildly hyperinflated allowing for somewhat lordotic patient positioning, suggestive of emphysema. there is minimal interstitial edema. the heart is top normal in size. the mediastinal and hilar contours are unremarkable.
<unk>-year-old male with chest pain. question acute process.
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cardiac silhouette size is borderline enlarged. the aorta is tortuous. mediastinal and hilar contours are otherwise unchanged. pulmonary vasculature is within normal limits. linear and streaky bibasilar airspace opacities are compatible regions of atelectasis. no focal consolidation, pleural effusion or pneumothorax is identified. there are no acute osseous abnormalities.
history: <unk>f with chest pain
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the heart size is normal. the mediastinal and hilar contours are unremarkable. the lungs are clear. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
left upper quadrant pain.
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there are low lung volumes and bibasilar atelectasis without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.
history: <unk>f with left shoulder pain and some shortness of breath*** warning *** multiple patients with same last name! // eval for left shoulder paineval for pna,
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a three-lead pacemaker/icd device has leads terminating in the right atrium, right ventricle, and coronary sinus. the heart is again mild-to-moderately enlarged. the aortic arch is calcified. the mediastinal and hilar contours appear unchanged. there is a new vague nodular density projecting over the right lower lobe measuring approximately about <num> mm in diameter. otherwise, the lungs remain clear. there is no pleural effusion or pneumothorax. calcified pleural plaque has formed along the apex of the right hemidiaphragm as before. small osteophytes are similar along the thoracic spine.
presyncope and hypotension.
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compared with ct chest on <unk>, there has been interval development of a small right apical pneumothorax. there is no evidence of tension. the lungs are clear without focal consolidation. there are small bilateral pleural effusions, right greater than left. the cardiac and mediastinal silhouettes are unremarkable. healing right rib fractures are seen. there is scoliosis of the thoracic spine.
<unk> year old woman s/p fall with comminuted right <unk> rib fx // serial cxr
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cardiomediastinal and hilar contours are unremarkable. dense vascular calcifications within the aortic arch are without evidence of dissection or aneurysm. the lungs are hyperinflated, but there is no relative lucency of the upper lobe parenchyma to suggest large bullae due to underlying emphysema. surgical clips project over the soft tissues of the right chest wall. no pleural effusion or pneumothorax present.
hemoptysis, evaluate for mass or infiltrate.
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the lungs are clear. there is no effusion or pneumothorax based on this supine film. cardiomediastinal silhouette is within normal limits for technique noting a tortuous descending thoracic aorta. calcifications noted at the aortic arch. no displaced fractures identified.
<unk>m with trauma fell <unk> feet off ladder.
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the lung volumes are low. there is no evidence of pulmonary edema, pneumothorax or focal air space consolidation. equivocal pleural effusions are noted. the cardiomediastinal silhouette is unremarkable, and the heart size is accentuated by the low lung volumes, but is likely normal. residual enteric contrast material was seen within loops of bowel in the upper abdomen.
<unk>-year-old female with fevers. evaluation for pneumonia.
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there is no focal consolidation, pleural effusion or pneumothorax. the heart size is normal. again noted is a retrocardiac density containing an air-fluid level consistent with a moderate to large hiatal hernia. the visualized upper abdomen is unremarkable.
<unk>-year-old female with chest pain and palpitations.
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left-sided picc terminates in the mid to lower svc without evidence of pneumothorax. again seen scarring on the right. overall, there has been no significant interval change since the prior study. no large pleural effusion. cardiac and mediastinal silhouettes are stable.
history: <unk>f with s/p fall pain // eval for hypoxia
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pa and lateral views of the chest. pericardial calcifications were previously seen on ct torso <unk> are stable. the lungs are clear. there are no nodules or masses identified. the cardiac, mediastinal, and hilar contours are normal. pleural surfaces are normal. no pleural effusions or pneumothorax.
chronic hepatitis c, new liver transplant evaluation workup, assess for pleural lesions.