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right internal jugular central venous line ends in the low svc. endotracheal tube ends <num> cm from the carina, <num>-<num> cm above optimal placement. enteric tube ends in the stomach with the last side port in the stomach. no focal consolidation, pleural effusion, or pneumothorax. there is mild pulmonary vascular congestion. cardiomediastinal and hilar contours are normal.
history: <unk>m with cvl // cvl
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ap portable upright view of the chest. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact.
<unk>f with hypotension // evidence of pneumonia
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the lungs are hyperinflated but clear of focal consolidation. biapical blebs are noted, right larger than left, and increased interstitial markings elsewhere may be due to chronic interstitial abnormality. biapical blebs and hyperinflation which raise the possibility of underlying emphysema. no focal consolidation worrisome for pneumonia. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>m with palpitations // infiltrate?
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there are small bilateral pleural effusions, which may be new since <unk>. no evidence of pneumonia or pulmonary edema. no pneumothorax. the mediastinum and hila are normal. there are atherosclerotic calcifications of the aortic arch. moderate to severe cardiomegaly, better demonstrated on ct chest dated <unk>. transvenous pacer-defibrillator is unchanged in position with leads terminating in the right atrium and right ventricle.
<unk> year old woman with hypotension // ?lung fields and cardiac shadow
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. the lungs appear clear. vague sclerosis along the anterior lateral course of the left second rib may indicate a prior non-displaced fracture. bony structures are otherwise unremarkable.
chest pain.
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a large hiatal hernia is re- demonstrated. there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. the cardiomediastinal silhouette is unchanged.
<unk>f with likely gallstone pancreatitis, evaluate for pleural effusion.
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sternotomy. right ij central line tip in the mid svc, stable. right pleural effusion has decreased. small left pleural effusion is mildly more prominent. improved right basilar opacity, likely decreasing atelectasis. improved left basilar opacity. increased heart size. normal pulmonary vascularity. linear scarring right upper lung.
<unk> year old man with s/p cabg // eval postop changes
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the lungs are clear without focal consolidation, effusion, or edema. cardiac silhouette is top normal. no acute osseous abnormalities. there is no free intraperitoneal air.
<unk>f with ruq and epigastric pain // evaluate for acute process
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the cardiac, mediastinal and hilar contours appear unchanged. there is similar widespread opacification involving primarily the right upper lobe. the distribution is quite similar to the prior radiographs, although with decreased density in some areas. there is no definite evidence for a superimposed process, allowing for differences in technique, although the morphology of associated atelectatic changes in the right upper lobe have waxed and waned somewhat in distribution. volume loss is again noted in the right hemithorax. there is no pleural effusion or pneumothorax.
cough and congestion; also stage iii non-small lungs small cell lung cancer with prior chemoradiation therapy
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there is no pulmonary edema. the cardiomediastinal silhouette and hila are normal. there is no focal consolidation, pleural effusion or pneumothorax.
<unk>-year-old with cough, please rule out pneumonia.
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note is made of severe dextroscoliosis of the thoracic spine as well as apparent fusion of several thoracic vertebral bodies and deformities of adjacent ribs presumably post traumatic, not significantly changed from the prior study. a retrocardiac opacity seen best on lateral view could possibly represent atelectasis however consolidation is also possible. the right lung appears clear. again seen is opacity along the right hilum, not significantly changed in size from prior study.
<unk>m with seizure // eval for pna
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et tube is situated at the carina right near the right mainstem bronchus. ng tube is below the diaphragm. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable. there are no displaced fractures.
fall, evaluate for fracture or pneumothorax.
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compared to the prior study, the cardiomediastinal silhouette is probably unchanged, but remains enlarged. on the current exam, there is slightly increased cephalization of vessels and probably slight increase in the degree of opacity at the right lung base. no gross effusion. the azygos vein remains enlarged.
<unk> year old woman with severe pre-eclampsia, now on magensium for seizure prophylaxis, with new bilateral fine crackles on physical exam // pulmonary edema
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the heart size remains mildly enlarged. the mediastinal and hilar contours are within normal limits. pulmonary vasculature is normal. linear opacities in the left lung base likely reflect atelectasis or scarring. no focal consolidation, pleural effusion or pneumothorax is present. remote left-sided rib fractures are demonstrated.
history: <unk>m with several weeks of dyspnea with recent worsening, productive cough.
