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low lung volumes are present. this accentuates the size of the cardiac silhouette which is top normal. the mediastinal contours are unremarkable. there is crowding of the bronchovascular structures. patchy bibasilar airspace opacities could reflect atelectasis though infection is not excluded. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
shortness of breath.
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heart size is normal. paramediastinal opacities are compatible with radiation fibrosis. hilar contours are normal. lungs are hyperinflated without focal consolidation. biapical scarring with pleural calcifications are also noted, more pronounced on the right. no pleural effusion or pneumothorax is present. the pulmonary vasculature is not engorged. multiple clips project over the left upper quadrant of the abdomen. there are no acute osseous abnormalities.
history: <unk>m with fever // eval for pneumonia
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since <num> day prior, a right pleural effusion has increased in size, a left pleural effusion is unchanged, and a small small left apical pneumothorax appears mildly larger. the right-sided chest tube appears as it may be kinked, which is unchanged from <num> day prior. the left-sided chest tube also appears as if it may be kinked. mild cardiomegaly is unchanged. pulmonary vascular congestion is unchanged.
<unk> year old man with bilateral chest tubes // eval chest tube position, r/o pneumothorax
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compared to exam on <unk> at <time>, there is no significant change. lungs are hyperinflated because of extremely severe emphysema, particularly large biapical bullae. small right pneumothorax, if any, has not changed, though the assessment is unreliable in setting of bullous emphysema. blunting of the right costophrenic sulcus and basal opacity likely reflect pleural effusion and atelectasis. the left lung appears unchanged from prior with scarring and atelectasis at the apex. heart size is within normal limits.mediastinal and hilar contours are unremarkable. there is no evidence for pulmonary edema or pulmonary consolidation. pigtail catheter is in place, unchanged in position. valves are seen at the right hilum, unchanged in position.
<unk> year old man h/o spont r ptx, s/p ebv placement.
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cardiac, mediastinal, and hilar contours appear unremarkable. the lungs are well inflated. there is no evidence for pulmonary consolidation, pulmonary edema, or pleural effusion. there is no pneumothorax. visualized bones are unremarkable. prominent right nipple shadow is incidentally noted on the pa view.
history: <unk>f with persistent cough for weeks, slightly shallow breath. assess for infiltrate.
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sternotomy. postoperative changes aorta. right ij central line tip low svc. stable left basilar opacities, likely atelectasis. worsened right basilar opacity, likely atelectasis, consider pneumonitis in the appropriate clinical setting. stable heart size, pulmonary vascularity. small left pleural effusion. no pneumothorax. surgical clips right axilla.
<unk> year old woman with dyspnea // ? pneumothorax, edema
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the lungs are clear without any focal consolidation. there is no pneumothorax or pleural effusion. the cardiomediastinal and hilar contours are within normal limits. a cardiac loop monitor is in the anterior chest wall.
<unk>-year-old male with cough x <num> week. evaluate for pneumonia.
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patient is status post ascending aorta repair. the normal postoperative cardiomediastinal silhouette is unchanged. lung volumes appear better overall compared to prior studies. there is a new opacification of the right upper lobe along the lateral minor fissure concerning for pneumonia. a small left pleural effusion is newly apparent.
<unk> year old man ascending aorta repair // eval for effusions/mediastinum
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a portable frontal chest radiograph demonstrates a left chest wall pacer device with leads overlying the right atrium and ventricle. the cardiomediastinal silhouette is normal and the lungs clear, without edema, congestion, focal consolidation, pleural effusion, or pneumothorax. the visualized upper abdomen is clear.
shortness of breath and crackles. evaluate edema.
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frontal and lateral views of the chest. the lungs are clear of consolidation, effusion, or pulmonary vascular congestion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities seen noting degenerative changes at the shoulders and in the spine.
<unk>-year-old male with fatigue.
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two frontal images of the chest demonstrate interval improvement in the pneumothorax. the right side is completely resolved. there is a small amount of left-sided pneumothorax remaining. there is no pleural effusion. cardiomediastinal silhouette is unremarkable. low lung volumes are seen and likely are responsible for vascular crowding that is visualized.
