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ap and lateral views of the chest. there is no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal contours are normal. there is no rib fracture identified.
pain after motor vehicle collision.
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portable semi-upright radiograph of the chest demonstrates low lung volumes with resulting bronchovascular crowding. there is increased opacification at the right lung base consistent with aspiration and atelectasis. there is engorgement of the pulmonary vasculature without frank pulmonary edema. the cardiomediastinal and hilar contours have returned to the approximate baseline level. endotracheal tube ends <num> cm from the <unk>, but is impinging on the sidewall of the trachea. nasogastric tube courses into the stomach and out of field of view. there is no pneumothorax, pleural effusion or consolidation.
<unk>-year-old man status post pea arrest. evaluate for et tube position.
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an enteric tube courses below the diaphragm with the tip and side port in the stomach. a right internal jugular central venous catheter is present with the tip at the cavoatrial junction. since the prior exam, the endotracheal tube has been removed. bibasilar atelectasis and moderate pleural effusions are not significantly changed. vascular engorgement is slightly improved. there is no pulmonary edema. there is no pneumothorax. the cardiomediastinal silhouette is stable.
assess new ng tube placement.
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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. elevation of the right hemidiaphragm is unchanged. mild degenerative changes are noted involving the thoracic spine. multiple chronic left-sided rib fractures are again demonstrated with fixation hardware seen involving the left fifth through eighth ribs. comminuted fracture of the left midclavicle is chronic.
<unk>m with motorcycle crash <unk> with residual bony injury, which is unclear, presenting with acute severe left shoulder pain today after getting up from a chair. tenderness to palpation right shoulder and sternum.
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pa and lateral views of the chest demonstrate normal lung volumes. there is no focal consolidation, pleural effusion, or pneumothorax. hilar and mediastinal silhouettes are unremarkable. heart size is normal. there is no pulmonary edema. partially imaged upper abdomen is unremarkable.
patient with fever and cough. assess for pneumonia.
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the cardiomediastinal and hilar contours are within normal limits. lungs are well expanded and clear. there is mild blunting of the right costophrenic angle which could relate to small pleural effusion. there is no focal consolidation or pneumothorax.
chest pain on inspiration. rule out acute process.
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the heart size is mildly enlarged. the aorta is unfolded and diffusely calcified. the pulmonary vascularity is normal. streaky bibasilar airspace opacities likely reflect atelectasis. there is no focal consolidation, pleural effusion or pneumothorax. no acute osseous abnormalities are seen. linear <num> cm radiopaque density projecting over the left upper abdomen may reflect ingested contents.
nausea and vomiting.
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ap and lateral views of the chest. previously seen right picc and enteric tubes are no longer visualized. the lungs are clear without consolidation, effusion or pulmonary vascular congestion. known interstitial opacities in the lungs are not clearly delineated on these films. no acute osseous abnormality is identified.
<unk>-year-old with shortness of breath.
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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 slurred speech
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the heart size is moderately enlarged and are moderate bilateral pleural effusions are slightly increased compared to the prior study. there is pulmonary vascular redistribution.
<unk> year old man with chf now with hypoxic episode and labored respirations // evaluate for pneumonia, pulmonary idea
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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 recent ptx // ? ptx
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the lungs remain clear with no nodules, hilar mass or focal consolidation to suggest pneumonia. heart and mediastinal contours appear unchanged and no suspicious bone lesion is seen.
<unk> year old woman with left renal mass // ? lung lesion
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dual lead left-sided pacemaker is stable in position.there is mild elevation of the right hemidiaphragm and mild right basilar atelectasis. no focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable and unremarkable.. multilevel osteophytes are seen along the thoracic spine, most prominent in the lower thoracic spine.
history: <unk>m with pacer, parox afib, recent pacer interrogation w/ palpitations, presyncope, chest tightness // eval ? edema, infiltrate
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a hiatal hernia is again noted projecting over the cardiac shadow. heart appears to be enlarged. thoracic aorta is tortuous. cardiomediastinal contours are unchanged compared to the prior study. lungs are clear with no evidence of focal infiltrates. no pleural effusions and no pneumothorax.
<unk>-year-old gentleman with cough, evaluate for pneumonia.
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ap upright and lateral views of the chest provided. vp shunt tubing traverses the left hemi thorax. lung volumes are low though allowing for this, there is no definite evidence for pneumonia, edema, effusion or pneumothorax. crowding of bronchovascular markings in the lower lungs and perihilar region does limit the evaluation. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>m with fever. // pneumonia?
