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pa and two lateral chest radiographs were obtained. lung volumes are low. interstitial markings are mildly prominent. the lungs are clear. there is no focal consolidation, effusion, or pneumothorax. cardiac and mediastinal contours are normal.
right flank pain.
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frontal and lateral chest radiographs demonstrate mildly low lung volumes with increased prominence of the cardiac silhouette and bronchovascular crowding. there is no focal consolidation, pleural effusion, or pneumothorax. the visualized upper abdomen is unremarkable.
chest pain.
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the heart is moderately enlarged, but stable from the prior examination. the aorta is tortuous and calcified. chronic scarring involving the left upper lobe is not changed in appearance and is better characterized on recent ct from <unk>. a left lower lobe opacity is improved from the prior radiographs on <unk> and likely represents a combination of scarring and possible resolving infection in that area. right upper lobe opacities, presumably due to fibrosis, are also not significantly changed. no pleural effusion or pneumothorax. no new focal consolidation is identified.
<unk> year old woman with productive cough; history of wegener's and chronic lung disease; recent hx treatment for lll penumonia // r/o pneumonia
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there is an irregular rounded opacity in the left mid lung zone, which was previously seen on <unk> and <unk> and thought to represent an area of round atelectasis which has resolved in the interim and recurred. bilateral pleural plaques and pleural thickening is unchanged from prior studies. increased hazy opacification of the lungs may represent mild pulmonary edema. no pleural effusion or pneumothorax is detected. the cardiac silhouette is mildly enlarged but stable. prominence of the mediastinum is unchanged with tortuosity of the thoracic aorta. the lungs remain hyperinflated suggesting copd.
hypoxia, here to evaluate for pneumonia or pulmonary edema.
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pa and lateral views of the chest. mild biapical scarring is again seen. the lungs are otherwise clear. the cardiomediastinal silhouette is normal. no acute osseous abnormality is identified.
<unk>-year-old female with chest pain and dyspnea.
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continued bilateral pleural effusions are seen with associated atelectasis, and moderate pulmonary edema is seen. cardiomegaly is stable. no consolidation is seen.
<unk>-year-old woman with diastolic congestive heart failure and critical aortic stenosis status post aortic valve replacement. presenting with flash pulmonary edema. evaluate for improvement in pleural effusions and pulmonary edema.
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heart size is normal. mediastinal and hilar contours are unremarkable. there is no pulmonary edema. minimal linear opacities in both lung bases likely reflect subsegmental atelectasis. there is no focal consolidation, pleural effusion or pneumothorax. please note that the extreme right costophrenic angle is excluded from the field of view. there are no acute osseous abnormalities.
dyspnea and cough.
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since prior, there has been interval development of a moderate-sized right-sided pleural effusion. more focal opacity seen on the lateral view projecting over the spine is of uncertain etiology, potentially superimposed parenchymal consolidation or lesion. the left lung is clear without effusion. cardiomediastinal silhouette is difficult to assess given silhouetting on the right. atherosclerotic calcifications seen at the aortic arch. no acute osseous abnormalities. flowing anterior osteophytes seen in the lower thoracic spine.
<unk>-year-old male with progressive dyspnea and lower extremity edema. decreased oxygen saturation.
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there are new right sided lower and left sided retrocardiac opacities concerning for an infectious process in this immunocompromised patient. the patient has pulmonary vascular congestion which is largely unchanged as compared to prior. no pleural effusion or pneumothorax is seen. on this ap radiograph the heart appears to be at the upper limit of normal.
<unk> year old man with hx of dementia and multiple myeloma with a cough. recent hospitalization for uti // pna or infection
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the cardiomediastinal and hilar contours are within normal limits. patient is status post right upper lobe resection, and surgical clips are again seen in the right hilar area. relative prominence of right hilar branching opacities is compatible with known tumor, better assessed on prior pet ct. there is no definite focal consolidation, pneumothorax or pleural effusion.
on chemotherapy, profound dyspnea with weakness. rule out pneumonia versus pe.
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other than minimal linear basilar atelectasis, well expanded lungs are clear. there are no pleural effusions or pneumothorax. the cardiomediastinal and hilar contours are normal. pulmonary vascularity is normal.
<unk>-year-old male with right-sided chest pain and right upper extremity paresthesias. pa and lateral chest radiographs. no prior studies available for comparison.
