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frontal and lateral views of the chest. the heart size and cardiomediastinal contours are normal. lung volumes are low with persistent elevation of the right hemidiaphragm. no focal consolidation, pleural effusion, or pneumothorax.
<unk>-year-old male with lightheadedness.
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the lungs are clear without focal consolidation, pleural effusion or pneumothorax. there is no pulmonary edema. the heart is normal in size, and the mediastinal contours are normal.
<unk>-year-old male with cough, fever, wheezing x <num> days. evaluate for pneumonia.
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the cardiac, mediastinal and hilar contours are normal. pulmonary vasculature is normal. consolidative opacity in the right lower lobe is concerning for pneumonia. no pleural effusion or pneumothorax is demonstrated. no acute osseous abnormalities seen.
cough, congestion.
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compared to the prior study there has been interval increasing cardiomegaly and increasing bilateral pleural effusions with pulmonary vascular redistribution and hazy alveolar infiltrate consistent with worsening fluid status. the support devices in lines are unchanged. by the end of this series of <num> images, the dobbhoff tube tip is seen crossing midline, probably in the distal stomach or proximal duodenum
<unk> year old man with s/p cardiac surgery- initial dob hoff placement- evaluate for advancement // evaluate dob hoff tube
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the lungs are normally expanded and clear. the heart is not enlarged. the mediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax.
chest pain. evaluate for widened mediastinum.
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as compared to prior chest radiograph from <unk>, left pleural effusion remains unchanged with associated lower lobe opacity likely representing atelectasis or pneumonia. there are increased opacities at the right lung base, which likely represent atelectasis. the heart appears enlarged. there is mild pulmonary edema. irregularity at the left humerus likely reflects the sequelae of prior injury.
altered mental status and anemia. history of nash, cirrhosis and varices. evaluate for pneumonia.
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there are linear bibasilar opacities, which likely reflect atelectasis. the lungs are otherwise clear. heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
<unk> year old woman with ams // infiltrate?
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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.
history: <unk>m with dyspnea // infiltrate?
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the heart size is mildly enlarged. the aorta is tortuous and diffusely calcified. superior hilar retraction with scarring, bronchiectasis, and architectural distortion is noted within the left upper lobe, with unchanged chronic volume loss in the left hemi thorax. patchy left basilar opacity and right upper lobe nodular opacification also are unchanged, and may reflect chronic interstitial lung disease related to vasculitis though increased atelectasis or infection of the left lung base is not excluded. blunting of the left costophrenic angle is unchanged, and no large pleural effusion or pneumothorax is detected. there are no acute osseous abnormalities. compression deformity of the t<num> vertebral body is unchanged.
history: <unk>f with fever with cough
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lung volumes are low, but the lungs are grossly clear without focal consolidation, pleural effusion, or pneumothorax. the minor fissure is prominent. cardiomediastinal and hilar silhouettes are normal. degenerative changes of the thoracic spine are noted.
<unk>m with dementia presents after fall. evaluate for acute infectious process.
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the lung volumes are normal. normal size of the cardiac silhouette. normal hilar and mediastinal structures. . no pneumonia, no pulmonary edema. no pleural effusions.
<unk> year old man with left knee infection. // pre-op for possible knee washout surg: <unk> (left knee washout)
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the lungs remain hyperinflated, with relative flattening of the diaphragms. subtle opacity is seen projecting over the lateral right lung base over the lateral right tenth rib. unclear whether this represents a pulmonary nodular opacity versus being external to the patient. shallow oblique chest radiographs would help further assess. there is mild left base atelectasis. no pleural effusion or pneumothorax is seen. the cardiac silhouette is top-normal. mediastinal contours unremarkable. no pulmonary edema is seen.
history: <unk>f with doe and lightheadedness // r/o acute process
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two frontal images of the chest demonstrate low lung volumes likely due to poor inspiration. vascular crowding and minimal pulmonary edmea has resolved from previous exam. left basilar atelectasis has improved. bilateral pleural effusions are again seen. cardiomediastinal silhouette is unchanged. there is no pneumothorax. support and maintenance devices are unchanged.