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multiple clips are noted within the left mediastinum. cardiac, mediastinal and hilar contours are within normal limits. coronary artery stents are again noted. pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is present. no acute osseous abnormality is detected. clips in the right upper quadrant of the abdomen indicate prior cholecystectomy.
history: <unk>f with chest pain, left lower extremity pain
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interval increase in perihilar opacities, pulmonary vascular congestion and widespread opacity. moderate cardiomegaly with new small left-sided pleural effusion. no pneumothorax.
<unk> year old man with new pulmonary infiltrates, ?pulmonary hemorrhage ?fungal infection // ?pneumothorax, other reason for acute onset hypoxemia
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heart size is normal. the aorta remains tortuous but unchanged. the mediastinal and hilar contours are unremarkable and the lungs are clear. the pulmonary vascularity is normal. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
right mid back pain.
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pa and lateral views of the chest. a left icd device is seen with its tip in the right ventricle. a right-sided chest tube has its tip in the medial right mid hemithorax. subcutaneous emphysema mostly on the right including the right pectoralis muscle as well as the right and left side of the neck is unchanged. small right apical pneumothorax is unchanged. tiny pleural effusions are unchanged. no consolidation. the cardiac, mediastinal, and hilar contours are normal.
status post mediastinoscopy and vats right upper lobe and right middle lobectomy for adenocarcinoma, rule out pneumothorax.
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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 portable chest examination of <unk>. the heart size is at the upper limit of normal variation. there is a mild prominence of the left ventricular contour, but no other configurational abnormalities are seen. thoracic aorta mildly widened and elongated but no local contour abnormalities are present. 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 acute parenchymal infiltrates are present. there is a mild degree of right-sided diaphragmatic elevation. a finding, however, which existed already on the preceding portable chest examination. skeletal structures of the thorax grossly within normal limits.
<unk>-year-old female patient with history of ovarian cancer with dyspnea, cough and sharp pain for nearly <num> weeks, assess for acute process.
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heart size remains moderately enlarged. the mediastinal contour is similar with a moderate size hiatal hernia re- demonstrated. the aorta is diffusely calcified. mild pulmonary vascular congestion is not substantially changed in the interval. no focal consolidation or pneumothorax is detected of the right costophrenic angle is excluded from the field of view. trace bilateral pleural effusions likely are unchanged. several left chest wall clips are again noted.
history: <unk>f with hypoxia
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lungs are relatively hyperinflated. left midlung pleural-based scarring is again seen. the lungs are clear of consolidation effusion, or vascular congestion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.
<unk>m with fall, orthopnea // r/o chf, fx, ich
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pa and lateral views of the chest. previously seen multifocal pneumonia has significantly decreased with some residual streaky opacities in the right mid lung and left mid lung. no new consolidations. trace right pleural effusion is new compared to prior study. no pneumothorax. cardiomediastinal and hilar contours are normal.
recent multifocal and cavitary pneumonia, status post antibiotic course, evaluate for interval resolution.
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a right-sided port-a-cath tip projects in the mid svc. the cardiomediastinal silhouette is normal. a left-sided effusion is small, if any. right lower lobe interstitial abnormality is mild, without focal consolidation or pneumothorax.
<unk>m with sob, cough, r-sided pleuritic cp. evaluate for acute process.
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small foci of linear scarring are seen in the right middle and left lower lobes. there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema identified. a stable, mild area of indentation is seen along the right lateral aspect of the trachea, likely secondary to the patient's known enlarged thyroid. the heart size is normal. mediastinal and hilar contours are normal. redemonstrated are several thoracic vertebroplasties, unchanged and appearance from the prior examination.
persistent cough.
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heart size is mildly enlarged. the aorta slightly tortuous. hilar contours are within normal limits. the pulmonary vasculature is mildly engorged. subsegmental atelectasis is demonstrated in both lung bases without focal consolidation. no pleural effusion or pneumothorax is present. chronic deformities of several left sided posterior ribs with cerclage wires are noted.
history: <unk>f with recently diagnosed afib on coumadin now with hemoptysis and leg swelling
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cardiac silhouette remains enlarged but unchanged from prior study. again appreciated is an intra-aortic balloon pump with the tip terminating <num> cm caudal to the aortic knob, in appropriate position. bilateral widespread parenchymal opacities with perihilar predominance is slightly increased compared to prior study and has progressively increased since <unk> compatible with progressive pulmonary edema. small bilateral pleural effusions are unchanged. there is no pneumothorax.
critical aortic stenosis with iabp placed two days ago.