<unk>-year-old male with status post vats wedge resection requiring reassessment for interval change in pneumothorax.
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et tube terminates <num> mm above the carina. right internal jugular central venous catheter terminates in low svc. left pleural pigtail drain is in unchanged position. left lower lobe is better aerated compared to <unk>. moderate right pleural effusion and right lung base atelectasis are increased. moderate left pleural effusion is stable. pulmonary edema is mild. mildly enlarged cardiac silhouette is unchanged and consistent with known pericardial effusion. tracheal secretion is present above the et tube cuff.
<unk> year old man with bilateral pleural effusions, has left chest tube; intubated for hypoxic respiratory failure. // evaluate chest tube, evaluate for interval change.
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cardiac silhouette size is borderline enlarged but unchanged. mediastinal and hilar contours are normal. pulmonary vasculature is normal and the lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
cough and fever.
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ap and lateral views of the chest. no prior. the lungs are clear. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable.
<unk>-year-old female with broken leg. pre-op.
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portable ap upright chest film <unk> at <time> is submitted.
<unk> year old woman with hap. lll opacity on prior cxr. unable to wean o<num> and worse lung exam. // assess for worsening pna assess for worsening pna
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the heart size is normal. the mediastinal and hilar contours are unremarkable. there are increased interstitial markings diffusely, with small amount of fluid noted within the fissures. minimal blunting of the left costophrenic angle on the frontal view is also noted compatible with a trace left pleural effusion. no focal consolidation or pneumothorax is present. there are no acute osseous abnormalities.
fever with unknown source.
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there has been interval removal of the left-sided chest tube. no pneumothorax seen. a left perihilar opacity likely reflects a small amount loculated pleural fluid, a tiny adjacent metallic density is likely a surgical clip. this is unchanged in appearance compared to the prior study. the right lung appears grossly clear. volume loss in the left lung consistent with recent surgery. small amount surgical emphysema. degenerative changes throughout the thoracic spine.
<unk> year old woman with lingular segment pulmonary nodule, s/p vats lingulectomy // post-pull film
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the right-sided pigtail catheter is again seen. there has been interval decrease in the amount of opacity at the right cp angle compatible with decrease in the empyema. there continues to be some volume loss/ infiltrate in the right lower lobe. there is no significant change in the right upper lobe and left lung the cardiac and mediastinal silhouettes are unchanged
<unk> year old man with empyema s/p chest tube placement // evaluate for change in empyema
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frontal and lateral views of the chest. left-sided central venous catheter seen with distal tip in the right atrium, similar to prior. vascular stent again noted in the left brachiocephalic vein. the lungs are clear of consolidation, pulmonary vascular congestion or effusion. cardiomediastinal silhouette is otherwise unremarkable. no acute osseous abnormality detected.
<unk>-year-old male with fever, dialysis.
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there has been interval removal of the endotracheal tube. the remainder of the support lines tubes are unchanged in position. there is persistent elevation of the right hemidiaphragm with right basilar atelectasis. left basilar atelectasis. no pneumothorax seen.
<unk> year old woman with desat s/p extubation // please eval for interval change
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port-a-cath terminates in the lower svc, unchanged. the lung volumes are lower. small bilateral pleural effusions, left more than right, are new compared to the prior examination. bibasilar opacities likely represent atelectasis. no pneumothorax.
history: <unk>f with ovarian ca now w/ doe, incr abd distention, likely hypoventilation from ascites // eval ? infection, malignant effusion
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with cough fever // ? pneumonia
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ap upright and lateral chest radiographs demonstrate diffuse bilateral interstitial lung markings likely reflective of mild pulmonary edema. obscuration of the right heart border likely reflects atelectatic changes, although early consolidation cannot be excluded. elevation of the left hemidiaphragm is noted with atelectatic changes at the left lung base. no large pleural effusion is identified. patient is status post median sternotomy. prominence of the mediastinum likely reflects dilated or tortuous aorta. large gastric air bubble is seen.