<unk>-year-old male with stemi and pulmonary edema.
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frontal and lateral chest radiographs were obtained. multiple areas of oapcity are present in the right lower lobe. the cardiac silhouette is mildly enlarged with small bilateral pleural effusions but no overt pulmonary edema. mediastinal and hilar contours are stable. there is no pneumothorax.
patient status post ipaa for uc, now with fever, eval for pneumonia or other respiratory process.
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pa and lateral views of the chest. no prior. the lungs are clear. there is no effusion or pneumothorax. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable.
<unk>-year-old female with shortness of breath after marathon. question pneumothorax.
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tortuous descending aorta. the lung volumes are normal. normal size of the cardiac silhouette. normal hilar and mediastinal structures. no pneumonia, no pulmonary edema. no pleural effusions.
<unk> year old man with recurrent pneumonias, concern for aspiration pneumonias, lll crackles // r/ o aspiration pneumonia
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interval removal of the endotracheal tube. a feeding tube is present which extends below the level the diaphragms but beyond the field of view of this radiograph. the tip of the right internal jugular central venous catheter projects over the superior cavoatrial junction. unchanged small to moderate bilateral pleural effusions with overlying atelectasis. unchanged pulmonary edema. a deformity of a posterior right upper rib is unchanged.
<unk> year old woman with s/p extubation w/hemoptysis // hemothorax
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a left chest wall port catheter tip terminates in the distal svc. there is no focal consolidation, pleural effusion or pneumothorax. lung volumes are slightly low. the cardiomediastinal silhouette is normal. the imaged upper abdomen is unremarkable. the bones are intact.
history: <unk>m with sickle cell crisis c/o chest pain // eval for cardiopulmonary process
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the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. lungs are well-expanded and clear without focal consolidation concerning for pneumonia. this a left perihilar opacity seen on prior chest x-ray is not visualized on the current exam. a right picc is with tip terminating in the proximal right atrium, near the cavoatrial junction. the visualized upper abdomen is unremarkable.
<unk> year old man with diffuse b cell lymphoma s/p methotrexate therapy now w/ persistent mtx levels. eval effusion. // eval pleural effusions.
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the heart size is top normal. the mediastinal and hilar contours are unremarkable. the pulmonary vascularity is not engorged. there is minimal streaky opacity in the left lung base. no focal consolidation, pleural effusion or pneumothorax identified. there are no acute osseous abnormalities.
fever and leukocytosis.
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moderate enlargement of the cardiac silhouette is again noted. the aortic contour remains tortuous with dilatation of the ascending aorta appearing unchanged. lung volumes are low with crowding of bronchovascular structures and probable mild pulmonary vascular congestion is present. <num> mm nodular opacity projecting over the left lower lobe is better demonstrated on the previous chest ct. no focal consolidation, large pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
history: <unk>m with dementia, ? altered mental status, diffuse abdominal tenderness // eval for pneumonia, acute abdominal pathology
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the heart is top-normal in size. there is a small left pleural effusion. the lungs do not have any focal consolidation or pneumothorax. opacity projecting over the right heart border likely represents bronchovascular crowding.
<unk>m with weakness // eval for pna
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as compared to prior chest radiograph from <unk>, an opacity seen in the left mid lung zone has improved. there are no new focal consolidations, pleural effusions or pneumothorax. the heart is substantially enlarged, with enlargement of the left atrium. there is substantial tortuosity of the aorta.
<unk>-year-old female patient with cough, on levaquin for pneumonia. study requested for evaluation of infiltrates.
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interval removal of a left-sided pigtail catheter. a tiny left apical pneumothorax is essentially unchanged from the prior examination. there is no evidence of focal consolidation, pleural effusion, or frank pulmonary edema. the cardiomediastinal silhouette is stable.
<unk> year old woman with ptx, pigtail removed <time>am, cxr to be taken at <time>pm // post chest tube pull film, to be taken at <time>pm <unk>
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the lungs are clear without focal consolidation, effusion, or edema. mild cardiac enlargement is again noted. additional contour in the retrocardiac region adjacent to the left heart borders compatible with a large hiatal hernia. no acute osseous abnormalities.
