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there is no focal consolidation, pleural effusion or pneumothorax. there is cardiomegaly without significant pulmonary vascular congestion, similar to prior, which can be seen in cardiomyopathy or pericardial effusion. the <num> mm nodule in the right mid lung is unchanged from prior. mediastinal width is within normal size. there is vertebral body height loss at multiple levels of thoracic spine, similar to prior.
r/o chf /other <unk> year old woman with increased sob/bilateral rhonchi // r/o chf /other
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heart size is normal. mediastinal and hilar contours are unremarkable. the pulmonary vasculature is not engorged. no focal consolidation, pleural effusion or pneumothorax is detected. multiple clips are noted in the region of the gastroesophageal junction.
history: <unk>m with intraparenchymal hemorrhage
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there is new heterogeneous opacity in the right lower lobe, which could represent developing infection. there is no pleural effusion or pneumothorax. cardiomediastinal silhouette is normal. heart size is normal.
history: <unk>m with confusion. evaluate for pneumonia
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a right picc is similar in configuration with the tip terminating in the proximal right atrium, which should be retracted <num>-<num> cm to place in the low svc. the course of the line is unremarkable. the inspiratory lung volumes are decreased from the most recent prior study. no large pleural effusion or pneumothorax is detected. there is no overt pulmonary edema. the cardiomediastinal silhouette is exaggerated due to ap technique and low lung volumes, but likely remains within normal limits and stable. there is partial calcification of the aortic knob. a healed right posterior rib fracture is redemonstrated.
possible right picc repositioning, here to evaluate picc placement.
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as compared to prior chest radiograph from <unk>, there is persistent improvement of heterogeneous opacities along the right lower lung. the left lung remains clear. there are no new focal consolidations. there are no pleural effusions or pneumothorax. cardiomediastinal silhouette and hilar contours are stable. right-sided picc line is unchanged.
<unk>-year-old male patient with fevers, bacteremia, new rhonchi, right worse than left. study requested for evaluation of pneumonia.
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the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. bilateral glenohumeral prosthesis are redemonstrated and unchanged in appearance in these limited views.
patient with chest pain.
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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. the bony structures appear within normal limits aside from slight narrowing of mid thoracic interspaces which appears unchanged.
seizure.
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cardiomediastinal silhouette is unremarkable. surgical hardware is better evaluated on the c spine radiograph from the same date. platelike atelectasis is noted in the left midlung. no focal consolidation. no pleural effusion. no pneumothorax.
history: <unk>f with headache, n/v s/p acdf <num> days ago. // pneumonia, effusion?
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the right-sided port-a-cath terminates in the mid svc, unchanged since the prior radiograph. there is persistent, unchanged bibasilar atelectasis. no focal consolidation concerning for pneumonia or pneumothorax identified.
<unk> year old woman with sle and right sided port-a-catheter which now does not render a blood return upon aspiration. please confirm placement before alteplace administration.
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right lower lobe streaky opacities are consistent with atelectasis. small bilateral pleural effusions are likely present. azygos fissure is again noted. cardiac silhouette is normal in size. no pneumothorax.
<unk>-year-old man with left lower quadrant pain
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the lungs are clear given low lung volumes. cardiomediastinal silhouette is within normal limits. atherosclerotic calcifications are noted at the aortic arch. known left-sided pneumothorax is not delineated. multiple left lateral rib fractures as well as the distal left clavicular fracture are again noted.
<unk>m with small l ptx s/p bike accident (original seen on chest ct at <unk>) // ? enlarging ptx
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the lungs are well expanded. the heart is normal in size. a bulging of the right mediastinal contour is likely due to a mediastinal fluid collection and is grossly unchanged from comparison exams. similarly, a small right pleural effusion is comparable to the frontal radiograph yesterday, but is significantly larger since <unk>. on lateral radiograph, a fluid meniscus in the the right posterior costophrenic sulcus was not seen <num> days prior a small area of atelectasis on the lateral view cannot be further localized to either hemithorax. there is no pneumothorax.
chylothorax. assess for interval change.