history: <unk>m with syncopal fall today // eval pna
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there is mild to moderate pulmonary edema. opacification at the bases bilaterally likely represents atelectasis. no focal consolidations to suggest pneumonia. small bilateral pleural effusions. there is mild enlargement of the cardiac silhouette, however this may be projectional. no pneumothorax.
history: <unk>m with ams, tachypnea // acute process
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endotracheal tube terminates <num> cm above the carina. enteric tube courses below the diaphragm, out of the field of view, side port in the location of the stomach. cardiac silhouette is mildly enlarged. mediastinum is mildly prominent. left base atelectasis is seen without definite focal consolidation. no large pleural effusion or pneumothorax.
history: <unk>m with intubaton*** warning *** multiple patients with same last name! // eval ett location
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a right internal jugular central line terminates at the cavoatrial junction. the midline drains have been removed. the moderate right pneumothorax is unchanged since the prior exam. the left lung is clear. cardiomediastinal silhouette is stable.
history of mvr and chest tube removal, rule out pneumothorax.
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left picc is seen with tip in the upper svc. the lungs are clear. the cardiomediastinal silhouette is normal. no acute osseous abnormalities, no displaced fractures identified.
<unk>m with confusion, fall // rib fracture, pna
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there is mild cardiomegaly. the hilar and mediastinal contours are normal. there has been interval placement of a left-sided pacemaker with the leads in the right atrium and right ventricle in appropriate position. there is no pneumothorax or pleural effusion. no focal consolidations concerning for infection are identified.
history of left pacemaker placement. please evaluate for pneumothorax.
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pa and lateral chest radiographs were provided. this exam is technically limited due to a poor exposure. a right picc terminates in the upper svc. mild interstitial edema has improved. there is no focal consolidation, pleural effusion or pneumothorax. cardiomegaly is stable.
rule out pneumonia. fevers and cough.
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the lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. the cardiac and mediastinal contours are normal. there is no free air beneath the right hemidiaphragm.
<unk>f with requesting detox, need medical evaluation // r/o pna
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prominent reticular interstitial markings suggest underlying chronic pulmonary disease. mildly increased retrocardiac opacification may represent left lower lobe pneumonia in the proper clinical setting. given severe scoliosis and kyphosis, comparison to any prior studies (which are not available for review at this time) would be useful in assessing for relevant changes. there is elevation the right hemidiaphragm, likely related to eventration.there is no pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits. the aorta is tortuous and partially calcified. there is severe scoliosis, kyphosis, and demineralization.
coughdecr bs lll // r/o pna
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the cardiomediastinal silhouette is top normal. post radiation changes in the left lung apex are again noted. chronic fractures of the left fifth through seventh ribs are unchanged. no definite acute left rib fracture detected. no evidence of pneumothorax, new focal consolidation, or pleural effusion. exaggerated thoracic kyphosis is present, with multilevel degenerative changes of the thoracic spine.
<unk>f with l lateral chest wall pain, with ttp over the site s/p fall. evaluate for rib fractures are pneumonia.
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the lungs remain hyperinflated with coarsened lung markings, consistent with chronic obstructive pulmonary disease/pulmonary emphysema. previously seen nodular opacity projecting over the left lower lung is less conspicuous on the current study as compared to the prior and may have represented a nipple shadow. no new focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are stable, with the descending aorta quite tortuous. . left base atelectasis/scarring is re- demonstrated.
history: <unk>f with temporal arteritis on prednisone presenting with worsening cough and increased sputum production // pneumonia?
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the cardiomediastinal and hilar contours are within normal limits. lungs are well expanded and clear. there is no focal consolidation, pleural effusion or pneumothorax.
history: <unk>m with cough? // infiltrate? infiltrate?
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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 recent pna, presenting with retrosternal chest pain // eval for pna, ptx, acute process
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in the left mid lung zone, there is a <num> mm round opacity. in the right midlung zone, there is a similar <num> mm round opacity. these likely represent nipple shadows. the lungs are otherwise clear without consolidation or edema. there is a tiny left pleural effusion. no right pleural effusion is identified. there is no pneumothorax. the cardiomediastinal silhouette is normal. there are mild-to-moderate degenerative changes in the thoracic spine, similar to the prior exam from <unk>. old left rib fractures are noted. surgical clips are noted in the mid upper abdomen.
weakness and possible leukemia. evaluate for pneumonia.