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the cardiac silhouette size remains mild to moderately enlarged. the aorta is tortuous. right juxtahilar mass resulting in right middle lobe collapse appears unchanged compared to the previous exams. lungs are hyperinflated with emphysematous changes again demonstrated. small bilateral pleural effusions persist. left lower lobe atelectasis is again noted, and no new focal areas of consolidation are present. scarring within the lung apices is re- demonstrated. the patient is status post right upper lobectomy. no pneumothorax is present. multiple compression deformities within the mid and lower thoracic and upper lumbar spine are unchanged.
history: <unk>f with blood in stool, history of lung cancer status post right upper lobectomy
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nasogastric tube seen with tip in the gastric body, side port past the ge junction in appropriate position. streaky bibasilar opacities are again. more confluent left basilar opacity seen silhouetting the hemidiaphragm, which could represent a superimposed effusion.
<unk>-year-old male with ng tube placement.
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heart size is normal and mediastinal contours are stable. lung volumes are low but the lungs are clear without focal consolidation, pleural effusion, or pneumothorax. no pneumoperitoneum.
<unk>f with recent bowel resection / anastamosis, vomiting // evaluate for abdominal free air
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pa and lateral views of the chest demonstrate the lungs are well expanded and clear. there is no evidence of pneumonia, pulmonary edema, pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable.
<unk>-year-old female with blood-tinged sputum. evaluation for pneumonia or bronchitis.
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the lungs are hyperinflated, which may relate to chronic obstructive pulmonary disease. no focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are unremarkable. aortic knob calcification is seen. some degenerative changes are seen along the spine.
history: <unk>m with sdh, eval for interval change // eval for acute process
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cardiac, 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 present.
fever, sore throat.
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pa and lateral views of the chest provided. vague nodular opacity projecting over the left mid lung as on prior chest radiograph has been previously characterized as a bone island within the left posterior sixth rib and is also seen on today's exam. aside from this, the lungs are clear without 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 chest pain // assess for infiltrate, ptx, effusion
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extensive bilateral scattered round, cannonball focal opacities throughout both lungs, which do not appear significantly different when compared to the scout film on <unk>. the cardiomediastinal silhouette and hila are unchanged. no pleural effusion or pneumothorax. no acute osseous abnormality.
<unk>-year-old woman with metastatic endometrial carcinoma; evaluate tumor response.
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the cardiomediastinal and hilar contours are within normal limits. there is redemonstration of calcified granulomas in the right upper and mid lung, not significantly changed from prior examination. biapical opacities are stable, right worse than left, with pleural thickening, scarring, and upward retraction of the pulmonary hila, as seen before. no new focal consolidation, pleural effusion or pneumothorax.
night sweats, cough, history of tuberculosis. evaluate for infiltrate.
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the visualized mediastinal structures are unremarkable. there is no cardiomegaly present. there is no evidence of effusion. no focal consolidations or infiltrates. interval resolution of right-sided pneumothorax.
<unk> year old man s/p trauma with right pneumothorax // please eval pneumothorax
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there is a dual-lead pacemaker/icd device, which appears unchanged. the cardiac, mediastinal and hilar contours appear stable. calcified pleural plaques along the left mid to upper left hemithorax appear similar. the degree of pleural thickening and a possible small effusion of the left appear unchanged since the more recent of the two prior radiographs. a left basilar opacity has continued to improve, however.
chest pain and hypotension.
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the lungs are hyperinflated, consistent with copd. no pleural effusion, pneumothorax, pulmonary edema or focal opacity is identified. the cardiomediastinal silhouette is unremarkable.
bilateral lower extremity edema and shortness of breath with hypoxia. evaluation for pneumonia.
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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 effusion. no evidence of pneumothorax.
increased white count
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the lungs are normally expanded. faint opacity at the left base is not visualized on the lateral view. there is no pleural effusion or pneumothorax. the mediastinal and hilar contours are normal. the heart is not enlarged.
altered mental status. evaluate for acute process.