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the lungs are hypoinflated with crowding of vasculature and bibasilar atelectasis. interval increase in bilateral pleural effusions. lower lobe opacity is noted. no pneumothorax. heart size, mediastinal contour, and hila are unremarkable. aortic arch calcifications are present. a right porta cath tip is in the right atrium. an enteric feeding tube tip is at the level of the gastroesophageal junction.
<unk>f with tachycardia assess for pneumonia.
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compared with the earlier radiograph, pulmonary vascular congestion and mild interstitial edema have slightly improved. moderate to severe cardiomegaly is unchanged. bibasilar atelectasis is unchanged. a small left pleural effusion is again noted. no evidence of a new focal consolidation or pneumothorax. the descending thoracic aorta is tortuous.
<unk>m with new shortness of breath. evaluate for chf.
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pa and lateral views of chest. the lungs remain clear. there is no effusion, consolidation or pulmonary vascular congestion. cardiomediastinal silhouette is stable. multiple old healed left rib fractures are again noted but there is no acute osseous abnormality detected.
<unk>-year-old female with weakness and hyperglycemia.
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no new focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are stable and unremarkable. subtle opacity projecting over the lateral right upper chest has been present since at least <unk>.
history: <unk>m with sob and cough // r/o infiltrate
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there is unchanged slight prominence of the left hilum. there is no suspicious mass or nodule. there is no displaced rib fracture. there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits.
<unk> year old man with sl enlarged hilum on previous cxr and subjective sensation of difficulty getting a full breath on left side and postprandial left shoulder pain // evaluate left lung and hilum; compare with cxrs from <unk>.
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the heart is mildly enlarged. the aortic arch is calcified. the lungs are hyperinflated. a rounded contour projecting along the lower central mediastinum suggests a substantial hiatal hernia, although not fully characterized. the lungs appear clear. there are no pleural effusions or pneumothorax. the bones appear demineralized. moderate-to-severe rightward convex curvature is centered along the upper lumbar spine.
preoperative evaluation. patient with right femoral neck fracture.
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frontal and lateral chest radiographs demonstrate hyperexpansion consistent with copd. the lungs are clear. the cardiac silhouette and mediastinal contours are normal.
chest pain.
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the lungs are hyperinflated. there is no focal consolidation. cardiomediastinal silhouette and hila are normal. there is no pleural effusion and no pneumothorax.
<unk>-year-old with wheezing.
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lower lung volumes are noted on the current exam. right juxta hilar opacification with adjacent fibrotic changes is unchanged. the lungs are otherwise clear. there is no new focal consolidation or edema. the cardiomediastinal silhouette is stable. no acute osseous abnormalities.
<unk>m with left tibial plateau fx s/p orif // please eval for infectious process
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no parenchymal mass or consolidation is seen. the pleural surfaces an cardiomediastinal silhouette are unremarkable.
<unk> year old man s/p <unk>: left robotic partial nephrectomy - <num> cm chromophobe rcc, negative margins // please evaluate for any abnormalities please evaluate for any abnormalities
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portable semi-upright radiograph of the chest demonstrates persistent retrocardiac patchy opacity, likely atelectasis. there is mild interstitial pulmonary edema, most significant at the bases, which is slightly improved. there are tiny bilateral pleural effusions. the cardiomediastinal and hilar contours are unchanged. there is no pneumothorax.
<unk>-year-old female with respiratory distress and severe copd. evaluate for interval change.
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limited study due to underpenetration. lung volumes are low. a right picc is seen, with the distant portion not well visualized, though likely terminating in the lower svc. there is moderate central vascular engorgement without overt pulmonary edema. no focal consolidation, effusion or pneumothorax. platelike atelectasis is seen in the left mid lung. mediastinal and hilar contours are stable. moderate cardiomegaly is unchanged, though somewhat exaggerated by technique. there is calcification of the aortic knob.
history: <unk>f with anemia, sob, orthopnia // pulmonary edema?
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frontal and lateral views of the chest were obtained. low lung volumes result in bronchovascular crowding. there is no focal consolidation, pleural effusion or pneumothorax. heart size is normal. mediastinal silhouette and hilar contours are normal. dilation of small bowel loops in the upper abdomen is incompletely evaluated.
hypotension.