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there has been interval removal of a left picc. a single frontal radiograph of the chest was acquired. hazy opacification of the mid-to-lower lungs is partially attributable to overlying soft tissues. retrocardiac dense opacification is not significantly changed compared to the prior study and is likely attributable to atelectasis, although infection or effusion at the left lung base cannot be excluded. there is no right pleural effusion. no pneumothorax is seen. the heart size is somewhat difficult to assess, although appears mildly enlarged, unchanged. the mediastinal contours are normal.
fevers.
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pa and lateral views of the chest. the lungs remain clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is detected.
<unk>-year-old female with wegener's requiring iv steroids. pain.
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since <unk>, residual opacities are seen in the right lower lung and retrocardiac region, which could represent pneumonia. the heart size is unchanged. no pulmonary edema, pneumothorax, or pleural effusion.
<unk> year old man with cough // pna?
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compare to <unk>, there is no significant change. the lungs are well-expanded and clear. heart size is top normal. the mediastinal and hilar contours are unremarkable. no pleural abnormality is seen.
<unk> year old man with ckd stage iv, type <num> diabetes, htn, pvd,awaiting a kidney transplant. please assess for any cardiac abnormalities.
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previous right pleural effusion has resolved. no pleural effusion, pulmonary edema or consolidation is seen. the cardiac silhouette is normal, and median sternotomy wires are intact. mechanical mitral valve is seen.
<unk>-year-old woman with dyspnea, status post mitral valve replacement. evaluate for consolidation.
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rounded calcified density approximately <num> cm x <num> cm adjacent to the right main stem bronchus and superior to the right hilus appears unchanged. no new focal opacity, pleural effusion, pneumothorax, or pulmonary edema. heart size, mediastinal contours and hila are otherwise normal. no bony abnormality.
<unk>-year-old male with exposure to active tb. assess for active disease.
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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 structures are unremarkable.
possible seizures. evaluate for infection.
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the patient is rotated somewhat to the left. no focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.
<unk>f with auditory hallucinations. please evaluate for cardiopulmonary change // <unk>f with auditory hallucinations. please evaluate for cardiopulmonary change
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cardiac silhouette size is normal. mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. minimal scarring is again noted in the right middle lobe. lungs are otherwise clear. no focal consolidation, pleural effusion or pneumothorax is demonstrated. an inferior vena cava filter is seen within the upper abdomen. no acute osseous abnormalities are detected.
history: <unk>m with all and fever
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frontal and lateral radiographs of the chest demonstrate low lung volumes with bibasilar atelectasis and accentuation of the cardiac and pulmonary vasculature. elevated left hemidiaphragm is again noted. small bilateral pleural effusions. no focal consolidation concerning for pneumonia. no pneumothorax. cardiac and mediastinal contours are grossly normal.
postop day <num> from open cholecystectomy and colostomy takedown. increased oxygen requirements and crackles at the base.
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pa and lateral views of the chest provided. a calcified granuloma projects over the right mid lung. otherwise lungs are clear. no large 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 food bolus
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. biapical pleural parenchymal scarring is noted. lucent appearance of the lungs likely reflects known emphysema. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>f with persistent cough, lll rhonchus // eval for pna
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there is an et tube present in good position. other support and monitoring devices remain stable. compared to study from yesterday, there is little overall change with remaining haziness at the bases suggestive of small pleural effusion.
<unk>-year-old with acute liver injury and prolonged seizure.