<unk>f with chest pain, hypotension, afib // eval for consolidation
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pa and lateral images of the chest demonstrate well expanded lungs. there is a retrocardiac opacity that is concerning for pneumonia. there is also left pleural effusion and a small amount of fluid located in the right minor fissure. small granulomas are noted at the right lateral mid lung and left lateral mid lung. there is no pneumothorax. calcification of the aortic knob is seen. the cardiomediastinal silhouette is partially obscured by the retrocardiac opacity and left pleural effusion, but otherwise is unremarkable. visualized osseous structures are unremarkable.
<unk>-year-old male with shortness of breath, wheezing, rales and dullness to percussion on the left.
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pa and lateral views of the chest demonstrate a hiatal hernia with an air-fluid level visualized in the mediastinum, unchanged. there is no focal consolidation, pleural effusion, or pneumothorax. there is a hazy opacity adjacent to the hiatal hernia which may represent adjacent atelectasis. there are mild vascular calcifications of the aortic arch.
hypertension, presenting with syncope. evaluate for acute process.
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there is mild elevation of the right hemidiaphragm. the lungs are clear. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with cp // r/o acute process
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there is moderate cardiomegaly that is increased compared to prior and bilateral pleural effusions that are also larger. there is a right ij line with tip in the upper svc. there is volume loss in both lower lungs.
status post cabg. evaluate for effusion.
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pa and lateral views of the chest provided. postsurgical changes in the left lung again noted with tiny clips in the left perihilar region. a left pleural effusion again noted, moderate in size with associated compressive lower lobe atelectasis. there is moderate pulmonary edema in the right lung. background emphysema is present. cardiomediastinal silhouette is stable.
<unk>f w/left-sided lung ca and h/o left malignant effusion, presenting with cp and sob, please eval for left-sided effusion, pna
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the lungs are relatively hyperinflated. . the cardiomediastinal silhouette is accentuated by ap technique but is likely within normal limits. no focal consolidation, effusion, or pneumothorax is identified.
history: <unk>f with dchf, htn, hld, now with chest pain and dyspnea // ? infiltrate ? pulmonary edema ? infiltrate ? pulmonary edema
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heart size is mildly enlarged. the mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is present. no acutely displaced fractures are identified. mild degenerative changes are noted in the thoracic spine with slight loss of height of several mid thoracic vertebral bodies which appear chronic.
<unk> year old man with bicycle accident, tachypnea and shortness of breath
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again noted is mild-to-moderate interstitial edema. the lungs are clear. there is moderate cardiomegaly. unchanged widening of the upper mediastinum presumably caused by retrosternal goiter. post-cabg changes are again noted.
chest pain.
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there are mildly improved interstitial markings in the right lower lung. diffuse interstitial changes corresponding to prior ct, are unchanged. pulmonary vascular prominence and top normal heart size are unchanged from <unk>. the aicd is in stable position.
history of presumed amiodarone pneumonitis, improved after discontinuation of the drug. recent history of weight gain with productive cough and rhonchi as well as rales. concern for chf.
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right picc line terminates in the low svc near the superior cavoatrial junction. the lungs are normally expanded and clear. cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. there is no large pleural effusion or pneumothorax.
<unk> year old man with leukemia, now with chest pain, want to rule out pneumonia // evidence of pneumonia
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ap supine chest radiograph. endotracheal tube terminates <num> cm above the carina. ng tube descends inferiorly along the thoracic midline, the tip is poorly visualized. midline sternotomy wires and mediastinal clips are noted. mild cardiomegaly with hilar congestion. retrocardiac space poorly assessed, though difficult to exclude effusion and left basilar consolidation. no pneumothorax. bony structures intact.
