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portable ap upright chest radiograph <unk> at <time> is submitted.
<unk> year old woman with increased cough and chest pressure. // evaluate for new infiltrate evaluate for new infiltrate
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mild interstitial prominence bilateral mid, lower lungs, consider inflammatory/ infectious process, early pulmonary edema. small area of more focal opacity right lung base medially, lingula may represent atelectasis versus pneumonitis. normal heart size. no pleural effusion. postoperative change cervical spine fusion with hardware in place. remainder normal.
<unk> year old woman with new rigors, hypoxia, hypertension // ? new pulmonmary process
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pa and lateral chest radiographs demonstrate clear lungs bilaterally. linear opacity at the base of the left lung is most likely atelectatic in etiology. cardiomediastinal and hilar contours are within normal limits. there is no pneumothorax, evidence of pulmonary edema, or pleural effusion. no free air under the right hemidiaphragm is identified.
<unk>-year-old female history of palpitations.
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there has been interval placement of a right internal jugular central venous catheter which terminates at the cavoatrial junction. enteric tube courses below the level of the diaphragm. endotracheal tube terminates approximately <num> cm above the carina. bilateral perihilar opacities persist, and appear increased on the left. there is now obscuration of the diaphragms which may be due to pleural effusions and/or atelectasis. no pneumothorax seen.
history: <unk>f with cvl // cvl
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lung volumes are low with bibasilar opacities which are likely atelectasis. superiorly, the lungs are clear. the cardiomediastinal silhouette is within normal limits. mild mid thoracic dextroscoliosis is noted. no acute osseous abnormalities. degenerative changes partially visualized at the left shoulder.
<unk>f with wheezing // evaluate for pneumonia
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the lungs are clear, the cardiomediastinal silhouette and hila are normal. there is mild vascular congestion. there is no pleural effusion and no pneumothorax.
<unk>-year-old with chest pain.
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the heart is moderately enlarged, but unchanged in appearance. the aorta is tortuous. a right basal opacity is minimally increased from the prior study done in <unk> and may be due to an area of atelectasis, mild pleural thickening or mild asymmetric edema in that area. there is no large pleural effusion or pneumothorax.
<unk>f with chest pain // ? acute process
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ap view of the chest provided. since prior study from earlier today, there has been interval improvement in left pneumothorax. there is residual small left apical pneumothorax. left-sided chest tube is in unchanged position. right lung is clear. cardiomediastinal and hilar contours are normal.
<unk> year old man with left ptx, ct unclamped and placed on waterseal around <num>am
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single portable chest radiograph was provided. the endotracheal tube is appropriately positioned in the upper trachea. nasogastric tube courses below the diaphragm, but is incompletely imaged. a right internal jugular central line terminates in the svc. left chest wall pacemaker is present with leads likely in the right atrium and ventricle. pleural thickening is similar to the previous exam. bilateral pleural effusions, right greater than left, are also similar. pathcy parenchymal opacities are most consistent with pulmonary edema. there is no pneumothorax. the cardiomediastinal silhouette is unchanged.
unresponsive, intubated.
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the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the chest is hyperinflated. band-like areas of opacity in the lower lungs are most consistent with atelectasis, more striking at the right than left lung base. no free air is identified.
nausea and vomiting.
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there is chronic moderate to severe cardiac enlargement. pulmonary edema and pulmonary vascular congestion are redemonstrated. there is atelectasis at the left lung base. no focal pulmonary abnormality is identified to suggest pneumonia. there is no pneumothorax or large pleural effusion.
chest pain, end-stage renal disease. question pneumonia.
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portable ap chest radiograph. swan-ganz catheter tip is in stable position in the right pulmonary artery. left-sided chest tube is in stable position. mediastinal drain is in stable position.the patient has been extubated and the ng tube removed. moderate bilateral pleural effusions may be slightly increased on the right. lung volumes remain low. mild pulmonary edema has not changed. there is no pneumothorax.
postoperative radiographs after avr and cabg.
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. no focal consolidation, pleural effusion, or pneumothorax.