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there are bilateral pleural effusions, moderate on the right and small on the left, with overlying atelectasis. the cardiac silhouette is top-normal. mediastinal contours are unremarkable. no pneumothorax is seen. no overt pulmonary edema is seen.
history: <unk>m with afib with new sob and peripheral edema // eval pulm edema
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heart size is mild to moderately enlarged, unchanged. the aorta remains tortuous and diffusely calcified. mediastinal and hilar contours are otherwise unremarkable. there is mild pulmonary vascular congestion, somewhat improved compared to the previous exam. no pleural effusion or pneumothorax is demonstrated. linear opacities within the left lung base may reflect atelectasis. multilevel moderate degenerative changes are seen in the thoracic spine. clips are noted projecting over the left lower hemithorax.
history: <unk>m with fall, altered mental status, combative
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the lungs are well-expanded. the opacity in the region of the left upper hemithorax is increased in size from the prior exam. no focal consolidation to suggest pneumonia. no pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is unchanged. stable tortuosity of thoracic aorta. the leftward deviation of the trachea with associated narrowing of the lumen appears stable and is consistent with a thyroid goiter. stable appearance of the hila.
<unk>-year-old man with coronary artery disease and presenting with cough. evaluate for pneumonia or congestive heart failure.
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all lines and tubes are in appropriate positioning in unchanged compared to prior. there are increasing opacities within the lower lobes bilaterally, which is concerning for aspiration pneumonia. the pulmonary vasculature is normal. the heart is not enlarged. there are no pleural effusions poor there is no pneumothorax.
<unk> year old woman with myasthenia <unk> c/w crisis, intubated // serial monitoring
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with weakness // eval for pna
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right-sided port-a-cath terminates in the low svc without evidence of pneumothorax. low lung volumes persist. no focal consolidation is seen. re- demonstrated minimal bibasilar patchy opacities most likely represent atelectasis or overlap of vascular structures. no large pleural effusion is seen. the cardiac and mediastinal silhouettes are stable.
history: <unk>f with shortness of breath // ?pneumonia
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cardiomediastinal silhouette and hilar contours are unremarkable. lungs are clear. pleural surfaces are clear without effusion or pneumothorax.
chest pain and dyspnea.
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the lungs are well expanded. there is a consolidation at the level of the right cardiophrenic angle with some bronchial wall thickening at this level. there is also a retrocardiac consolidation with loss of the vascular structures overlying the heart shadow. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax.
<unk>-year-old male with cough and fever. evaluate for pneumonia.
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there is persistent airspace opacity in the left upper lobe silhouetting the left heart border. a left pleural effusion has decreased in size compared to the initial radiographs on <unk>, similar in appearance when compared to yesterday's radiograph. a curvy linear density at the left apex has an appearance consistent with a pneumothorax however this was present on the initial chest radiograph prior to thoracentesis and comparison with the prior cta chest reveals this is likely fluid within the major fissure superiorly. no definite pneumothorax seen. severe degenerative changes in the bilateral glenohumeral joints.
<unk> year old man with pleural effusion s/p tap // is there interval change?
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portable semi-upright radiograph of the chest demonstrates bibasilar atelectasis, significantly increased from the prior study. there are low lung volumes which results in bronchovascular crowding. tracheostomy tube is <num> cm from the carina. a right-sided picc line ends at the cavoatrial junction. single-lead pacemaker is in unchanged position. a vp shunt projects over the left hemithorax.
<unk>-year-old man with altered mental status. evaluate for pneumonia.
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lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the mediastinal contours are stable. the cardiac silhouette again appears mildly enlarged. overall, there has been no significant interval change.
left upper quadrant pain.
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the lungs are clear. blunting of the posterior costophrenic angles may be due to trace effusions. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>f with parkinsonian syndrome, worsening of gait function, low grade temp elevation, cognitive impairment // eval for pneumonia
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the right ij catheter has been removed. lung volumes appear slightly lower compared to the prior study, which exaggerates bronchovascular markings. increased perihilar opacity on the right may represent worsening vascular congestion exaggerated by a low lung volumes, although a superimposed pneumonia cannot be excluded in the appropriate clinical setting. dense left retrocardiac opacity has improved, likely reflecting resolving atelectasis. there is suggestion of a small layering pleural effusion on the left. no pneumothorax. moderate cardiomegaly is stable. no acute osseous abnormalities. right hemidiaphragm is newly elevated from <unk>.
