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pa and lateral views of the chest were obtained. heart is normal in size and cardiomediastinal contour is notable for a curvilinear density along the right cardiophrenic angle, sharply marginated, present on prior studies, likely representing a hiatal hernia. the lungs are clear. there is no pleural effusion or pneumothorax.
<unk>-year-old woman with weakness, evaluate for pneumonia.
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pa and lateral chest views were obtained with patient in upright position. analysis is performed in direct comparison with the next preceding similar study of <unk>. during the interval, the right-sided chest tube has been removed with pneumothorax remaining as it existed while the tube was in place. this can be measured up to <num> cm in the right axillary area but narrows to a few millimeters within the apical region. in comparison with the preceding study, there is no critical collapse of the right lung. no new parenchymal processes can be seen. in the left hemithorax, the previously described left-sided chest tube introduced from the lateral anterior chest wall and reaching finally the lateral posterior pleural sinus remains unchanged. there is no evidence of increased pleural effusion in comparison with the previous study, and no pneumothorax is seen on the left side. chest wall emphysema on the left side related to the tube and since remains as before.
<unk>-year-old male patient with bilateral vats procedures, right lung biopsy, and left lower lobectomy; evaluate for pneumothorax on right side after chest tube removal.
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minimal bibasilar atelectasis, improved since previous. no new consolidations identified. mild pulmonary vascular congestion. no pleural effusion or pneumothorax. the size of the cardiac silhouette is enlarged but unchanged.
<unk> year old man with fever, dyspnea. // evaluate for pna
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there are small pleural effusions, better seen. resolved right basilar opacity. stable left basilar opacity. shallow inspiration accentuates heart size.
<unk> year old woman s/p lap chole with persistent <unk> requirement // eval for acute process
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left prepectoral dual lead pacemaker in situ. ng tube with the lead tips in the right atrium right ventricle. persistent left-sided pleural effusion with associated blunting of the costophrenic angle. small right-sided pleural effusion. there is persistent opacification of the left lower lobe which has the appearance of rounded atelectasis on previous ct done <unk>.
<unk> year old man with cough // please r/o pneumonia
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a portable frontal chest radiograph demonstrate an unchanged cardiomediastinal silhouette, which is top-normal in size. bilateral opacities are consistent with moderate pulmonary edema. no definite focal consolidation or pneumothorax is identified. there are likely trace bilateral pleural effusions.
hypoxia.
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portable semi-upright radiograph of the chest demonstrates low lung volumes, which results in bronchovascular crowding. there is a large left-sided pneumothorax, without evidence of tension. a left-sided pleural drainage catheter is in place, in unchanged position. cardiomediastinal and hilar contours are unchanged. the aorta is tortuous.
<unk> year old man s/p pigtail placement for l ptx, <num> hour clamp trial // interval change during chest tube clamp trial; please perform at <time> pm, thanks
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<num> semi-upright, portable radiographs of the chest demonstrate relatively low lung volumes. the heart is moderatey enlarged and the aorta is tortuous. the pulmonary and systemic vasculature is congested. there is no pleural effusion, pulmonary edema, pneumothorax or focal consolidation concerning for pneumonia.
<unk>-year-old man with subarachnoid hemorrhage, plan for diagnostic angiogram.
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the et tube appears in satisfactory position with the tip terminating <num> cm above the carina. the left diaphragm is obscured, new since prior study which likely represents atelectasis. the right lung is clear. an enteric tube is partially visualized but the tip is not clearly identified. a left chest aicd and leads are in unchanged positions. valvular prosthesis, mediastinal clips and median sternotomy wires are again noted.
<unk>-year-old man with trauma, transfer from outside hospital, evaluate for et tube placement.
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asymmetric - right worse than left - diffuse alveolar and interstitial opacities are present, with a perihilar predominance and associated to hilar engorgement and small right-sided pleural effusion. there is no left-sided pleural effusion. there is no pneumothorax. mild cardiomegaly is present.
<unk>-year-old male with hypoxia and crackles.