<unk>m with intubated // eval for et placement
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there is a left-sided single lead pacemaker, with lead tip over right ventricle. no pneumothorax is detected. again seen is cardiomegaly and prominence of the pulmonary hila, similar to the prior film. there is upper zone redistribution with mild fluid overload similar to prior. the aortic knob measures <num> cm. there is patchy opacity at the right lung at there is patchy bibasilar opacity, consistent with collapse and/or consolidation. small effusions are likely present. extreme left costophrenic angle is excluded from the film. there is degenerative change in both shoulders including evidence right chronic left rotator cuff tear.
<unk> year old man with cad, hfref (<unk>%), dvts, afib, tachybrady s/p ppm, here with gib c/b cardiac arrest with trop leak to <num>.<unk>, as well as hypoxia/sob, treated for presumed pna // please evaluate extent of opacification on pa/lat
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frontal and lateral chest radiographs demonstrate well-expanded clear lungs. the cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. incidental note is made of pectus excavatum.
<unk>-year-old female with cough and fever. evaluate for pneumonia.
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pa and lateral views of the chest provided. lungs remain hyperinflated with flattened diaphragms suggesting copd. the heart is unchanged and normal in size. mediastinal contours normal. no pleural effusion or pneumothorax. bony structures appear grossly intact.
<unk>f with weakness // infiltrate?
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patchy e right pas, right lower lobe opacity is worrisome for pneumonia. there is also left mid lung opacity in a relative linear configuration which may be due to atelectasis. . no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. the cardiac silhouette remains enlarged.
history: <unk>f with cough // eval infiltrate
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pa and lateral views of the chest demonstrate interval increase in size of right pleural effusion, along with complete atelectasis of the right middle and lower lobes, raising concern for bronchial obstruction. the right upper lobe and left lung are grossly clear. the heart size is unchanged. median sternotomy wires and post-surgical changes associated with aortic valve replacement are unchanged.
<unk>-year-old female with chf and right pleural effusion status post thoracentesis. evaluation for interval change.
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there is elevation of the left hemidiaphragm, posterior eventration. mild basilar atelectasis is seen without focal consolidation. no large pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with syncope // eval for pna
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the patient is had a median sternotomy and cabg. surgical clips are seen throughout the mediastinum. the hila are unremarkable. a moderate right layering pleural effusion is seen with right lower lobe volume loss. left pectoral biventricular icd generator obscures the lower left lung. the upper lungs are clear. icd leads terminate in the inferior right atrium, right ventricle, and coronary sinus. no pneumothorax is seen.
<unk> year old woman with heart failure now presenting with cough productive of yellow mucous // assess for pulmonary edema
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pa and lateral views of the chest provided. left hilar prominence is consistent with known left hilar mass. left perihilar opacity is unchanged from recent ct and likely reflects a combination of bronchial thickening and tumor. no convincing signs of pneumonia. no large effusion, pneumothorax or definite signs of edema. cardiac silhouette is stable. mediastinal contour is unchanged. bony structures appear intact. dish related changes of the t-spine noted. lungs are hyperinflated and lucent consistent with emphysema.
<unk>m with r posterior rib pain, s/p xrt. extensive small cell lung ca // r/o infiltrate/assess for cancer progression
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the heart size is top normal. moderate atherosclerotic calcifications of the aortic arch are again seen. trace pleural effusions are unchanged. a smooth opacity projecting over the lateral lower right lung base appears more pronounced since the <unk> examination, and may represent a loculated effusion. there is no pneumothorax.
dyspnea.
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the lungs are well expanded. there is no focal consolidation, effusion or pneumothorax. the upper lobe pulmonary vasculature is more prominent compared with the prior study in <unk>. there is no evidence of interstitial edema. cardiomegaly is moderate to severe. aortic arch calcifications are mild. the thoracic aorta is tortuous. dual chamber pacing leads project over stable positions.
nausea, weakness, hypertension.
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ap portable supine view of the chest. et tube positioned <num> cm above the carina. an ng tube extends into the left upper abdomen though the tip is out of field of view. elevated right hemidiaphragm again noted with bibasilar atelectasis. no new opacities, large effusion or pneumothorax. cardiomediastinal silhouette is unchanged.