<unk> year old woman with recent flu-like illness, persistent productive cough // eval for pneumonia
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since the prior radiograph performed earlier this morning, there has been interval repositioning of the nasogastric tube. however, the tip of the ng tube now terminates in the right lower lobe bronchus. the ett terminates <num> cm above the carina. there is a large right, and moderate left pleural effusion with adjacent atelectasis. no pneumothorax. mild pulmonary vascular congestion. stable cardiomediastinal silhouette. no free air under the diaphragms.
<unk> year old woman with history of intracranial hemorrhage and seizure // evaluate ngt placement
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frontal and lateral chest radiographs demonstrate a tiny residual left apical pneumothorax. there is a small left pleural effusion. a left chest tube remains in place with its tip and sidehole projecting over the left mid lung. a small amount of left subcutaneous emphysema is noted along the lateral thoracic wall. there is a small amount of left basilar atelectasis. the lungs are otherwise clear. the cardiac silhouette and mediastinal contours are normal. the pulmonary vasculature is normal.
<unk>-year-old male with left pneumothorax following diaphragmatic hernia repair, evaluate for recurrence of pneumothorax.
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the lungs are clear without consolidation or effusion. the cardiomediastinal silhouette is within normal limits. right shoulder arthroplasty and thoracolumbar posterior and lateral fixation hardware is noted. no definite acute osseous abnormalities.
<unk>m with copd and ?septic joint now with hypoxia // source of hypoxia
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portable upright radiograph of the chest demonstrates a large amount of intraperitoneal free air lifting the diaphragm off the liver surface. within the upper abdomen, there are severely dilated loops of colon, with the transverse colon measuring up to <num> cm in diameter. the lungs are clear. the hilar and cardiomediastinal contours are normal. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal.
chronic abdominal pain and distention in a patient with a history of c. difficile colitis.
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right-sided chest drain has been removed. no large residual right-sided pneumothorax. small lucency seen projecting over the right hilar area which may represent a small medial pneumothorax. moderate amount of subcutaneous air in the right chest wall. vascular congestion and mild pulmonary edema on the right is most likely post-procedural. no cardiomegaly. unfolding of the thoracic aorta. left retrocardiac airspace opacification most likely representing atelectasis.
<unk> year old woman s/p r vats wedge // r/o ptx post ct removal
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one semi-erect portable ap view of the chest. enteric feeding tube ends in the stomach. the cardiac, mediastinal, and hilar contours are normal. the pleural surfaces are normal. there is no focal opacity concerning for pneumonia.
fever, status post abdominal surgery yesterday, evaluate for pneumonia.
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there are low lung volumes. atelectasis is seen in the right lung base. increased interstitial markings, perivascular haziness, and cardiomegaly are consistent with mild pulmonary edema. there is no pleural effusion or pneumothorax.
syncope.
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patient is rotated slightly to the right for. the patient's chin overlies the superior medial right lung apex. given this, the cardiac and mediastinal silhouettes are grossly stable given differences in patient position, with the cardiac silhouette enlarged and prominence of the central pulmonary arteries. there is persistent hilar prominence. hilar congestion is re- demonstrated without overt pulmonary edema. battery pack with percutaneous pacer wires again overlies the left lower hemi thorax, partially obscuring the view. given this, no large focal consolidation is seen. the right hemidiaphragm remains elevated. no large pleural effusion or pneumothorax. no displaced fracture identified.
history: <unk>f with esrd, poor historian, s/p fall on <unk> // evidence of fracture or trauma
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compared to prior examination, there has been interval removal of a left pleural pigtail drain. again appreciated are bilateral moderate-to-large pleural effusions, which appear slightly increased in size with associated bibasilar volume loss. there is no pneumothorax. the osseous structures are grossly unremarkable.
bilateral pleural effusions.
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>m with cough, fevers / ? pneumonia
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cardiac silhouette size is borderline enlarged. mediastinal and hilar contours are normal. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormality is identified.
history: <unk>m with fall
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lung volume is low. bibasilar opacities are similar to before and likely atelectasis. cardiac silhouette is mildly enlarged. there is no pneumothorax or pleural effusion. bronchial wall is thickened, similar to before.
history: <unk>f with dyspnea, cpb/l leg swelling, r leg pain // eval for acute processeval for dvt
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pa and lateral chest radiographs were obtained. the lungs are fully expanded and clear. there are persistent linear lucencies projecting over the neck, mediastinum, and along the cardiac border compatible with pneumomediastinum. there is no pleural effusion or pneumothorax.
patient with pneumopericardium/pneumomediastinum, evaluate for interval change.