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patchy opacity projecting over the superior aspect of the left lower lobe is worrisome for pneumonia. there is also a patchy opacity projecting over the medial right upper lung which may in part relate to overlap of structures however, is concerning for second site of infection. no pleural effusion or pneumothorax is seen. cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with <num>x days productive cough, sore throat // ?pna ?intrapulm process
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the lungs are hyperinflated. there is no pneumothorax or focal airspace consolidation. blunting of the posterior costophrenic angles may represent small pleural effusions, unchanged. heart is mildly enlarged . no pulmonary edema. mediastinal and hilar contours are unchanged. the bones are diffusely sclerotic, compatible with metastatic disease. there is no significant change from <unk>.
failure to thrive with shortness of breath. evaluate for pneumonia.
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the patient is status post cabg and mitral valve replacement. the heart is normal in size. the mediastinal and hilar contours are unremarkable. there is no pneumothorax or large pleural effusion. chain suture material seen projecting over the right midlung medially. nonspecific interstitial prominence is seen, particularly in the left lower lung. atelectasis is also seen in the left lower lobe. there is no focal consolidation concerning for pneumonia. the overall appearance is unchanged since the reference radiograph from <unk>.
<unk>f with decreasing o<num> saturations // eval for volume overload
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no definite focal consolidation is seen. there is no pleural effusion or pneumothorax. the patient is rotated somewhat to the right. the cardiac silhouette is top-normal to mildly enlarged. the aorta is somewhat tortuous. multilevel degenerative changes are seen.
history: <unk>f with chest pain // chest pain
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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. the visualized osseous structures are unremarkable.
history of new-onset diabetes, please evaluate for pneumonia.
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there is persistent consolidation in the right lower lobe with right pleural effusions similar to recent ct. left lung remains clear. no pneumothorax. no signs of edema or congestion. heart size appears grossly within normal limits. mediastinal contour is normal. no acute osseous abnormality.
<unk>f with cough x months. evaluate for pneumonia.
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heart size is top normal. mediastinal and hilar contours are normal. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormality is identified.
history: <unk>f with chest pain, stepped on nail
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normal heart, lungs, mediastinum, hila and pleural surfaces.
diffuse wheeze, hypoxia, likely asthma. assess for focal process.
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since the prior radiograph, it a large area of consolidation predominantly involving the left upper lobe has resolved. heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. . no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
<unk> year old man with hx of pna, follow up to see if infiltrate resolved after abx // <unk> year old man with hx of pna, follow up to see if infiltrate resolved after abx
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ap portable upright view of the chest. bullet fragments are again seen projecting over the left mid chest and right lower chest as on prior. lungs are clear. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact.
<unk>m with fever/chills. // pneumonia?
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there is a large distended hiatal hernia filled with air. this projects over the cardiomediastinal silhouette. the lungs are otherwise clear. there is no focal consolidation, pleural effusion or pneumothorax. the aorta is tortuous. median sternotomy wires are present.
<unk>-year-old male with nausea, known paraesophageal hernia, evaluate for distention.
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the lungs are well expanded and clear without pleural or pericardial effusion. the cardiac silhouette is normal in size. pectus deformity obscures the right heart border. the mediastinal contours are normal. the pulmonary vasculature is normal. in the left sixth anterior interspace there is a <num>mm nodular opacity.
<unk>-year-old female with chest pain. question acute process.
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pa and lateral chest views were obtained with patient in upright position. the heart size is within normal limits. no typical configurational abnormality is seen. thoracic aorta and mediastinal structures are unremarkable. the pulmonary vasculature is not congested. no signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. no pneumothorax in apical area. skeletal structures demonstrate mild-to-moderate degenerative changes mostly in the mid portion of the thoracic spine, but no evidence of intervertebral body compression is seen. there exists no prior chest examination or records available for comparison.
<unk>-year-old female patient with chest pain, evaluate possible underlying pathology.
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the lungs are well inflated and clear. there is no consolidation, effusion or pneumothorax. the cardiomediastinal silhouette is stable. no acute osseous abnormalities.