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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. the mediastinum is not widened.
history: <unk>f with chest pain radiating to back and l arm, r ear, // eval for widened mediastinum
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the lungs are well expanded. bibasilar opacities may be due to technique and overlying soft tissues. superiorly the lungs are clear. the cardiomediastinal silhouette is normal. previously seen right-sided central venous catheter is no longer visualized. there is no free intraperitoneal air.
<unk>f with sob, distended abd, pls eval for fluid vs hiatal hernia vs pna // history: <unk>f with sob, distended abd, pls eval for fluid vs hiatal hernia vs pna
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ap single view of the chest shows persistent low lung volume with interval increase of right base opacification concerning for pneumonia. left base opacity is stable, likely due to atelectasis. new small right pleural effusion. no left pleural effusion. there is no pneumothorax. mild vascular congestion. heart size is normal.
<unk> years old woman with fevers, cough concerning for pneumonia, worsening chest x-ray.
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portable ap upright radiograph demonstrates patchy opacity at the left lower lung zone which may reflect aspiration or alternatively atelectasis. lungs are otherwise clear with no focal opacity convincing for pneumonia. vascular congestion and distended azygos vein are noted, and potentially might represent volume overload, mild cardiomediastinal and hilar contours are within normal limits. there is no pleural effusion or pneumothorax. no air under the right hemidiaphragm is visualized. no large pleural effusion is seen. osseous structures demonstrates no acute abnormality.
<unk>-year-old male with abdominal pain.
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there is mild degenerative joint disease of the thoracic spine as seen on lateral view with osteophytes. there is no significant interval change as compared to prior radiograph. cardio mediastinal contours are grossly unchanged. there is again re- demonstrated a tortuous thoracic aorta. the cardiac silhouette is normal. there is bilateral hilar prominence without significant interval change. there has been mild general interval improvement in interstitial opacities as compared to prior radiograph, most prominently seen in the right upper lobe. there is stability in the size and location of previously visualized lung nodules. there is no evidence of pneumothorax or effusion.
<unk> year old woman with sarcoid // surveillance of sarcoid, lymphadenopathy
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the lungs are well inflated and clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax.
<unk> year old man with chest pain. evaluate for pneumonia.
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ap portable upright view of the chest. overlying ekg leads are present. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. extensive soft tissue calcification noted.
<unk>f with doe, crackles at bases
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since the prior radiograph on <unk>, there is new mild pulmonary edema. no focal consolidation to suggest pneumonia. there is no sizable pleural effusion. no evidence of pneumothorax. heart size is enlarged, although slightly exaggerated by the portable technique. no acute osseous abnormalities are identified.
<unk>-year-old male with end-stage renal disease on hemodialysis, now presenting for evaluation of shortness of breath. evaluate for pulmonary edema. he is due for dialysis today.
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a stent is unchanged in appearance in the region of the left axilla. lung volumes are adequate. there is no focal consolidation, pleural effusion or pneumothorax. the cardiac silhouette and mediastinal contours are normal.
<unk>-year-old male with diabetes, nausea, vomiting.
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right picc terminates in the upper svc, approximately <num> cm above the expected location of superior cavoatrial junction. no pneumothorax is identified. low lung volumes, mediastinal contours, and heart borders are stable. left basilar opacification and small pleural effusion are minimally increased from prior examination.
<unk> year old woman with new oxygen requirement // interval changes
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the heart size, mediastinal, and hilar contours are normal. the lungs are clear without pleural effusion, focal consolidation, or pneumothorax.
<unk>m with cough, l lung base crackles and rhonchi. also with new r frontal brain mass concerning for tumor, question of primary in lung. evaluate for consolidation or mass.
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the heart is stably enlarged. there is mild central vascular congestion. lungs are hyperinflated. no large pleural effusion. no pneumothorax. osseous structures are demineralized and the wedge compression fracture in the lower thoracic/upper lumbar spine is unchanged.
history: <unk>f with dyspnea on exertion, weight gain, chf // pulm edema?