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the lungs are hyperinflated which may reflect underlying copd. no focal consolidation is identified. the cardiomediastinal silhouette is mildly enlarged. there is no pleural effusion or pneumothorax. visualized upper abdomen is unremarkable. degenerative changes are seen in the thoracic spine.
etoh, hypothermia, wheezing, rule out pneumonia infection.
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no consolidation, pleural effusion or pneumothorax. cardiomediastinal contours are normal. no acute osseous abnormalities.
<unk> year old woman with cough and fever // r/o infiltrate
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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> year old man with h.o asthma and smoking and nodule seen on last cxray. reassessing // assess for progression of nodule seen on prior cxray
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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. no evidence of pneumoperitoneum.
history: <unk>f with epigastric pain // eval for free air
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the heart size is top normal. mediastinal and hilar contours are normal. lung volumes are lower, causing mild bronchovascular crowding. however, the lungs are clear without pleural effusion, focal consolidation, or pneumothorax.
<unk>m with chest pain. evaluate for pneumonia or chf.
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new hazy opacification of the right hemithorax likely represents a combination of new parenchymal opacity and layering fluid. new small left pleural effusion is seen. no pneumothorax is evident on this view. there is possibly new pneumomediastinum. heart size is within normal limits. the stomach is distended with air. metallic densities projecting over the left upper quadrant likely reflect recent splenic embolization. right rib fractures are better seen on recent prior ct.
<unk>-year-old male with multi trauma.
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pa and lateral views of the chest provided. pectus excavatum deformity accounts for opacity obscuring the right heart border. lungs are clear without signs of pneumonia or edema. no large effusion or pneumothorax. cardiomediastinal silhouette is stable in overall size and configuration. bony structures are intact.
<unk>m with hx of diffuse esophageal spasm here with difficulty swallowing, substernal chest pain, and mild doe
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the lungs are hyperinflated. bibasilar atelectasis and small right pleural effusion are noted. chain sutures and scarring in the right mid lung is related to prior wedge resection. there is no overt pulmonary edema, pneumothorax, or focal consolidation worrisome for pneumonia.
history: <unk>f with confusion, h/o lung ca w/ resection // eval infiltrate
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pa and lateral views of the chest. no prior. the lungs are clear. cardiomediastinal silhouette is normal. osseous and soft tissue structures are unremarkable.
<unk>-year-old female with neck pain occasionally for weeks. nonfocal chest pain and shortness of breath.
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lung volumes are relatively low but the lungs are clear. there is no consolidation, effusion, or edema. left chest wall port with catheter tip is seen at the cavoatrial junction. tracheostomy tube remains in place. no acute osseous abnormalities.
<unk>f with green sputum production from trache for the last week. // ? pneumonia
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chronic enlargement of the cardiac silhouette is moderate to severe, but there is no pulmonary vascular congestion, edema, or pleural effusion. . there is hyperinflation of the lungs, without focal consolidation. a compression deformity of an upper thoracic vertebral body is unchanged.
<unk>-year-old woman with cough for <unk> days cough evaluate for pneumonia.
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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 appear within normal limits.
cough and fatigue. question pneumonia.
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a right pigtail pleural drain is unchanged in position and terminates in the posterior right chest. a small right apical pneumothorax is slightly larger or new from yesterday evening. the lungs are clear. there is no pleural effusion or focal airspace consolidation. heart is normal size. the mediastinal and hilar structures are unremarkable. a vp shunt courses in the anterior subcutaneous tissues.
recurrent pneumothorax status post right pigtail placement now on a clamp trial.
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single upright ap view of the chest. no prior. lungs are grossly clear. cardiac silhouette is mildly enlarged. osseous and soft tissue structures are unremarkable.
<unk>-year-old with previous stroke <unk> years ago with residual left-sided weakness, now with headaches and left facial droop for three days.
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platelike atelectasis in knee left lung. a retrocardiac opacity is consistent with a hiatus hernia. the trachea is central. the cardiomediastinal contour is normal. no consolidation, pleural effusion or pneumothorax seen.