<unk>m with s/p intubation // eval tube placement
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the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is top normal in size, which may represent a possible non-hemodynamically significant pericardial effusion.
history: <unk>f with chest pain // ? process
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surgical suture and adjacent scarring is noted at the medial right lung apex, similar to before. there is no focal consolidation, pneumothorax, or large pleural effusion. lungs are hyperexpanded. cardiomediastinal silhouette is normal size.
history: <unk>m with hemoptysis*** warning *** multiple patients with same last name! // evaluate for lung mass/pneumonia
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patient is status post median sternotomy and cabg. moderate enlargement of cardiac silhouette is similar compared to the previous study. the mediastinal and hilar contours with atherosclerotic calcifications seen diffusely in the thoracic aorta. pulmonary vasculature is not engorged. minimal atelectasis is seen in the retrocardiac region. no focal consolidation, pleural effusion or pneumothorax is detected. patient is status post bilateral total shoulder arthroplasties which are incompletely imaged.
history: <unk>f with history of cva <unk> now with worsening facial droop on right
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the heart is normal in size. the aorta arch is calcified. there is no pleural effusion or pneumothorax. the lungs appear clear.
chest pain and shortness of breath.
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a right lower lobe lung opacity is unchanged. no pleural effusion or pneumothorax. the cardiac and mediastinal contours are stable.
<unk> year old man with seizure // r/o pneumonia
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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 displaced fractures are visualized.
<unk> year old man with bike accident, left anterior chest wall pain
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pa and lateral views of the chest provided. diffuse airspace opacities highly concerning for multifocal pneumonia. no large effusion or pneumothorax. the heart size appears borderline enlarged. mediastinal contour appears normal. hila appear prominent which could be due to enlarged lymph nodes or hilar congestion. bony structures are intact.
<unk>f with cough // acute process?
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in the interval, the endotracheal tube, left-sided chest tube, mediastinal tube, enteric tube, and right central line have been removed. no pneumothorax. lung volumes are lower and there is increased bibasilar atelectasis and stable bilateral upper lobe atelectasis. small left pleural effusion.
<unk>-old woman after pulling chest tube. assess for pneumothorax.
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heart size is top normal. mediastinal and hilar contours are normal. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormalities identified.
history: <unk>f with lupus with pleuritic chest pain
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lung volumes are low. opacity in the right lower lobe and possibly right middle lobe with silhouetting of the right hemidiaphragm consistent with pneumonia. opacity in the left lower lobe is also consistent with pneumonia. there is mild atelectasis bilaterally. no effusion or pneumothorax. no edema. heart size is normal.
<unk> year old man with fever // r/o pna
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right ij central line tip near cavoatrial junction. feeding tube tip is in the distal stomach. drains in the upper abdomen, surgical <unk>. shallow inspiration. stable left basilar opacity. improved right basilar opacity. normal heart size. pulmonary vascularity has improved. for tiny left pleural effusion.
<unk> f s/p gist resection readmitted with pneumoperitoneum now s/p ex lap with repair of small gastric perforation, post op course complicated by fungemia and fluid overload, now w/ new dyspnea // assess for interval change, thoracic pathology
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the cardiac silhouette is mildly enlarged. the hilar contours are within normal limits. there is minimal atelectasis at the right lung base. blunting of the bilateral costophrenic angles is likely secondary to a small amount of pleural effusion. lungs are otherwise clear. there is no focal consolidation or pneumothorax.
history: <unk>f with fever, sob // eval for pna eval for pna
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. mild to moderate cardiomegaly is similar to prior. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
history: <unk>f with sob // r/o pna
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heart size is mildly enlarged. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. there are bilateral pleural effusions, which have improved in comparison to the prior chest radiograph. there is an area of linear focal scarring seen at the left lung base. no pneumothorax is seen. there is an expansile lesion of the left <unk> posterolateral rib, which appears more expansile is in comparison to the prior chest radiograph.
