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lungs are normally expanded and clear. the heart is not enlarged. the mediastinal contours are normal. there is no pleural effusion or pneumothorax. within the limitations of routine radiography the included osseous structures are grossly intact.
<unk>-year-old male status post assault. evaluate for injury.
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a left axillary pacemaker is present with the wires in standard position in the right atrium and right ventricle. sternal wires are intact. slight rightward deviation of the trachea is stable due to known thyroid nodule. new bibasilar hazy opacification, greater on the left than on the right, most likely represents new mild pulmonary edema, although an underlying infectious process cannot be excluded. small bilateral pleural effusions are new. there is no pneumothorax. the cardiomediastinal silhouette is normal.
history of smoking. new cough and hypoxia.
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the heart size, mediastinal, and hilar contours are normal. the lungs are well expanded and clear, without pleural effusion, consolidation, or pneumothorax. patient is status post sternotomy with intact sternotomy wires.
<unk> year old man with history of tobacco use, with <num> mo history of persistent productive cough and uri symptoms. eval for consolidation, effusion.
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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 and mediastinal structures are unremarkable. a right rib defect is again noted. no free air is seen underneath the diaphragms. left upper quadrant clips are noted.
epigastric pain. evaluate for an acute intrathoracic process.
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the left internal jugular central venous catheter has been removed. median sternotomy wires, mediastinal clips, and an aortic valve replacement are again seen. there is subsegmental atelectasis of the bilateral lung bases. there is no consolidation. there may be a small left pleural effusion. there is no consolidation or pulmonary edema. the cardiomediastinal and hilar contours are within normal limits. there is no pneumothorax.
<unk> year old man with alcohol withdrawal, bioprosthetic aortic valve, cough // eval for pna, pulm edema
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aortic valve prosthesis is in place. cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax. there is no focal lung consolidation.
<unk>-year-old man with chest pain, history of ascending aortic aneurysm
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the lungs are clear, the cardiomediastinal silhouette and hila are normal. there is no pleural effusion or pneumothorax.
<unk>-year-old with shortness of breath.
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frontal and lateral chest radiographdemonstrates well expanded and clear lungs.no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable. limited assessment of the upper abdomen is within normal limits.
cml with cough x<num> weeks. assess for pneumonia.
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the left pectoral pacemaker and esophageal stent are unchanged in appearance. sternotomy wires are intact and appropriately aligned. there is increasing pulmonary edema, now moderate. no new focal consolidations. small pleural effusions are stable. stable appearance of the cardiomediastinal silhouette. no pneumothorax.
<unk> year old man with <unk> yo m s/p pulmonary resection and s/p esophagectomy complicated by tef, admitted from clinic for cough and dysphagia and headaches s/p bronch and esophagoscopy <unk> c/b aspiration with new shortness of breath // assess interval change
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there is a rounded opacity in the left lower lobe, with possible cavitation. minimal ill-defined nodular opacities are also noted in the right upper and mid lung fields, suggestive of additional sites of infection. there is no evidence of pulmonary edema, pleural effusions, or pneumothorax. the cardiomediastinal silhouette is normal.
fever and cough.
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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 coarse bs left lung // ? pna
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ap and lateral views of the chest were compared to previous exam from <unk>. exam is limited secondary to ap technique and patient's body habitus. there is no large confluent consolidation or effusion. there is no significant pulmonary vascular redistribution. cardiac silhouette is stable. dense atherosclerotic calcifications noted at the arch. osseous and soft tissue structures are unchanged.
<unk>-year-old female with chest pain.
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there are moderate size bilateral pleural effusions that have increased compared to the prior exam. there is associated volume loss in the lower lobes. an underlying infectious infiltrate can't be excluded. there is mild pulmonary vascular redistribution. feeding tube tip is off the film, at least in the stomach.
pancreatitis with increased pleuritic pain and absent lung sounds at the left base.
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left picc line tip terminates at the level of lower svc.
<unk> year old woman with picc in place for tpn at home // picc line placement
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ap portable upright view of the chest. lungs are clear without focal consolidation, effusion or pneumothorax. heart size appears top-normal. the mediastinal contour is normal. imaged osseous structures are intact. overlying ekg leads are present.