<unk> year old woman with asthma/copd, pafib on coumadin who continues to have wheezing, o<num> requirement. // evaluate for any evidence of pulmonary edema, pna
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in the right middle lobe, best seen on the lateral view, there is an increased opacity. a corresponding area of subtly increased opacity obscuring the right heart border in the right middle lobe is also seen on the frontal view, worrisome for pneumonia. the left lung is clear. cardiac size is normal. there is no pleural effusion or pneumothorax or pulmonary edema.
recent pneumonia with new fever and white blood cell count.
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the patient is status post cabg with median sternotomy wires that appear intact and appropriately aligned. there is a left pectoral pacemaker with leads in appropriate position. stable enlargement of the cardiomediastinal silhouette. no focal consolidations. vascular congestion, but no overt pulmonary edema. no pneumothorax. no pleural effusion.
history: <unk>f with intermittent doe // please evaluate for acute abnormality
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pa and lateral views of the chest were reviewed and compared to the prior studies. normal heart, lungs, pleural and mediastinal surfaces.
persistent cough despite treatment with antibiotics.
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again there are severe bilateral opacities with some sparing of the lung bases. compared to yesterday's study at <time> there some worsening in the left mid lung. endotracheal tube and enteric tube are stable position. there is no pneumothorax. vascular stents again project over the left axilla. posterior spinal fusion hardware is again seen.
<unk> year old man with esrd on hd with acute hypoxic respiratory failure, intubated, hcap vs pcp pneumonia vs other // interval change
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the lungs are well-expanded and clear. there is no focal consolidation, pulmonary edema, pleural effusion, or pneumothorax. right infrahilar fullness is of unclear etiology. the cardiac size is normal. there is an old, right eighth rib fracture but no acute osseous abnormality.
<unk> year old man with cad, pvd, carotid artery stenosis p/w chest pain, found to have nstemi, and on cath, <num>-vessel disease; may have cabg; pre-operative evaluation for possible cabg.
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compared to prior, there has been interval improvement of the previously seen pulmonary edema. there is no effusion. right ij central venous catheter is no longer visualized. cardiac silhouette is stable. no acute osseous abnormalities identified. hypertrophic changes noted in the spine.
<unk>f with hyperglycemia // evaluate for pneumonia
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frontal and lateral views of the chest demonstrate several external pacer wires projecting over left hemithorax. the cardiomediastinal silhouette appears normal, allowing for low lung volumes. the lungs remain clear without pneumothorax, vascular congestion, or pleural effusion.
<unk>-year-old male with bradycardia. question pneumonia.
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the tip of the gastric tube extends into the body of the stomach. a left picc line tip extends to the mid to distal svc. no focal consolidation, pleural effusion or pneumothorax identified. the size of the cardiac silhouette is enlarged but unchanged.
<unk>-year-old woman presenting with initial concern for status epilepticus (r arm/face weakness> leg)found to have basilar artery thrombus with bilateral pontine infarcts l > r. // assess placement of ngt
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ap and lateral chest radiograph demonstrate clear lungs bilaterally. cardiomediastinal and hilar contours are within normal limits. there is no pneumothorax, pleural effusion, or evidence of pulmonary edema. imaged upper abdomen is unremarkable.
history: <unk>m with recurrent seizures undergoing w/u // eval ? infection
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the cardiac, mediastinal and hilar contours are normal. no pneumomediastinum is visualized. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities demonstrated.
chest pain after vomiting.
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the lungs are clear. cardiomediastinal silhouette is stable. median sternotomy wires and prosthetic aortic valve are again noted. no acute osseous abnormalities, chronic right lateral rib fractures are noted.
<unk> year old man with dyspnea, cp // pulm edema? other acute process?
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moderate right and small left pleural effusions are again noted. there is adjacent atelectasis, particularly at the right lung base. there is no pulmonary edema. there is calcified granuloma in the right midlung. the lungs are otherwise clear. cardiac silhouette is enlarged but stable. median sternotomy wires and mediastinal clips are again noted. no acute osseous abnormalities.