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the lungs are well expanded and clear. the cardiomediastinal silhouette is unremarkable. there is no pleural effusion, pulmonary edema, pneumothorax or focal consolidation concerning for pneumonia. no displaced rib fractures are identified on these routine pa and lateral views.
<unk>-year-old man with four weeks of productive cough with recent fall on left lateral chest. now with rib tenderness. evaluation for pneumonia or rib fracture.
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there is probable background hyperinflation. the patient is status post sternotomy. heart size is at the upper limits of normal. there is upper zone redistribution and mild vascular plethora, without overt chf. focal opacity at the right base laterally appears to represent artifact due to confluence of rib and vascular shadows. there is minimal atelectasis in the right cardiophrenic region, similar to <unk>. doubt acute infiltrate. no gross effusion identified.
history: <unk>f with hx renal transplant with sepsis // pneumonia?
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cardiac size is normal. there are low lung volumes with minimal bibasilar atelectasis. y stent is better seen on prior ct. there is no pneumothorax or pleural effusion.
<unk> year old woman with history of tracheal stenting, severe asthma with resp distress and significant rhonchi // evaluate interval change
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biventricular icd noted over the left chest with leads properly projecting over the right ventricle, right atrium, and left ventricle. sternotomy wires and surgical clips are unchanged. the heart is top normal in size. opacification of the right lung seen previously, likely representing layering of pleural effusion is no longer seen in this upright radiograph. there is a small right-sided effusion seen better on the lateral radiograph. there is a new area of opacity at the right cardiophrenic angle, possibly representing an area of fluid or segmental atelectasis in the lower lobe. no pneumothorax.
<unk>-year-old man with new biventricular icd.
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the patient has been intubated. although it is difficult to measure the precise distance, the endotracheal tube closely approaches the carina and retracting the tube by approximately <num> cm is suggested. an orogastric tube courses into the stomach. there is better aeration at the right lung base. the pulmonary vascularity is again mildly prominent. it is difficult to exclude retrocardiac opacity noting slight blurring of the margins of the left hemidiaphragm, but this appearance may be due to difficulty in interpretation due to overlying soft tissue attenuation. the heart remains mildly enlarged.
status post intubation.
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the lungs are clear without consolidation, effusion, or edema. there is likely external material mimicking a pleural reflection at the left lung apex however in combination with lucency below the left hilum, repeat exam in expiratory phase is suggested. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>f with weakness // weakness
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the lungs are moderately well inflated and clear. no pleural effusion or pneumothorax. there is stable mild cardiomegaly. mediastinal contour and hila are unremarkable. limited assessment of the osseous structures are notable for mild multilevel degenerative changes of the thoracic spine. no displaced rib fracture.
<unk>f with chest pain, dizziness. assess for etiology of chest pain.
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pa and lateral chest views were obtained with patient in upright position. comparison is made with the next preceding portable chest examination obtained <num> hours earlier during the same day. heart size is unchanged and remains normal. thoracic aorta unremarkable. no mediastinal abnormalities are present. several linear densities on the left base and mild blunting of the pleural lateral sinus is present as before and coincides with the previously described local chest wall emphysema related to stab wounds and surgical repair. the amount of chest wall emphysema present reaches up to the axillary area and appears to be stable in comparison with the next previous portable chest examination. as before, some local strands of chest wall emphysema are overlying the apical area, but there is no conclusive evidence for any apical pneumothorax. thus, both lungs remain well aerated.
<unk>-year-old male patient status post left flank stab wounds and left pneumothorax. perform images in standing to assess for interval change.
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endotracheal tube terminates <num> cm above the carina. right internal jugular approach central venous catheter terminates low svc. lung volumes are markedly low and left costophrenic angle is not visualized. dense retrocardiac opacity suggests left lower lobe collapse. additional opacity at the base the right is most consistent with atelectasis. no pneumothorax.
history: <unk>m intubation // eval ett
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compared with the prior study, the right ij central catheter tip has been withdrawn, now terminating at the mid svc. lung volumes remain slightly low, but there is no new focal consolidation or pneumothorax. there may be trace, if any, right pleural effusion. cardiomediastinal silhouette is unchanged.
<unk> year old man with new fever. evaluate for pneumonia.