<unk>m with ams // infiltrate?
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lung volumes are low, limiting evaluation. plate-like opacity at the right base is most consistent with atelectasis. no definite focal consolidation to suggest pneumonia is seen. no pleural effusion, pneumothorax, or overt pulmonary edema is present. the heart size is top normal. there is tortuosity of the aorta with dense atherosclerotic calcification. there is compression deformity of mid-thoracic vertebral bodies.
altered mental status.
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cardiomediastinal contours are stable with mild to moderate cardiomegaly and tortuous aorta. patient is status post cabg. the lungs are clear. there is no pneumothorax or pleural effusion. there are mild degenerative changes in the thoracic spine. the sternal wires are intact
<unk> year old woman with newly diagnosed ra, consider start immunomodulator, pre-screen for tb // any abnormality sign for tb or infection
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frontal and lateral radiographs of the chest were acquired. lung volumes are slightly low. previously seen ill-defined opacities at the right lung base on the study from <unk> have resolved. there is minimal left lower lung streaky atelectasis. there is no focal consolidation. mild cardiomegaly is not significantly changed. the descending thoracic aorta is mildly tortuous, unchanged. there is a moderate hiatal hernia, as before. there are no pleural effusions. no pneumothorax is seen. mild multilevel degenerative changes of the thoracolumbar spine are noted.
hypoxia, cough, and dyspnea. assess for pneumonia.
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heart size is normal. mediastinal and hilar contours are unremarkable. the pulmonary vascularity is normal. lungs are clear. no pleural effusion or pneumothorax is identified. no acute osseous abnormalities detected.
left-sided chest pain.
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in comparison with the study of <unk>, there is little overall change. hyperexpansion of the lungs with coarse interstitial markings are consistent with chronic pulmonary disease. no evidence of acute focal pneumonia. blunting of the costophrenic angle on the right is again seen, most likely related to scarring or chronic pleural thickening. tortuosity of the aorta is again noted.
shortness of breath and hypoxia.
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both lungs are well expanded and clear. there are no lung opacities concerning for pneumonia. heart size is normal, mediastinal and hilar contours are unremarkable. both pleural spaces are normal.
cough, wheezing, and fever; to rule out infiltrate.
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frontal and lateral radiographs of the chest demonstrate mild atelectasis at the right base. the cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation. old healed right rib fracture.
history: <unk>m with chest pain // r/o acute process
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pa and lateral views of the chest. the lungs are clear. cardiac silhouette is normal in size. hilar and mediastinal contours are normal. no pleural or pericardial effusion. no evidence of pneumothorax.
abdominal pain and vomiting.
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frontal and lateral radiographs of the chest demonstrate stable mild cardiomegaly. the mediastinal and hilar contours are normal. clear lungs. no pleural effusion or pneumothorax.
chest pain, evaluate for acute cardiopulmonary disease.
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the lungs remain hyperinflated. no acute focal consolidation. no pulmonary edema. cardiac size is normal. no pleural effusions or pneumothorax.
<unk> year old woman with cough, diffuse rhonchi // r/o pna
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frontal and lateral chest radiograph demonstrates hyperinflated clear lungs. there are no masses or nodules identified. the cardiomediastinal and hilar contours are unremarkable. no pulmonary edema. there is no pleural effusion or pneumothorax.
<unk>-year-old male with recent pneumonia. history of smoking. evaluate for abnormality.
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pa and lateral views of the chest. the lungs are clear consolidation, effusion, or pulmonary vascular congestion. the cardiomediastinal silhouette is within normal limits. hypertrophic changes are seen in the spine. no acute osseous abnormality detected.
<unk>-year-old male with hypoglycemia.
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the cardiomediastinal silhouette and pulmonary vasculature are unremarkable. the lungs are clear. there is no pleural effusion or pneumothorax. the bones are unremarkable aside from dextroscoliosis of the thoracic spine.
<unk>m with intermittent pleuritic r chest pain
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ap portable upright view of the chest. lung volumes are low. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact.