<unk>f with dyspnea // r/o acute process
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
<unk> year old man with liver cancer with coughing and wheezing. // r/o infection. please wet read and <unk> <unk> <unk>
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ap upright and lateral chest radiograph demonstrates low lung volumes. a left chest pacemaker is identified, its leads which appear intact and in stable position. the heart is enlarged, not significantly changed. there is no overt pulmonary edema. there is no large pleural effusion though obscuration of the left costophrenic angle may reflect trace pleural fluid or alternatively atelectasis. relative to prior examination, retrocardiac opacification with obscuration of the left hemidiaphragm is new for which infectious process cannot be excluded. findings can be additionally secondary to atelectasis. opacification involving the right mid and upper lung zone appears somewhat more conspicuous relative to prior study. there is no pneumothorax. imaged osseous structures and upper abdomen are without an acute abnormality.
history: <unk>m with dyspnea, cough, hypoxia // acute process
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the heart is mildly enlarged, stable. lungs are well expanded and clear. there is no focal consolidation, pleural effusion or pneumothorax.
<unk> year old woman with tachycardia // r/o infectious process.
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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. there has been no significant change.
anxiety. chest pain.
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heart appears slightly enlarged. lung volumes are low, which causes crowding of bronchovascular structures. no focal consolidation or pneumothorax is identified. no large pleural effusions. bibasilar atelectasis is present. surgical clips identified in the right upper abdominal quadrant.
<unk>f nonverbal with nonspecific pain. pnuemonia or rib fx?
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there is no consolidation, pleural effusion, or pneumothorax. cardiomediastinal and hilar silhouettes are normal size.
history: <unk>m with purpura // evaluate for mass
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no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. heart and mediastinal contours are within normal limits.
<unk>-year-old female with shortness of breath.
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one frontal view of the chest. left pacemaker is seen with transvenous leads in the right atrium and right ventricle in appropriate position. sternotomy wires and mediastinal clips are again seen. aortic knob calcifications are stable. cardiomegaly is stable. no pneumothorax, pleural effusion or mediastinal widening. lungs are clear.
new pacemaker placement, evaluate for pneumothorax.
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pa and lateral chest radiograph through the chest demonstrates low lung volumes with mild elevation of the right hemidiaphragm, present on prior examination and unchanged. no focal consolidation is identified, concerning for pneumonia. the cardiomediastinal and hilar contours are within normal limits. there is no pleural effusion or pneumothorax identified. no evidence of free air is seen beneath the diaphragms.
<unk>-year-old female with complaint of increasing abdominal pain and shortness of breath.
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heart size is normal. atherosclerotic calcifications are noted throughout the thoracic aorta. mediastinal and hilar contours are normal. pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is present. no acute osseous abnormality is detected.
history: <unk>f with chest pain
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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. no definitive acute fractures seen. there is a linear lucency in left posterior <num>th rib arch, which is likely representing overlapping structures. please correlate with focal tenderness.
<unk>f with with left rib pain s/p fall and has cold sx
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frontal and lateral views of the chest were obtained. low lung volumes result in bronchovascular crowding. there is minimal residual opacity at the left lung base, likely atelectasis or scarring, but the left lower lobe pneumonia has resolved. no new opacity is seen. no pleural effusion or pneumothorax. cardiac and mediastinal silhouettes and hilar contours are normal allowing for lung volumes. eventration of the right hemidiaphragm is seen. degenerative change is seen in the thoracolumbar spine.
<unk>-year-old woman with left lower lobe pneumonia. this is a followup study.
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right-sided port-a-cath tip terminates in the high right atrium. heart size is normal. cardiomediastinal silhouette and hilar contours are normal. increased density at the left lung base is compatible with pneumonia. lungs are otherwise clear. pleural surfaces are clear without effusion or pneumothorax.
<unk> year old woman with hx all with cough and congestion. // pna
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cardiomediastinal contours are normal. asymmetric biapical pleuro parenchymal scarring larger on the right is grossly unchanged, otherwise the lungs are clear. there is no pneumothorax or pleural effusion. there are mild degenerative changes in the thoracic spine
<unk> year old man with cough, sinus infection, hemoptysis. z // r/o pna, r/o lesion.
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portable upright chest radiograph <unk> at <time> is submitted.
<unk> year old man with hemoptysis and chronic trach with pulmonary hemorrhage vs pna. // interval change? interval change?
