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the lungs are clear without a consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.
history of a dvt with left leg swelling and shortness of breath. evaluate for cause.
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pa and lateral views of the chest provided. overlying ekg leads are present somewhat limiting the evaluation. 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 fever, tachycardia, vomiting, evaluate for pneumonia.
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the lung are clear and without a focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is at the upper limits of normal. no acute fractures are identified.
shortness of breath.
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a <num> cm rounded opacity is seen in the right lower lung. increased opacity in the right lower lung abutting the right heart border is concerning for consolidation. increased heart size may indicate cardiomegaly and/or pericardial effusion. small pleural effusions are new. a <num> mm calcified granuloma in the left lower lung is stable. a <num> cm calcified lymph node is seen on the lateral view. no pneumothorax is seen. the hilar and mediastinal silhouettes are unremarkable.
<unk> year old man with mds <unk>/p allo transplant and new tachypnea. also has a history of chf and afib with rvr. // please assess for infiltrate, effusion.
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interval placement of a right chest tube. the right pneumothorax is slightly decreased in size. low bilateral lung volumes. no focal consolidation is identified. the right pleural effusion is unchanged given differences in technique. the size of the cardiac silhouette is enlarged and may be secondary to low lung volumes.
<unk> year old woman with pneumothorax s/p chest tube // pneumothorax
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the patient is intubated. the endotracheal tube terminates approximately <num> cm above the carina. an orogastric tube has been passed into the stomach, although its tip lies below the inferior margin of the acquired film. the cardiac, mediastinal and hilar contours appear probably unchanged allowing for differences in technique including cardiomegaly. widespread opacification suggests pulmonary edema. the left hemidiaphragm is obscured and this may be due to coinciding atelectasis but possibly pneumonia. there may also be developing focal opacity at the right lung base. there is no pneumothorax.
hypoxia, status post intubation and cpr.
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the lungs are clear. the cardiac and mediastinal contours are normal. there are no pleural effusions. no pneumothorax is seen.
shortness of breath for the past two days. evaluate for chf.
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slight prominence of the interstitial markings in general may represent a degree of failure.there are new right greater than left basilar opacity, not seen on <unk> with a history of trauma, likely representing atelectasis or pneumonia. the cardiomediastinal silhouette and hila are normal. there is no pneumothorax. there is mild elevation of the left hemidiaphragm, unchanged from the prior study.
patient with hypoxia after mvc.
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portable semi-upright radiograph of the chest demonstrates well expanded clear lungs. the cardio mediastinal and hilar contours are unremarkable. there is no pneumothorax. right-sided port-a-cath density cavoatrial junction. epidural catheter projects over the midline of the spine, ending at approximately c<num>-<num>. left breast mass is better evaluated on recent chest ct.
<unk> year old woman with recurrent breast cancer now admitted with pain crisis, has fever this morning. // eval for infection
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the cardiac silhouette size is borderline enlarged. the mediastinal and hilar contours are within normal limits. lung volumes are low. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities seen.
chest pain.
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no focal consolidation is seen. there is no pleural effusion or pneumothorax. cardiac silhouette is mild to moderately enlarged. the aorta remains calcified and tortuous. no pulmonary edema is seen.
history: <unk>f with ams, dyspnea // acute process
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pa and lateral chest radiographs were obtained. in the lower right neck, the previously described <num> mm hyperdensity is re- demonstrated corresponding to the known foreign body. a second foreign body is not identified. the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the heart is normal in size with normal mediastinal and hilar contours.
report of <num> needles lost in the right neck with only <num> seen on radiographs. please assess for <unk> retained foreign body.
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the lungs are clear. there is no pneumothorax. the heart and mediastinum are within normal limits. regional bones are unremarkable.
<unk> year old man with left anterior chest discomfort, non exertional and non pleuritic. no hx of trauma // r/o cardiopulmonary lesion
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the lung volumes are very low which limits the evaluation. right perihilar opacity could represent crowding of normal bronchovascular structures or a focal consolidation. no pleural effusion or pneumothorax is identified. there is mild cardiomegaly. cervical spine hardware is noted. the soft tissues and bones appear normal.
cough. shortness of breath and back pain. evaluation for pneumonia and chf.
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the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. no bony injuries identified.
the patient with right arm numbness and weakness. evaluate for bony injury.