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heart size is normal. the cardiomediastinal silhouette is unremarkable. the hilar contour is unremarkable. the lungs are clear without consolidations, effusions or pneumothorax. no acute soft tissue or bony abnormality.
chest pain.
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. there is calcification of the coronary artery.
<unk> year old woman with sob // r/o chf
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. no free intraperitoneal air.
<unk>f with + blood cultures. now presenting with abdominal and left flank pain. // ? psoas abscess ? pyelonephritis
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pa and lateral chest views were obtained with patient in upright position. analysis is performed in direct comparison with the next preceding pa and lateral chest examination of <unk>. whereas the described changes in the right hemithorax are stable, the left-sided basal pleural density has decreased markedly and the left-sided diaphragmatic contour is now identified both on frontal and lateral view. no evidence of pneumothorax in the apical areas on either side.
<unk>-year-old male patient with right-sided lung metastatic melanoma and new left pleural effusion, cough. now status post thoracocentesis. evaluate for pneumothorax.
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the heart is moderately enlarged. the aorta is mildly tortuous. the mediastinal and hilar contours are otherwise unremarkable. the lung volumes are low. within the limitations of technique, the lungs appear clear. there is no pleural effusion or pneumothorax.
shortness of breath.
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the lungs are well expanded and clear. there is no consolidation, effusion, or pneumothorax. cardiac and mediastinal contours are normal.
palpitations and chest pain.
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ap upright and lateral views of the chest were reviewed. compared to the most recent prior of <unk> bilateral diffuse pulmonary opacities have significantly decreased, however, some residual opacity in the left lower lung persists. small bilateral pleural effusions are relatively unchanged. no pneumothorax. stable heart and mediastinal contours.
evaluation for interval change in a patient with pneumonia and influenza.
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extensive subcutaneous emphysema is stable. there are <num> left chest tubes in place. no definite pneumothorax. postoperative changes cervical spine. endotracheal tube tip <num> cm above carina. enteric tube tip probably below diaphragm, not included on the radiograph. percutaneous gastrostomy tube. central line tip in the upper svc, similar. mildly improved right basilar consolidation. stable left basilar consolidation. shallow inspiration accentuates heart size, pulmonary vascularity. prominent bilateral hila are are stable.
<unk>m w/ worsening hypoxia, <num> chest tubes, eval for ptx or cardiopulm change // <unk>m w/ worsening hypoxia, <num> chest tubes, eval for ptx or cardiopulm change
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patient is status post median sternotomy with chain sutures noted in the right upper lung field and right paramediastinal clips. heart size remains mildly enlarged. central venous catheter bridging from an inferior approach courses through and inferior vena cava stent and terminates in the region of the low svc/proximal right atrium. mild interstitial pulmonary edema is similar compared to the prior study. small bilateral pleural effusions, larger on the right are without significant interval change. scarring is noted within the right upper lung field. no focal consolidation is present. there is no pneumothorax. no acute osseous abnormalities detected.
history: <unk>m with fever // evaluate for infection
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pa and lateral views of the chest demonstrate the lungs are well-expanded and clear. the cardiomediastinal silhouette is unremarkable. mild right basilar linear atelectasis is noted. there is no pleural effusion, pulmonary edema, pneumothorax or focal consolidation concerning for pneumonia.
<unk>-year-old female with weakness. evaluation for pneumonia or chf.
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pa and lateral views of the chest demonstrate multiple bilateral pulmonary nodules, the largest of which are located in the left upper lobe, as described previously. there is no pleural effusion or pneumothorax. persistent rightward convex thoracic scoliosis is again seen. the cardiomediastinal silhouette is unremarkable. orthopedic hardware in the cervical spine is again seen.
<unk>-year-old female with chest pain.
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ap and view of the chest. left base opacity partially silhouettes the left hemidiaphragm. the lungs are otherwise clear without consolidation or pulmonary vascular congestion. cardiomediastinal silhouette is stable as are the osseous and soft tissue structures.
<unk>-year-old male with hypotension.
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a single-lead pacemaker device terminates in the right ventricle. the heart has a globular configuration and shows similar moderate enlargement. mitral annular calcifications are present.the aortic arch is calcified. there is a persistent right mid lung opacity suggesting minor stable scarring. elsewhere, the lungs remain clear. there is no pleural effusion or pneumothorax. pleural effusions have resolved.
cough and bronchial breath sounds on the left.