<unk>f s/p r supraclavicular nerve block for r arm fistula with o<num> desaturation. likely has r phrenic nerve block but would like to r/o pneumothorax as well. has hx of pleural effusion/volume overload from chf and renal disease. takes torsemide at home. // rule out pneumothorax
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the cardiac, mediastinal and hilar contours appear unchanged. there is better aeration at the left lung base with decreased streaky left posterior basilar opacities. patchy right basilar opacity has increased slightly, but is highly non-specific and probably compatible with atelectasis. there is no definite pleural effusion or pneumothorax. the chest is hyperinflated. bones appear demineralized. a severe mid thoracic compression deformity appears unchanged. milder lower thoracic compression deformities are also probably unchanged, although better depicted on this study. left-sided rib fractures appear old and non-displaced.
altered mental status.
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right chest wall port is in standard position. the lungs are clear and the cardiomediastinal contour is normal. no pleural effusion or pneumothorax.
history: <unk>m with hx of pancreatic ductal adenocarcinoma with liver mets p/w <num> day of fever, change in chronic ruq pain.
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there is a new opacity in the right upper lobe and a new smaller opacity in the left upper lobe, concerning for infection until proven otherwise. the rest of the lungs are clear without pleural effusions. the cardiomediastinal and hilar silhouettes are unchanged.
<unk> year old woman undergoing chemotherapy with cough. rule out infection.
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left picc tip terminates in the upper svc. lung volumes are low. heart size is moderately enlarged but unchanged. the mediastinal and hilar contours are similar with crowding of the bronchovascular structures noted. while there may be mild pulmonary vascular congestion, no overt pulmonary edema is demonstrated. small bilateral pleural effusions are likely present with chronic elevation of the right hemidiaphragm again noted. bibasilar atelectasis is present, more pronounced on the right. no pneumothorax is identified.
history: <unk>m with picc
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the lungs are clear. no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. the heart is mild-to-moderately enlarged. the mediastinum and hila are within normal limits. median sternotomy wires and surgical clips appear intact.
<unk> year old man with chest pain, hx cad, s/p cabg and stents, occasion,al sob // r/p pulm edema, pna
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lung volumes are low. there are small to moderate bilateral pleural effusions. there is mild pulmonary vascular redistribution. heart size is difficult to assess due to low lung volumes and pleural effusions.
asthma, pancreatitis, pleural effusions.
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the lungs are clear of consolidation, effusion, or pneumothorax. left chest wall dual lead pacing device is again seen. moderate cardiomegaly is again noted. upper thoracic dextroscoliosis is seen. no acute fracture identified based on this nondedicated exam. surgical clips seen in the upper abdomen.
<unk>f with pancreatic ca, afib with left flank pain after fall from standing // r/o rib fracture
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left-sided pacemaker with the tips in the right atrium and right ventricle. no pneumothorax. the lungs are clear. the cardiomediastinal silhouette is unremarkable. no pleural effusions.
<unk> year old man s/p dual chamber ppm implant and linq explant. // please assess lead placement and r/o ptx.
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no subdiaphragmatic free air is identified. again noted is is stably enlarged cardiac silhouette. the pulmonary vasculature and mediastinal silhouette are unchanged since the recent examination with mild vascular congestion. no definite consolidation, pleural effusion, or pneumothorax is identified. cervical hardware is again noted.
<unk>f with abd pain*** warning *** multiple patients with same last name! // eval for free air
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since prior, there has been interval improvement in the bibasilar opacities which still partially persist. degree of pulmonary edema has not significantly changed. cardiomegaly and tortuosity of the thoracic aorta are noted. atherosclerotic calcifications are noted at the aortic arch. severe degenerative changes at the shoulders bilaterally.
<unk>f with fall // ? fx, pna
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the heart is at the upper limits of normal size. the mediastinal and hilar contours appear within normal limits. the aorta is again partly calcified. the lungs appear clear. there are no pleural effusions or pneumothorax.
nausea.
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the lungs are clear. there is no effusion or pneumothorax. the cardiomediastinal silhouette is within normal limits. no visualized displaced fractures identified.