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pa and lateral views of the chest provided. there is a single air-fluid level at the apex with mostly fluid within the right pleura, likely loculated at the right lung base. no pneumothorax is evident. right chest tube is in place. left lung is unremarkable. stable cardiomediastinal contours. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk> year old man with pleural effusion // eval
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<num> views were obtained of the chest. right malpositioned picc has been removed. bilateral small pleural effusions and accompanying atelectasis are improved from the previous examination. the remainder of the lungs are clear. the heart and mediastinal contours are stable. there is no pneumothorax.
shortness of breath.
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the lungs are clear. there is no pleural effusion, pneumothorax or focal airspace consolidation. the cardiac and mediastinal contours are normal. the hilar contours are unremarkable. flattening of the diaphragms likely reflects inspiratory effort.
night sweats, fever and mild upper respiratory symptoms. evaluate for pneumonia.
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there is a persistent multi cavitary consolidation in the right upper lobe with associated mild volume loss. there has been interval development of bilateral heterogeneous consolidations concerning for multi focal pneumonia. moderate bilateral pleural effusions are better seen on concurrent ct. the cardiac silhouette is normal. there is no pneumothorax. a right chest port-a-cath terminates at the distal svc.
<unk>m with possible tb // eval for pulmonary infiltrate
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lung volumes are low. no focal consolidation, pleural effusion or pneumothorax is seen. there is no pulmonary edema. the heart is normal in size. the mediastinal and hilar contours are normal.
<unk>-year-old female with chocking sensation when lying flat. please assess for cardiopulmonary process.
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normal heart size, pulmonary vascularity. no effusion. lungs are clear. surgical clips right upper quadrant.
<unk> year old woman with nash cirrhosis presents with nausea, dizziness, abdominal pain and hyponatremia // please assess for pulm pathology
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portions of the lateral left lung are not included within the field of view of these radiographs. an endotracheal tube terminates <num> cm above the carina. the side port of an enteric tube projects over the gastric body. lungs are fully expanded and clear. no right pleural effusion or right or left pneumothorax.. heart size is normal. cardiomediastinal and hilar silhouettes are normal. no large fractures within the field of view.
<unk>m with rollover mvc with confusion // eval acute traumatic injury
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previously seen left upper lobe and lingular consolidations have resolved in the interval. no new focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are grossly stable.
history: <unk>m with hx of htn presented with headache //
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the lungs are normally expanded and clear without focal opacity to suggest pneumonia. a left port-a-cath has its tip terminating near the superior cavoatrial junction. tracheostomy tube terminates approximately <num> cm from the carina. the cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. there is no pleural effusion or pneumothorax.
tracheostomy, now with green sputum, cough, chills. evaluate for pneumonia.
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frontal and lateral views of the chest are provided. again noted are prominent interstitial markings in the lung bases. there is no focal consolidation, pleural effusions or pneumothorax. hilar and mediastinal silhouettes are unremarkable. heart size is normal. partially imaged upper abdomen is unremarkable.
patient with history of asthma and shortness of breath.
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the lungs are well inflated with unchanged moderate pulmonary edema and layering bilateral pleural effusions there is cardiomegaly with postsurgical changes related to prosthetic cardiac valve in place. right central venous catheter sheath terminates in the svc. left upper chest wall pacemaker and pacer wires are in unchanged position. sternotomy sutures remain in unchanged position. ekg leads overlie the chest wall. visualized bones are unremarkable.