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right-sided pacemaker device is noted with single lead terminating in the right ventricle. moderate cardiomegaly is re- demonstrated, unchanged. the aorta is mildly tortuous. mild pulmonary edema is new in the interval. there are likely trace bilateral pleural effusions. no focal consolidation or pneumothorax is present. mild degenerative changes are seen in the thoracic spine.
history: <unk>f with dizziness and ekg changes
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the lungs are clear. heart size is normal. a round density overlying the right tracheobronchial angle is unchanged compared to exams dating back through <unk> and is probably a large costovertebral osteophyte or benign expansion of a vertebral transverse process. there are no pleural abnormalities. multilevel degenerative changes of the thoracic spine are noted. a very dilated left piriform sinus is probably of no clinical significance.
status post seizure. evaluate for acute infectious process.
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heart size is mildly enlarged. mediastinal and hilar contours are unremarkable. the pulmonary vasculature is not engorged. hazy ill-defined opacity is noted within the left mid lateral lung field. small bilateral pleural effusions, right greater than left are demonstrated. streaky linear opacities within the right lung base likely reflect atelectasis. there is no pneumothorax. right type <num> ac joint separation history is age indeterminate.
history: <unk>m with shortness of breath
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frontal and lateral radiographs of the chest when compared to the prior radiograph demonstrate interval resolution of small right apical pneumothorax. there is increase in lung volumes bilaterally. elevated right hemidiaphragm represents volume loss after right middle lobe resection. stable postoperative appearance at the right lower lung field is noted. mild right pleural scarring and left basilar atelectasis. the lungs are otherwise clear with no acute opacity. the cardiac and mediastinal contours are normal. no pleural abnormality is detected.
status post right middle lobe wedge resection for sarcoid nodules. evaluate interval change.
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no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. heart and mediastinal contours are within normal limits. no acute fracture is detected radiographically, but the sensitivity of routine chest radiography for rib fractures is low. right axillary round calcification is seen.
<unk>-year-old male status post fall with right chest wall pain.
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there has been interval increase in the pulmonary edema, greater on the right than on the left. there are bilateral small pleural effusions with compressive atelectasis. there is stable widening of the mediastinum. a right chest tube is seen and unchanged from the prior exams. there are multiple overlying wires. the cardiomediastinal silhouette is unchanged.
history of invasive adenocarcinoma of the esophagus. recent respiratory acidosis and afib with rvr.
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mild cardiomegaly is unchanged. there is new mild pulmonary edema, evidenced by peribronchial cuffing and increased interstitial lung markings. no new focal consolidation, pleural effusion, or pneumothorax. lung volumes are slightly lower. enteric tube courses below the left hemidiaphragm and out of view.
<unk> year old man with alcoholic hepatitis, <unk>, hfref, now with worsening cough. evaluate for infection or volume overload.
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<num> views of the chest. the lungs are well expanded with unchanged elevation of right hemidiaphragm, since <unk>. there is no pleural effusion or pneumothorax. heart and mediastinal contours are unremarkable.
shortness of breath and fatigue after fall.
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frontal and lateral chest radiographs demonstrate mild leftward rotation, somewhat limiting evaluation. the lungs are clear. opacity in the right lower lung likely reflects overlying breast shadow. there is unchanged narrowing of the cervical trachea. the pleural surfaces are normal. the cardiac silhouette and hila are unremarkable. a vagal nerve stimulator unit implanted in the left chest is similar appearing.
<unk>-year-old female with dry cough for <num> days and myalgias. evaluate for consolidation.
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a portable view of the chest demonstrates continous improved aeration of the left mid and upper lung. a moderate left pleural effusion remains. the right lung is grossly clear. small right pleural effusion is stable. a left pigtail catheter and right picc are unchanged in position. there is no pneumothorax.
shortness of breath and left greater than right pleural effusion status post pigtail placement, assess interval change.
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the right primary hydro pneumothorax has slightly increased in size while wall with minimal mediastinal shift to the left with the left lung is clear with.
lung nodules.
