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portable single frontal chest radiograph was obtained with the patient in semi-upright position. there are increased opacities in the left lung base. the pulmonary vasculature is moderately engorged. no pleural effusion or pneumothorax is seen. when compared to prior study, there is mild increase in heart size. mediastinal contours are stable.
patient with seizure activity, eval for pneumonia or aspiration.
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the lungs are hyperinflated but clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. there is slight thickening of the pleura in the bilateral lung apices and costophrenic angles. the cardiac and mediastinal contours are normal. there is no free air beneath the right hemidiaphragm.
history: <unk>f with chest pain // eval ptx/pna
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pa and lateral views of the chest. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are normal.
cough with hemoptysis. evaluate for pneumonia.
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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 positive ppd // r/o active tb
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the heart size remains mild to moderately enlarged. the aorta is unfolded with mild atherosclerotic calcifications visualized. pulmonary vascularity is normal. the hilar contours are unremarkable. the lungs are clear. no pleural effusion or pneumothorax is identified. no acute osseous abnormalities detected.
hypertension to a systolic pressure of <num>'s, low oxygen saturation.
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the heart is mild to moderately enlarged. the mediastinal and hilar contours are probably normal considering portable technique and low lung volumes. there is no pleural effusion or pneumothorax. density obscuring the left costophrenic angle may be explained by soft tissue attenuation. the lungs appear clear.
altered mental status.
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pa and lateral chest radiographs. there is atelectasis in the left lower lobe. there is no pleural effusion or pneumothorax.
chills. recent appendectomy.
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ap upright and lateral views of the chest provided. low lung volumes limits assessment. there is a no convincing evidence for pneumonia. there is likely streaky lower lung atelectasis. no large effusion or pneumothorax. cardiomediastinal silhouette is normal. bony structures are intact.
<unk>f with fever // r/o pna
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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 headache, fever // eval for pneumonia
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swan-ganz catheter and enteric tube are not constant position. moderate cardiomegaly persists. lung volumes remain low. right pleural effusion appears smaller although this may be due to more upright positioning. worsening left retrocardiac opacity may reflect atelectasis or aspiration. the mediastinal and hilar contours are unchanged. there is no pneumothorax. the aortic arch is calcified.
<unk> year old man with atrial fibrillation, hx of cad and cabg, s/p pea arrest // interval change
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frontal and lateral views of the chest. the lungs are clear. the cardiomediastinal silhouette is within normal limits. mild height loss of a lower thoracic vertebral body is again noted.
<unk>-year-old female with cough, recent travel, night sweats with shortness of breath and pleuritic chest pain.
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ap and lateral chest radiographs were provided. the lungs are hyperinflated. there is no focal consolidation, pleural effusion or pneumothorax. the aorta is tortuous. the cardiomediastinal silhouette is otherwise unremarkable. there is no acute osseous abnormality.
<unk>-year-old man with three days of anorexia, shakiness, acute process.
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the lungs are clear. no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the heart size is normal. mediastinum and hila are within normal limits. no interval change.
<unk> year old woman with renal/pancreas transplant on csa/mmf, new leukocytosis and encephalopathy, concern for pna/aspiration. evaluate for pneumonia or aspiration.
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the lungs are clear of focal consolidation or edema. degree of cardiomegaly is similar. no acute osseous abnormalities.
<unk>f with cough and fever // eval pneumonia
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pa and lateral chest radiograph demonstrates heart size upper limits of normal in size. there are median sternotomy wires which appear intact. multiple surgical clips project over the left mediastinal contour. there is central vascular engorgement. there is no large pleural effusion. linear opacity at the left lung base is likely atelectatic in etiology. there is no pneumothorax. there is no opacity convincing for infectious process.
history: <unk>m with <num> weeks running nose cough productive worsening <num>t here, hx hiv well controlled
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pa and lateral views of the chest are compared to previous exam from <unk> and <unk>. left chest wall dual-lead pacing device again seen with leads in unchanged position from prior. there is a new somewhat linear patchy region of opacity in the left lower lobe, not clearly seen on the previous exams. elsewhere, the lungs are clear. there is no effusion or pulmonary vascular congestion. there is no pneumothorax. cardiac silhouette is enlarged but stable. no acute osseous abnormality is detected.
<unk>-year-old man with chest pain. history of cad.