<unk> year old man with <num>+ mr // eval for interval change
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compared to chest radiographs from <unk>, there is little overall change. lung volumes remain low. the right hemidiaphragm is persistently elevated. mild cardiomegaly is stable compared to prior study. mediastinal and hilar contours are stable. there is no focal consolidation, pleural effusion or pneumothorax. several healed right rib fractures are noted.
history: <unk>f with infectious work-up*** warning *** multiple patients with same last name! // eval pna
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the cardiomediastinal contours are within normal limits. the bilateral hila are unremarkable. the lungs are clear without focal consolidation. there is no evidence of pulmonary vascular congestion. there is no pneumothorax or pleural effusion.
<unk>-year-old woman with dyspnea, evaluate for effusion.
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pa and lateral views of the chest. no prior. the lungs are clear of focal consolidation or effusion. cardiac silhouette is top normal in size. aorta is slightly tortuous. there is suggestion of calcified mediastinal and left hilar lymph nodes. osseous and soft tissue structures are notable for degenerative changes at the right glenohumeral joint.
<unk>-year-old female with chest congestion. question pneumonia.
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the right superior mediastinum at the expected area of the ascending aorta appears widened, demonstrating an outwardly convex bump compared to preoperative imaging. ett in situ at the level of the medial clavicles. swan-ganz catheter position unchanged. feeding tube in the stomach. left-sided picc line in situ with the tip at the cavoatrial junction. no new areas of airspace opacification. no pleural effusions. no pneumothoraces.
<unk> year old woman with s/p avr mvr tv repair // eval pa line position
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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>m with sob, hypoxia outside rec showed lower lung pna on xray
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pa and lateral chest radiograph demonstrate clear lungs bilaterally. cardiomediastinal and hilar contours are within normal limits. there is no evidence of pulmonary edema. there is no pleural effusion or pneumothorax. degenerative changes involve bilateral acromioclavicular joints. remaining osseous structures are otherwise unremarkable. there is no air under the right hemidiaphragm.
history: <unk>f with chest pain // acute cardiopulmonary process
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the lungs are clear without consolidation, effusion, or edema. mild scarring noted within the lingula, unchanged. the cardiomediastinal silhouette is stable. no acute osseous abnormalities.
<unk>f with cough // ?pna
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ap portable view of the chest. endotracheal tube ends <num> cm from the carina in appropriate position. right internal jugular catheter ends in the low svc. enteric tube ends off the imaged portion of the chest. sternotomy wires are unchanged. cardiomegaly is unchanged. mediastinal and hilar contours are unchanged. no pneumothorax. moderate right and small to moderate left pleural effusions are likely unchanged. bibasilar opacities are unchanged. slight increase in mild pulmonary edema.
intubated, evaluate tube placement.
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the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable.
<unk> year old man with cough, sputum, asthma // any evidence of pneumonia
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cardiomediastinal contours are normal. the lungs are clear. there is no pneumothorax or pleural effusion. the osseous structures are unremarkable
<unk> year old woman with cough. // rule out pneumonia
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enteric tube appears to terminate at about the ge junction. consider advancing approximately <unk> more cm. no other significant change. no pneumothorax. low lung volumes.
<unk> year old man with ckd, cirrhosis and sbo with ngt found incidentally on cxr to be in the esophagus. // please eval placement of ng tube
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compared to the prior study there is no significant interval change.
<unk> year old man with metastatic melanoma, abd pain, vomiting, hypotension // acute cardiopulm process, volume overload?
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there is now a small to moderate left pleural effusion. there is more consolidation in the left lower lung which is probably due to atelectasis. there is no pneumothorax. the right lung is clear. the cardiomediastinal silhouette is stable. mild dextroscoliosis is unchanged.
<unk> year old man with pleural effusion.
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cardiac, mediastinal and hilar contours are normal. pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is visualized. no acute osseous abnormality is detected. there are minimal degenerative changes in the mid thoracic spine.
history: <unk>f with syncope
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the lungs are clear. there is no evidence of pneumonia, pneumothorax, or pleural effusion. cardiac silhouette is normal in size.
history: <unk>m with hx gastritis p/w hematemesis // please eval for free air or acute intraabdominal process
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the lungs are clear. the heart size is normal. the mediastinal contours are normal. there are no pleural effusions. no pneumothorax is seen.
chest pain.
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lungs are fully expanded and clear. no pleural abnormalities. heart size is normal. cardiomediastinal and hilar silhouettes are normal.