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heart size is mild to moderately enlarged, increased compared to the previous exam. the aorta is slightly unfolded. the mediastinal and hilar contours are unchanged. consolidative opacity in the right lower lobe is new and concerning for pneumonia. pulmonary vasculature is not engorged. no pleural effusion or pneumothorax is seen. moderate multilevel degenerative changes are noted in the thoracic spine.
history: <unk>m with fever, cough
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lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. the hilar contours are also stable and unremarkable.
epigastric pain and chest pain.
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small left apicolateral pneumothorax is new. bibasilar atelectasis. the known pulmonary nodule in the superior segment left lower lobe is seen to better detail on recent ct. lungs are otherwise clear. heart size is normal. cardiomediastinal hilar silhouettes are unremarkable.
<unk> year old man with lung nodule s/p biopsy // ? ptx
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pa and lateral views of the chest provided. sternotomy wires and clips overlying the heart are compatible with prior cabg. lung volumes are normal. there is no pleural effusion, consolidation, or pneumothorax. moderate to severe cardiomegaly is mildly worse since <unk>. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
history: <unk>f with history cabg in <unk>, hld, a-fib (not on thinners b/c bleed) p/w syncopy*** warning *** multiple patients with same last name! // eval for pna vs ptx
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a <unk> type tube is present. the radiopaque tip likely overlies the stomach. it does not extend across the midline into the right abdomen and is unlikely to have passed through the pylorus. lungs are grossly clear. no air-filled dilated loops of bowel are seen in the visualized portion of the upper abdomen. no free air is detected beneath the diaphragms. stool noted in the right colon, incompletely evaluated.
<unk> year old woman with <unk>, <unk> have slipped out of position // eval for <unk> placement review of omr indicates a history of myasthenia <unk>.
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patient is status post median sternotomy and prosthetic valve replacement. moderate cardiomegaly is demonstrated. the mediastinal contour is unremarkable except for diffuse atherosclerotic calcifications within the thoracic aorta. mild pulmonary edema is present with perihilar haziness and vascular indistinctness. small bilateral pleural effusions are also present, slightly larger on the right. patchy atelectasis is noted in the lung bases, though infection in the right lung base is not completely excluded in the correct clinical setting. no pneumothorax is identified.
history: <unk>f with shortness of breath// eval for pulmonary edema
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again is seen a right-sided central venous catheter with its tip in the upper portion of the right atrium. the patient is slightly rotated to the left. the cardiomediastinal contours are within normal limits. the lungs are clear, although there is elevation of the right hemidiaphragm, likely exaggerated by patient positioning. there is no large pleural effusion or pneumothorax. opacity of the visualized abdomen suggests ascites.
<unk>-year-old male with nausea, vomiting, and diarrhea.
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portable ap chest radiograph demonstrates a right ij catheter terminating in the mid svc. there is some right basilar atelectasis. lung volumes are low. the cardiomediastinal silhouette is stable. there is no pneumothorax.
right ij catheter repositioning.
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pa and lateral views of the chest. the lungs are clear. there is no effusion or pneumothorax. cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is identified.
<unk>-year-old female with altered mental status.
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again seen are posterior fixation hardware in the thoracic spine, unchanged in position. elevation of the right diaphragm appear unchanged since <unk>. minimal right pleural effusion is seen. the lungs are clear. there is no evidence for pulmonary edema or focal pneumonia. the heart size is normal. the mediastinum and hilar contours are unchanged and normal.
<unk> year old man with fever and cough. evaluate for pneumonia.
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the right internal jugular approach venous catheter remains in the mid svc. an enteric feeding cord tube courses through the stomach out of field of view. there are scattered areas of linear atelectasis. there is persistent moderate interstitial pulmonary edema. there are no new focal opacities concerning for pneumonia. there are no pleural effusions or pneumothorax. the cardiomediastinal and hilar contours are stable demonstrating moderate cardiomegaly.
<unk>-year-old female with end-stage liver disease secondary to autoimmune hepatitis. evaluate for interval change.
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subtle heterogeneous opacity in the right lower lobe is only seen on frontal projection. the lungs are otherwise well inflated with bibasilar atelectasis. a <num> cm well-circumscribed circular lesion projecting over the right heart border has mildly increased since <unk>. no pleural effusion or pneumothorax. stable mild cardiomegaly is noted. mediastinal contour and hila are unremarkable.