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frontal and lateral views of the chest show no acute intrathoracic process. flattened diaphragms and pulmonary blebs are consistent with obstructive lung disease. the mediastinum and pleural structures are unremarkable. calcifications are seen within the aortic arch. the shoulders are not fully evaluated, however, there are no suspicious osseous lesions. degenerative changes are seen within the thoracic spine.
shoulder pain, evaluate for infiltrate.
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the right lung is clear. there is new diffuse patchy opacities throughout the left upper lobe and lingula. the left hemidiaphragm is slightly elevated. there is a more dense opacity compared to the prior study and is concerning for either a mass or more confluent consolidation. prior radiation changes are also seen within the left lung. there is a small pleural effusion on the left. the mediastinal and cardiac contours on the left are blurred by superimposed lung opacification. the right mediastinal and hilar and cardiac contours are normal. pacemaker is in place with biventricular leads in the appropriate position.
shortness of breath and cough.
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lung volumes are normal. there is no focal consolidation, pleural effusion or pneumothorax. no pulmonary edema. cardiomediastinal contours are normal. no acute osseous abnormalities. no subdiaphragmatic free air.
<unk>-year-old male with chest pain
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lung volumes are low and there is increased opacity at the left base it is unclear how much of this is due to volume loss versus an infiltrate. the could also be an early infiltrate in the right lower lung.
<unk> year old woman with oxygen req // ? pleural effusion vs vedema
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an nasogastric tube terminates in the left upper quadrant, likely in the stomach. lung volumes are unchanged compared to the prior study. there is persistent vascular prominence of the bilateral hila, likely reflecting pulmonary arterial hypertension. assessment of heart size is limited by technique but unchanged from the prior study. no consolidation, pleural effusion or pneumothorax seen. .
<unk> year old man with fever // eval for pna
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pa and lateral views the chest were provided. lung volumes are low limiting assessment. there is bibasilar atelectasis. coarsened lung markings are noted which could reflect a component of fibrosis. there is no convincing evidence for pneumonia or edema. no large effusion or pneumothorax seen. no gross bony abnormalities.
<unk>f with recent fall and shortness of breath
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frontal and lateral chest radiograph demonstrates clear lungs with no focal consolidation. there is no pleural effusion or pneumothorax. re- demonstration of a left-sided picc which terminates in the right atrium. for placement confidently with the superior vena cava, this line would have to be pulled <num>-<num>cm. the cardiomediastinal and hilar contours are stable in appearance. there is evidence of pneumoperitoneum as demonstrated by air under the right hemidiaphragm and cardiac border. this appears stable if not minimally decreased when compared to chest radiograph dated one day prior and expected after recent peritoneal abscess drainage.
<unk>-year-old male with fevers and recent ercp..
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the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable.
<unk>f with <num>xd sharp intermittent pleuritic chest pain w/ cough + sputum. // eval for infection
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portable chest radiograph evaluation is somewhat limited by rotation. interval removal of right-sided chest tube with possible interval development of a small right pneumothorax. increased opacification of right upper lobe may reflect degree of associated collapse. there has been notable interval improvement of aeration of the bilateral lung bases with residual atelectasis in the left lung base and small bilateral pleural effusions. stable cardiac enlargement with improved but persistent vascular congestion.
status post left chest tube discontinued. please assess for interval change, pneumothorax.
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the lungs are clear. there is no effusion or pneumothorax. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.
<unk>m with right lateral chest pain, struck with heavy basket at work // r/o pneumothorax
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portable ap upright chest film <unk> at <time> is submitted.
<unk> year old woman with preop for temporal artery bx // preop surg: <unk> (temporal artery biopsy) preop
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the heart is top-normal in size.
<unk> year old man with nonischemic cardiomyopathy, episodes of hemoptysis in recent months // eval for opacity
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lungs are clear. there is no pleural effusion or pneumothorax. mild pulmonary vascular congestion is seen along with mild cardiomegaly. hilar and mediastinal contours are unremarkable.
dyspnea, immunosuppressed, assess for pneumonia.
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pa and lateral views of the chest provided. there is a tiny left pleural effusion with no convincing evidence for pneumonia. no edema or pneumothorax. cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>f with fever cough shortness of breath // r/o pna
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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.
<unk>f w/sob
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the right picc line ends at the upper svc, previously at the superior cavoatrial junction. overall, the residual effusion and thickening in the left lower lobe has decreased. no right pleural effusion or residual left pleural air. the right lung and left upper lung are clear.