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status post right thorax pigtail catheter removal, there is mild interval increase in size of a small to moderate right apical pneumothorax. also new is a right moderate to large pleural effusion. the trachea and mediastinum are midline. median sternotomy wires are in good alignment and intact. a small left pleural effusion is present.
<unk> year old man with right sided pleural effusion drain via chest tube that was removed today. // any complications of chest tube removal?
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the lungs are well-expanded. mild interstitial markings are unchanged compared to <unk> and likely reflect a component of chronic interstitial lung disease. the lungs are otherwise clear. no pleural effusion or pneumothorax. heart size is again top normal. cardiomediastinal and hilar silhouettes are unremarkable, again noting marked tortuosity of the ascending and descending thoracic aorta. mild rightward deviation of the trachea is likely related to aortic tortuosity. incidental note is made of severe osseous demineralization.
<unk>f with dyspnea.
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the heart size is normal. the mediastinal and hilar contours are within normal limits. lungs are clear. no focal consolidation, pleural effusion or pneumothorax is identified. no acute osseous abnormalities are seen.
midline chest pain for <num> hour.
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single ap view was reviewed. overlying soft tissue obscures the lower chest. apparent cardiomegaly is exacerbated by a right epicardial fat pad. mediastinal and hilar contours are normal. there is subsegmental atelectasis, increased compared to the prior study. there is no pulmonary edema. no focal consolidation concerning for pneumonia is seen.
cough, evaluate for cardiopulmonary process.
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frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs. there is no focal consolidation, pleural effusion, or pneumothorax.
evaluate for pneumonia in a patient with confusion.
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pa and lateral views of the chest. the lungs, heart, mediastinum, and pleural surfaces are normal. no evidence of pneumonia. no pneumothorax.
<unk>-year-old woman with hiv, productive cough and chest pain, no fever, evaluate for infectious source.
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patient is status post coronary artery bypass graft surgery. the cardiac, mediastinal and hilar contours appear stable. the lungs appear clear. there are no pleural effusions or pneumothorax.
ischemia on mr. <unk>: chest, pa and lateral.
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frontal and lateral chest radiograph demonstrates a small right pleural effusion better identified on ct dated <unk>. there is an additional focal opacity at the right lung base likely atelectasis, but in the appropriate clinical setting may represent pneumonia. there is distension of the central vessels as well as mild vascular pulmonary congestion consistent with mild heart failure. these findings also account for the widened vascular pedicle and azygous distension. there is no pneumothorax. previously identified left thyroid goiter as documented on ct <unk> is identified with deviation of the trachea to the left side.
<unk>-year-old female with <num> months of increased dyspnea on exertion. evaluate pleural effusion identified on <unk> chest ct.
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pa and lateral chest radiographs were provided. the lungs are well expanded. there is no focal consolidation, pleural effusion or pneumothorax. punctate calcification projecting over the right upper lung maybe due to granulomas. the cardiomediastinal silhouette is top-normal in size. there is mild wedging of a mid-thoracic vertebral body.
history of renal transplant on immunosuppression with <num> week of cough. question pneumonia.
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pa and lateral chest radiographs were obtained. aeration of the lungs has improved since <unk>; peripheral opacities have cleared. a diffuse interstitial pattern of pulmonary opacity remains. minimally increased left lower lobe opacity is attributable to atelectasis. there is no effusion or pneumothorax. cardiac and mediastinal contours are normal.
hypoxia, dyspnea and history of pcp.
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the tip of the feeding tube extends into the stomach. there is mild pulmonary vascular congestion, interstitial thickening and bibasilar opacities which are likely reflective of atelectasis. no pleural effusion or pneumothorax identified. the size of the cardiomediastinal silhouette is enlarged but unchanged. incompletely evaluated left shoulder prosthesis.
<unk> year old man with s/p ex-lap for sbo now with sudden fall of spo<num> to <unk>%ra. received total of <num>l due to low uop past <num> days // pulmonary edema
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persistent cardiomegaly accompanied by pulmonary vascular congestion, mild interstitial edema and minimal pleural effusions. a persistent right infrahilar opacity is associated with volume loss and may be related to previously reported chronic right middle lobe volume loss dating back to <unk> radiographs and also evident on chest ct of <unk>. ossifications or calcifications are again demonstrated about the left shoulder joint, possibly due to synovial osteochondromatosis.