<unk>m with alcohol intake for the past <num> days, with borderline hypotension. ?pneumonia
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frontal and lateral radiographs of the chest were acquired. as before, there is a left-sided pacemaker with associated right atrial and right ventricular leads. heterogeneous opacities in the right lower lobe are new compared to the prior radiographs from <unk>, concerning for either aspiration pneumonitis or pneumonia. there is minimal left basilar atelectasis. a small right pleural effusion is not significantly changed in size. the heart size is top normal. the mediastinal contours are normal. aortic knob calcifications are seen. there is no pneumothorax. there is evidence of a calcified left ventricular aneurysm, better seen on prior ct from <unk>.
history of congestive heart failure, presenting with shortness of breath. evaluate for chf or pneumonia.
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frontal and lateral radiographs of the chest were acquired. the lungs are clear. the heart size is normal. the mediastinal contours are normal. there are no pleural effusions. no pneumothorax is seen.
prolonged cough, nonsmoker. assess for bronchitis and rule out pneumonia.
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the cardiomediastinal and hilar contours are within normal limits. the lungs show no focal consolidation, pleural effusion or pneumothorax. no pulmonary edema. there is mild blunting of the left costophrenic angle which may be due to scarring. there is deformity of the right fifth rib, likely related to prior trauma.
history: <unk>m with cp // evidence of pneumonia, pneumo
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the cardiomediastinal silhouette is stable indicative of at least mild cardiomegaly. metallic density overlying the left hilum is unchanged. the hila are otherwise unremarkable. there is no pulmonary vascular congestion or pulmonary edema. there is no focal lung consolidation. there is no pneumothorax sizable pleural effusion. vascular stent/graft overlies the left axilla. surgical clips seen at the thoracic inlet on the left.
<unk>m with fever and rash, evaluate for pneumonia.
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right-sided port-a-cath tip terminates in the mid svc. the cardiac, mediastinal and hilar contours are unchanged with fullness of the right paratracheal stripe and hila bilaterally compatible with underlying lymphadenopathy as seen on the prior pet-ct. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
fever.
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the patient is status post median sternotomy. heart size is normal. mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. lung volumes are low. mild atelectasis is noted at the lung bases, with no focal consolidation. no pleural effusion or pneumothorax is present. there is no focal consolidation. there are no concerning osseous abnormalities.
history: <unk>f with myasthenia presents with shortness of breath
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pa and lateral views of the chest. median sternotomy wires are in appropriate position. lungs are clear. there is no focal parenchymal opacities concerning for pneumonia. the heart size is normal. the aorta is tortuous but nondilated. the pleural surfaces are normal. no pleural effusion or pneumothorax.
evaluate for pneumonia.
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frontal and lateral chest radiographs were obtained. the right basilar pneumothorax has partially re-expanded with a persistent right pleural effusion remaining. there may be some loculated collections of air within the effusion. again seen is a large apical and paramediastinal consolidation, likely secondary to a hydrothorax or fibrosis. the previously seen left hilar and right base consolidations have essentially cleared. heart size is normal. mediastinal contours are within normal limits. the right basilar chest tube appears to be in unchanged position. a right-sided port is again seen with a catheter tip in the cavoatrial junction.
patient with history of right empyema, check interval change.
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single frontal view of the chest. left picc terminates at the superior cavoatrial junction. internal drainage cbd catheter, cbd stent, and percutaneous cholecystostomy tube are stable. known right pleural effusion is distributed in a slightly different configuration on today's exam, but the overall volume of effusion is unchanged. the left lung is clear. no pneumothorax.
cholangiocarcinoma now with fevers and cough.
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pa and lateral views of the chest <unk> at <time> are submitted.
<unk> yo male with fever to <unk> f at home and increased wheezing, o<num> sats normal // evidence of pna? evidence of pna?
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a swan-ganz catheter ends in the region of the right main pulmonary artery. a cardiac valve is in unchanged position. multiple surgical drains project over the mediastinum. apparent right and left chest tubes are in unchanged position. an endotracheal tube ends in mid thoracic trachea. an apparent enteric tube is only able to be seen to the level of the distal esophagus likely due to technique. a right picc ends in the region of the low svc. pulmonary edema has improved. atelectasis is noted at the lung bases bilaterally.