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large bilateral pleural effusions, moderate to severe pulmonary edema, and worsened chronic cardiomegaly are all unchanged since <unk>, worsened since <unk>. et tube and right internal jugular line are in standard placement, an upper enteric tube can be traced disorder has the diaphragm and passes out of view. transvenous pacer leads are unchanged in their expected positions. no pneumothorax.
<unk>-year-old man after avr, atrial fibrillation. now with intraoral contents sepsis and to lesser medications.
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the cardiomediastinal contours are unremarkable. there is redemonstration of right upper lobe atelectasis with interval increase in aeration. there is slight deviation of the trachea to the right. minimal interstital lung markings at lung bases could represent atelectasis or focal scarring. there are no pleural effusions or pneumothorax.
<unk>-year-old male patient with history of chf, cad, ckd, presenting with lightheadedness. study requested for evaluation of infection or mass.
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heart size is within normal limits. aortic calcifications are again seen. calcified ap window lymph node is stable. there is a questionable perihilar consolidation in the right lower lobe. there is no evidence for pulmonary edema, or pleural effusion. thoracic scoliosis is noted. radiopaque contrast is noted in the splenic flexure of the colon.
history: <unk>f with mild dyspnea, lower extremity edema, palor, and recent hospital admission. assess for pneumonia, cardiomegaly.
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no focal consolidation is seen. there is minor basilar atelectasis. no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are stable. linear radiopaque structure projecting over the left hemidiaphragm may be external to the patient or surgical clips. additional surgical clips are noted in the left mid hemithorax and upper hemithorax.
<unk>
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a left pectoral pacemaker is unchanged with three leads in the right atrium, right ventricle, and coronary sinus, as before. there has been interval removal of the endotracheal tube from <unk>. the cardiac silhouette remains severely enlarged. partial calcification of the aortic knob is redemonstrated. the mediastinal contours are unchanged. there is no pulmonary vascular congestion or interstitial edema. a moderate right pleural effusion is appreciated on the lateral view with mild right basilar atelectasis. there is no left pleural effusion. no pneumothorax is seen. diffuse dense calcification of the abdominal aorta is noted.
cardiomyopathy and atrial fibrillation status post pvi on <unk>, here to evaluate for pleural effusion or evidence of fluid overload.
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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. multilevel hypertrophic spurring of the visualized thoracic spine is compatible with mild degenerative change.
history: <unk>f with recent fall // please evaluate for hemothorax, fracture
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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 female with cough. evaluate for pneumonia.
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sternotomy wires and mediastinal clips are noted. there are coronary artery stents. heart is mildly enlarged but unchanged. there is no evidence for pulmonary edema. lung volumes are normal. there is no pleural effusion, pneumothorax or focal airspace consolidation worrisome for pneumonia. mediastinal and hilar contours are unremarkable.
altered mental status. evaluate for pneumonia.
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in comparison to the chest radiograph obtained <num> days prior, no significant changes are appreciated. compared to <num> days prior, there has been development of mild interstitial edema. heart size top-normal. pleural effusions small, if any. extensive pleural calcifications partially obscure portions of both lungs and somewhat limit evaluation for consolidations. however, no focal consolidations are identified to suggest pneumonia. heart size top-normal. pleural effusions small, if any.
<unk> year old man with increasing o<num> requirement // please assess for pulm edema, pna
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there is a dialysis catheter terminating in the right atrium. a pacemaker/icd device appears unchanged. the cardiac, mediastinal and hilar contours appear stable including cardiomegaly. mild perihilar congestive changes are stable. minor atelectasis is suspected at the left lung base. there is no pleural effusion or pneumothorax.
fever and cough.
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compared with prior radiographs on <unk>, there is no definite pleural effusion seen on the single frontal view, however may be present on the lateral view. there is vascular congestion, no pulmonary edema. there is no focal consolidation to suggest pneumonia. cardiomediastinal silhouette is unchanged. there are diffuse osteolytic changes in the bones, consistent with history of multiple myeloma.
<unk> year old woman with aggressive multiple myeloma with concerning malignant pleural effusion. // evaluate for pleural effusion
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
history: <unk>f with esrd, ongoing nausea, low grade temperature. // evaluate for focal consolidation
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no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac silhouette is top-normal. the aortic knob is calcified. no overt pulmonary edema is seen.
shortness of breath.