<unk> year old woman with cxr in the ed showing possible pna but pt is clinically well // any worsening of area concerning for pna on prior cxr?
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endotracheal tube tip is approximately <num> cm from the carina. enteric tube tip seen within the stomach, side-port past the ge junction. the lungs are clear without focal consolidation or large effusion. the cardiomediastinal silhouette is within normal limits. osseous structures are grossly unremarkable.
<unk>m with unresponsive // check tube placement/assess for ich
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pa and lateral views of the chest. the lungs are hyperexpanded but clear consolidation, effusion, or pneumothorax. increased lucency at the left lung apex and linear markings on the lateral raises the possibility apical bullous disease. cardiomediastinal silhouette is within normal limits. no acute osseous abnormality.
<unk>-year-old male with chest pain.
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the lungs are normally expanded and clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax.
<unk>f with right sided chest pain. evaluate for acute process.
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heart size is mildly enlarged. aorta is unfolded and demonstrates atherosclerotic calcifications at the knob. mediastinal and hilar contours are otherwise unremarkable. pulmonary vasculature is not engorged. lungs are hyperinflated without focal consolidation. no large pleural effusion or pneumothorax is visualized though the left costophrenic angle is not completely included in the field of view. cluster of calcifications are seen overlying the left lung base. no acute osseous abnormality is detected.
history: <unk>m with bradycardia
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lungs are clear. there is no effusion, consolidation, or edema. the cardiomediastinal silhouette is within normal limits. right picc tip is seen over the upper svc. no acute osseous abnormalities.
s/p picc line placement <unk> right <unk> p<unk>// s/p picc line placement <unk> right <unk> p<unk>
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the lungs are hyperinflated and hyperlucent particularly at the upper lungs compatible with known emphysema. as on the study of <unk> there is increased opacity at the left costophrenic sulcus and now worsening opacity at the right costophrenic sulcus. heart size is normal. the mediastinal and hilar contours are normal. the aortic arch is calcified. there is no large pleural effusion or pneumothorax.
history: <unk>f with pmh copd with sob/cough // eval pna, effusion
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right port-a-cath is seen with tip in the mid svc. the lungs are clear without focal opacity, pleural effusion or pneumothorax. numerous bilateral old rib fractures are identified, similar in distribution from the prior study. a moderate hiatal hernia is seen slightly more distended than on the prior study. the heart is normal in size with normal cardiomediastinal silhouette. multiple vertebral compression deformities are seen in the mid thoracic spine, similar in appearance to the most recent comparison study.
multiple myeloma for bone marrow transplant evaluation.
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frontal and lateral views of the chest. the lungs are clear without consolidation, or effusion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is detected.
<unk>-year-old female with fever.
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lung bases are well inflated. the bibasilar pleural effusion is stable, with bibasilar atelectasis. there are no new lung consolidation. heart size is normal picc line is unchanged ending in lower svc. ng tube is unchnaged ending in distal gastric cavity.
<unk> year old man with hpb cancer s/p exc. indication :edema versus pneumonia.
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the heart is of normal size with normal cardiomediastinal contours. the lungs are clear without focal or diffuse abnormalities. no pneumothorax or pleural effusion. the pulmonary vasculature is unremarkable. the osseous structures are unremarkable. no radiopaque foreign body.
shortness of breath, diffuse abdominal pain. rule out acute process.
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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.
<unk> year old woman with hx of ileal crohns s/p ileocecotomy ww/indeterminate quantiferon gold. // indeterminate quantiferon gold, starting humira for ileal crohns.
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supine frontal radiograph of the chest was reviewed. there is an et tube with tip terminating in the right mainstem bronchus. an enteric tube is seen coursing towards the stomach with distal tip off the film. the cardiac silhouette is moderately enlarged. mediastinal and hilar contours are unremarkable. median sternotomy wires and cabg markers are noted. there is no large pleural effusion or pneumothorax. there is moderate pulmonary edema. increased opacification of the right upper lobe may reflect aspiration.
post intubation, cardiac arrest.