<unk>f with dm, dchf, l pain/arm numbness // chest pain/dyspnea
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there is no parenchymal consolidation. there is no pleural effusion or pneumothorax. the heart is top-normal in size. a right chest wall deep brain similar has leads extending superiorly, excluded from view. a cortical deformity of posterior <num>th rib fracture is likely chronic.
<unk>m with tachycardia and deep brain stimulator dysfunction, eval for pna.
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the endotracheal tube tip remains low, now all projecting at the level of the carina towards the right mainstem bronchus. no og tube is identified on the current study. lung volumes are lower, with slight worsening of pulmonary edema. the right lung is grossly clear. no pneumothorax.
<unk> year old woman with resp failure. eval placement of og and repositioning of ett.
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small bilateral left greater than right pleural effusions are new from prior examination. linear retrocardiac opacity and volume loss are consistent with atelectasis. postsurgical changes including intact sternotomy wires, surgical clips, and radiopaque device overlying the middle mediastinum are consistent with prior cabg. the right lung is clear. cardiac borders and mediastinal contours are within normal limits.
<unk> year old man s/p cabg <num> weeks ago, with cough, wheezing, doe // assess for effusion, infiltrate
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pa and lateral chest radiograph demonstrates subtle right mid to lower lung patchy opacity. cardiomediastinal and hilar contours are stable when compared to most recent study and within normal limits. there is no pleural effusion or pneumothorax. visualized osseous structures demonstrates no acute abnormality.
<unk>-year-old male with chest pain.
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tracheostomy tube remains in unchanged position. right picc tip is in the mid svc. heart size is normal. mediastinal and hilar contours are unchanged. lung volumes are low with diffuse interstitial opacities compatible with chronic interstitial lung disease, not substantially changed in the interval. no definite new areas of focal consolidation, pleural effusion or pneumothorax are visualized. no acute osseous abnormalities are present.
history: <unk>m with hematemesis
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<num> views were obtained of the chest. the lungs are mildly hyperexpanded with chronic left apical opacity, similar in appearance to the scout radiograph from the prior chest ct, likely post treatment changes. no new focal consolidation or pleural effusion is identified. cardiomediastinal contours are unremarkable. left axillary clip is noted.
cough and shortness of breath.
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markedly rotated and lordotic positioning, which makes comparison to the prior film challenging. inspiratory volumes are slightly low. an et tube is present, the tip lies approximately <num> cm above the carina. an ng tube is present, the tip extends beneath the diaphragm and overlies the gastric fundus. a right ij sheath is seen. allowing for rotation, this probably similar to the prior study. no pneumothorax is detected. the cardiac silhouette is quite difficult to assess due to extreme differences in positioning. likely vascular plethora and scattered parenchymal opacities. on the right, the appearance is probably similar to the prior study. no gross right effusion. on left, comparison to the prior study is quite difficult due to differences in positioning. no definite interval change on the left. no gross left effusion. right and left hemidiaphragms remain well defined.
<unk> year old woman with encephalopathy of unclear origin, concern for evolving vap // evidence of pna? (vap is presumed to stand for ventilator assisted pneumonia.)
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a right internal jugular approach central venous catheter is present with tip terminating in the right atrium. an ett is present with tip terminating in standard position approximately <num> cm above the carina at the level of the mid clavicular heads. the cardiac silhouette is moderately to severely enlarged. apparent widening of the mediastinum is due to known pericardial effusion as well as mediastinal lymphadenopathy. bilateral effusions are moderate. there is no pneumothorax. there is complete left lower lobe collapse with right lower lobe atelectasis. mild pulmonary edema is present. the upper abdomen is unremarkable in appearance.
<unk> year old man with pneumonia, bilateral pleural effusions, intubated. // evaluate for interval change.
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the lungs are clear, there is no consolidation, effusion or vascular congestion. the cardiomediastinal silhouette is normal. no acute osseous abnormalities identified. coronary artery stents are identified.
<unk>f with chest pain // eval for widened mediastinum or volume overload
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the heart appears mildly enlarged. prominent perihilar and basilar pulmonary vasculatures and interstitial markings suggestive of pulmonary edema. blunting of the left costophrenic angle is compatible with a small left effusion. there is no pneumothorax or focal consolidation. no acute bony abnormality is identified.
vague abdominal pain.