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frontal and lateral chest radiographs were obtained. the lungs are fully expanded and clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax.
patient with abdominal pain and eosinophilia.
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heart size is normal. the aorta is calcified, indicating atherosclerosis. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. there is a moderate right and small left pleural effusion. adjacent bibasilar atelectasis is noted. there is a <num> mm nodular opacity overlying the left mid lung. small bilateral, right greater than left, pleural effusions. no pneumothorax is seen. there are no acute osseous abnormalities.
<unk>f with <unk> edema, bnp elevation. no dyspnea. // please eval for acute abnormality, evidence of fluid overload
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the lung volumes are low, resulting in crowding of the bronchovascular structures. there is no pleural effusion, pneumothorax or focal airspace consolidation. a calcified granuloma is seen in the right upper lung and unchanged from <unk>. the heart is top-normal in size. there is no overt pulmonary edema.
dyspnea. evaluate for pneumonia, pneumothorax or pulmonary embolus.
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the heart size is at the upper limits of normal. the mediastinal contours appear within normal limits. the hila are full and prominence of the pulmonary vasculature is concerning for vascular congestion. bibasilar opacities likely represent degree of atelectasis with some degree of vascular congetion. there is no large pleural effusion or pneumothorax.
<unk>-year-old female with fatigue and malaise.
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frontal and lateral views of the chest. the lungs are clear of focal consolidation or effusion. azygos lobe and fissure are again noted. previously seen opacity in the right upper lobe medially has essentially resolved. the cardiomediastinal silhouette is within normal limits. mild mid thoracic dextroscoliosis is identified.
<unk>-year-old male with cough and fever.
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there is a small right pleural effusion and a moderate left pleural effusion with associated atelectasis; although, underlying consolidation cannot be excluded. there is no pneumothorax. the cardiomediastinal silhouette is unchanged. old <unk> through <unk> left rib fractures are noted as well as an old left clavicle fracture.
hypoxia, question pneumonia.
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bilateral pulmonary hilar contours are prominent and are unchanged since <unk>. no consolidation, pneumothorax, or pleural effusion. top normal heart size. mediastinal and hilar contours have been stable.
<unk> year old man with cough fever lung congestion // pls eval for pna or other infectious process
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a portable semi-erect frontal chest radiograph again demonstrates an endotracheal tube terminating in the mid thoracic trachea, left picc terminating in the upper svc, and enteric tube extending below the diaphragm and off the inferior edge of the image. there is now complete collapse of the right lung, with rightward shift of the mediastinum. the left lung is clear, without focal consolidation, pleural effusion, or pneumothorax, unchanged since <unk> but improved since <unk>. the visualized upper abdomen is unremarkable.
evaluate for interval change, in a patient intubated with lung collapse.
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lung volumes remain low, with slight interval increase in pulmonary vascular engorgement, now mild to moderate. there is retrocardiac atelectasis, and an ill-defined right upper lobe opacity. there is a small right and moderate left pleural effusion. there is no pneumothorax. the cardiac silhouette is enlarged, unchanged, and the mediastinal contours are normal.
<unk>-year-old male with alcoholic cirrhosis, now with worsening cough and shortness of breath. evaluate for pulmonary edema.
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ap upright and lateral views of the chest provided. overlying ekg leads present. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. a chronic right lower rib cage deformity is noted. no free air below the right hemidiaphragm is seen.
<unk>m with fall // 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 chest pain // r/o infiltrate
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ng tube terminates in the stomach its side port near ge junction. mild pulmonary vessel congestion is improved. there is no pleural effusion or pneumothorax. cardiac silhouette is within normal size. aortic contour is tortuous. left subclavian line terminates in mid svc. contrast material is noted in the colon.
<unk> year old man with r frontal mass s/p ngt placement // check ngt placement
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pa and lateral views of the chest <unk> at <time> is submitted.
<unk> year old man with chest tube to water seal // please perform cxr to assess for pneumothorax, please perform cxr @ <unk> please perform cxr to assess for pneumothorax, please perform cxr @ <unk>
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frontal and lateral views of the chest. multifocal regions of consolidation are compatible with known metastatic lesions throughout the lungs. overall the size and distribution has not significantly changed. cardiomediastinal silhouette is stable. no acute osseous abnormality is identified.