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patient is status post median sternotomy and left-sided aicd/pacemaker device with leads terminating in the right atrium, right ventricle, and region of the coronary sinus. heart size is moderately enlarged. mediastinal and hilar contours are within normal limits. the pulmonary vasculature is normal. lungs are clear. no focal consolidation, pleural effusion or pneumothorax is present. no acute osseous abnormality is detected.
history: <unk>f with right hip fracture
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the lungs are well-expanded and clear. no focal consolidation, edema, effusion, or pneumothorax. the heart size is normal. the mediastinum is not widened. hilar contours and pleura are normal. no acute osseous abnormality.
history: <unk>f with chest pain, vomiting // eval for pna
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ap upright and lateral views of the chest provided. port-a-cath resides over the right chest wall with catheter tip extending into the region of the low svc. lung volumes are low and the patient's chin obscures the lung apices. there is a left apical opacity consistent with known necrotic mass, assessed in more detail on prior ct from <unk>. a known mass in the right lower lung appears slightly increased from prior ct though similar tube most recent chest radiograph. no convincing signs of pneumonia or overt chf. cardiomediastinal silhouette is grossly stable. imaged bony structures appear intact.
<unk>f with port // port placement?
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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. cbd stent is partially imaged in the upper abdomen.
<unk>m with fever, h/o cholangiocarcinoma // pna?
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subcentimeter pulmonary nodule represents a granuloma seen on prior ct. the lungs are otherwise clear. the cardiomediastinal silhouette is normal. there is no pneumothorax.
left lower quadrant flank pain, leukocytosis. evaluation for pneumonia.
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cardiac silhouette size is top normal. the mediastinal and hilar contours are unchanged. the pulmonary vasculature is not engorged. no focal consolidation, pleural effusion or pneumothorax is present. minimal streaky left lower lobe atelectasis is present. remote right-sided rib fractures are again demonstrated along with mild degenerative changes in the thoracic spine.
history: <unk>m with chest pain constant and escalating in nature.
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portable upright chest film <unk> at <time> is submitted.
<unk> year old woman with ivh, sah, persistently altered mental status // please evaluate for interval change please evaluate for interval change
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there is a well-circumscribed opacity at the right lung base measuring approximately <num> x <num> cm. although this obscures the right heart border, this is relatively dense and there is the suggestion of an abnormality to the underlying right tenth rib. this may reflect a chest wall abnormality rather than a true parenchymal abnormality. recommend ct chest to further evaluate. the left lung is clear. the cardiac silhouette is normal in size. there is no pleural effusion or pneumothorax. bones are diffusely osteopenic.
<unk>m with with ams and aphasia. h/o cva. evaluate for pneumonia.
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the heart size is normal. the hilar and mediastinal contours are normal. there are subtle opacities at the lung bases bilaterally. there is no evidence of pleural effusion or pneumothorax. the visualized osseous structures are unremarkable. note is made of a granuloma or a rib bone island overalying the anterior <num>st rib.
history of elevated blood sugars, nausea, please evaluate for pneumonia.
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the lungs are well-expanded and clear. the cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation.
history: <unk>m with first time seizure // pna? fluid? mass?
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ap upright and lateral views of the chest provided. this patient is known to have a large hiatal hernia which can be seen on this radiograph with gas-filled loops of colon in the retrocardiac space. bilateral pleural effusions and lower lobe atelectasis versus pneumonia appear slightly progressed from prior. upper lungs remain well aerated. there is likely a component of mild pulmonary edema. heart size is difficult to assess. bony structures appear intact. a catheter projects over the upper abdomen.
<unk>f with recent pna< pleural effusion // pna?
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a right-sided chest tube is noted, with the tip outside of the thoracic cage. there is some subcutaneous emphysema along the right thoracic wall. otherwise, there is nearly complete opacification of both lungs. a moderate pneumothorax is noted in the right. assessment of the heart could not be performed as the heart silhouette is obscured by pulmonary opacifications. mediastinal clips and sternotomy wires are sequela of a prior cardiothoracic surgery.
patient status post chest tube placement. evaluate for location of the chest tube.
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a left pectoral pacemaker is unchanged in position with two leads terminating in the right atrium and right ventricle as before. the patient is status post median sternotomy and aortic valve repair with aortic valve prosthesis, unchanged in position and intact-appearing sternotomy wires. the cardiac silhouette and mediastinal contours are mildly increased in size in comparison to the most recent prior study likely attributable to slightly decreased lung volumes compared to the prior exam. the mediastinal and hilar contours are within normal limits. hazy opacification of the bilateral lung bases is likely related to underpenetration of soft tissues on technique. there is no focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. no overt pulmonary edema is present.
cough and wheezing.