<unk> year old man with metastatic prostate cancer // having pleuritic chest pain
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fullness and indistinctness of the hila suggest pulmonary vascular engorgement/congestion without overt pulmonary edema. the aorta is calcified and tortuous. the cardiac silhouette is top-normal to mildly enlarged. no definite focal consolidation is seen. there is no large pleural effusion or pneumothorax.
history: <unk>m with left shoulder and hand pain // eval for fracture/dislocation, acute cardiopulmonary process
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ap view of the chest provided. compared to prior study, there is less pulmonary congestion. however, there is massive bibasilar consolidation, most likely due to substantial pleural effusion and atelectasis. the heart is enlarged. there is no pneumothorax. endotracheal tube is in appropriate position. enteric tube is seen coursing is towards the stomach and after review.
<unk> year old man with quadriplegia and respiratory failure, evaluate for tube placement, interval change
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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 fever.
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the mildly displaced left clavicle fracture is again visualized. there is increased lung markings at both bases. early infiltrates could be present. there is subcutaneous emphysema on the left lateral chest wall. there is a possible tiny left pneumothorax the left-sided chest tube is been removed
<unk> year old woman s/p chest tube removal. // please eval for pneumothorax, interval change
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compared to the prior study and allowing for technical differences, i doubt significant interval change. the patient is status post sternotomy. there is prominence of the cardiomediastinal silhouette, which may be slightly improved, but some of the apparent differences are likely accentuated by technical factors. there is platelike atelectasis in both mid zones. no frank consolidation. small bilateral effusions noted. no overt chf. no pneumothorax detected.
<unk> year old man with s/p cabg // f/u effusions, atx
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the right lower lung has collapsed since the prior radiograph. otherwise the cardiomediastinal silhouetteis unremarkable. there is no clear pleural effusion or pneumothorax. the lungs are otherwise clear. there is a left subclavian terminating at the lower svc. a right chest tube is seen terminating at the right upper midlung. an et tube is seen terminating <num> cm above the carina.
<unk>m s/p tree fall onto head, large skull fx, epidural hematoma s/p craniotomy. also with right <unk> rib fx, small right hemothorax, t<num> vertebral body fx with retropulsion into the canal, multiple facial fx. // interval changes? interval changes?
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the patient is now extubated. also removed is a swan-ganz catheter and ng tube. the chest tube is unchanged in position. a venous introducer sheath is seen in the right internal jugular vein. there is overall improvement in the left upper lobe opacity with the mediastinum now appearing more transparent. the right lung is grossly clear. the cardiomediastinal contour is stably widened.
<unk> year old man s/p cabg w/hypoxia assess for effusion or pneumothorax.
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cardiac size is top normal. collapsed right lower lobe is unchanged. mild vascular congestion has markedly improved. left apical opacity is persistent. there is no pneumothorax or pleural effusion. monitoring devices are in unchanged position.
<unk> year old man with acute pancreatitis // interval progression
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>m with opiate od // ? pul edema
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the cardiac, mediastinal and hilar contours are normal. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. no acute osseous abnormality is demonstrated. clips within the upper abdomen indicate prior cholecystectomy.
cough, fever.
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pa and lateral images of the chest were obtained with the patient in the upright position. there is a right pleural effusion. there is new atelectasis with a heterogeneous peribronchial opacification a the right lung base. together, these findings could be consistent with pneumonia secondary to aspiration. there is calcification again noted in the aorta. cardiomediastinal silhouette is unremarkable. visualized osseous structures are unremarkable.
<unk>-year-old female with hypoxia and concern for pneumonia.
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pa and lateral views of the chest were provided. lung volumes are low. the lungs are clear bilaterally without focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. there is no overt evidence for pulmonary edema. the imaged bony structures are intact. no free air is seen below the right hemidiaphragm.
<unk>-year-old male with dyspnea, assess for acute abnormality.
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ap and lateral views of the chest. no prior. lateral view is limited due to overlying soft tissues. there is a focal opacity in the left mid lung, not clearly delineated on the lateral view, but potentially in the lower lobe. focal opacity also identified at the right lung base laterally, potentially due to pleural thickening or scarring. there is no effusion. cardiomediastinal silhouette is within normal limits for technique. atherosclerotic calcification is noted at the arch. no acute osseous abnormalities detected, although bones are diffusely osteopenic, limiting evaluation.