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previous severe consolidation in both lower lungs has improved, but there is still extensive consolidative abnormality at both lung bases particular the right where it extends more laterally than before. there is a decrease in profusion of small nodular opacities due to a combination of impacted bronchi and bronchiolar inflammation, all due to aspiration. one region where consolidation has not cleared, in the right mid-lung, presumably superior segment of the lower lobe at the level of the carina. right apical radiation change, stable. normal cardiac silhouette. no appreciable pleural effusion.
<unk>-year-old male chronic aspiration. npo with g-tube in place. increased cough. no fever. question pneumonia?
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compared to the prior study there is no significant interval change.
<unk>f presents s/p bilroth ii to repair bleeding duodenal ulcer, thought to be due to chronic nsaid use, s/p or washout and drain placement for duodenal stump leak, w/ florid pulm edema ?ards // eval for interval changes, please,
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single ap upright portable chest radiograph demonstrates no focal opacity convincing for pneumonia. relative to prior study dated <unk>, the cardiomediastinal and hilar contours are stable in appearance with slightly unfolded calcified aorta. lung volumes are low with mild atelectasis. there is no large pleural effusion or pneumothorax. osseous structures are unremarkable.
<unk>-year-old female with chest pain and shortness of breath.
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frontal and lateral views of the chest were obtained. the heart size is top normal, exaggerated by low lung volumes. a new right mid lung consolidation is present. no overt pulmonary edema is seen. there is no pleural effusion or pneumothorax. no radiopaque foreign bodies. osseous structures are unremarkable.
<unk>-year-old female with confusion. evaluate for reason for confusion.
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the spiculated right middle lobe mass is unchanged. the surrounding post procedural changes have improved. no new consolidation. no pleural abnormalities or pneumothorax. the cardiomediastinal silhouette is unremarkable and unchanged.
<unk> yo m with newly diagnosed rml mass highly fdg avid and mediastinal lymphadenopathy s/p bronch + ebus // intrathoracic process
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the heart is at the upper limits of normal size. the mediastinal and hilar contours appear within normal limits. there are streaky opacities in the left mid lung which appear increased, suggestin opacity superimposed on background scarring. there is also focal opacification of the left lower hemithorax on the lateral view, new since the prior study and projecting primarily over the visualized lower thoracic spine. there is no pleural effusion or pneumothorax. the patient is status post right shoulder hemiarthroplasty.
hypoglycemia.
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the patient is status post median sternotomy with multiple intact appearing sternal wires. a tracheostomy is off midline to the right and small relative the diameter of the trachea. there is bibasilar opacification with hazy opacification extending to the mid lung zones right greater than the left is compatible with layering pleural effusions and bibasilar atelectasis. concurrent pneumonia is not excluded in the appropriate clinical context. there is mild pulmonary vascular and mediastinal venous congestion. the cardiac silhouette is partially obscured but appears enlarged. a partially imaged drainage catheter is noted in the right upper quadrant.
fever and hypotension, here to evaluate for pneumonia.
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the heart size is normal. the cardiomediastinal silhouette and hilar contours are stable. the lungs are clear without focal consolidation, effusion or pneumothorax. no acute bony change is identified.
diabetes presents with hypoglycemia and altered mental status.
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patient has had a history of recurrent episodes of pulmonary edema; today it is worse. there has been interval increase in cardiomegaly and pulmonary edema. bilateral pleural effusion is seen. lung volumes are stably low. right-sided picc catheter is seen terminating in the low svc. there is no pneumothorax.
<unk>-year-old female with anasarca secondary to fluid overload.
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heart size is normal and unchanged. compare to <unk>, no significant change in hilar congestion. again seen is mild interstitial pulmonary edema. there is a small right pleural effusion or pleural thickening. no pneumothorax is seen. there are no acute osseous abnormalities.
<unk>m with fever, weakness, s/p liver transplant <unk>
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the heart is normal in size. the aorta is tortuous. otherwise, the mediastinal and hilar contours are unremarkable. the lungs appear clear. there are no pleural effusions or pneumothorax. moderate s-shaped thoracolumbar curvature appears similar.
question aspiration.
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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.
persistent cough.
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there at least moderate-sized bile pleural effusions, right greater than left. compared to <unk>, the size of pleural effusions is stable. there is no pulmonary edema. there is no pneumothorax. cardiac silhouette is enlarged. hyperdensity projecting over the epigastrium is unchanged.