<unk>f with multiple falls, r chest wall pain. intolerant to travel for pa/lat // acute process, attn to chest trauma
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lung volumes are low, possibly on the basis of restrictive lung disease. cardiomediastinal contours are stable. nonspecific reticular interstitial opacities appear unchanged from the prior radiograph but have probably worsened since <unk>. no focal areas of consolidation are present to suggest the presence of pneumonia. there are no pleural effusions.
<unk> year old man h/o aspiration pna with cough and dyspnea. // r/o infiltrate.
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no focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac silhouette is top-normal. the aorta is somewhat tortuous. no pulmonary edema is seen.
history: <unk>m with cp // cp
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. blunting of the posterior left costophrenic sulcus suggests a very small pleural effusion. a trace pleural effusion is difficult to exclude on the right. a catheter projects over the epigastrium.
chest wall pain. question pneumonia.
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ap and lateral views of the chest <unk> at <time> are submitted.
<unk> year old woman s/p avr/cabg // eval for pneumo/effusions eval for pneumo/effusions
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the heart is normal in size. there is slight unfolding of the lower descending thoracic aorta. the mediastinal and hilar contours are otherwise unremarkable. there is a patchy opacity in the medial lower and right mid lung, most consistent with pneumonia. since the cardiac border can mostly be discerned, the abnormality is suspected to at least predominantly reside in the right lower lobe.
hypotension.
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median sternotomy wires are intact. the patient is post mitral valve replacement. heart size is stably enlarged. mediastinal contour is unchanged. there is mild vascular congestion. there is no focal lung consolidation. there is left basilar atelectasis.
<unk> year old man pending left bka <unk>, preop chest radiograph
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pa and lateral views of the chest. the lungs remain clear. cardiomediastinal silhouette is normal. radiopaque density again projects over the anterior right neck. soft tissues and osseous structures are otherwise unremarkable.
<unk>-year-old male with weakness.
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patient is status post median sternotomy and cabg. there is a calcified left breast implant.no focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with chest pain // eval for chf/pneumonia
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the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. the lungs are well expanded and clear without focal consolidation concerning for pneumonia.
<unk> year old woman with chest pain // please evaluate for pneumonia
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pa and lateral views of the chest. the previously seen left pleural effusion is slightly decreased in size compared to <unk> and either represents pleural effusion or pleural thickening. lungs are clear without consolidation. no pneumothorax. cardiac, mediastinal and hilar contours are normal.
cml, pulmonary hypertension. recurrent left pleural effusion, and dyspnea on exertion. question of reaccumulation.
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ap and lateral views of the chest <unk> at <time> are submitted.
<unk> year old man with etoh cirrhosis with worsening tbili and hyponatremia. concern for infection // ?pna ?pna
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since the chest radiographs obtained <unk>, no significant changes are appreciated. unchanged, hazy opacification in the lower left lung is probably due to a large pericardial fat pad. a crescentic area of scarring and atelectasis in the left upper lung is unchanged or minimally improved. the right lung is fully expanded and clear. cardiomediastinal hilar silhouettes are unremarkable.
<unk> year old woman with cough, myasthenia, on cellcept. pls page me w/ wet <unk> <unk> // r/o pneumonia
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heart size remains mildly enlarged. the mediastinal and hilar contours are similar. the pulmonary vasculature is not engorged. coarse interstitial opacities are again noted, more pronounced in the periphery of the upper lobes, previously thought to reflect nsip, without substantial interval change. no new focal consolidation, pleural effusion pneumothorax is present. cervical spinal fusion hardware is incompletely assessed. no acute osseous abnormality is detected. vascular stent is seen within the region of the right subclavian vessels.
history: <unk>m with esrd on dialysis with increasing chest pain, shortness of breath
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portable upright chest radiograph demonstrates moderate bilateral effusions, with bibasilar atelectasis. the pulmonary vasculature is engorged. the cardiac silhouette remains enlarged.
<unk>-year-old with pancolitis, now hypoxia and tachypnea.