<unk>f with nonproductive cough and exacerbation of her copd. assess for pneumonia
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ap and lateral radiographs of the chest. there are new opacities at the left lung base and mid lung field, consistent with pneumonia. linear opacities at the left lung base are likely atelectasis or scarring. the heart size, hilar and mediastinal contours are normal. calcified aortic knob is again noted. no pleural effusion or pneumothorax.
shortness of breath and cough.
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upper lobe predominant emphysema is unchanged. the cardiomediastinal silhouette is within normal limits. no pneumothorax, focal consolidation, or pleural effusion.
<unk>f with tachy to <num>s, temp <unk>, l lower chest pain evaluate for pneumonia, particularly on the left side.
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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 w/cp and sob // <unk>f w/cp and sob
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<num> sequential radiographs show a dobbhoff tube, which is now advanced into the stomach. there continues to be bibasilar opacities. the right picc is in stable position. no new focal consolidations are seen.
<unk> year old man with pneumonia, evaluate dobbhoff placement.
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the endotracheal tube is appropriately positioned <num> cm above the carina. nasogastric tube courses below the diaphragm into the stomach. there is no significant change in the appearance of the lungs since the recent prior radiograph, however there is significant worsening since <unk>. patient has chronic interstitial lung disease. severe bilateral pulmonary opacities and obscuration of the hemidiaphragms are unchanged concerning for bilateral consolidations with pulmonary edema. there is no pneumothorax.
history: <unk>m with ett // eval ett, ogt
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there are low lung volumes, and a sub-optimal inspiratory effort. the cardiomediastinal silhouettes are 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. there is no evidence of acute fracture.
a <unk>-year-old man with left pleuritic chest pain, evaluate for rib fracture or pneumonia.
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the inspiratory lung volumes are appropriate. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. the pulmonary vasculature is not engorged. the mediastinum is prominent due to unfolding of the thoracic aorta. the cardiac and hilar contours are within normal limits. no acute osseous abnormality is detected.
history: <unk>f with chest pain // eval for pna
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the lungs are clear. there is no consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.
<unk>f with sob // r/o ptx
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compared with chest radiograph from <unk>, poor aeration of the left lung base continues. mild right lower lobe atelectasis is unchanged. tracheostomy tube and right ij line unchanged in standard placements. there is no focal consolidation, effusion or pneumothorax. there is no vascular engorgement or pulmonary edema. moderate cardiomegaly continues to improve since <unk>.
<unk> year old woman with cad, dchf, mca stroke s/p pa arrest // fluid status; ? new consolidation, concern aspiration
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. calcification in the lateral aspect of the left lung, likely a calcified granuloma, is again seen. the cardiac and mediastinal silhouettes are unremarkable. no acute osseous abnormalities.
<unk>m with pmh aml s/p bmt, <unk> days myalgias, fever, cough, sore throat //
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there are diffuse bilateral dense alveolar opacities. evaluation of the lung bases is limited by overlying soft tissue and low lung volumes. heart size appears enlarged, possibly in part exaggerated by ap technique and low lung volumes. compared to prior exam, the mediastinum appears widened. no pneumothorax is detected on this view. small bilateral pleural effusions may be present although evaluation is difficult due to overlying soft tissue.
<unk>-year-old female with shortness of breath and chest pain.
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there is no evidence of mediastinal lymphadenopathy. cardiomediastinal silhouette and hilar contours are normal. no pleural effusion or pneumothorax. lungs are clear.
<unk>-year-old woman with atypical lymphocytes, night sweats and fatigue. question mediastinal adenopathy.
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the lungs are well inflated and clear. heart size and mediastinal contours are normal. there is no pleural effusion or pneumothorax. osseous structures are intact.
<unk>m with ams // eval for pneumonia
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there is stable elevation of the right hemidiaphragm with associated atelectasis. stable cardiac silhouette and mediastinal contours. within the limitation of the study technique, no pulmonary nodules or masses. no pleural effusion or pneumothorax. unchanged laminectomy and fusion in the lower cervical spine.
<unk> year old man with history of melanoma // please evauate disease status
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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. old left seventh and eighth rib fractures are noted. no free air below the right hemidiaphragm is seen.
<unk>f with syncope and fall // eval for ich, pna, c spine fracture
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pa and lateral chest radiographs are provided. there is no focal consolidation, pleural effusion, or pneumothorax. cardiomediastinal silhouette is normal. osseous structures are intact.
<unk>-year-old female with presyncope, acute process.