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the cardiac and mediastinal silhouettes demonstrate calcification of the aortic arch but otherwise appear grossly unremarkable. there is slight blunting of the right costophrenic angle, probably representing changes of atelectasis. no definite consolidative process is seen. no other focal pulmonary opacity, pleural effusion, or evidence of pneumothorax. examination of osseous structures demonstrate mild anterior shortening of a mid thoracic vertebral body, but are otherwise unremarkable.
shortness of breath and cough. evaluate for infiltrate.
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. there is no pleural effusion or pneumothorax.
shortness of breath.
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the heart size is likely unchanged, though assessment is limited due to the presence of a moderate to large right pleural effusion, as noted on the prior ct. there is adjacent right basilar compressive atelectasis. pulmonary vascularity is normal. the mediastinal and hilar contours are unremarkable though the right hila is this partly obscured. left lung is grossly clear. no left-sided pleural effusion is present. there is no pneumothorax. no acute osseous abnormalities are detected.
hepatocellular carcinoma, ascites with shortness of breath and increasing distention.
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the lungs are hyperinflated with underlying emphysematous changes. no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. heart and mediastinal contours are stable. surgical suture material along the right medial upper lung is seen. this study is not optimized for evaluation of the scapula; no acute bony findings are seen. old l<num> compression fracture is noted. there has been interval compression of t<num>, age indeterminate but new since prior.
<unk>-year-old female with right scapular pain and history of prior compression fracture.
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the lungs are well inflated and clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax. there is no free air under the diaphragm.
<unk>-year-old man with foreign body sensation/discomfort since eating steak tip last night.
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left basilar linear marking near the costophrenic angle is again noted, likely reflecting atelectasis. the lungs are otherwise clear of focal consolidation, pleural effusions or pneumothoraces. the cardiac mediastinal silhouette is within normal limits.
<unk>f with chest pain // eval for pna, ptx
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the heart size is normal. no pulmonary edema. right middle lobe atelectasis. no suspicious pulmonary nodules or masses. no pleural effusions. spondylotic changes of the thoracic spine.
<unk> year old woman with ckd stage <num>, dm, cad coming in with persistent dry cough and fever at home. // ? pneumonia
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the lungs are clear without focal consolidation, effusion, or edema. cardiomediastinal silhouette is within normal limits. median sternotomy wires and mediastinal clips are again noted. fullness of the right hilum is stable dating back to <unk>. no acute osseous abnormalities. relative uniform sclerosis of the bilateral sixth ribs is also unchanged.
<unk>m with cardiac history, want to hydrate for diarrhea // eval for chf
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pa and lateral views of the chest provided. lungs are grossly clear. no pleural effusion or pneumothorax. hilar contours are normal. the ascending aorta is tortuous.
<unk> year old woman with tobacco abuse, copd, presenting with acutely worsening cough // <unk> pack year history, persistent cough, acutely worsening
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prior chest radiographs <unk> through <unk>:<num>.
<unk> year old woman s/p mvr/avr with ct pulled // eval for ptx
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cardiac silhouette size is normal. the aorta is mildly unfolded. mediastinal and hilar contours are otherwise unremarkable. pulmonary vasculature is not engorged. patchy opacities are noted in the lung bases, more pronounced on the left, concerning for infection or aspiration. there is no pleural effusion or pneumothorax. moderate multilevel degenerative changes are seen in the thoracic spine.
history: <unk>m with fever
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pa and lateral chest radiographs were provided. lung volumes are low. there is no focal consolidation, pleural effusion or pneumothorax. the previously seen left pleural effusion has essentially resolved. the cardiomediastinal silhouette is unremarkable. the visualized upper abdomen is unremarkable. there are degenerative changes in the thoracic spine. mild anterior wedging is noted in the lower thoracic spine, unchanged from the prior exam.
history of afib, hypertension and recent turp presents with chills and abdominal pain. assess for edema or other cardiopulmonary process.