<unk> year old man with history of multifocal pna and left-sided empyema. now s/p <num> weeks of iv antibiotics. please evaluate for interval change.
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frontal and lateral views of the chest were obtained. the lungs are hyperinflated. linear scarring at the lung bases is unchanged. there is no focal consolidation, pleural effusion or pneumothorax. heart size is top normal. mediastinal silhouette and hilar contours are normal. there is no free air under the right hemidiaphragm. there is persistent wedging of a lower thoracic vertebral body.
malaise and early satiety with weight loss.
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frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette. the right pleural effusion is decreased. there is bibasilar atelectasis, but no focal consolidation. there is no pneumothorax.
leukocytosis, status post liver transplant. evaluate for effusion or superimposed pneumonia after thoracentesis.
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the cardiac silhouette is borderline enlarged. in aicd is again noted, stable in appearance since the prior examination. again again noted are stable bilateral pleural effusions. opacity is again seen in the right upper and mid lung zones, which may be related to prior rib fractures though metastatic disease is not excluded. no pneumothorax is identified.
history: <unk>m with tachycardia, on chemotherapy // eval for acute porcess
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there are low lung volumes, which accentuate the bronchovascular markings. given this, the there is linear left mid lung atelectasis/ scarring as well as likely atelectasis in the right mid lung zone. perihilar opacities may relate to prominence of the pulmonary vasculature and low lung volumes although underlying infection is difficult to exclude in the appropriate clinical setting. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. right glenohumeral joint degenerative change is incidentally noted.
history: <unk>m with fever // eval for pneumonia
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left pleural effusion is decreased and minimal amount remains. small right pleural effusion is stable. numerous nodular opacities throughout bilateral lungs are again noted. there is no pneumothorax. left pectoral pacemaker and its leads are in unchanged positions. surgical clips are again noted in the thyroid bed.
<unk> year old man with malignant bilateral effusions s/p right and now left thoracenteses. // ? pneumothorax (s/p a *second* thoracentesis)
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in comparison with study of <unk>, there is little overall change. again there is enlargement of the cardiac silhouette with diffuse prominence of interstitial markings consistent with some combination of vascular congestion and chronic lung disease. bilateral pleural effusions are again seen and there is no pneumothorax. extrapleural mass is again seen in the right upper zone laterally.
lung cancer with pleural effusions.
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right chest wall port is again seen in stable position. the lungs are essentially clear besides mild retrocardiac atelectasis, improved since prior. cardiomediastinal silhouette is stable. no acute osseous abnormalities.
<unk>m with syncope and fall // ?pneumonia
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ap radiograph of the chest demonstrates a new opacification in the left lung base. there is unchanged opacification of the right apex, consistent with known lung carcinoma. there is slightly increased opacification of the right hemithorax with signs of volume loss. a pleurex catheter is noted in the right hemithorax. the cardiomediastinal silhouette is unchanged. the pulmonary vasculature is prominent, unchanged. there are several new soft tissue calcifications in the region of the right scapula not visualized on prior chest radiograph.
known lung carcinoma with acute shortness of breath. evaluate for acute cardiopulmonary process.
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frontal and lateral views of the chest demonstrate normal lung volumes. there is no pleural effusion, focal consolidation, or pneumothorax. hilar and mediastinal silhouettes are unremarkable. heart size is normal. there is no pulmonary edema. partially imaged upper abdomen is unremarkable.
patient with shortness of breath on exertion. assess for pneumonia.
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cardiac, mediastinal, and hilar contours are within normal limits. there is no evidence for pulmonary consolidation, pulmonary edema, pleural effusion, or pneumothorax. mild dextroconvex curvature of the thoracic spine is again noted.
history: <unk> with chest pain and history of pulmonary embolism. evaluate for infiltrate, pneumonia.
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lungs are clear. no signs of pneumonia or edema. no pleural effusion or pneumothorax. an azygous fissure is noted. heart and mediastinal contours are normal. bony structures are intact. no free air below the right hemidiaphragm.
<unk>m with chest pain x <num> days // eval for pneumothorax
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the heart size is within normal limits and the mediastinal and hilar contours are normal. the lungs are clear. there is no pleural effusion or pneumothorax.
<unk>-year-old male with fatigue, weakness, dyspnea on exertion as well as weight loss and insomnia.