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. the lungs appear clear. bony structures are unremarkable.
dyspnea and palpitations.
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a left pectoral aicd is unchanged with two leads terminating in the right atrium and right ventricle. the cardiac silhouette remains severely enlarged, compatible with known dilated cardiomyopathy, which is particularly impressive on the lateral view. the mediastinal and hilar contours are unchanged. the lungs are relatively clear without focal consolidation, pleural effusion or pneumothorax. there is mild pulmonary vascular congestion but no overt edema.
history of heart failure, now with chest pain status post aicd firing, here to evaluate for pulmonary edema or pneumonia.
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frontal and lateral views of the chest demonstrate low lung volumes. there is no pleural effusion, focal consolidation or pneumothorax. right lung base opacity, likely atelectasis is noted. the hilar and mediastinal silhouettes are unremarkable. heart size is normal. there is no pulmonary edema. partially imaged upper abdomen is unremarkable.
patient with cirrhosis with elevated white blood cell count.
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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 history of atypical lchest pain, with chronic cough.
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right picc tip terminates in the upper svc. cardiac, mediastinal and hilar contours are normal. no focal consolidation, pleural effusion or pneumothorax is identified. the pulmonary vasculature is normal. mild levoscoliosis of the thoracic spine is noted.
chronic pancreatitis on tpn, picc in place.
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allowing for differences in technique, the cardiac, mediastinal and hilar contours appear unchanged. there are patchy basilar opacities, increased at the right lung base and similar at the left lung base including blunting of the left costophrenic sulcus, although there is no definite demonstration of a pleural effusion. there is no pneumothorax.
copd and scoliosis.
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there is a large bore right subclavian line with tip at the cavoatrial junction. the heart size is mildly enlarged. the lungs are clear without infiltrate or effusion.
<unk> year old man with esrd, mrsa bacteremia going to or for av fistula clot evac possible excision // preop surg: <unk> (av fistula excision)
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lung volumes are low, but similar to prior exams. bilateral focal opacities appear overall similar and may correspond to known metastatic pulmonary disease, although new focal consolidation or lesion cannot be definitely excluded. the left lateral pneumothorax persists and is overall unchanged from <unk>. the left-sided lateral pigtail chest tube and appears unchanged in position projecting over lower left hemithorax. the right chest tube also appears unchanged in position projecting over the right lung base, and does not appear to lie within the effusion. right pleural effusion and pleural thickening is overall unchanged. the right port-a-cath terminates in the region of the cavoatrial junction. the biliary stent appears patent and unchanged in position in the right upper quadrant.
<unk> year old man with met pancreatic cancer here with b/l pleural effusions s/p b/l chest tube placement // eval for chest tube positioning, re-accumulation of pleural effusions
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the heart size is top normal. there is mild pulmonary vascular congestion with an interstitial abnormality, which may be consistent with pulmonary edema. there is mild bibasilar atelectasis. there is no pleural effusion or pneumothorax. compression deformity of the mid thoracic vertebral body is unchanged compared to the prior exam.
history of shortness of breath. please evaluate.
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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. posterior cp angles partially excluded on the lateral projection.
<unk>m trying to get placement in homeless <unk>, needs xray to r.o evidence of tb. // ?tb
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a left chest tube is present. there is a left apical opacity with a small adjacent pneumothorax, reflective of postsurgical change. the lungs are hyperexpanded. no focal consolidation, pleural effusion or pneumothorax in the right lung. the size of the cardiac silhouette is enlarged. subcutaneous emphysema is noted over the left lateral chest wall.
<unk> year old woman s/p vats // eval for post-op changes
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endotracheal tube ends <num> cm above the carina and should be advanced about <num>-<num> cm. cardiomediastinal silhouette and hila are normal. there is no pleural effusion, no pneumothorax. esophageal tube passes beyond the gj junction into the stomach.
<unk>-year-old with likely cord injury.
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single ap semi upright view of the chest provided. cervicothoracic spinal hardware projects over the mediastinum. the endotracheal tube is seen above the tip is obscured from view. ng tube extends into the left upper abdomen. a left arm picc line is seen with its tip in the region of the low svc. consolidation in the right middle lobe may represent pneumonia. there is mild pulmonary edema though somewhat asymmetric, more pronounced on the left. there are no large effusions. the cardiomediastinal silhouette is grossly unremarkable. bony structures are intact.