<unk> year old man with mech avr bentall // eval for pneumothorax
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pa and lateral views of the chest. relatively low lung volumes are seen. the lungs, however, are clear without focal consolidation, effusion or pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is identified.
<unk>-year-old male with chest pain.
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no evidence of focal consolidation. stable chronic interstitial densities bilaterally related to emphysema. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
<unk> year old woman with c/o productive cough x few weeks. pmh of copd, pna. smoker. // r/o pna
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there is a right basilar opacity which may reflect pneumonia. the heart size is normal. the mediastinal contours are normal. there is a small hiatal hernia, best seen on the lateral radiograph.
<unk>-year-old male with syncope.
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lung volumes are low but slightly improved from the prior examination with bibasilar atelectasis. ventricular shunt tubing courses to the right hemithorax after which it is not well followed. cardiomediastinal silhouette is poorly assessed due to low lung volumes but appears unremarkable. no pneumothorax is seen.
seizures, assess for acute process.
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at the left base, there is a suggestion of a rounded opacity behind the cardiac silhouette, which was not definitely present on the prior exam. evaluation of this region is somewhat limited due to low lung volumes. biapical left worse than right scarring is noted. no other focal opacity is identified. there is no pulmonary edema, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal. scoliosis in the upper thoracic spine is unchanged. fracture of the proximal right humerus is old.
hypoxia. evaluate for pneumonia.
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low lung volumes are low, accentuating the heart size and the interstitial markings.there mild bibasilar atelectasis. otherwise, the lungs are clear. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stably moderate enlarged.
<unk>f w/weakness, please eval for occult pna
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two frontal radiographs of the chest were acquired. the lungs are clear. the heart size is normal. the mediastinal contours are normal. there are no pleural effusions. no pneumothorax is seen. marked dextroscoliosis of the thoracic spine is noted. a contour irregularity along the lateral aspect of the left fifth rib could be a minimally displaced fracture, likely present on the prior study from <unk>. there is redemonstration of a displaced fracture through the proximal aspect of the left humerus.
status post fall with known left humeral fracture. evaluate for rib fractures.
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moderate cardiomegaly with mitral annulus calcification is unchanged from <unk>. mediastinal silhouette and hilar contours are normal. mild pulmonary edema is minimally improved with a persistent tiny left pleural effusion. lungs are otherwise without focal consolidation. there is no pneumothorax.
atrial fibrillation and severe aortic stenosis.
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subtle left base opacity could be due to atelectasis, but pneumonia is not excluded in the appropriate clinical setting. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.
history: <unk>f with cough since <unk> with pus like sputum. // cough since <unk>
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in comparison to the prior study there is persistent mild interstitial pulmonary edema. however, there is increased airspace opacification at the right upper lung. small to moderate bilateral pleural effusions persist. cardiomediastinal silhouette is stable. no pneumothorax. vascular stents are again noted in the left axilla.
<unk>m s/p kidney transplant <unk> <unk> and acute onset of sob when getting oob. breath sounds decreased bilaterally // assess for pulmonary edema/effusions
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et tube tip lies at the lower edge of the clavicular heads, approximately <num> cm above the carina. right ij swan-ganz catheter tip over proximal right pulmonary artery. left ij central line tip over distal svc. ng tube tip over gastric fundus. left paratracheal surgical clips again noted. allowing for overlying lines and tubes, no supine film evidence of pneumothorax is detected. again seen is diffuse increased alveolar opacity, allowing for technical differences, the appearance is not significantly changed compared with <unk> at <time>. no right effusion identified. possible minimal blunting of left costophrenic angle is unchanged.
<unk> year old man with new multifocal pna, s/p intubation for increased work of breathing. // evaluate for interval change
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frontal and lateral views of the chest are compared to prior from <unk>. there is diffuse increased interstitial markings in the lungs, most notably at the bases and perhaps slightly progressed from previous exam. there is no large confluent consolidation. cardiac silhouette is enlarged, but stable in configuration. degenerative changes and potentially post-traumatic changes identified at the left glenohumeral joint. hypertrophic changes are seen in the spine.