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lung volumes are reduced, as before. this results in accentuation of the cardiomediastinal contour. there is no focal consolidation, pleural effusion, or pneumothorax.
history: <unk>m with productive cough and fever with history of dm and cardiomyopathy // r/o pneumonia
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the lungs are well inflated and clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax. degenerative changes are seen throughout the thoracic spine.
<unk>f with neck pain s/p fall. evaluate for acute infectious process.
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pa and lateral chest radiographs were obtained. the lungs are well expanded and clear. there is minimal left basilar linear atelectasis. blunting of the right costophrenic angle is a chronic finding. there is no focal consolidation effusion or pneumothorax. median sternotomy wires are intact. the mitral valve ring projects over stable position in the chest.
chest pain.
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there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. the cardiomediastinal silhouette is within normal limits. there is mild gaseous distension of the large bowel.
<unk>f with chest tightness, evaluate for acute abnormality
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moderate enlargement of the cardiac silhouette persists. the lung bases are underpenetrated due to overlying soft tissue. increased opacity projecting over the inferior thoracic spine on the lateral view may be due to atelectasis although an early consolidation due to aspiration or infection is not excluded in the appropriate clinical setting. no pleural effusion or pneumothorax is seen. mediastinal contours are stable. no pulmonary edema is seen.
history: <unk>f with seizure, confusion // r/o asp pna
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there has been interval decrease in amount of right apical pneumothorax. small amount of right pleural effusion is seen. there has been minimal rightward mediastinal shift. the cardiomediastinal silhouette is unchanged.
<unk>-year-old female status post right upper lobe wedge resection.
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frontal and lateral views of the chest were obtained. there is no focal consolidation, pleural effusion, or pneumothorax. blunting of the left posterior costophrenic sulcus is unchanged and likely pleural thickening. mild atelectasis is seen in the lateral costophrenic sulci bilaterally. the heart is moderately enlarged. aortic tortuosity is unchanged. pulmonary vasculature is within normal limits. thoracic spine degenerative change.
<unk>-year-old woman with dyspnea. inferior lung crepitus.
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moderate enlargement of the cardiac silhouette has increased substantially since <unk>. severe distension of mediastinal veins is disproportionate compared to mild pulmonary vascular congestion, pointing toward right heart failure or hemodynamically significant pericardial effusion. lungs are clear and there is no pleural effusion.
chest pain.
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lung volumes are slightly low but clear. the heart is not enlarged. the mediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. there is no pulmonary edema.
<unk>f with chest pain // acute process?
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et tube and ng tube and right-sided picc line are unchanged in position. extensive patchy interstitial alveolar opacities in both lungs, similar to prior film. possible slightly more confluence in the right mid zone, though this could also be accentuated due to differences in film technique. however, opacity in the right mid zone has definitely progressed compared with <unk> at <time>. there is blunting of both costophrenic angles, consistent with small pleural effusions and/or pleural thickening, not substantially changed. calcifications are present along both hemidiaphragms. right upper quadrant surgical clips noted.
<unk> year old man intubated w/ ards // eval lines, tubes, lung fields
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the cardiomediastinal and hilar contours are within normal limits. lungs are clear. there is no focal consolidation, pleural effusion or pneumothorax.
history: <unk>f with l sided cp // r/o occult process
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the lungs are well expanded. there is scattered mild cuffing of the airways, which is consistent with a history of asthma. the lungs are otherwise clear. cardiomediastinal silhouette is unremarkable. there is no pneumothorax or pleural effusion. visualized osseous structures are unremarkable.
<unk>-year-old female with intermittent chest pain, concerning for pneumonia or fluid overload.
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minimal atelectasis in the right lower lobe. the lungs are otherwise clear of airspace or interstitial opacity. the cardiomediastinal silhouette is unremarkable. no pleural effusions or pneumothorax. no acute or aggressive osseus changes.