<unk>f with fever, cough, and costovertebral and pain.
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a right ij central venous catheter terminates in the low svc. the heart is top normal in size. the mediastinal and hilar contours are normal. lungs are clear. note is made of a right sided diaphragmatic eventration. there are no definite pleural effusions or large pneumothorax.
<unk>-year-old woman with chest pain and shortness of breath. evaluate for interval changes.
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there is a large hiatal hernia, grossly unchanged. cardiomediastinal silhouette is stable. there is no focal lung consolidation. there is no pleural effusion or pneumothorax.
<unk>-year-old woman with chest pain evaluate for pneumonia
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ap portable upright view of the chest. feeding tube is in place with its tip in the distal stomach. left chest wall pacer again noted with leads extending to the right atrium and right ventricle. cardiomediastinal silhouette is unchanged. there is airspace consolidation in the right lower lobe compatible with pneumonia. there is mild left basal atelectasis. no pneumothorax. bony structures appear intact. clips in the right upper quadrant noted.
<unk>f with h/o pna // ? pneumonia
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.
<unk>f with chest pain, shortness of breath and leg swelling // r/o chf
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the lungs are well-expanded and clear. no focal consolidation, effusion, edema, or pneumothorax. cardiomediastinal contours are unchanged. scoliosis is also unchanged.
history: <unk>f with cough // ?pna
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pa and lateral chest radiographs. the lungs are clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.
history: <unk>f with fever, cough // ?infiltrate
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patient is status post right upper lobectomy with surgical clips in place. there is rightward mediastinal shift, consistent with surgical history, unchanged. compared to prior, there is increased thickening of the right minor and major fissure, and slight increasing right pleural effusion. small left pleural effusion is unchanged. prior rib resection on the left is seen. no obvious rib metastases are seen. mild, longstanding, general enlargement of the trachea may reflect a tendency to tracheomalacia. no pneumothorax.
<unk> year old man with recurrent lung cancer with known r pleural effusion now presenting with pleurtic right chest pain. worsening pleural effusion on right?
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the lung volumes are stable. there is increased pulmonary venous congestion. mild-to-moderate cardiomegaly is stable. mediastinal and hilar contours are stable. stable small left pleural effusion. the ng tube is malpositioned in terminates near the esophagogastric junction. the left picc line terminates near the cavoatrial junction.
<unk>f w/ new ngt placement after self-removal // <unk>f w/ new ngt placement after self-removal
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there is at prominence of the interstitial markings although less extensive when compared to prior. there is no confluent consolidation or effusion. the heart size is normal. no focal consolidations concerning for pneumonia. no pneumothorax. a tips is identified in the right upper quadrant.
<unk>m with confusion // acute cardiopulm disease
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the lungs are clear. there are no pleural effusions or pneumothorax. the cardiomediastinal and hilar contours demonstrate mild tortuosity of thoracic aorta and a mild cardiomegaly. pulmonary vascularity is within normal limits.
<unk>-year-old female with cough.
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status post removal of right-sided chest tube. there is a tiny right apical pneumothorax. linear opacities in the right mid and lower zone likely represent atelectasis. no large pleural effusion seen bilaterally. cardiomediastinal silhouette are unchanged. bony thorax and upper abdomen are stable.
<unk> year old woman with pneumothorax // post-pull film
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diffuse bilateral pulmonary nodules and masses are again noted. there is apparent increase in the burden of disease when compared to prior exam. there is no definite consolidation worrisome for infection although one could easily be obscured. cardiomediastinal silhouette is stable. left-sided pigtail catheter is no longer visualized. left chest wall dual lead pacing device is again noted. no acute osseous abnormalities.
<unk>m with fever // r/o infiltrate
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post aortic valve repair. the heart appears enlarged, likely stable from previous examination given technical differences. diffuse increased vascular markings are noted. the cardiac borders and diaphragms are clear. there is no evidence of pleural effusion. no pneumothorax is seen. there is scoliosis of the of the thoracic spine.