<unk>-year-old male with chest pain. question pneumonia or chf. history of nsip.
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the cardiac, mediastinal and hilar contours appear stable. the lungs appear clear. there are no pleural effusions or pneumothorax.
dyspnea.
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lung volumes are low, but there is no focal consolidation, pleural effusion, or pneumothorax. mild right basilar atelectasis. the cardiomediastinal silhouette is otherwise unremarkable.
<unk>-year-old man with syncope extend my. evaluate for acute process.
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pa and lateral views of chest. the lungs are clear aside from very minimal dependent atelectasis. there is no pneumonia, pleural effusion, pneumothorax or pulmonary edema. heart size is normal. aorta is slightly tortuous. degenerative changes of the thoracic spine are noted.
left upper lobe wheezing
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since <unk>, small left pleural effusion with associated atelectasis is increased. the right lung is clear. mild cardiomegaly is unchanged. no pneumothorax or pulmonary edema. a new hemodialysis catheter is seen with tip in the right atrium. a right picc line is seen with the tip in the distal svc. interval removal of left venous access sheath and right internal jugular central line is noted. median sternotomy wires are intact and well aligned.
<unk> year old man s/p avr/cabg on <unk> // eval for effusion
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the cardiomediastinal and hilar contours are within normal limits. there is an acute fracture in the left posterior eight rib with new small pleural effusion and atelectasis. there is no focal consolidation concerning for pneumonia. no pneumothorax.
<unk>m w. left intertrochanteric femoral fracture s/p fall from bicycle. with new o<num> requirement. // r/o pna, rib fx's r/o pna, rib fx's
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no significant change within the airspace opacity at the left mid lung zone. again seen medial right base airspace opacity, unchanged right ij port-a-cath is unchanged in position. sternotomy wires. cardiac valve replacement is noted. heart is enlarged, unchanged. again seen prominent bilateral hilar in haziness the pulmonary vascular consistent pulmonary vascular congestion. this preliminary report was reviewed with dr. <unk>, <unk> radiologist.
<unk> year old man with hypotension of unknown origin // rule out pna or pneumonitis
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the cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax. the lungs are clear. views of the upper abdomen are unremarkable. mild loss of vertebral body height in the lower thoracic spine is unchanged, and of uncertain etiology.
<unk>-year-old with syncope and left rib pain // eval for sob, left rib pain, syncope cardiomegaly .
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lung volumes have decreased since the previous study. multiple bullae in the upper lobes and increased interstitial markings in the lower lobes reflect emphysema. increased opacity in the mid right lung, suggesting consolidation in the anterior segment of the right upper lobe or superior segment of the lower, could be pneumonia, but is not clearly corroborated on the lateral view. heart is normal size and cardiomediastinal contours are unremarkable. no pleural abnormality is present.
<unk>-year-old man status post tace with fever, evaluate for pneumonia.
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mild enlargement of the cardiac silhouette is unchanged. mediastinal and hilar contours are similar. pulmonary vasculature is not engorged. blunting of the costophrenic angles bilaterally could suggest chronic pleural thickening or trace pleural effusions. no focal consolidation, large pleural effusion or pneumothorax is present. no acute osseous abnormality is detected. mild degenerative changes are noted in the thoracic spine.
history: <unk>f status post fall, bruising and swelling on both knees // fractures or dislocations in knees
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single ap view of the chest provided. an et tube ends <num> cm above the carina. an orogastric tube extends below the level of the diaphragm, the distal tip is not visualized. a left picc ends at the distal svc. retrocardiac and left basilar consolidation is unchanged. there is suggestion of a mild leftward shift of mediastinal structures, however this may be due to rotation. no pleural effusion or pneumothorax. hilar contours are normal.