<unk>-year-old female with knee fracture, preop.
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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 studies of <unk> as well as <unk>. the heart size remains unchanged and is within normal limits. unremarkable appearance of thoracic aorta. the previously described elevation of the left-sided hilar structures which are surrounded with calcified lymph nodes and scarring structures in the left upper lobe remain unchanged. mild degree of volume loss in the left hemithorax as before. no new pulmonary abnormalities are seen, and the lateral and posterior pleural sinuses are free. no evidence of pneumothorax in the apical area. previously identified surgical clips in upper abdomen and left upper abdominal quadrant probably related to splenectomy, appear unchanged. no new pulmonary or mediastinal abnormalities are identified.
history of hodgkin's disease and chest radiation. evaluate for possible mass. compare with previous examination of <unk>.
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in comparison to the chest radiograph obtained <num> hours prior, there are new opacities projecting over the left lung and silhouetting the left heart border, likely atelectasis of the lingula with associated leftward mediastinal shift and elevation of the left hemidiaphragm. the right lung is fully expanded and clear. no pleural effusions. no pneumothorax. an ett, right ij central venous catheter, left ij central venous catheter, enteric tube, and vp shunt appear unchanged and appropriately positioned.
<unk> year old man with worsening respiratory failure // interval change
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since the prior study of <unk>, there is increased pulmonary vascular congestion and diffuse interstitial abnormality. peribronchial cuffing is moderate. no pleural effusion or focal consolidation. heart size is mildly enlarged, as before.
history: <unk>f with cough/fever // pna?
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there is a new right lower lobe airspace opacity. there is no pneumothorax. there is stable cardiomegaly with mild tortuosity of the thoracic aorta. generalized osteopenia and spinal degenerative changes are noted.
<unk>-year-old female with cough and fever; evaluate for pneumonia.
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vague rounded opacity projecting over the left midlung is compatible with lipoma confirmed by prior ct scan. the lungs are otherwise clear. there is no effusion or pneumothorax. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.
<unk>f with l sided weakness and numbness // per neuro request
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re- demonstrated is severe pulmonary edema as well as a moderate right pleural effusion, unchanged. the size and appearance of the cardiomediastinal silhouette is enlarged but unchanged. no pneumothorax identified.
<unk> year old man with sudden sob // volume overload, opacity
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the heart size is normal. the mediastinal and hilar contours are unchanged with mild tortuosity of the thoracic aorta re- demonstrated. there are scattered atherosclerotic calcifications within the thoracic aorta. the pulmonary vascularity is not engorged. the lungs are hyperinflated. no focal consolidation, pleural effusion or pneumothorax is present. minimal linear opacities in both lung bases may reflect subsegmental atelectasis or scarring. there are no acute osseous abnormalities. partially imaged are bilateral humeral head prostheses.
left-sided chest pain and recent uri.
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. there are no pleural effusions or pneumothorax. bony structures appear within normal limits.
chest and bilateral rib pain.
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ap and lateral views of the chest are compared to previous exam from <unk>. lower lung volumes are seen on the current exam. the lungs, however, remain clear without consolidation or effusion. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable.
<unk>-year-old male with altered mental status.
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there is marked hyperinflation consistent with copd. heterogeneous opacification in the right mid and left perihilar lung is probably due to bilateral pneumonia. probable trace right pleural effusion. no pneumothorax. heart size is normal.
<unk>f with sob/chest pain, history of pneumonia.
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tracheostomy tube is stable. lung volumes remain low. heart size and hilar structures are accentuated by low lung volumes. no definite new consolidation concerning for pneumonia. right picc terminates in the right atrium.
<unk> year old man with recent hemorrhagic cva, trach'ed and peg'ed - now with fever and tachypnea // please evaluate for acute process
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compared with <unk>, inspiratory volumes are improved. heart size at the upper limits of normal, but unchanged. no chf. again seen is platelike opacity at both lung bases, more pronounced on the right. compared to <unk>, the right base opacity is slightly larger. the lungs are otherwise grossly clear, without focal infiltrate or consolidation. possible minimal blunting of the costophrenic angles, but no gross effusion.