<unk>f with ett // tube placement
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the previously noted right internal jugular approach central line has been removed. a large bore dual-lumen dialysis catheter from a left internal jugular approach is in stable course and position with the distal tip projecting over the junction of the superior vena cava and a brachiocephalic vein. lung volumes remain diminished. there has been significant improvement in the previously noted fluid balance with near-resolution of the pulmonary edema. mild cephalized flow and interstitial prominence persists. no definite focal consolidation is seen. there is no effusion or pneumothorax. the osseous structures again reveal mild degenerative changes throughout the thoracic spine.
end-stage renal disease on hemodialysis via a left dialysis catheter with fever, bacteremia, and chest pain.
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changes related to prior right upper lobectomy are again noted, with relative volume loss on the right. the left lung is hyperinflated, with relative paucity of vascularity in the apex, compatible with emphysema. streaky atelectasis or scarring is noted in the left midlung and right lung base. no pneumothorax, pulmonary edema, or focal consolidation concerning for pneumonia is identified. the heart is normal in size.
history: <unk>f with shortness of breath // ?pneumonia
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ap and lateral views of the chest are compared to previous exam from <unk>. the lungs are clear of focal consolidation. opacity at the left lung base most suggestive of atelectasis or scar. there is no effusion. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable. no free air is seen below the diaphragm.
<unk>-year-old female with right upper quadrant and right lower quadrant pain and dark bloody stool.
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there are new interstitial opacities and vascular congestion, most consistent with mild pulmonary edema, although an atypical infection is a consideration. a more focal consolidation at the medial right base may be related to the underlying abnormality, although focal atelectasis or developing consolidation is difficult to exclude. there is no pleural effusion or pneumothorax. the mediastinal contours are normal. the heart size is at the upper limits of normal.
shortness of breath: evaluate for pneumonia.
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left picc line terminates in the right atrium. prosthetic mitral valve is in place. small right pleural effusion is unchanged although there are a mild increase in atelectasis at the right base. small left pleural effusion is smaller since the study <num> hr earlier. the cardiomediastinal silhouette is unchanged. there is no pneumothorax.
<unk> year old woman with recurrent effusion s/p thoracentesis // r/o ptx
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an et tube and ng tube and central venous catheter are unchanged in position. since the prior radiograph, lung volumes are lower. there are increased opacities at the bases and around the aoritc knob, most likely atelectasis. cardiomediastinal sillhoute is stable. there is no pneumothorax.
<unk>-year-old woman with ttp, intubated, assess for interval change.
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no significant interval change since the prior study. patient is status post median sternotomy. single lead left-sided aicd is stable in position, with lead extending to the expected position of the right ventricle. right paratracheal opacity without mass effect on the trachea is stable. prominence of the perihilar vasculature is stable.
history: <unk>m with malaise // eval heart and lungs
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single frontal view of the chest demonstrates et tube traceable to the inferior margin of the clavicles, likely satisfactory in location. an enteric tube extends inferiorly with tip in the stomach and side port above the ge junction. recommend further advancement by <num>-<num> cm to achieve intragastric location. allowing for low lung volume and ap technique, the cardiomediastinal silhouette is within normal limits. the lungs are relatively clear, without pneumothorax or pleural effusion. mild vascular congestion may be present, likely related to resuscitation. median sternotomy wires appear intact.
<unk>-year-old intubated male, status post transfer.
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. there may be minimal patchy opacities in the lung bases which are new since the prior study, findings which could suggest early infection. no focal consolidation is present. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
history: <unk>m with shortness of breath
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the patient is status post median sternotomy with continued fracture of the inferior most and superior left lateral wires. heart size is normal. the aorta remains tortuous. pulmonary vasculature is normal. apart from subsegmental atelectasis in the lower lobes, the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
history: <unk>m with vertigo
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single portable view of the chest. new right internal jugular line is seen with tip at the cavoatrial junction. there is no visualized pneumothorax. appearance of the lungs is unchanged with mild pulmonary vascular congestion and retrocardiac opacity potentially atelectasis or infection. cardiomediastinal silhouette is stable. no acute osseous abnormalities.
<unk>-year-old male with sepsis with new right ij.
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portable semi-erect chest film <unk> <time> is submitted.
<unk> year old man with cirrhosis, o<num> requirement, fluid overload // please evaluate for interval change please evaluate for interval change
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ap upright and lateral views the chest. lung volumes are low with basilar atelectasis and bronchovascular crowding limiting assessment. lungs are otherwise clear. no large effusion or pneumothorax. the heart size is poorly assessed. mediastinal contour appears grossly unremarkable. bony structures are intact. no free air below the right hemidiaphragm.