<unk> year old woman s/p kidney transplant with <num> weeks of stuffy nose, cough // r/o cardiopulmonary abnormalities, infectious process
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blunting of the left costophrenic angle is unchanged from multiple prior studies likely representing pleural and parenchymal scarring. there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. a left pectoral dual-chamber pacemaker and its leads project in unchanged location. the cardiomediastinal silhouette is stable.
<unk>m with chest pain and doe, also with abdominal tenderness to palpation, evaluate for pleural effusions, pulm edema, or consolidation.
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lungs are well-expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation.
history: <unk>f with h/o asthma p/w productive cough and pleuritic chest pain since this morning // ?consolidation
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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 and cp // r/o infiltrate
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as compared to the prior examination dated <unk>, there has been no relevant interval change. streaky bibasilar atelectasis is again noted. there is no lobar consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is unchanged. stable appearance of a compression deformity involving a vertebral body at the thoracolumbar junction.
history: <unk>f with elevated wbc, slightly elevated lactate <num>. rule out for infection. // evidence of pneumonia
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a single portable radiograph of the chest was acquired. the lungs are clear. the heart size is normal. the mediastinal contours are normal. there are no pleural effusions. no pneumothorax is seen.
stab wounds to the left shoulder. evaluate for acute intrathoracic process.
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the cardiac silhouette size is top normal with a left ventricular predominance. mediastinal and hilar contours are normal. pulmonary vascularity is normal. lungs are clear. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities are noted.
altered mental status, left facial droop and slurred speech.
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pa and lateral views of the chest provided. partially imaged cervical spinal fusion hardware noted. lungs are hyperinflated and clear. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. mid thoracic spine anterior osteophytes are noted. no free air below the right hemidiaphragm is seen.
<unk>m with history of cad, presenting with chest pain and left arm pain.
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pacer/icd leads are unchanged in position. cardiomediastinal silhouette is stable. pulmonary vascular engorgement is similar to the prior examination. patchy opacification of the right lower lung, increased, likely represents atelectasis; however, infection cannot be excluded. a moderate size left pleural effusion is larger in the interval, and there is a trace right pleural effusion.
<unk>m with altered mental status
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median sternotomy wires appear grossly intact. numerous surgical clips project over the anterior mediastinum. there are bilateral hazy opacities. <unk> b-lines are noted. there small bilateral pleural effusions. moderate to severe cardiomegaly is unchanged.
history: <unk>f with chest pain. hx of cad s/p cabg, chf // r/o pneumonia/chf
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as compared to prior chest radiogrph from <unk>, there has been no significant change. the heart is enlarged. the mediastinal and hilar contours are stable. lung volumes remain low. there are no focal consolidations concerning for pneumonia. there are no pleural effusions or pneumothorax.
<unk>-year-old male patient with fever. study requested for evaluation of infiltrates.
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mild cardiomegaly is unchanged. mediastinal silhouette and hilar contours are stable. there is mild prominence of the central pulmonary vasculature without frank interstitial edema. lung volumes are low with bibasilar atelectasis. there is slightly increased right infrahilar density which is improved compared to prior examination where there was a prior pneumonia. there is no large pleural effusion or pneumothorax.
chf, copd with hypoxia.
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endotracheal tube tip terminates <num> cm from the carina. orogastric tube tip courses below the diaphragm into the stomach, off the inferior borders of the film. the heart size is normal. the mediastinal and hilar contours are unremarkable. the pulmonary vascularity is normal. there are mild bibasilar opacities likely reflecting atelectasis. there is no pleural effusion or pneumothorax though the extreme lung apices are excluded from the field of view. there are no acute osseous abnormalities.
intubation in the field.
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the cardiomediastinal silhouettes are stable and within normal limits. the bilateral hila are unremarkable. the lungs are clear. there is no pulmonary vascular congestion. there is no pneumothorax or pleural effusion.
<unk>m with short episode of substernal chest pain and dyspnea , now resolved, evaluate for pneumothorax or other acute process.