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aside from mild atelectasis at the right base the right lung is clear. there is worsening opacification of the left retrocardiac region with air bronchograms suggesting atelectasis. moderate cardiomegaly is unchanged. new pacer lead has been placed via the coronary vein and projects over the left ventricle. leads terminating in the right atrium and right ventricle are unchanged. there is no evidence of large pleural effusion or pneumothorax.
<unk> year old woman s/<unk> crt upgrade // ptx leads
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there is a new moderate left pleural effusion. there is obscuration of the left hemidiaphragm compatible with the a effusion with associated volume loss/ infiltrate. there is volume loss in the right lower lobe. there is pulmonary vascular redistribution with ill-defined vasculature compatible with fluid overload. the right-sided picc line with tip in the mid svc is unchanged
<unk> year old man with severe pancreatitis and worsening tachycardia. // evaluate for pleural effusion in patient w/ pancreatitis
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the patient is somewhat rotated on today's study. a tracheostomy is in-situ, unchanged in position compared to the prior study. a left-sided picc line terminates in the mid svc. no pneumothorax, consolidation or pleural effusion seen.
<unk> year old man with anoxic brain injury, s/p trach/peg, now with worsening leukocytosis and ongoing secretions. // pls eval for pna
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lung volumes are low, exaggerating interstitial opacities and heart size. heart size is enlarged, unchanged from prior. interstitial opacities, which may be atelectasis as well as edema, is not significantly worsened. however, underlying pneumonia cannot be excluded. small bilateral effusion is likely. there is no evidence for pulmonary consolidation or pneumothorax.
<unk> year old man with cirrhosis/severe alcoholic hepatitis and sepsis of unclear source. evaluate for interval change, more precisely opacities suggestive of pna.
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since prior, there has been no significant interval change. moderate left and small right pleural effusions are again seen with adjacent atelectasis. there is mild pulmonary edema, also similar. moderate cardiac enlargement and atherosclerotic calcifications are noted. median sternotomy wires are intact. compression deformity in the lower thoracic spine is unchanged since <unk>.
<unk>m with shortness of breath, history of cad // evaluate for pulmonary edema
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>f with chest pain // eval for chf/pneumonia
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pa and lateral radiographs of the chest were obtained. a moderate right-sided effusion is grossly similar to <unk>. a tiny left effusion has resolved. bibasilar opacities likely reflect atelectasis, unchanged. the remainder of the lungs are stable with no new consolidations. the heart and mediastinal contours are normal. no pneumothorax or pulmonary vascular congestion.
fever
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hyperinflated lungs suggest obstructive disease. there is no focal consolidation, effusion, or pneumothorax. mediastinal and hilar contours are normal. heart size is normal. there is no evidence of rib or compression fracture. there are calcifications in the origins of the head and neck vessels.
<unk> year old man with left sided worse on breathing since a cracky noise yesterday after lifting a heavy box, c/o sob o<num> sat <unk>% // r/o pneumothorax vs rib fracture
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pa and lateral views of the chest provided. port-a-cath resides over the left chest wall with catheter tip in the region of the mid svc unchanged. the lungs appear clear. no large effusion or pneumothorax. cardiomediastinal silhouette is normal. bony structures appear intact. dish related changes of the t-spine noted. no free air below the right hemidiaphragm.
<unk>m with history of gastric cancer w/ acutely worsening abd pain // ct- evidence of obstruction or necrotizing enterocolitis
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there has been interval retraction of the endotracheal tube with tip now positioned approximately <num> cm above the carina. no other interval change detected. severe abnormalities in both hemithoraces better delineated on today's ct.
<unk>-year-old female status post endotracheal tube repositioning.
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there is increased opacity projecting over the left hemi thorax compatible with pleural effusion, with fluid seen abutting the lung apex. there is superimposed mild pulmonary edema. enlargement of the cardiac silhouette and upper mediastinum is similar compared to prior. right chest wall surgical <unk> are noted.
<unk>m with sob // ?pneumonia
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the cardiomediastinal silhouette is unremarkable. the lungs are clear. there is no pleural effusion or pneumothorax. no bony abnormalities are identified on this limited examination.
<unk>f with cough
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the lung volumes are low. the cardiac, mediastinal and hilar contours appear unchanged. the heart is at the upper limits of normal size. there is a similar infrahilar opacification suggesting atelectasis or scarring. more generally there is increased bibasilar opacification, but streaky and band-like in morphology, mostly suggestive of atelectasis or scarring with a suspected small left-sided pleural effusion.
bandemia and leukocytosis.