<unk> year old woman with acute decompensated hfpef and paroxysmal afib with left-sided effusion // eval size of left-sided effusion
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pa and lateral views of the chest demonstrate normal cardiomediastinal silhouette and well-aerated lungs which are clear. there is no pleural effusion or pneumothorax.
shortness of breath.
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the heart is normal in size. the mediastinal contours appear within normal limits. there is no mediastinal widening radiographically. there is no pleural effusion or pneumothorax. the lungs appear clear aside from patchy left perihilar and infrahilar opacity which is suspected to reflect slight atelectasis. otherwise, the lungs appear clear. small anterior osteophytes are present along the anterior lower thoracic spine.
question wide mediastinum or effusions.
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the lungs are hyperinflated with flattening of the bilateral hemidiaphragms compatible with copd. no focal airspace opacity, significant pleural effusion or pneumothorax is detected. the pulmonary vasculature is not engorged and there is no overt pulmonary edema. the cardiac silhouette is normal in size. the mediastinal contours and hilar contours are within normal limits. there is tortuosity of the thoracic aorta. an air-fluid level projects in the retrocardiac space compatible with a hiatal hernia. rib deformities are noted. there is s-shaped thoracic scoliosis.
<unk> year old man with productive cough for one week
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pa and lateral views of the chest were provided. lung volumes are somewhat low. the lungs are clear bilaterally without focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. the imaged bony structures are intact. no free air is seen below the right hemidiaphragm. no displaced rib fractures are identified.
<unk>-year-old male status post accident in <num> cat today while moving snow. evaluate for left rib fracture.
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pa and lateral views of the chest provided. there is no focal consolidation or pneumothorax. the appearance of the mediastinum is stable. heart size is normal. expected postoperative changes in the right pleura. left lower lobe opacities have minimally decreased, consistent with improving atelectasis. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk> year old woman s/p tracheobronchoplasty // perform at <num>am on <unk>. r/o interval change
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heart size remains mildly enlarged but unchanged. mediastinal and hilar contours are stable. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormalities detected.
history: <unk>f with chest pain
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assessment is limited by low lung volumes as well as patient rotation. heart size is accentuated due to low lung volumes appearing borderline enlarged. the mediastinal and hilar contours are grossly unremarkable. crowding of bronchovascular structures is seen without overt pulmonary edema. patchy opacities within the lung bases presumably reflect atelectasis. no focal consolidation, pleural effusion or pneumothorax is detected. previously noted focal opacity overlying the left lateral mid lung field is not clearly visualized on the current examination. multiple clips are again seen within the right axilla. compression deformity of a mid thoracic vertebral body is new from <unk>, but appears to reflect a chronic abnormality. there are mild to moderate multilevel degenerative changes.
<unk> year old woman with crackles and leukocytosis
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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 similar study of <unk>. the patient is status post sternotomy and previous bypass surgery. the heart is moderately enlarged. the configuration is the same with some relative prominence of the left ventricular contour to the left and posteriorly. left atrial enlargement is also present but of more moderate degree. previously described coronary calcifications and multiple surgical clips related to bypass surgery appear unchanged. again noted is an upper zone re-distribution pattern with distended vessel in the upper pulmonary area and some interstitial edema on the bases with perivascular haze and a few peripheral lymph lines. also noted is accentuated visibility of both minor and major fissure related to some wetness in the pleural spaces. there is evidence of some mild degree of chronic pulmonary congestion, may have increased slightly, but there is no significant advancement into interstitial edema and no central alveolar edema can be identified. no new discrete pulmonary parenchymal infiltrates are present. no pneumothorax is seen in the apical area. in comparison with the next previous examination of <unk>, there may be a mild degree of progression of chf. same can be stated when comparison is extended to the chest examination of <unk>.
<unk>-year-old male patient with heart failure symptoms, evaluate for possible pulmonary edema.