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there is partial obscuration of the right hemidiaphragm which may be due to atelectasis versus infection. there may be a trace right pleural effusion. no large pleural effusion is seen. cardiac silhouette is top-normal. the aorta is tortuous.
history: <unk>m with c/o weakness with cough // ? pna
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frontal and lateral chest radiographs were obtained. multiple areas of ill-defined opacities are present in bilateral lungs. the cardiomediastinal silhouette and hilar contours are normal. there is no pleural effusion or pneumothorax. there is complete destruction of the right scapula and visualized portion of the right humeral head and lateral clavicle. there is also a fracture of the right mid clavicle.
patient with melanoma, eval intrathoracic lesions.
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heart size is normal. there is no pleural effusion, pneumothorax, or lung consolidation. there is bronchial wall thickening.
<unk>-year-old man with productive cough.
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cardiac size is top-normal. mediastinal lymph nodes are better seen in prior ct. faint ground-glass diffuse opacities have minimally improved. there are no new lung abnormalities pneumothorax or pleural effusion. port a cath tip is in the lower svc.
<unk> year old man with pancreatic ca, ggo's // f/u x-ray after lasix, ggo's on prior ct
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in comparison to the <unk> study there is relatively unchanged opacity overlying the lower thoracic spine on the lateral view. no pleural effusion is identified although there is persisting blunting of the left costophrenic angle on the frontal view. the right lung is clear. no pneumothorax identified. the size of the cardiac silhouette is enlarged but unchanged. calcification of the aortic arch is noted.
<unk>f with a pmh of cad, pvd, htn, polymyalgia rheumatic and osteoarthritis who presents with several days of progressive acute on chronic right knee pain and found to have cxr c/f pneumonia. // evolving pna
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the lungs are hypoinflated with crowding of vasculature and subtle left lower lobe opacity. no pleural effusion or pneumothorax. heart is top-normal in size, likely accentuated due to low lung volumes. mediastinal contour and hila are unremarkable.
<unk>m with tachycardia and elevated white count. assess etiology.
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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. mild degenerative changes are noted in the thoracic spine.
history: <unk>m with back pain
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a right-sided double-lumen dialysis catheter is again identified. the tip terminates at the cavoatrial junction. the cardiomediastinal silhouette is unchanged and unremarkable. there is no pleural effusion or pneumothorax. no definite consolidation is identified.
history: <unk>f with dialysis catheter
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mild enlargement of the cardiac silhouette is present. the aorta is tortuous. pulmonary vasculature is not engorged. lungs are hyperinflated. multiple calcifications are seen within the left lung base, potentially reflective of calcified granulomas. patchy left basilar opacity is concerning for infection. no pleural effusion or pneumothorax is seen. diffuse demineralization of the osseous structures is noted.
history: <unk>f with dyspnea, fever, productive cough
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there are relatively low lung volumes, which accentuate the bronchovascular markings. patchy medial right base opacity may represent atelectasis and overlapping structures, but consolidation is not excluded in the appropriate clinical setting. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
<unk> year old woman with fever /cough // fever cough
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the heart size is normal. mediastinal and hilar contours are normal. lungs are clear and the pulmonary vascularity is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormalities are detected.
chest heaviness after viral illness.
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the patient is status post sternotomy. the cardiac, mediastinal and hilar contours appear stable. there is similar mild-to-moderate relative elevation of the right hemidiaphragm. the lungs appear clear. there are no pleural effusions or pneumothorax.
persistent cough.
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heart size is accentuated due to the presence of low lung volumes and appears top normal in size. mediastinal contour appears slightly widened superiorly, likely due to low lung volumes and supine ap technique. there is crowding of bronchovascular structures likely due to low lung volumes without overt pulmonary edema. patchy opacities in the lung bases may reflect areas of atelectasis. no pleural effusion or pneumothorax is clearly noted on this supine exam. no displaced fractures are seen.
history: <unk>m with suicide attempt and altered mental status
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there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
history: <unk>f with cough and fever // eval pneumonia
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lung volumes are low. the heart size is mild to moderately enlarged, accentuated by low lung volumes. the aorta is tortuous. pulmonary vasculature is not engorged. linear and patchy opacities in the lung bases are most compatible with areas of atelectasis. no focal consolidation, pleural effusion or pneumothorax is present. moderate degenerative changes are seen within the thoracic spine. surgical anchors project over the right humeral head.