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portable single frontal chest radiograph was obtained with the patient in upright position. lung volumes remain low. there is persistent bilateral pulmonary vascular congestion and interstitial edema. in addition, there is now an increased focal opacity in the left mid and lower lung fields. bilateral small pleural effusions are stable. the heart size is difficult to assess due to parenchymal abnormalities. there is no pneumothorax.
patient with recurrent chf exacerbation, interval chest x-ray evaluation.
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again seen are infiltrates in the right mid lung and right lower lobe is increased pulmonary vascular redistribution and a small left effusion. there is also new retrocardiac opacity that could be due to volume loss or infiltrate. the heart size continues to be mildly enlarged sternal wires and mediastinal clips and pacemaker are unchanged.
normal dark sputum.
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ap and lateral views of the chest. low lung volumes are seen on the current exam, particularly on the lateral view. the lungs, however, are grossly clear without consolidation or effusion. the cardiomediastinal silhouette is within normal limits, noting a tortuous descending thoracic aorta. surgical clips are identified in the right upper quadrant suggesting prior cholecystectomy.
<unk>-year-old male with coronary artery disease with recurrent chest pain, cough, fevers and dyspnea on exertion.
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frontal and lateral chest radiographs were obtained. the left subclavian line has been removed as well as the ng tube. there are persistent moderate bilateral pleural effusions with the right effusion slightly increased in size compared to prior study. unchanged compressive atelectasis at bilateral lung bases. the cardiomediastinal silhouette and hilar contours are stable. there is no pneumothorax.
patient with copd and bilateral pleural effusions, assess for pleural effusions.
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the lungs are clear and well inflated bilaterally with no focal consolidation, mass lesions, pleural effusion or evidence of pneumothorax. the cardiomediastinal silhouette is stable and within normal limits. the pleural surfaces are unremarkable. posterior fusion hardware is seen in the upper thoracic vertebra with pedicle screws unchanged in position and with no obvious hardware complications. metallic cage replacing the t<num> vertebra is seen again with no obvious complications. stable osteopenia and degenerative changes of thoracic spine is noted.
<unk>-year-old male here with a history of myeloma presents for pre-procedure evaluation prior to the stem cell transplant.
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there is been interval placement of a right-sided chest tube. there is significant improvement in the right-sided pleural effusion. there is a small pneumothorax, measuring <num> mm. the cardiac silhouette and pulmonary vasculature are unremarkable. no definite consolidation is noted.
<unk>m with chest tube, pls eval interval change on right
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there are low lung volumes. the cardiac silhouette is normal. the mediastinal and hilar contours are within normal limits. there is no focal consolidation, pleural effusion or pneumothorax.
history of asthma. cough and shortness of breath.
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the cardiomediastinal silhouette and pulmonary vasculature are normal. the lungs are clear. there is no pleural effusion or pneumothorax.
history: <unk>m with wheezing on exam // eval for pna
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pa and lateral views of the chest provided. as seen previously, the lungs are hyperinflated with mild blunting of the left cp angle likely reflecting pleural thickening. on the lateral projection the outline of a blood is noted projecting over the heart likely residing in the left lung base. no focal consolidation, large effusion or pneumothorax is seen. the cardiomediastinal silhouette appears normal. imaged osseous structures are intact. no free air is seen below the right hemidiaphragm.
<unk>m with cough, fever.
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the tracheostomy tube appears in relatively horizontal orientation, unchanged from prior examination. however, complete assessment is difficult in this single view. a right picc line terminates in the region of the right subclavian vein. feeding tube projects below the contours of the diaphragm, the tip is not included in this examination. there is diffuse mediastinal widening, consistent with known thyroid mass, unchanged from prior examinations. cardiac silhouette is stable. widespread pulmonary metastases are again demonstrated. right lower lung opacity is slightly increased, likely related to a combination of atelectasis and pleural fluid. the left lung is clear.
<unk>-year-old woman with thyroid cancer. study requested for evaluation of trach and infiltrate/changes.
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frontal and lateral chest radiograph demonstrate unremarkable cardiomediastinal and hilar contours. lungs are clear. there is no evidence of bronchial cuffing to suggest bronchitis. no pleural effusion or pneumothorax is present. no fractures or displaced rib fractures identified. cervical fusion hardware is incompletely imaged.
history of asthma with increasing shortness of breath. assess for asthma exacerbation.