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a dual lumen port-a-cath is in-situ, the tip is in the mid to distal svc. lung volumes are slightly low resulting crowding of the bronchovascular structures and mild prominence. no consolidation, pneumothorax or pleural effusion seen. the visualized bony structures are unremarkable in appearance.
<unk> year old man with cholangiocarcinoma, pes and worsening dyspnea // r/o acute process
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there is a tortuous thoracic aorta. there are low lung volumes. allowing for changes due to this, the cardiac silhouette is within normal limits. the bilateral hila are unremarkable. minimal interstitial prominence likely relates to crowding of bronchovascular structures. a rounded, <num> mm calcific density focus projecting over the lateral left hemithorax may represent a calcified granuloma. there is no evidence of pneumothorax or pleural effusion, however note the right lung apex is obscured by the patient's skull.
<unk>m with dyspnea, evaluate for acute process.
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the heart size is normal. the hilar and mediastinal contours are within normal limits. there is no pneumothorax, focal consolidation, or pleural effusion.
concern for infection.
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pa and lateral chest radiographs demonstrate clear lungs. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.
cough and fever.
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there has been interval removal of a right apical chest tube with development of a moderate right pneumothorax. there is stable elevation of the right hemidiaphragm and no appreciable mediastinal shift. a patchy opacity in the right lower lobe, best appreciated on the lateral view, likely represents an area of atelectasis. no large pleural effusions or focal consolidations are seen. the left lung is clear. the cardiomediastinal silhouette is stable. a small amount of subcutaneous air is seen tracking along the right chest wall at the site of prior chest tube. interval removal of nasogastric tube is also noted.
<unk>-year-old male status post right vats procedure complicated by hemothorax, now with chest tube removed. here to evaluate for pneumothorax.
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compared with prior chest radiograph on <unk>, there is new ill-defined opacity adjacent to the right hilum. there is linear atelectasis in the right upper lung.the left lung is clear. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
<unk> year old man with hx of myeloma on chemo with cough. please r/o pna. // <unk> year old man with hx of myeloma on chemo with cough. please r/o pna.
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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 cardiomediastinal and hilar contours are within normal limits. no acute osseous abnormality is detected. mild dextroscoliosis of the spine is noted. there is no free air beneath the hemidiaphragms.
<unk>f with new cp // acute cv process
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the lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. the cardiac and mediastinal contours are normal. no acute osseous abnormalities identified.
<unk>f with right sided lower rib ttp and stepoffs, no crepitus. h/o atv accident <num> week ago. evaluate for rib fractures.
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a transesophageal tube courses below the diaphragm and out of view. left lung base opacity is stable which may be atelectasis. cardiomediastinal silhouette is normal size.
<unk> year old man with delirium, s/p ngt // please evaluate ngt
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pa and lateral chest radiograph demonstrates trace amount of pneumoperitoneum as indicated by air underneath the right and left hemidiaphragms. lungs appear clear with no focal opacity convincing for pneumonia. two relatively rounded and dense structures project over the left upper lung over the anterior first and second ribs which may be calcified granulomas or potentially within the overlying osseous structures. no evidence of pulmonary edema, pneumothorax, or pleural effusion. heart is mildly enlarged. hilar and mediastinal contour otherwise is unremarkable.
<unk>-year-old female with shortness of breath status post abdominal surgery.
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. the lungs appear clear. bony structures are unremarkable.
multiple sclerosis, presenting with cough. question infiltrate.
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<num> views were obtained of the chest. new opacities in the right midlung opacity projecting in the superior segment of the right lower lobe or posterior segment of the right upper lobe are concerning for pneumonia. there is no pleural effusion or pneumothorax. the heart is stably enlarged with post cabg changes.
altered mental status, assess for pneumonia.
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ap upright chest radiograph was obtained. there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. the cardiomediastinal and hilar contours are normal. no bony abnormality is seen.
hypotension of unclear source. evaluate for pneumonia.
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frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. the lungs are clear. previously seen left lower lobe pneumonia has significantly improved since preceding exam. there is no pneumothorax, vascular congestion, or pleural effusion.