history: <unk>m with chest pain
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frontal and lateral chest radiographs again demonstrate a normal cardiomediastinal silhouette. sternal wires are intact. again seen are bilateral calcified pleural plaques and surgical material projecting over the right mid lung, unchanged. slightly hazy opacities with increased interstitial markings of the lung bases bilaterally are unchanged compared to <unk> and again suggestive of chronic interstitial lung disease. no focal consolidation or significant pulmonary edema is identified. there is no appreciable pleural effusion or pneumothorax. the visualized upper abdomen is unremarkable.
evaluate for pneumonia versus chf, in a <unk>-year-old woman with shortness of breath.
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pa and lateral views of the chest are compared to previous exam from <unk>. given differences in positioning and technique, there has been no significant interval change. there is engorgement of the central pulmonary vasculature with indistinctness of the vessels peripherally, not significantly changed from prior. there is no new confluent consolidation or pleural effusion. cardiac silhouette is enlarged but stable compared to prior.
<unk>-year-old female with shortness of breath, immunosuppression. question pneumonia.
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heart size is normal. mediastinal and hilar contours are unremarkable. pulmonary vasculature is not engorged. apart from atelectasis in the lung bases, lungs are clear without focal consolidation. no pleural effusion or pneumothorax is present. no acute osseous abnormality is visualized.
history: <unk>f with substernal chest pain
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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 of <unk>. the heart size is normal. no configurational abnormality is present. thoracic aorta unremarkable. no mediastinal abnormalities are seen. the pulmonary vasculature is normal. no signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. no pneumothorax in the apical area. skeletal structures grossly within normal limits.
<unk>-year-old male patient with hairy cell leukemia, status post cladribine in <unk> with malaise and cough, evaluate for evidence of infection.
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lung volumes are slightly increased with residual bibasilar atelectasis. mild pulmonary edema is improved from <unk>. the left apical mass-like opacity is unchanged. multiple vague opacities may represent combination of atelectasis and edema or evolving pneumonia. a small left pleural effusion is likely improved from <unk> but difficult to assess given differences in technique. no substantial right pleural effusion. postoperative mediastinal contours and cardiac borders are stable.
<unk> year old man with neutropenia and shortness of breath // does this patient have pneumonia or worsening of his effusion?
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compared to exam <num> days prior, the right lower lobe consolidation persists. trace right pleural effusion may be present. there is no evidence for pneumothorax or pulmonary edema. heart and mediastinal contours are within normal limits and stable. minimal compression of superior endplate of a lower thoracic vertebral body without retropulsion is age indeterminate, but stable since <num> days prior.
<unk>-year-old female with recent pneumonia and persistent cough.
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endotracheal tube terminates approximately <num> cm above the carina. an esophageal temperature probe terminates in the lower esophagus. nasogastric tube is seen beyond the diaphragm, likely in the upper abdomen. there are at least moderate bilateral pleural effusions, right greater than left, and mild interstitial edema. the heart and mediastinum are obscured. lungs are largely obscured as well.
history: <unk>f with ett
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low lung volumes are present. the heart size is unchanged appearing borderline enlarged. mediastinal and hilar contours are similar. there is crowding of the bronchovascular structures without overt pulmonary edema. a patchy opacity is demonstrated in the left lower lobe, potentially due to atelectasis though infection cannot be completely excluded. no pleural effusion or pneumothorax is visualized. there are no acute osseous abnormalities.
history: <unk>m with cough, fevers
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the lungs are clear. there is there is no consolidation, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal. no free air. the bones are normal.
nausea vomiting and cough.
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the cardiac, mediastinal and hilar contours appear unchanged. lung volumes are low. there is no pleural effusion or pneumothorax. the lungs appear clear.
weakness.
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ap and lateral views of the chest <unk> at <time> are submitted.
<unk> year old woman with schizophrenia presenting with siadh. // eval for intrapulmonary process. eval for intrapulmonary process.
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the cardiomediastinal contour is within normal limits. the 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>m with a <num>-month history of cough, evaluate for pneumonia.