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ap single view of the chest has been obtained with patient in semi-upright position. comparison is made with the next preceding similar study of <unk>. markedly increased basal density in the right hemithorax is indicative of rapid development of pleural effusion. no significant mediastinal shift noted. left side is better aerated and shows a plate atelectasis on the base. the pulmonary vasculature does not show any marked congestive pattern and the left lateral pleural sinus remains free.
<unk>-year-old female patient with fever, confusion, evaluate for possible focal opacity, tappable pleural effusion?
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pa and lateral views of the chest are compared to previous exam from <unk>. previously identified right-sided picc line is no longer visualized. there is a focal opacity seen in the left mid lung and adjacent to the hilum, potentially due to focal infiltrate. opacity obscuring the right heart border is less conspicuous on the current exam. elsewhere, the lungs are clear and there is no effusion or pulmonary vascular congestion. cardiomediastinal silhouette is stable as are the osseous and soft tissue structures.
<unk>-year-old female with hypotension into the <unk> this a.m. and bilateral lower extremity pain. question vascular congestion or infection.
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interval withdrawal of right-sided picc line with tip terminating in the upper superior vena cava. no pneumothorax identified. nasogastric tube is seen coursing into stomach and out of view. there is a persistent right hemidiaphragm elevation with increased right lower lung consolidation, likely due to right middle lobe collapse. unchanged left retrocardiac opacity likely represents combination of atelectasis and effusion, though cannot exclude developing infectious process. pulmonary edema is unchanged. stable bilateral pleural effusions.
picc line in proximal svc has been cleaned and picc pulled out slightly, please evaluate placement.
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frontal and lateral radiographs of the chest demonstrate multiple nodular densities in the left lung field as well as a <num> x <num> cm dominant nodule at the right supradiaphragmatic region. in this patient with high-grade liposarcoma, these likely represent metastases. no pneumothorax, pleural effusion, or acute infiltrate are seen. the cardiac and mediastinal contours are unchanged. surgical clips from a prior ivc sarcoma resection are again noted.
chest pressure and dyspnea with decreased breath sounds at the right base. evaluate for effusion, infiltrate, and pneumothorax.
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patient's condition required examination in sitting position using ap frontal and left lateral views. there is status post sternotomy, apparently related to previous bypass surgery. the heart size remains within normal limits. the thoracic aorta is mildly widened and elongated, but no local contour abnormalities are identified. a wide caliber double-lumen catheter has been introduced via the left internal jugular vein and advanced so to terminate in the mid portion of the right atrium. this hd line is also well demonstrated on the lateral view in its course through the svc. the pulmonary vasculature is not congested. there is no evidence of any acute pulmonary parenchymal infiltrate. no pneumothorax in the apical area and lateral pleural sinuses are free. on the lateral view, a small amount of pleural effusion or pleural scar formation exists in the posterior pleural sinus on the left side.
<unk>-year-old male patient with history of coronary artery disease, status post bypass surgery in <unk>, end-stage renal disease on hemodialysis with tunneled catheter since <unk>. status post right radiocephalic av fistula placement on <unk>. abdominal aortic aneurysm status post evar repair on <unk>.
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the lungs are clear. the hilar and cardiomediastinal contours are normal. there is no pneumothorax. there is no pleural effusion. pulmonary vascularity is normal.
<unk>-year-old woman presenting with near-syncope and dyspnea.
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the heart is normal in size. the mediastinal contours appear within normal limits. there are patchy bilateral perihilar opacities, more extensive on the left than right, including bronchovascular opacity in the left lower lobe, which is best depicted on the lateral view. central airways appear cuffed. elsewhere, the lungs appear clear. there are no pleural effusions or pneumothorax. bony structures appear within normal limits.
cough and subjective fever.
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pa and lateral chest radiograph demonstrates a clear lungs bilaterally. no focal opacity convincing for pneumonia is identified. there is no pleural effusion or pneumothorax. cardiomediastinal and hilar contours are within normal limits. no acute osseous abnormality is detected.
<unk>-year-old male with hepatitis-c and alcoholic cirrhosis with jaundice and malaise.
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left chest wall single lead pacing device is again seen. the lungs are clear. there is no consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>f with pulm edema
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a right picc line terminates in the low svc. a biliary drain projects over the right upper quadrant. the lungs are clear. there is no pneumothorax. the heart and mediastinum are within normal limits despite the projection. there is no evidence of gastric distention.