<unk>-year-old female with shortness of breath. additional history from prior radiology report reveals breast cancer with pulmonary metastases.
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lung volumes are slightly improved over the prior exam, no definite consolidation or edema is noted. again seen is an ill-defined density which projects at the intersection of the anterior right third and posterior right seventh rib. this remains of unclear etiology but is reassuring given that it again is situated over osseous structures. the aorta remains markedly tortuous. the cardiac silhouette is enlarged even accounting for patient and technical factors. both findings are stable. no definite effusion or pneumothorax is seen. degenerative changes are noted throughout the thoracic spine and in the right shoulder.
confusion.
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pa and lateral chest views were obtained with patient in upright position. comparison is made with the next preceding similar study <unk> <unk>. the heart size is unchanged and within normal limits. no configurational abnormality is identified. unremarkable appearance of thoracic aorta. no mediastinal abnormalities are seen. the pulmonary vasculature is not congested. no signs of acute or chronic parenchymal infiltrates are seen and the lateral and posterior pleural sinuses are free. no pneumothorax in apical area. unchanged appearance of previously described multiple surgical clips in dorsal chest wall and in left-sided para-spinal position.
<unk>-year-old female patient with history of pneumonia several weeks ago. this is a followup chest examination to evaluate for complete resolution. the patient is status post liver transplant.
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are hyperexpanded but grossly clear. no pleural effusion or pneumothorax is seen. bones are demineralized, and note is made of slight decrease in height of a mid thoracic vertebral body.
<unk> year old woman with intraparenchymal hemorrhage // please evaluate for cardiopulmonary process
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severe infiltrative pulmonary opacities, right worse than left. heart size is difficult to assess given the diffuse parenchymal abnormality. the mediastinal and hilar contours are obscured by the diffuse interstitial opacities bilaterally. the pulmonary vasculature is congested. no pleural effusion or pneumothorax. aortic arch calcifications are again seen. lines and tubes: allowing for differences in patient positioning, et tube tip is approximately <num> cm above the carina and the right ij venous line is approximately at the ca junction.
<unk> year old woman with candidemia and pulmonary infiltrates // interval change for increased o<num> requirement
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
history: <unk>f with cough and flu
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pa and lateral views of the chest. the lungs are clear without consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is unremarkable. there is no evidence of pneumomediastinum. hypertrophic changes are noted in the thoracic spine.
<unk>-year-old male with new onset of intermittent chest pain and shortness of breath after banding of esophageal varices three weeks ago. question pneumomediastinum.
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the lungs are hyperinflated with emphysematous changes most pronounced in the lung apices. the cardiac, mediastinal and hilar contours are unchanged, with the heart size appearing mildly enlarged. enlargement of pulmonary arteries is re- demonstrated, compatible with underlying pulmonary arterial hypertension. no pulmonary edema is demonstrated. bibasilar airspace opacities have progressed compared to the previous radiograph. no pleural effusion or pneumothorax is identified. posterior thoracic fusion hardware is re- demonstrated along with multiple surgical <unk> along the midline.
dyspnea.
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a round <num> cm opacity in the superior aspect of the left upper lobe and an ovoid <num> cm opacity in the inferior aspect left upper lobe are both most consistent with metastases. the lungs are otherwise clear. heart size is top normal. the mediastinal contours are normal. there are no pleural effusions. no pneumothorax is seen.
left arm weakness, evaluate for acute process.
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the heart is again mildly enlarged. there is similar mild unfolding of the thoracic aorta as well as calcification visualized along the arch. there is a new small-to-moderate right-sided pleural effusion that prominently layers along the right lateral chest wall as well as new patchy right basilar opacity obscuring the left hemidiaphragm. the lateral view suggests a developing posterior consolidation in the right lower lobe. there are also new small patchy left basilar opacities obscuring the lateral side of the left hemidiaphragm. fissures are also thickened reflecting pleural fluid on the right. mild degenerative changes are similar along the lower thoracic spine.
chest pain.
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frontal and lateral views of the chest. no prior. lungs are clear. cardiomediastinal silhouette is normal. osseous and soft tissue structures are unremarkable.
<unk>-year-old female with left side chest pain.