<unk> year old woman with increased secretions // ?pna
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the cardiac, mediastinal, and hilar contours appear unchanged. there is persistent opacification of the left lower hemithorax with a suspected moderate pleural effusion. persistent multifocal opacities in the right lung as well as a small band-like left mid lung opacity suggest multifocal atelectasis. there is a small area of vague lucency near the prior entry site of the right-sided chest tube which suggests there may be a trace loculated pneumothorax in the area as well as minimal subcutaneous emphysema. however, the lung is expanded and there are no other areas of suspected intrathoracic air. <unk> project along the base of the left neck.
status post esophagogastrectomy. status post removal of right-sided chest tube.
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since the prior chest radiograph performed earlier on the same date, the endotracheal tube has been advanced, and now terminates <num> cm above the carina. enteric tube terminates in the superior fundus of the stomach. right central venous catheter introducer sheath terminates in the mid svc. adjacent right-sided picc also terminates in the mid svc. evaluation of the lung parenchyma reveals multifocal patchy opacities likely representing underlying infectious process. this has progressed from the most recent chest radiograph performed earlier on the same date, and suggests a component of underlying vascular congestion. no pleural effusion or pneumothorax. heart size is top-normal.
<unk> year old man with resp failure, ett advanced today // eval ett repositioning
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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 cp
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there is increased opacity at both bases compatible with volume loss within without associated underlying infection. old rib fractures, hiatal hernia, and are again visualized. the heart is normal in size. aortic calcifications are again seen.
left lower lobe pneumonia with decreased breath sounds at the right base.
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low bilateral lung volumes with increasing bibasilar opacities which may reflect atelectasis and/or consolidation. there is unchanged mild pulmonary edema. no pleural effusion or pneumothorax identified. the size the cardiac silhouette is enlarged but unchanged.
<unk> yom with a history of dm<num> on insulin pump presents as transfer from osh with mvc in the setting of hypoglycemia and v. tach cardiac arrest likely <unk> hyperkalemia, now with increasing oxygen requirement. // evidence of consolidation, interval change
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there are new bibasilar opacities, right greater the left. superiorly, the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>m with hypotension, chest pain // eval for acute process, pe, infection
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frontal and lateral views of the chest. no prior. the lungs are clear of focal consolidation or effusions. mild bibasilar atelectasis is seen on the frontal view. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable.
<unk>-year-old male with cough and fevers. weakness.
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prior et, enteric, and right-sided central venous catheter are no longer visualized. the degree of pulmonary edema appears worse. there is no large effusion or focal consolidation. cardiac silhouette is enlarged but similar compared to prior.
<unk>f with hx of chf w/ cp, sob // eval for pulm edema
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portable ap upright chest film <unk> at <time> is submitted.
<unk> year old man with s/p evacuation of pericardial effusion via mediansternotomy // eval ptx eval ptx
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focal opacity in the left lower lobe consistent with left lower lobe pneumonia. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unchanged.
<unk> year old man with fever, cough, sob, crackles l base // pna
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac silhouette is top-normal.
history: <unk>f with cough // pna?
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heart size is normal. cardiomediastinal silhouette and hilar contours are unremarkable. subtle areas of increased density at the lung bases is again demonstrated with <num> mm nodular opacity in the right lung base in approximate location of previously seen <num> mm nodule on prior ct. no dense consolidation. pleural surfaces are clear without effusion or pneumothorax. biapical scarring is moderate.
recurrent chest pain with history of copd.
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lungs are fully expanded. faint linear densities at the left lung base likely reflect atelectasis or scarring adjacent to a moderate hiatal hernia. no focal consolidation. no pleural abnormalities. heart size is normal. cardiomediastinal and hilar silhouettes are normal.
<unk>m with ftt
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pa and lateral views of the chest. the lungs are clear. the cardiomediastinal silhouette is normal. no acute osseous abnormality identified.
<unk>-year-old female with shortness of breath.