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moderate to severe cardiomegaly has slightly progressed compared to the prior exam from <unk>. the hilar and mediastinal contours are normal. diffuse bilateral increased parenchymal opacities are likely secondary to mild pulmonary edema vs. air-trapping. there may be small bilateral pleural effusions. there is no evidence of pneumothorax. the visualized osseous structures are unremarkable.
history: <unk>f with chest pain // evaluate for ptx
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ap portable upright view of the chest. aicd is unchanged in position with lead extending to the region the right ventricle. the cardiomediastinal silhouette is unchanged with prominent heart size. there is hilar congestion and mild pulmonary edema. no large pleural effusion is seen. there is no pneumothorax. no convincing signs of pneumonia. bony structures are intact.
<unk>m with shortness of breath increase o<num> requirment setting of chf // eval for pna vs chf
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the lungs are well inflated, with possible mild background hyperinflation. no chf, focal infiltrate, effusion or pneumothorax is detected. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are within normal limits, allowing for slight unfolding of the aorta. cervical fusion hardware is noted, with degenerative changes noted in the lower cervical spine. note is made of rudimentary left-greater-than-right c<num> cervical ribs. degenerative changes are seen at the left glenohumeral joint. narrowing of the acromial humeral distance on the left raises the possibility of rotator cuff thinning and/or tearing. degenerative changes of the right glenohumeral joint cannot be excluded, but, if present, are probably less pronounced than on the left.
history: <unk>f preop // pna?
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heart size and mediastinal contours are normal. no focal consolidation, pleural effusion or pneumothorax.
<unk> year old woman with ? pneumonia rll // ? pneumonia
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the right-sided pigtail chest tube is again visualized. there is increased volume loss in the right lower lobe with layering effusion. there is also volume loss/effusion in the left lower lung. that similar compared to prior. there is increased pulmonary vascular congestion pulmonary vascular redistribution and a minimal hazy alveolar infiltrate
<unk> year old woman with pleural effusion s/p <unk> // assess for fluid accumulation
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frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. the lungs are clear. there is no pneumothorax, vascular congestion, or pleural effusion.
<unk>-year-old male with fever. question infection.
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frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and moderately well-aerated lungs which are clear. a coronary stent is again noted projecting over the left heart border. no focal consolidation, pleural effusion, or pneumothorax is identified. the visualized upper abdomen is unremarkable.
chest pain.
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lung volumes are low. mild pulmonary vascular congestion is slightly increased compared to <unk>. there is no pneumothorax or large pleural effusion. cardiomediastinal silhouette is normal size.
<unk> year old man with dlbcl, fever neutrapenia // eval for infectious process
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ap and lateral views of the chest. there is engorgement of central pulmonary vasculature and indistinct pulmonary vascular markings suggesting mild pulmonary edema. more confluent appearing opacity identified at the right lung base seen on the frontal view. there may be small bilateral effusions. the lungs are hyperinflated. the cardiac silhouette is enlarged but stable in configuration. atherosclerotic calcifications noted at the arch. no acute osseous abnormality is identified.
<unk>-year-old female with shortness of breath. question pneumonia.
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lung volumes are low. there is a persistent left basilar retrocardiac opacity with air bronchograms and a moderate left-sided pleural effusion. there is also a suspected small right-sided pleural effusion, although not definitive. elsewhere, the lungs appear clear. a left subclavian central venous catheter terminates in the superior vena cava. a pigtail drainage catheter projects over the left lower quadrant. there is also a balloon associated with gastrojejunostomy tube projecting over the left mid abdomen.
fever and tachypnea.
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left-sided port-a-cath is again seen, terminating in the region of the proximal svc/brachiocephalic/caval junction. minor left basilar atelectasis is seen. no definite focal consolidation is seen. there is no large pleural effusion is although, a trace left pleural effusion would be difficult to exclude. no pulmonary edema there is seen. there is no evidence of pneumothorax. the cardiac and mediastinal silhouettes are stable.
tachycardia, history of cancer.
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there is no evidence of focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities are detected. there is mild atelectasis and flattening of the hemidiaphragms at the lung bases.
<unk> year old man s/p fall with inferior rib pain on left // please evaluate for rib fracture
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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> year old woman with dyspnea // evaluate for acute process
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cardiac, mediastinal and hilar contours are normal. lungs are clear and the pulmonary vascularity is normal. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
chest pain, shortness of breath.