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et tube terminates approximately <num> cm above the carina. an ng tube tip overlies the gastric fundus. the heart is not enlarged. there is mild-to-moderate bilateral perihilar vascular congestion. diffuse heterogeneous opacities throughout the lungs bilaterally -- in the appropriate clinical setting, this are likely secondary to interstitial edema. retrocardiac air bronchograms are consistent with either alveolar edema or collpase and/or conslidation. there is no large pleural effusion. no obvious pneumothorax, though extreme upper lung apices are excluded from the film.
history of et tube placement. please evaluate.
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pa and lateral views of the chest. mild cardiomegaly is unchanged. mediastinal clips and sternotomy wires are unchanged. there is right basilar atelectasis. no pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are stable.
epigastric pain, evaluate for free air or infiltrate.
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multifocal diffuse parenchymal opacities in both lungs worse since <unk>, have not significantly changed since <unk>. no evidence of central lymphadenopathy or pleural effusions. there is no cardiomegaly or interstitial thickening to suggest pulmonary edema.
<unk>-year-old man with worsening oxygen requirement and known hiv status.
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heart size and cardiomediastinal contours are normal. sternotomy wires are intact. lungs are clear without focal consolidation, pleural effusion, or pneumothorax.
history: <unk>f with chest pain // pna?
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the lungs are well expanded and clear. an accessory azygos fissure is incidentally noted. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. compression deformities of multiple mid thoracic vertebrae is incidentally noted and stable from <unk>.
<unk>-year-old female with dyspnea.
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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 cp x<num> days // eval for cardiomegaly
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pa and lateral chest radiographs. right-sided port-a-cath tip is in the right atrium. air-fluid level within the retrosternal space has resolved. perihilar opacities on the left also have improved. there is no focal consolidation, pleural effusion, or pneumothorax. two calcifications overlying the right lower lung lie within the breast.
<unk> year old woman with lymphoma. fever/neutropenia and cough. assess for abnormalities
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left-sided port-a-cath tip terminates in the region of the confluence of the azygos vein with svc, unchanged. the cardiac, mediastinal and hilar contours are normal. pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is demonstrated. compression deformity of a low thoracic vertebral body is unchanged. clips are again noted in the upper abdomen.
history: <unk>f status post multiple falls for the past <num> weeks, last yesterday, head strike
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the lungs are well expanded and clear. moderate cardiomegaly is unchanged from <unk>. vascular congestion and upper redistribution is also appreciated. the hila appear engorged. there is no pleural effusion or pneumothorax.
<unk>-year-old female with chills. evaluate for evidence of chf.
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the heart is normal in size. the cardiac, mediastinal and hilar contours appear unchanged. there is probably a trace pleural effusion on the right, but likely decreased. there is no evidence for pneumonia or parenchymal edema.
shortness of breath and cough.
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interval placement of a dual lead pacer, with <num> lead terminating in the right atrium, and a second coursing posteriorly, likely via the coronary sinus, although oblique positioning on the lateral view somewhat limits assessment. small bilateral pleural effusions and adjacent bibasilar atelectasis are similar on the left and slightly improved on the right. no visible pneumothorax.
<unk> year old man s/p dual chamber ppm // assess leads placement and r/o ptx
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single frontal chest radiograph was reviewed. the cardiomediastinal and hilar contours are stable. prostatic aortic valve is also is again noted. there is no pneumothorax or large pleural effusion. there is no focal consolidation concerning for pneumonia. mildly increased interstitial markings likely reflect an element of pulmonary edema.
stroke and shortness of breath.
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heart size is normal with mild unfolding of the thoracic aortic arch. lung volumes are low accentuating pulmonary vasculature. hilar contours are normal. trace right greater than left pleural effusion. lungs are otherwise clear. no pneumothorax.
cough and fever.
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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.
history: <unk>f with hyponatremia // r/o lung mass
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pa and lateral views of the chest provided. lungs are clear. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>m with fatigue, cough.
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there is no focal consolidation, pleural effusion or pulmonary edema. previously noted bilateral lung nodules are better assessed on the recent pet-ct. there is a right port-a-cath which terminates in appropriate position at the cavoatrial junction. the mediastinal contours and heart size are normal. compression deformity of a vertebral body in the mid thoracic spine is stable from <unk>.
<unk>-year-old man with brain cancer and leukocytosis.