<unk>-year-old female with metastatic neuroendocrine carcinoma with increased oxygen demand and epigastric pain. evaluate for possible gastric distension.
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portable upright ap radiograph of the chest demonstrates heterogeneous opacities in the right middle and upper lobes, concerning for pneumonia. there is also a component of mild pulmonary edema. there is no pneumothorax or pleural effusion. the heart size is top-normal.
rhonchi, dyspnea, fever, and leukocytosis in a patient with concern for aspiration pneumonia.
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the lungs are clear without focal consolidation, pleural effusion or pneumothorax. the pulmonary vasculature is not engorged and there is no overt pulmonary edema. the cardiomediastinal and hilar contours are within normal limits. no acute osseous abnormality is detected.
<unk>-year-old woman with bilateral clavicular pain, worse on the right for the past three months.
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portable semi-upright radiograph of the chest demonstrate stable focal consolidations in the bilateral bases, left greater than right, concerning for pneumonia. the cardiomediastinal and hilar contours are unchanged. endotracheal tube ends <num> cm from carina. a right-sided internal jugular central venous line ends in the distal svc. the orogastric tube ends in the stomach.
<unk> year old woman with pneumonia and septic shock, new og tube // assess interval change, og tube position
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the lungs are well inflated and clear. moderate cardiomegaly is unchanged. there is no pleural effusion or pneumothorax.
<unk>-year-old woman with chf, recent shortness of breath. evaluate for pneumonia.
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similar to scout image from <unk>, there is large area of opacity in the right upper hemi thorax in right perihilar region concerning for postobstructive pneumonia secondary to known large juxta hilar mass. the left lung remains hyperinflated. no large pleural effusion is seen. there is no evidence of pneumothorax. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with chest pain and palpitations // eval for pneumonia, chf
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costochondral calcifications are noted. no definite focal consolidation is seen. there is no large pleural effusion or evidence of pneumothorax. the lungs are relatively hyperinflated. the cardiac and mediastinal silhouettes are stable. there is diffuse osteopenia. the left humeral head is high riding, which can be seen in rotator cuff disease.
hypoxia, hypotension.
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a portable semi-erect frontal chest radiograph demonstrates an endotracheal tube terminating in the mid thoracic trachea and intact sternal wires. there is moderate cardiomegaly and marked atherosclerotic calcification. increased bilateral opacities and obscuration of the bilateral hemidiaphragms is consistent with increased mild pulmonary edema and probable small pleural effusions, superimposed on background interstitial lung disease.
evaluate for interval change in an intubated patient.
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the cardiomediastinal silhouette is enlarged, but unchanged. there is upper zone redistribution without overt chf. as before, there are bibasilar opacities. these may represent atelectasis, but increased opacity in the lower lobe on the lateral view acute difficult to exclude a pneumonic infiltrate. allowing for technical differences, the appearance is probably slightly improved compared with <unk>. no pleural effusion is identified. degenerative changes of the thoracic spine are incidentally noted.
<unk> year old woman with cough and newly detected leukocytosis // any new consolidations concerning for pna?
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lung volumes are extremely low. postoperative mediastinum is widened the cardiac silhouette is enlarged, increased from <unk>. extensive bilateral airspace opacities are consistent with severe pulmonary edema. large right and moderate left pleural effusions. left chest icd device noted.
<unk>m with stroke // eval for pna
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right-sided picc terminates in the upper svc. cardiomediastinal and hilar contours are normal. lungs are clear. the pleural surfaces are normal. sclerotic lesions in the ribs and thoracic spine are consistent with known metastases.
<unk>-year-old woman with ovarian cancer status post picc placement. evaluate picc position.
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pa and lateral chest radiographs demonstrate there is no focal consolidation, pleural effusion, or pneumothorax. the cardiac, hilar, and mediastinal contours are within normal limits. note that lateral view is limited and does not include the anterior-most portion of the chest.
chest pain. evaluate for pneumonia.
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small right pleural effusion is unchanged. right lower lobe opacity is unchanged, likely representing rounded atelectasis. moderate right pneumothorax is unchanged. bilateral calcified pleural plaques are again noted. cardiomediastinal and hilar contours are stable. left-sided pacemaker.
<unk>m with ? ptx on prior osh imaging // please do expiratory phase to r/o ptx.