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the lungs are hyperexpanded with flattening of the hemidiaphragms, suggesting emphysema, similar to the prior exam. a sub-cm, round opacity over the left anterior third rib is overall similar and appears to have a correlate on the lateral view. this could represent a pulmonary nodule or rib lesion. calcified granulomas in the right upper lobe are unchanged. streaky linear opacities in the right middle lobe are new from the prior exam, best appreciated on the lateral view, likely atelectasis. no pleural effusion or pneumothorax. heart size and extensive aortic knob calcifications are unchanged. nonspecific gaseous distension of partially visualized loops of bowel are similar to the prior exam.
history: <unk>m with hx of copd and hypoxic. evaluate for pneumonia.
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ap upright and lateral views of the chest provided. right basal opacity persists and remains concerning for pneumonia. subtle streaky perihilar opacities may also reflect an atypical infection. no pneumothorax is seen. there are small bilateral pleural effusions. the cardiomediastinal silhouette appears stable. bony structures are intact. subchondral cystic changes of the left shoulder noted.
<unk>f with fever, cough, rll ronchi // eval ? infiltrate
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there is stable appearance of the left hemithorax status post left pneumonectomy with a large hydropneumothorax. calcification in the aortic knob are noted. the heart cannot be assessed. the right lung remains hyperinflated but clear with no pleural effusion, pneumothorax, or focal consolidation concerning for pneumonia.
assess for interval change after left pneumonectomy.
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as compared to the previous radiograph, the monitoring and support devices are constant and in good position. mild cardiomegaly. asymmetric right greater than left pulmonary interstitial edema has improved in is now mild. bibasilar atelectasis, right greater than left. . no pneumothorax.
<unk> year old man with respiratory failure, cirrhosis and ams, currently intubated // eval for interval change
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frontal and lateral views of the chest. the lungs are clear of focal consolidation, effusion or pneumothorax. the cardiac silhouette is slightly enlarged but similar compared to most recent prior. hypertrophic changes are seen in the spine and orthopedic hardware in the right humeral head.
<unk>-year-old male with shortness of breath. question effusion.
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et tube terminates <num> cm above the carina. lung volumes are low. there are bibasilar linear opacities likely atelectasis. no lobar consolidation noted. there is cardiomegaly and bilateral small pleural effusions. metallic hardware projects over the lumbar spine, partially visualized.
<unk> year old man with ett, fever <num>, plan to extubate, pls eval for pna // <unk> year old man with ett, fever <num>, plan to extubate, pls eval for pna
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again seen is hyperinflation consistent with background copd. cardiomediastinal silhouette is unchanged at the upper limits of normal or slightly enlarged. there is upper zone redistribution. there is more focal hazy opacity in the right perihilar region, similar to the chest x-ray from <unk> and similar or slightly more pronounced compared with <unk>. there is subsegmental atelectasis in the retrocardiac region, increased. there is minimal blunting of the left costophrenic angle on the ap view and, on the lateral view, a small pleural effusion is present, new compared with a lateral film from <unk>. again seen is slight pleural thickening at the left chest wall inferiorly which appears to relate to an old healed rib fracture.
<unk> year old woman with cardiac amyloid and leukocytosis. // please evaluate for possible infection.
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ap and lateral views of the chest are compared to previous exam from <unk> and ct from <unk>. nodular mass projecting over the left mid lung is again seen, compatible with patient's known lung cancer. as on prior, there is elevation of the left hemidiaphragm. left basilar linear atelectasis is also seen. there is no effusion or large consolidation. cardiac silhouette is stable. catheter projects over the anterior right chest wall. osseous and soft tissue structures are otherwise unremarkable.
<unk>-year-old female with history of lung cancer, presenting with lightheadedness.
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the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. the osseous structures are unremarkable, though the asymmetry of the chest cage which was visible on ct would be difficult to appreciate on chest radiographs.
worsening prominence of the left anterior chest wall.
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the lungs are clear without focal consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>m with chest pain, dyspnea, tachycardia // eval for pna
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the lungs are clear, the cardiomediastinal silhouette and hila are normal. there is no pleural effusion and no pneumothorax.
this is a <unk>-year-old with afib.
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right-sided picc line ends in the mid svc. the enteric catheter traverses past the diaphragm; however, coiling is noted within the throat region. consolidation in the left lobe is seen and is described in further detail in other imaging reports. no pleural effusion or pneumothorax is noted. the cardiac silhouette and mediastinal contours are unchanged from previous radiographs. no definite bony abnormalities are noted.