<unk>f here with fall.,recent history of productive sputum. hx of chf and as s/p tavr // ?pna, ?volume overload
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the patient is status post median sternotomy and cabg. the cardiac and mediastinal silhouettes are stable with the cardiac silhouette persistently enlarged. two lead left-sided pacemaker is again seen, unchanged in position. there are slightly low lung volumes and there is persistent mild elevation of the right hemidiaphragm. slight blunting of the right costophrenic angle is stable. stable right base scarring is again seen. there is no evidence of pneumothorax. no overt pulmonary edema is seen. there may be mild pulmonary vascular congestion.
copd and <num> l is located at home, presenting with shortness of breath and decreased oxygen saturation.
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the lungs are normally expanded and clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax.
complaining of right-sided chest pain and shortness of breath. evaluate for pneumonia or other acute process.
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frontal and lateral views of the chest demonstrate elevation of the right hemidiaphragm, which is longstanding. there is no pleural effusion, focal consolidation, or pneumothorax. hilar and mediastinal silhouettes are unremarkable. mild tortuosity of the descending aorta is noted. heart size is normal. mild pulmonary vascular congestion is present. cervical fixation hardware is partially imaged. visualized upper abdomen is unremarkable.
syncope.
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patient is status post esophagectomy and right thoracotomy. the right paramediastinal /right hilar opacity has resolved since <unk> with postsurgical changes seen. there is also interval resolution of the left pleural effusion previously noted. bilateral lungs are hyperinflated with flattening of bilateral diaphragms consistent with known severe emphysema with scarring of the right apex better seen on ct chest in <unk>.no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unchanged.
<unk> year old man s/p mie // check interval change
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there is a minor left retrocardiac atelectasis. there is no pleural effusion or pneumothorax. cardiomediastinal silhouette and hila are normal.
<unk>-year-old man with dyspnea. please assess for infiltrate.
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there are sternotomy wires. there is a left-sided chest tube in place. there is no evidence of pneumothorax. bibasilar opacities represent effusions and atelectasis. the cardiomediastinal silhouette is not enlarged. no acute osseous abnormalities are visualized. subcutaneous emphysema is noted in the neck.
<unk> year old woman with chest tube clamped - acute sob // eval for ptx
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there are diffuse interstitial and alveolar space opacities, with associated kerley b lines, bilateral hilar prominence, and small pleural effusions. there is mild-to-moderate cardiomegaly, not significantly changed compared with prior study. there is no pneumothorax. a newly placed endotracheal tube ends <num> cm above the carina. an ng tube is seen ending in the stomach with its tip and side ports beyond the margin of imaging. a right-sided tunneled line is unchanged in position compared with <unk>, ending at the cavoatrial junction. the external tip of the line has been cut off.
<unk>-year-old female with new endotracheal tube. evaluate for tube placement.
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the lung volumes are low. the cardiac, mediastinal and hilar contours appear unchanged. there is no pleural effusion or pneumothorax. reticular markings and cuffed airways appear more prominent on the right than left, which appears clear.
shortness of breath. question infiltrate.
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lung volumes are low. this accentuates the size of the cardiac silhouette which appears borderline enlarged. additionally, low lung volumes cause apparent widening of the superior mediastinum, but the aortic knob appears distinct. crowding of the bronchovascular structures is noted without overt pulmonary edema. no focal consolidation, pleural effusion or pneumothorax is present. no acute osseous abnormality is detected.
history: <unk>m with left sided weakness, hypotension
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as compared to prior chest radiograph from <unk>, there has been mild interval improvement of a right pneumothorax. distance from the apical visceral pleural line to the bas of the first rib is <num> cm, previously <num> cm. a right basilar chest tube remains in adequate position. there is no leftward shift of the mediastinum. cardiomediastinal and hilar contours are within normal limits. there is no pleural effusion. the left lung is clear. subcutaneous emphysema in the right lateral chest wall is incompletely visualized.
<unk>-year-old woman with right pneumothorax. study requested for evaluation of right pneumothorax.
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heart size is mildly enlarged with mild tortuosity of the thoracic aorta. hilar contours are unremarkable. lungs are clear. pleural surfaces are clear without effusion or pneumothorax.
dyspnea on exertion.