<unk> year old man with new fever // ?pna
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left-sided port-a-cath is in stable position in the distal svc. there has been interval removal of a endotracheal tube and enteric tube. extensive bilateral airspace opacities are unchanged in extent from this morning. there is no pneumothorax. small bilateral pleural effusions are unchanged.
<unk> year old woman with recent extubation, breast ca with mets to lung, now with tachypnea and wheeze // ?interval change
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there is minimal interstitial edema. no focal consolidation, pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. there may be a hiatal hernia.
history: <unk>f with edema // r/o chf
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right internal jugular central venous catheter has been removed. moderate cardiomegaly is unchanged. the mediastinal and hilar contours are stable. there is no pulmonary vascular engorgement. right basilar ill-defined opacification persists, and may reflect atelectasis and / or scarring. a small right pleural effusion is relatively unchanged. left lung is clear. no pneumothorax is identified. partially imaged is cervical spinal fusion hardware.
altered mental status.
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there is mild bibasilar atelectasis. the heart is mildly enlarged, stable compared to prior studies. median sternotomy wires and extensive mediastinal clips are unchanged. there is no pneumothorax, large pleural effusion, overt pulmonary edema, or focal opacification suspicious for pneumonia.
<unk>m with cva // pna?
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portable supine chest radiograph <unk> at <time> is submitted.
<unk> year old woman s/p intubation // tube location tube location
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pa and lateral views of the chest were reviewed and compared to the prior study. the lungs are clear without focal consolidation, pulmonary edema, pleural effusion or pneumothorax. normal cardiac and mediastinal contours.
shortness of breath and chest heaviness.
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there is a dense left upper lobe opacity extending from the hilum. there may be accompanying volume loss in the left upper lobe which is possibly reflected in mild relative elevation of the left hemidiaphragm compared to the right. there is no pleural effusion or pneumothorax. elsewhere, the lungs appear clear.
cough, shortness of breath and tachypnea.
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low lung volumes contribute to vascular crowding as well as exaggeration of the cardiac size. no focal consolidations worrisome for pneumonia. possible minimal vascular congestion. no pleural effusion or pneumothorax.
<unk>-year-old man with cough and dyspnea.
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lungs are fully expanded and clear. no pleural abnormalities. heart size is normal. cardiomediastinal and hilar silhouettes are normal. a limited view of the upper abdomen reveals multiple loops of bowel with air-fluid levels concerning for obstruction.
<unk>f with severe abdominal pain, elev lactate // eval for free air, obstruction
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again seen is a large right-sided pleural effusion, unchanged in appearance from the prior study. there is atelectasis of the right lower lobe. the cardiomediastinal silhouette and hilar contours are unchanged. there is no evidence of pneumothorax. again seen is calcification of the pericardium.
pleural effusion.
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ap upright and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. pulmonary vascular congestion is mild. cardiomegaly is similar to prior. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
history: <unk>m with sob, cp // pna? pulm edema?
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portable semi-upright radiograph of the chest demonstrates low lung volumes with resultant bronchovascular crowding. central pulmonary vascular congestion, alveolar opacities, and bilateral pleural effusions, left greater than right, have improved over the interval. moderate cardiomegaly is unchanged. no pneumothorax. left-sided picc line ends at the mid svc.
<unk> year old woman with picc line, accidentally pulled out slightly and no longer flushing per nursing, pls eval for picc placement // <unk> year old woman with picc line, accidentally pulled out slightly and no longer flushing per nursing, pls eval for picc placement
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since <unk>, right moderate pleural effusion is increased and left small to moderate pleural effusion is unchanged. no pneumothorax or pulmonary edema. cardiac size is normal.
<unk> year old woman with pleural effusion // eval
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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. chronic left ribcage deformity noted. no free air below the right hemidiaphragm is seen.
<unk>m with hypotension. recent hospitalization for colorectal surgery // eval for infection