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there is continued opacification of the left lung base with obscuration of the left hemidiaphragm, again consistent with pleural effusion and consolidation. increased haziness at the right lung base may also indicate a small pleural effusion. there is no pulmonary edema. the cardiac silhouette appears smaller than on the most recent prior study. mediastinal and hilar contours are unchanged. there has been interval placement of a tube overlying the lower left hemithorax.
pericardial tamponade now with hypoxia. please evaluate for pulmonary edema.
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there has been some interval increase in the centralized pulmonary edema with dense alveolar infiltrate central greater than peripheral. the heart continues to be of normal size. the ng tube, et tube, right subclavian line are unchanged. there continued to be dense retrocardiac opacification compatible with volume loss/ infiltrate/effusion
<unk> year old woman with suspected aspiration pna/ards in setting of seizure/fall // interval change
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left-sided port-a-cath has a similar course with the tip in the low svc. bilateral coarse reticular markings with basilar predominance have not substantially changed. moderate cardiomegaly. no pleural effusion or pneumothorax.
<unk> year old man with poc for chemotherapy with slow blood return. // evaluate port placement
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compared to the prior study there is no significant interval change.
pt is an <unk> pmhx <num>vcad, chf, <num>+ mr, afib, htn, hld and gerd who presents for evaluation of anemia, found to have guaiac positive stool, being evaluated for gib, course c/b afib with rvr, with feelings of increased sob // new sob
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compared to the prior study, there is no significant interval change. the heart continues to be moderately enlarged. there continues to be a tortuous aorta. minimal pulmonary vascular redistribution is visualized and there are probable small bilateral pleural effusions.
chills and shortness of breath.
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portable single frontal chest radiograph was obtained with the patient in upright position. numerous focal consolidations are present in bilateral lung fields, corresponding to known metastases seen on prior ct. no pleural effusion, pneumothorax, or pulmonary edema is seen. the heart size is normal. mediastinal contours are within normal limits.
status post right transbronchial biopsy and left breast needle biopsy, rule out pneumothorax.
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the lungs are well-expanded and clear. the cardiomediastinal silhouette is unremarkable. the hilar and pleural surfaces are normal.
history: <unk>f s/p renal and pancreas transplant here with fevers // evaluate for infiltrate
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insertion of left pigtail catheter with persistent moderate left pneumothorax is not significantly changed. the right small pneumothorax is also stable appearance. the remaining support devices are in stable position.
<unk> year old man with worsening l ptx s/p pigtail placement // eval l ptx/ct placement
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left lower lobe streaky atelectasis is again present without definite focal consolidation.. cardiac size is normal. no pleural effusion, pneumothorax, or pulmonary edema is seen.
<unk>-year-old female with chest pain.
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the heart is moderately enlarged. the mediastinal and hilar contours are stable. there are no definite pleural effusions. on two views, a vague new right middle lobe opacity can be discerned. there is exaggerated kyphosis, bony demineralization and mild-to-moderate mid thoracic degenerative spinal changes.
cough.
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a central venous catheter terminates at the cavoatrial junction. new streaky minor opacity at the right lung base is most suggestive of minor atelectasis. there is no pleural effusion or pneumothorax. mild elevation of the right hemidiaphragm appears unchanged. the cardiac, mediastinal and hilar contours appear stable.
neutropenic fever and cough.
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pa and lateral views of the chest provided. lungs are clear. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is stable with top-normal heart size. imaged osseous structures are intact. a calcification abutting the right humeral head may reflect tendinopathy. no free air below the right hemidiaphragm is seen.
<unk>f with s/p fall and head trauma
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a left-sided picc catheter terminates <num> cm caudal to the carina and the distal svc. heart size is mildly enlarged. mediastinal silhouette and hilar contours are otherwise unremarkable. lungs are clear. biapical scarring is unchanged. pleural surfaces are otherwise clear without effusion or pneumothorax.
tachycardia. evaluate picc placement.
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there is minor left basilar atelectasis without definite focal consolidation. . no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with epigastric pain // r/o pna
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the lungs are clear. as on prior, there is loss of the right heart border due to pectus excavatum. the cardiomediastinal silhouette is normal. no acute osseous abnormalities.