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compared to the prior exam the ng tube has been removed. there continues to be mild cardiomegaly and pulmonary vascular redistribution. there is patchy areas of alveolar infiltrate and volume loss in both lower lungs. compared to the prior study the fluid status is slightly worse.
trauma. extubated.
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there is mild bibasilar atelectasis; otherwise, the lungs are clear. there is a linear density lateral to the descending aorta of unclear etiology. additionally, there is a second density lateral to the aortic arch of unclear etiology. cardiac and mediastinal silhouettes are otherwise within normal limits. diffuse osteopenia is noted with no evidence of acute fracture.
left lower lobe crackles with elevated white count.
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multiple right-sided pulmonary nodules are again seen, better assessed on prior ct. subtle ground-glass opacities in the right lung are better assessed on prior ct. moderate right hilar congestion without overt pulmonary edema. pleural-based opacity in the right lower lung likely represents scarring, as seen on prior ct. there is no new focal consolidation, pleural effusion or pneumothorax. moderate cardiomegaly is unchanged. surgical clips are noted in the left neck and mediastinum, as well as the left chest wall.
history: <unk>m with sob, and chf // pulmonary edema
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heart size is normal. mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. linear scarring is seen within the left lung base lung with chronic blunting of the left costophrenic angle and pleural thickening compatible with prior empyema and decortication. remainder the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
history: <unk>m with <num> weeks of cough, fever, chills, sweats, fatigue, status post full course of augmentin without improvement in symptoms
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multiple healed right rib fractures are present. no definite acute rib fractures are evident on this chest radiograph which was not specifically tailored to assess the ribs. there is no pneumothorax or pleural effusion. cardiomediastinal contours are within normal limits, and lungs are grossly clear. abandoned pacemaker lead remains in place, terminating in the right ventricle.
<unk> year old woman with bilsteral rib pain. ? occult fracture // ? fracture. bilateral rib pain and tenderness
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there has been interval insertion of of right-sided pigtail drainage catheter and substantial decrease in right pleural effusion with only small residual effusion remaining. a right lower lung inferior lateral lucency suggests a basilar pneumothorax. there is adjacent pleural thickening and right lower lobe opacification may be due to atelectasis or consolidation. focal right middle lobe opacification is unchanged. the mediastinal contours and heart size are stable.
<unk> year old man with <unk>f right sided chest tube // ? ptx
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again seen is a right pleural drain, similar in position to the prior study. there is no evidence of pneumothorax. there is a tiny right pleural effusion. the cardiomediastinal and hilar contours are normal. multiple sclerotic lesions throughout the thoracic spine and compression deformities of multiple thoracic vertebrae are consistent with metastatic disease.
<unk> year old woman with pleural effusion // eval
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a right-sided port-a-cath is unchanged in position. lungs are grossly clear. no pneumothorax or pleural effusion. the cardiomediastinal and hilar contours are stable.
<unk>f with sob // pneumonia?
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there is been interval removal of the right pleural drainage catheter. the lungs are clear. there is no pneumothorax or appreciable pleural effusion. mild cardiomegaly is stable. the hilar and mediastinal contours are normal.
<unk> year old man with copd, right pneumothorax, chest tube // chest tube daily cxr
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no focal consolidation is seen. minor left base atelectasis is noted. there is no large pleural effusion or pneumothorax. the cardiac silhouette is mildly enlarged. mediastinal contours are unremarkable. there is mild elevation of the right hemidiaphragm.
history: <unk>f with ?vision changes and sob earlier today // acute cardiopulmonary process
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left-sided aicd/ pacer device is noted with leads in unchanged positions in the right atrium and right ventricle. severe cardiomegaly is unchanged. mediastinal contours are similar with mild atherosclerotic calcifications noted at the aortic knob. there is mild pulmonary edema, new in the interval. patchy opacities in the lung bases may reflect areas of atelectasis. no pleural effusion or pneumothorax is identified. no acute osseous abnormalities detected. a screw is noted projecting over the left acromiohumeral interval. chronic right first rib deformity is re- demonstrated.
history: <unk>m with shortness of breath
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pa and lateral chest radiographs demonstrate extreme, serpentine scoliosis, worst in the upper thoracic spine. however, the lungs are clear. there is no pleural effusion or pneumothorax. the heart size is normal.
left-sided rib pain after chiropractic treatment.