<unk>m with generalized weakness, vomiting, llq pain
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single portable view of the chest. when compared to prior, there has been interval improvement in the pulmonary edema. blunting of the left costophrenic angle suggests small residual left-sided effusion. the cardiac silhouette is enlarged but similar in configuration. atherosclerotic calcifications noted at the aortic arch.
<unk>-year-old male with chest pain and anemia. question pulmonary edema.
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there is new pulmonary vascular congestion, but no pleural effusion or pneumothorax. mild cardiomegaly is unchanged. mediastinal and hilar contours are normal. no focal consolidation is present.
dyspnea for one week, no cough or chest pain, probable worsening renal failure, question any acute change or pleural effusion.
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. right upper quadrant clips are compatible with prior cholecystectomy.
history: <unk>f with seizure and cough
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pa and lateral views of the chest <unk> at <time> are submitted.
<unk> year old woman with dizziness, cough // r/o infiltrate r/o infiltrate
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a tracheostomy tube is in place. increased retrocardiac airspace opacity is inseparable from the descending aorta, and may be due to worsening atelectasis, although infection or aspiration would be difficult to exclude in the appropriate clinical context. the right lung remains clear. there is no pneumothorax. marked cardiomegaly despite the projection is unchanged.
<unk> year old woman with post op respiratory failure // r/o pneumonia / atelectasis
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frontal and lateral radiographs of the chest demonstrate low lung volumes with resultant bronchovascular crowding. prominence of interstitial markings and of the pulmonary vasculature is consistent with pulmonary edema. there is a small left-sided pleural effusion with ajacent atelectasis, however pneumonia could be considered in the appropriate clinical setting. patient is status post sternotomy with unchanged broken sternotomy wires. cardiomediastinal and hilar contours are unchanged. no pneumothorax.
<unk> year old woman with chf, likely pulm edema, r/o pna // r/o pna
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left pectoral pacemaker with leads ending in the right atrium and right ventricle. normal heart size and hilar contours. normal pleural surfaces. unchanged dilatation of the thoracic aorta. fully expanded, clear lungs. no pulmonary nodules.
<unk>-year-old woman with cough and nodular densities in the left mid lung visualized on outside chest radiograph from <num> week ago.
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
history: <unk>f with cough and fatigue
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as compared to chest radiograph from <num> day prior, left icd tips terminate in the ra, rv and left ventricle. mild pulmonary edema. combination of pleural thickening and bilateral pleural effusions have not substantially changed, and chronic pleural abnormalities were seen back to ct thorax in <unk>. mild to moderate cardiomegaly. paramediastinal bronchial wall thickening, is age indeterminate. prior median sternotomy with cabg unchanged. no pneumothorax and no mediastinal widening.
<unk> year old man s/<unk> crt-d upgrade // ptx, leads
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there are low lung volumes and a suboptimal inspiratory effort. allowing for changes due to this, the cardiomediastinal silhouettes are within normal limits. diffuse, centrally predominant interstitial opacities are consistent with pulmonary vascular congestion. there is no focal lung consolidation. there is no pneumothorax or pleural effusion.
<unk>-year-old woman with a cough, evaluate for infiltrate.
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enteric tube tip is below diaphragm. endotracheal tube tip in good position. esophageal temperature probe. right ij introducer sheath in place tip in the upper svc, similar. moderate right pleural effusion is stable. small left pleural effusion is stable. bibasilar consolidation is stable, likely atelectasis. stable cardiomegaly.
<unk> year old man with desaturation // ? changes
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tracheostomy, new since prior exam. a right ij central line tip mid svc, stable. re-expansion left upper lobe. left basilar opacity, likely combination of left lower lobe atelectasis and pleural effusion. right lung is clear. chronic bilateral rib fractures. remainder normal
post trach/peg // interval change
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frontal and lateral views of the chest. the lungs are clear. there is no pneumothorax or effusion. cardiac silhouette is at upper limits of normal. there is no visualized acute osseous abnormality. well-circumscribed calcific density projects just inferior to the coracoid process of the scapula on the left, potentially an intra-articular body.
<unk>-year-old female with fall, pain, struck chest.