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the lungs are clear. there is no evidence of focal scarring. the cardiomediastinal silhouette is within normal limits. hilar contours are normal. no acute osseous abnormalities.
<unk>f with c/o sob and fever/chills with recent new positive ppd/tst today <num> mm induration // ? pna or tb
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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. no displaced rib fracture is identified. there is mild widening of the bilateral acromioclavicular joints of indeterminate age.
fall off step ladder now with rib pain.
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the lungs are clear. the cardiomediastinal silhouette is normal. no acute osseous abnormalities identified.
<unk>f with diffuse muscle cramps, altered mental status // eval for acute process
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as compared to prior chest radiograph from earlier today, there is persistent pneumomediastinum and extensive subcutaneous emphysema of the chest wall with air dissecting along the pectoralis muscles and cervical regions bilaterally. an endotracheal tube terminates <num> cm above the carina, and its cuff remains overdistended. the previously noted small right pneumothorax is not well seen on the current exam. probable small bilateral pleural effusions. lungs are hyperexpanded and there are diffuse areas of course interstitial and ill-defined nodular opacities bilaterally, with bronchiectasis and bronchial wall thickening which likely relate to chronic lung disease. cardiac silhouette is unchanged.
tracheal injury. rule out pneumothorax.
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the iabp terminates approximately <num> cm from the arch of aorta. the lungs are well expanded and clear. the cardiomediastinal silhouette, hilar contours and pleural surfaces are unchanged. the heart is top normal. there is no focal airspace opacity.
nstemi, congestive heart failure, intra-aortic balloon pump. evaluate intra-aortic balloon pump placement.
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the new endotracheal tube terminates <num> cm from the carina. low lung volumes cause bronchovascular crowding and bibasilar atelectasis. allowing for this there is likely moderate pulmonary vascular congestion. there is a trace left pleural effusion. there is no focal consolidation or pneumothorax. there is apparent discontinuity of the lateral left seventh and eighth ribs and the posterior left fifth rib suggesting acute fractures. right sixth and seventh ribs also appear fractured in their lateral portion. there is diffuse demineralization.
<unk> year old man with gib going for egd s/p intubation, evaluate endotracheal tube placement.
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heart size remains top normal in size with a left ventricular predominance. the aorta is tortuous. mediastinal and hilar contours are otherwise unchanged. lungs are clear without pulmonary vascular congestion. no pleural effusion or pneumothorax is present. moderate degenerative changes are re- demonstrated within the imaged thoracic spine with mild loss of height of a low thoracic vertebral body.
history: <unk>m history of parkinsons with weakness, recent fall // acute process in the chest?acute process in head?
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single ap portable radiograph of the chest demonstrates interval endotracheal tube placement which projects approximately <num> cm from the carina. an enteric tube is seen coursing past the diaphragm. no consolidation or pleural effusion is identified. there is apparent crowding of the vascular structures bilaterally which is likely explained by the reduced lung volumes.
status post endotracheal tube placement.
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the lungs are clear without focal consolidation. there is moderate cardiomegaly with pulmonary vascular congestion. there is no pleural effusion or pneumothorax. visualized upper abdomen is unremarkable. osseous structures are grossly intact.
shortness of breath, evaluate for acute process.
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frontal and lateral views of the chest were obtained. lungs are well expanded. diffuse coarse interstitial markings are again noted, predominantly involving the bases, without evidence of focal consolidation. there is no pleural effusion or pneumothorax. heart is normal in size, and cardiomediastinal contour is unremarkable. deformity of the right lateral chest wall is noted. patient is status post spinal fusion at multiple levels which is partially imaged. a vascular stent is also partially imaged anterior to the spine in the lower part of the image, likely within the aorta.
<unk>-year-old female with spinal stenosis, preoperative chest radiograph. evaluate for pneumonia.
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compared to the prior study there is no significant interval change.