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cardiac and mediastinal silhouettes are stable. again, the aorta is markedly tortuous, dilated with a stent graft, similar to prior study. thoracic scoliosis is noted. no new focal consolidation is seen. no pneumothorax is seen. there is slight blunting of the costophrenic angles which may be due to the lungs being hyperinflated, trace pleural effusions not excluded.
history: <unk>f with confusion and jvd*** warning *** multiple patients with same last name! // evidence of pneumonia or effusion
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lungs are hyperinflated with flattening of the diaphragms. heart size remains mildly enlarged, unchanged. mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. there is minimal atelectasis in the lung bases. no focal consolidation, pleural effusion or pneumothorax is present. mild degenerative changes are noted in the thoracic spine. no free air is seen under the diaphragms.
history: <unk>m with dyspnea and abdominal pain
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as compared to chest radiograph from <num> day prior, interval decrease in right-sided pneumothorax which is now small. mediastinal shift has also resolved. minimal subsegmental atelectasis in the lung bases. small right-sided effusion. mild cardiomegaly. substantial subcutaneous emphysema in the right chest has not changed.
<unk> year old man with recurrent right ptx // ptx
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examination is limited secondary to patient's body habitus. compared with prior exam, there is a vague opacity in the right cardiophrenic angle. otherwise, a linear opacity within the peripheral left mid lung is unchanged and corresponds to scarring. although low lung volumes and overlying soft tissue attenuation increase the conspicuity of the interstitial markings, it is felt that chronic vascular congestion and interstitial edema are present and not significantly changed compared with multiple prior radiographs dating back to <unk>. no pleural effusion is identified. there is no pneumothorax. mediastinal and hilar contours are within normal limits. mild apparent enlargement of the cardiac silhouette is likely due to ap technique.
<unk>-year-old female with history of hiv infection, now with two weeks of cough, fever and chills, and dyspnea. evaluate.
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there is continued chronic prominence of the central bronchovascular structures without signs of overt pulmonary edema. no lobar consolidation, pleural fusion pneumothorax is seen. the cardiac silhouette is normal in size.
<unk>-year-old male with chest pain.
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enteric tube tip is below diaphragm, not included on the radiograph. endotracheal tube tip is in good position. bilateral pleural effusions. worsened bibasilar opacities, likely atelectasis, consider aspiration or pneumonitis if clinically appropriate. stable heart size. stable pulmonary vascularity. old rib fracture. no pneumothorax. mild interstitial prominence, suggest edema.
<unk> year old man with ng tube placed. // ? ng tube placement
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frontal and lateral views of the chest demonstrate a left pectoral cardiac pacer/aicd with leads terminating in the right atrium and right ventricle. median sternotomy wires are intact. the cardiomediastinal silhouette is normal. the lung volumes are slightly decreased, although the lungs are clear. there is no pneumothorax, vascular congestion, or pleural effusion.
<unk>-year-old male with recent endocarditis, fever and chills, now with cough. question acute process.
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the cardiomediastinal silhouettes are within normal limits. the bilateral hila are unremarkable. there is no pulmonary vascular congestion. there is no focal lung consolidation. there is no pneumothorax or pleural effusion.
a <unk>-year-old man with chest pain, evaluate for acute process.
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there is an increased opacity overlying the right middle lobe with obscuration of the right heart border consistent with a right middle lobe pneumonia. cardiac silhouette is otherwise unremarkable. the hilar appear prominent with appearance favoring prominent vessels over lymph node enlargement. there is no pleural effusion or pneumothorax. no acute fractures identified.
sle and stage iii lymphoma with fever.
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there appear to be increased interstitial markings at the right lower lung on the frontal view, not substantiated on the lateral view. findings may be artifactual although a subtle infectious process is not excluded in the appropriate clinical setting. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.
history: <unk>f with cml s/p bmt in <unk>, p/w fever // r/o pna