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there is no focal consolidation, pleural effusion, or pneumothorax. cardiomediastinal silhouette is unremarkable. osseous structures are unremarkable.
<unk>-year-old male with cough, malaise, question infiltrate.
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the heart size is normal. mediastinal and hilar contours are within normal limits. the pulmonary vascularity is not engorged. elevation of the right hemidiaphragm is noted with associated right basilar atelectasis. left lung is clear. there is no focal consolidation, pleural effusion or pneumothorax. no acute osseous abnormalities are visualized.
chest pain radiating to the back.
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the lung volumes are low which causes crowding of bronchovascular structures. opacity in the, left greater than right, lung bases most likely represents atelectasis. no focal consolidation, pleural effusion or pneumothorax identified. the heart size is normal. the mediastinal contour is normal. clips are noted in the right upper abdomen.
history: <unk>f with fever/sob // r/o pna
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there is increased vascular congestion with bilateral small pleural effusions and widened mediastinum in area of the azygos vein suggestive of congestive heart failure. no evidence of pneumonia. no pneumothorax. there is increase in cardiac size compared to <unk>.
<unk> year old man with <num> month of cough // pna?
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compared to prior, lung volumes are lower. relative enlargement of the cardiomediastinal silhouette is likely secondary to low lung volumes. the hilar contours have not changed, including prominence on the right corresponding to a enlarged pulmonary vein on chest ct. right apical opacity also corresponds to prominent venous and arterial vessels. mild interstitial edema is present. linear atelectasis in the right lung and retrocardiac atelectasis have increased. there is no pneumothorax.
<unk>f hx of factor xi clotting disorder s/p fall w/ l knee patella fx now with increased <unk> requirement, wheezing and dyspnea.
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frontal and lateral chest radiographdemonstrates mildly hypoinflated lungs with crowding of vasculature. no focal opacity. pleural surfaces are normal. mild enlargement of heart size is likely accentuated due to low lung volumes. mediastinal contour and hila are unremarkable.
chest pain. assess for pneumonia or widened mediastinum.
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the lungs are clear of focal consolidation, pneumothorax, effusion, or vascular congestion. cardiac silhouette is mildly enlarged as on priors. no acute osseous abnormalities identified.
<unk>f with cp/sob. // r/o pna
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there are faint opacities in both lower lobes, suspicious for aspiration or pneumonia. it is also possible that the left basilar opacity may reflect atelectasis in the setting of persistent left hemidiaphragm elevation. upper lungs are clear. minimal blunting of the left costophrenic angle suggests trace pleural effusion. no pneumothorax. no acute osseous abnormalities are identified.
history: <unk>m with productive cough // infiltrate?
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the diaphragms are flattened consistent with hyperinflation. a left-sided pacemaker has leads terminating in appropriate position. there is mild pulmonary edema; however, it is significantly improved from <unk>. there are no large pleural effusions and there is no evidence of pneumonia or pneumothorax. cardiac size is enlarged but stable. a large hiatal hernia is again present.
shortness of breath. question chf.
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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 // presence of infiltrate, ptx
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minimal atelectasis is noted in the left lung base. otherwise, the lungs are clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. no pulmonary edema, pneumothorax, pneumonia, or pleural effusion.
<unk> year old woman with fever // r/o infiltrate
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frontal and lateral chest radiographs demonstrate low lung volumes, resulting in exaggeration of the cardiac silhouette. allowing for this, the cardiomediastinal silhouette is likely within normal limits. there is no focal consolidation, pleural effusion, or pneumothorax. on lateral view, there are apparent diffuse increased opacities likely related to extremely low lung volumes. the visualized upper abdomen is unremarkable.
evaluate for pneumonia in a <unk>-year-old man with chest pain and shortness of breath.
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frontal and lateral views of the chest were obtained. pulmonary vascular markings are prominent and indistinct, consistent with pulmonary edema. there is streaky superimposed left lingular opacity suggesting plate-like atelectasis. bilateral costophrenic angles are blunted, consistent with very small bilateral pleural effusions. mild cardiomegaly and cardiomediastinal contours are stable.
<unk>-year-old female with cough. evaluate for pneumonia or chf.