<unk>m s/p mvc on coumadin w/ c<num>-<unk> fx, l <num>st rib fx, l hemothx pulm contusion, manubrial fx, r femur disloc/fx, r tib plat fx, sacral fx, stomach layering/duo stranding // ?interval change
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there has been interval removal of the right pleural drainage catheter. no pneumothorax or gross pleural effusion detected. there is linear atelectasis in the right middle and lower lobes. there is increased retrocardiac opacity which likely reflects atelectasis though superimposed infection would be difficult to exclude. cardiomediastinal contours, including left ventricular configuration and calcified unfolded aorta, are unchanged. no chf. probable left upper zone calcified granulomas and calcified hilar or mediastinal lymph nodes, suggesting prior granulomatous infection. subtle noncalcified nodes a be present, better seen on <unk>. mesh metallic density seen overlying the upper abdomen in the midline extending beyond the edge of this film is compatible with a stent of some kind. the appearance is similar to <unk>.
history: <unk>m with leukocytosis, fall // eval for pna
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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 are unremarkable.
low-grade fever. history of lymphoma.
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pulmonary edema and mediastinal vascular engorgement is worse compared to radiograph obtained approximately <num> hours earlier. mild cardiomegaly has also worsened. dobbhoff tube is noted with weighted tip within the expected region of the stomach. there is no pneumothorax.
patient with liver cirrhosis. assess position of dobbhoff.
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interval removal of ng tube. standard placement of tracheostomy tube. median sternotomy wires intact and aligned. low lung volumes. normal heart size. unchanged, small left pleural effusion with underlying atelectasis. unchanged, mild pulmonary vascular congestion.
<unk>-year-old man status post cabg complicated by ards.
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left-sided aicd device is noted with lead terminating in the region of the right ventricle. mild enlargement of cardiac silhouette is unchanged. the mediastinal and hilar contours are similar, with prominence of the pulmonary arteries bilaterally appearing unchanged. no pulmonary edema or focal consolidation is present. patchy retrocardiac atelectasis is noted. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
history: <unk>m with left forearm fracture// pre-op
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pa and lateral views of the chest. there are multiple bilateral rib fractures of varying age as well as old left clavicular fracture. large hiatal hernia. a heterogeneous opacity concerning for pneumonia is seen in the inferolateral right upper lobe. the left lung is clear. there is no pleural effusion. no pneumothorax. there is no pulmonary vascular congestion. the cardiac, mediastinal, and hilar contours are normal.
myeloma, progressive shortness of breath.
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.
history: <unk>m with cough // acute process?
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heart size remains mild to moderately enlarged. the mediastinal and hilar contours are normal. pulmonary vasculature is not engorged. lungs are hyperinflated without focal consolidation. no pneumothorax is present. minimal blunting of the costophrenic angles posteriorly on the lateral view suggests the presence of trace bilateral pleural effusions. clips are seen in the upper abdomen compatible with prior cholecystectomy. no acute osseous abnormality is visualized.
history: <unk>f with hypertension, headache, chest pain
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the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. cardiac silhouette and mediastinal contours are normal. an ng tube is in place, the tip projects over the expected location of the first portion of the duodenum.
<unk>-year-old female with subdural hematoma and ng tube placement.
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a portable frontal chest radiograph redemonstrates the nasogastric tube in the mid neoesophagus, a right chest tube, and a right chest drain, all unchanged in position. unchanged lucency under the diaphragm mostly represents distended colon, as well as possibly a small amount of postoperative pneumoperitoneum. mediastinal widening is decreased, without evidence of mediastinal fluid collection or unexpected distention of the neoesophagus. bibasilar atelectasis is improved. a tiny probable effusion is unchanged. there is no pneumothorax or focal consolidation concerning for pneumonia.
status post esophagectomy, with chest tube placed to water seal. evaluate for pneumothorax.
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the lungs are clear without consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>f with hyperglycemia // eval for infection
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there is a likely right basilar atelectasis. mild elevation of the right hemidiaphragm is seen. there is minimal left base atelectasis. no definite focal consolidation is seen. there is mild blunting of the right costophrenic angle and trace pleural effusion is not excluded. there is no evidence of pneumothorax. the cardiac and mediastinal silhouettes are stable and unremarkable.
shortness of breath.
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frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette. opacity at the right lung base is consistent with the clinical diagnosis of right lower lobe pneumonia. there is no definite correlate on lateral view. no pleural effusion or pneumothorax is appreciated. the visualized upper abdomen is unremarkable.
evaluate for pneumonia in a patient with cough and shortness of breath.
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cardiomegaly is moderate. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. no focal consolidation, pleural effusion, or pneumothorax. left seventh rib fracture appears similar to yesterday.