<unk>-year-old male with cough and fever as well as nausea. question pneumonia.
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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. right chest port tip is in the lower svc.
history: <unk>f with fever // eval for pna
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pa and lateral chest radiograph low lung volumes. cardiomediastinal and hilar contours are stable relative to prior examination. heart is upper limits of normal in size, exaggerated by low lung volumes. lungs are clear without a focal consolidation. there is no pleural effusion, pneumothorax, or evidence of pulmonary edema.
history: <unk>m with cough // infiltrate
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the heart size is normal. no pneumothorax or pleural effusion is seen. the cardiac silhouette and bilateral diaphragms are clear. lungs are clear. trachea is midline.
<unk>m with chest pain // evaluate for acute process
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ap upright and lateral views of the chest provided. lungs are hyperinflated. there is no focal consolidation, large effusion or pneumothorax seen. cardiomediastinal silhouette appears normal. imaged bony structures are intact. no acute osseous abnormality.
<unk>f with vomiting episode during syncope
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right-sided port-a-cath tip terminates at the junction of the svc and right atrium. the cardiac silhouette size is moderately enlarged, unchanged. the mediastinal contour is stable, with mild aneurysmal dilatation of the ascending aorta again noted. post radiation fibrotic changes are noted within the right paramediastinal lung. streaky left basilar opacity likely reflects atelectasis. no pleural effusion or pneumothorax is identified. there is no pulmonary vascular congestion. no acute osseous abnormalities are seen.
dyspnea and cancer.
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in comparison with the study of <unk>, there may be a slight increase in the small left apical pneumothorax. however, there has been a significant increase in the subcutaneous gas along the left lateral chest wall as well as in the neck, with substantial pneumomediastinum. heart size, mediastinal contour, and hila are unremarkable. left chest tube is unchanged in position.
<unk> year old man with ptx with chest tube. assess pneumothorax.
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frontal and lateral chest radiographs demonstrate linear atelectasis in the bilateral bases, right greater than left, the lungs are otherwise well expanded and clear. there is no pleural effusion or pneumothorax. the cardiac silhouette is normal, the mediastinal contours are normal. the pulmonary vasculature is normal in appearance.
<unk>-year-old female with chest pressure.
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the lung volumes remain slightly low, with unchanged. position of. enteric tube. mild vascular congestion, right pleural effusion, bibasilar atelectasis, greater on the right, an extensive. right hemi thorax postsurgical changes are stable. spinal hardware is unchanged. the cardiomediastinal silhouette is also stable.
<unk> year old woman with increased o<num> requirement. // ? acute process
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a portable upright radiograph of the chest was provided. there is a moderate right and small left pleural effusion. pulmonary vascular redistribution is noted. there is bibasilar atelectasis. mild cardiomegaly is present. there is no pneumothorax. no rib fracture is seen.
shortness of breath and confusion after recent fall. evaluate for effusion or fracture.
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compared with <unk>, there are new bibasilar opacities raising the possibility of infectious infiltrates. there is upper zone redistribution and mild vascular blurring,, slightly more than on <unk>. probable small right effusion and minimal blunting of left costophrenic angle are new compared with <unk>. cervical spine fusion hardware is again incidentally noted. calcification tubular calcification adjacent to the right neck at the upper edge of this film could represent carotid artery calcification.
<unk> year old man with cirrhosis, s/p hemorrhoidectomy on <unk>, with new fevers on <unk> // please eval for infiltrate vs. consolidation
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the cardiac, mediastinal and hilar contours are normal. pulmonary vasculature is normal. scarring within the lung apices is present. no focal consolidation, pleural effusion or pneumothorax is visualized. mild anterior wedging of a vertebral body at the thoracolumbar junction is noted.
dyspnea, presyncope.
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the patient is status post median sternotomy and cabg, with multiple bypass graft stents noted. heart size is borderline enlarged with mild prominence of the right ventricle, unchanged. aortic knob is calcified. mediastinal and hilar contours are unchanged, and there is no pulmonary edema seen. no focal consolidation, pleural effusion or pneumothorax is identified. no acute osseous abnormalities are seen.
history of myocardial infarction and stenting with exertional chest pain.