<unk>-year-old male with hepatitis c cirrhosis status post transplant, worsening tachypnea, evaluate for aspiration or developing pneumonia.
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low lung volumes are again noted with secondary crowding of the bronchovascular markings. superimposed vascular congestion is also suspected. cardiac enlargement is similar compared to prior. there is no large pleural effusion.
<unk>f with s/p fall down, cellulitis, uti, rhabdo // ?pulm edema
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endotracheal tube terminates approximately <num> cm above the level of the carina. no lobar consolidation is seen. the left costophrenic angle not fully included on the image from the given this, no pleural effusion is seen. there is moderate pulmonary vascular congestion with interstitial edema. cardiac silhouette is top-normal. mediastinal contours are unremarkable. hila are slightly prominent, possibly related to fluid overload.
history: <unk>m with cardiac arrest*** warning *** multiple patients with same last name! // eval tube placement
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the cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. bibasilar atelectasis is present. the pulmonary vasculature is within normal limits.
tachycardia.
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ap and lateral views of the chest. compared to prior study, the small bilateral pleural effusions have decreased. mild bibasilar atelectasis is redemonstrated. there is no focal consolidation and no pneumothorax. previously noted mild pulmonary edema has improved. the cardiomediastinal and hilar contours are stable.
right-sided chest pain.
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pa and lateral views of the chest are compared to previous exam from <unk>. the lungs remain clear of focal consolidation or effusion. prominent extrapleural fat is seen at the bases bilaterally. cardiomediastinal silhouette is stable in appearance as are the osseous and soft tissue structures.
<unk>-year-old male with pleuritic chest pain.
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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 appear within normal limits. there has been no significant change.
hyperglycemia.
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two portable frontal chest radiograph were obtained. a large right upper lobe mass consistent with known non-small cell lung cancer is grossly unchanged since <unk>. a small right-sided pleural effusion has reaccumulated since pleurx catheter placement on <unk>. extensive bibasilar opacities compatible with known metastatic disease are similar. cardiomegaly is unchanged.
<unk>-year-old man with non-small cell lung cancer presenting with worsening shortness of breath.
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there is stable moderate to severe cardiomegaly with normal vasculature, suggesting possible pericardial effusion or cardiomyopathy. the retrocardiac opacification appears less dense, suggesting improvement of atelectasis or consolidation. there is likely a small to moderate left pleural effusion, and a small right pleural effusion. there is no pulmonary vascular congestion or pneumothorax. there is probably an old, well healed fracture of the left anterior second rib.
<unk> year old man with hcap. // assess interval change
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there has been interval placement of a left pigtail catheter with minimal improved aeration of the left mid lung but persistent opacification of the remainder of the left hemithorax. the pigtail catheter appears somewhat folded distally. large left pneumothorax is decreased in size with return of the mediastinum to midline. small right pleural effusion is unchanged. the left heart border is obscured and heart size is not well evaluated. a left pacemaker has leads terminating in the right atrium and right ventricle. a right picc terminates in the mid svc. atelectasis at the right base is unchanged. there is no large pneumothorax. the thoracic aorta is calcified.
left pleural effusion status post pigtail placement.
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port-a-cath tip terminates in the lower svc. in gj tube is in the stomach but the side port is at the gastroesophageal junction. cardiomediastinal silhouette is unremarkable. lungs are clear. there is no pleural effusion or pneumothorax.
<unk> year old man s/p robotic proctectomy now p/w ileus; ngt placed // confirm ngt location
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pa and lateral views of the chest were provided. clips are again noted in the left axilla. low lung volumes without definite signs of pneumonia or chf. cardiomediastinal silhouette is stable with atherosclerotic calcifications along the aortic knob. bony structures appear intact.
<unk>-year-old female with cough assess for pneumonia.
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frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs which are without focal consolidation, pleural effusion, or pneumothorax. the visualized upper abdomen is unremarkable.
evaluate for pneumonia in a patient with shortness of breath and fever.