<unk> year old woman with lethargy, please evaluate for infectious process
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endotracheal tube terminates in the proximal right mainstem bronchus. orogastric tube appears to terminate in the lower esophagus. heart size is enlarged. the aortic knob is calcified. lung volumes are low. small linear opacity at the left lung base is compatible with atelectasis. no focal consolidation, sizeable pleural effusion, or pneumothorax. osseous structures are unremarkable.
suspected stroke status post intubation. evaluate endotracheal and orogastric tube placement.
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
history: <unk>m with thrombocytopenia //
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the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.
cough and fever. evaluate for pneumonia.
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the lungs are clear, and the cardiomediastinal silhouette and hila are normal. there is no pleural effusion and no pneumothorax. right port-a-cath ends at the right cavoatrial junction.
<unk>-year-old man with neutropenic fever.
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ap single view of the chest has been obtained with patient in upright position. there is no evidence of pneumothorax in the apical area on either left or right side. in comparison with the next preceding chest examination of <unk>, at that time described pulmonary abnormalities including a left lower lobe mass persists.
<unk>-year-old female patient with lung mass, status post biopsies, evaluate for pneumothorax.
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moderate cardiomegaly and tortuosity of the thoracic aorta is unchanged. there is a prominence of the central hilar vasculature with increased peripheral reticulonodular opacities compatible with mildly increased pulmonary edema. small bilateral pleural effusions are seen posteriorly on the lateral view. there is no pneumothorax. lungs are otherwise without a focal consolidation.
chest pain and shortness of breath.
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ap upright and lateral views of the chest provided. cardiomegaly is re- demonstrated with an unfolded thoracic aorta. there is no focal consolidation, effusion or pneumothorax. no convincing signs of edema. imaged osseous structures are intact. degenerative changes are notable at the left shoulder partially imaged. no free air below the right hemidiaphragm is seen.
<unk>f with dementia presents with hyperglycemia, searching for precipitating factor // ? pneumonia
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study is unchanged from prior. the right-sided picc terminates at the mid svc.on limited frontal view, sternotomy wires are intact. there is a small pleural effusion at the right lung base. there is mild cardiomegaly and pulmonary vascular congestion. there is no pneumothorax.
<unk> year old woman s/p cvl avulsion through svc. // cause of chest/shoulderblade pain
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the patient is status post median sternotomy and cabg. heart size remains borderline enlarged, and unchanged. the aorta is tortuous. lungs remain hyperinflated with attenuation of the pulmonary vascular markings towards the apices compatible with underlying emphysema. there is no pulmonary vascular congestion. patchy bibasilar airspace opacities could reflect atelectasis. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
dizziness.
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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.
history weakness, fevers, chills. please evaluate for acute intrathoracic abnormalities.
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the heart size is normal. in the right perihilar region, there is a subtle increase in opacification. otherwise, the hilar and mediastinal contours are normal. there is no pleural effusion or pneumothorax. the visualized osseous structures are unremarkable.
history: <unk>m with chest pain, h/o htn // ? acute pathology
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compared with the radiograph from <unk> there is worsening hilar engorgement and pulmonary vascular dilatation consistent with congestive heart failure. right lower lung opacities represent a combination of pleural thickening, post-pleurodesis changes, small effusion and right middle and lower lobe atelectasis. no new focal opacities are seen. bilateral post-radiation fibrotic changes are better characterized on prior ct from <unk>. the cardiac silhouette is stable. a left subclavian line terminates in the distal svc.
<unk>f with dlbcl and recurrent right effusion s/p thoracocentesis. pneumothorax?
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bibasal, layering pleural effusions are similar when compared to the prior study. there is persistent left lower lobe atelectasis. right basal airspace opacity is similar when compared the prior study. the upper lungs are grossly clear. a right internal jugular catheter terminates in the mid svc. a nasogastric tube terminates in the stomach. the endotracheal tube terminates <num> cm above the level of the carina.
<unk> year old man with complicated by resistant utis/colonization, chronic sacral and ischial ulcers complicated by acinetobacter osteomyelitis, and pvd with chronic gangrenous r leg, with recent hospitalization for hypoxia and dyspnea // intubated, compare to prior
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the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable.
history: <unk>m with <num> days of cough, general body aches // eval for consolidation