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compared to the prior study there is no significant interval change. there patchy areas of subsegmental atelectasis in the right mid and bilateral lower lobes. there tiny bilateral effusions . subcutaneous emphysema is again visualized in the right neck
<unk> year old woman with respiratory decompensation // ? edema/collapse
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there is moderate to severe cardiomegaly which is unchanged. the mediastinal and hilar contours are unremarkable. the pulmonary vascularity is not engorged. the lungs are clear. no pleural effusion or pneumothorax is present. wedge compression deformity of l<num> is unchanged. no acute osseous abnormalities are seen.
chest pain.
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again, low lung volumes are seen with crowding of the bronchovascular markings. the lungs are clear, there is no pulmonary edema. the cardiomediastinal silhouette is normal. no acute osseous abnormalities identified.
<unk>f with hx asthma, <num> weeks of cough // consolidation v pleural edema
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the lungs are hyperinflated. upper lobe predominant emphysema is noted. there is no focal consolidation concerning for pneumonia. no pleural effusion or pneumothorax is detected. the cardiac silhouette is normal in size. the mediastinal and hilar contours are within normal limits. moderate calcification of the aortic knob is noted. there is kyphotic curvature of the thoracic spine.
history of copd admitted with possible cns lymphoma now with increasing productive cough and rhonchi on the right greater than the left, here to evaluate for pneumonia.
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there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits. there is no pneumomediastinum or free intraperitoneal air. no fracture.
<unk>f <num> day status post endoscopy now w/ worsening abd pain and distention, evaluate free air, pneumonediastinum, acute cp process.
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the lung volumes are normal. there is a vague opacity in the right lower lobe which could reflect atelectasis or pneumonia, depending on the clinical setting. no pleural effusion or pneumothorax. the heart is normal size. the mediastinal and hilar structures are unremarkable. cholecystectomy clips are noted.
asthma presenting with dyspnea. evaluate for pneumonia.
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frontal and lateral views of the chest were obtained. the patient is rotated to the right with respect to the film. rotated position exaggerates mediastinal widening and a convexity along the aortic contour, which corresponds to the patient's known descending thoracic aortic aneurysm. cardiomediastinal contours are otherwise unchanged. bibasilar atelectasis is again seen. there is no focal pulmonary consolidation, pneumothorax, or pleural effusion. there is exaggerated kyphosis of the thoracic spine. the osseous structures are otherwise unremarkable, and there is no evidence of rib fracture. no radiopaque foreign bodies.
<unk>-year-old female with left-sided pain just proximal to costal margin. evaluate for rib fracture or acute cardiopulmonary process.
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left-sided dual-chamber pacemaker device with leads terminating in the right atrium and right ventricle is re- demonstrated. heart size remains moderately enlarged but unchanged. mediastinal contours similar. there is mild perihilar haziness with vascular indistinctness and increased interstitial markings compatible with mild interstitial pulmonary edema. no pleural effusion or pneumothorax is seen. no acute osseous abnormality is identified.
history: <unk>m with chest pain // r/o acute process
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there is no pneumothorax following left chest tube removal. the lungs remain clear with no pleural effusion. normal heart size.
<unk> year old woman with left pneumothorax // r/o ptx post ct removal. please do around <num>pm
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there is a minimal volume loss at both bases but no definite infiltrate. the heart size is mildly enlarged but is similar compared to prior. bony thorax is unremarkable.
see opd n.c. hf.
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frontal and lateral views of the chest were obtained. the lungs are hyperinflated, with flattening of the diaphragms, consistent with chronic obstructive pulmonary disease. there is mild left basilar atelectasis. no focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are unremarkable. degenerative changes are seen along the spine.
new onset palpitations and history of pulmonary embolism with ivc filter placement.
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frontal and lateral radiographs of the chest demonstrate clear lungs with no increased interstitial markings to suggest pulmonary edema. the hila are abnormal and do not suggest lymph node enlargement. the cardiac and mediastinal contours are normal. again noted is a rounded density at the left lateral aspect of the diaphragm which may be in the breast tissue. correlation with physical exam is recommended. no pleural effusion or pneumothorax seen.
new onset shortness of breath with no exam findings. evaluate for pneumonia, copd, or evidence of volume overload or sarcoid.