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monitoring devices are still in place and unchanged. heart and aorta profile are unchanged are stable. the lungs are less inflated. the bibasilar pleural effusion is improved, especially on the left base.
<unk>-year-old male with visualization and multi system organ dysfunction.
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lung volumes are low. mild cardiomegaly and central vascular pulmonary congestion is noted. there is no large pleural effusion, pneumothorax, or lobar consolidation identified. mild bibasilar atelectasis is seen. multiple subtle left lateral rib deformities are better visualized on the subsequent cta chest examination performed on the same day.
history: <unk>m with chest pain // please eval for infiltrate
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right internal jugular central venous catheter tip terminates in the proximal right atrium. heart size remains moderately enlarged. the patient is status post median sternotomy and cabg. mild pulmonary edema persists. there is a persistent small left pleural effusion and retrocardiac opacification possibly reflecting atelectasis but infection and aspiration cannot be excluded. no pneumothorax is identified.
sepsis and central line placement.
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the cardiac silhouette size is top normal. the mediastinal and hilar contours are within normal limits. the pulmonary vascularity is normal. no focal consolidation, pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
pleuritic chest pain after parotid surgery.
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lung volumes are low with secondary crowding of the bronchovascular markings. no definite superimposed edema. there is no focal consolidation or effusion. enlarged cardiac silhouette is unchanged given differences in technique on the current exam. hypertrophic changes noted in the spine.
<unk>m with afib, alcohol intoxication and tachycardia // ?acute cp process
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moderate cardiomegaly is re- demonstrated. the aorta is unfolded. mediastinal and hilar contours are unremarkable, and there is no pulmonary vascular congestion. no focal consolidation, pleural effusion or pneumothorax is visualized. no acute osseous abnormality is detected. an inferior vena cava filter is partially imaged within the upper abdomen.
acute onset chest pain.
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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.
<unk>m with tachycardia // eval for acute process
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on the chest radiograph labeled "<num> of <num>", a nasogastric tube tip is noted within the stomach. heart size is normal. mediastinal and hilar contours are unremarkable. lungs are clear, but the lung apices are not included in the field of view. no pleural effusion is demonstrated. no acute osseous abnormalities are seen. there is no subdiaphragmatic free air.
history: <unk>m with small bowel obstruction status post nasogastric tube placement
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portable ap upright chest film <unk> at <time> is submitted.
<unk> year old man s/p type b dissection repair // eval for atelectasis eval for atelectasis
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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. surgical clips are present in the chest wall bilaterally.
<unk> year old woman with cough for <num> weeks r/o pna // please evaluate for pna
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the lateral view is limited secondary to motion and overlying soft tissues. the lungs are grossly clear without focal consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>m with left sided chest pain // eval for pna
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the lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
<unk>f with chest pain. evaluate for acute process.
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the heart is upper limits normal in size. there is a moderate right pleural effusion, some of which is loculated. there is associated volume loss in the right lower lobe and an underlying infectious infiltrate can't be excluded in this region there is a small left effusion. there is mild pulmonary vascular redistribution no pneumomediastinum is identified
<unk> year old woman admitted for pneumomediastinum // evaluate for recurrent pneumomediastinum
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. bilateral cervical ribs are incidentally noted.
<unk> year old woman with iddm, gastroparesis p/w abdominal pain, n/v // evidence of volume overload, acute cardiac process?
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small pleural effusion increased since the prior. no pneumothorax. minimal subsegmental atelectasis in the right upper lobe. moderate cardiomegaly. prior median sternotomy, avr and dual lead pacer in the right atrium and right ventricle.
<unk> year old woman s/p thoracentesis // ?ptx
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pa and lateral chest radiographs again demonstrate moderate cardiomegaly without pulmonary vascular congestion, representing improvement <unk> <unk>. the lungs are clear and there is no pneumothorax or pleural effusion. left-sided pacer leads are in stable position.
lightheadedness and weakness. known coronary artery disease with aicd.
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heart size is normal. mediastinal and hilar contours are within normal limits. lungs are clear. pulmonary vascularity is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormalities are present.
chest pain, aches. history myocarditis.
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the patient is status post right upper lobectomy and chest wall resection. the lungs are clear. there is no pneumothorax or pleural effusion. the hilar and cardiomediastinal contours are normal. pulmonary vascularity is normal.
evaluate for presence of pneumonia in patient with respiratory infectious symptoms. the patient has a history of lung cancer, status post resection as well as well-controlled hiv.