<unk>f with cough // ?pneumonia
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the lungs are well expanded. a right-sided picc terminates at the cavoatrial junction, unchanged from <unk>. cardiomegaly is stable. redistribution of the pulmonary vasculature, small bilateral pleural effusions, and mild interstitial pulmonary edema are new since <unk>.
<unk>f with chest pain, shortness of breath // evaluate for acs
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the heart size is normal. the hilar and mediastinal contours are normal. the lungs are clear without evidence of focal consolidations concerning for pneumonia. there is no pleural effusion or pneumothorax. a right-sided port-a-cath is seen terminating in the right atrium. the visualized osseous structures are unremarkable.
history of chest pain, palpitations. please evaluate for acute process.
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the lungs are clear without focal consolidation, pleural effusion, or pneumothorax. the cardiac silhouette remains mildly enlarged. the aorta is quite tortuous, though unchanged. median sternotomy wires are stable in position and appear intact. there is a left axillary pacemaker in place, with unchanged configuration. a ventricular lead appears intact, and is unchanged in position. prosthetic aortic valve is unchanged in appearance.
<unk>-year-old female, status post pacemaker placement who feels it has moved.
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the heart size is moderately enlarged but is less prominent than on the study from <unk> years prior. there is mild pulmonary vascular redistribution. there is increased opacity at both bases compatible with volume loss/early infiltrate.
shortness of breath.
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lung volumes are low. heart size is mild to moderately enlarged. the aortic knob is calcified. mediastinal and hilar contours are unremarkable. crowding of bronchovascular structures may be due to low lung volumes. patchy opacities in the lung bases likely reflect areas of atelectasis. small left pleural effusion cannot be completely excluded. there is no pneumothorax. well corticated ossific densities are noted projecting over both glenohumeral joints, likely loose bodies.
history: <unk>f with lethargy and cough // ?pneumonia
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ap portable upright view of the chest. a right-sided ij catheter terminates at the lower svc. an endotracheal tube and orogastric tube are unchanged in position. there is interval decrease in size of a small right pleural effusion, and unchanged size of a small left pleural effusion. there is no pneumothorax. the heart is mildly enlarged.
<unk> year old woman with hypervolemia, attempting diuresis. // eval pleural effusion
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there has been interval removal of a left chest tube, and there is a small apical left pneumothorax. the lungs are without focal consolidation or pleural effusion. the cardiac and mediastinal silhouette is within normal limits.
<unk> year old woman status post left vats, left lower lobe wedge resection.
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linear left basilar opacity is most likely atelectasis. chain sutures seen at the right lung laterall. right lung opacity abutting the hemidiaphragm have improved since prior and may be due to atelectasis versus scarring. there is no consolidation worrisome for pneumonia. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>f with crackles, weakness // eval for pna
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there are low lung volumes bilaterally secondary to mild subsegmental atelectasis. there are no areas of focal consolidation suspicious for infection. there are no masses or lesions. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is stable and within normal limits. the pleural surfaces are unremarkable.
<unk>-year-old female with chest pain and cough.
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moderate cardiomegaly. mild pulmonary vascular congestion. lungs are clear. no pleural effusion. no pneumothorax osseous structures are unremarkable.
history: <unk>f with unwitnessed fall, confusion // ?pna, ?ich, ?pulmonary edema
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single frontal view of the chest was obtained. the heart is of normal size with normal cardiomediastinal contours. lungs are clear without focal or diffuse abnormality. no pleural effusion or pneumothorax. an endotracheal tube terminates <num> cm above the carina. an ng tube terminates with the sidehole below the diaphragm. osseous structures are unremarkable.
<unk>-year-old female with intubation. evaluate for endotracheal tube placement.
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pa and lateral views of the chest provided. overlying ekg leads are present. there is mild left basilar atelectasis. otherwise the lungs are grossly clear. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>m with dyspnea // r/o chf
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frontal and lateral views of the chest. the lungs are clear of consolidation or effusion. cardiomediastinal silhouette is within normal limits. no acute osseous abnormality identified.
<unk>-year-old female with flu-like illness and asthma.
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right basilar opacity may represent a combination of cardiac silhouette and atelectasis. heterogeneous opacity at the left base suggest atelectasis, less likely infection. no large pleural effusion or pneumothorax. there is no central vascular congestion or overt pulmonary edema. mediastinal and hilar contours are unchanged with moderate unfolding of the thoracic aorta. moderate cardiomegaly is stable.
history: <unk>f with r sided cp with cough // ?pna