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pa and lateral chest radiographs demonstrate median sternotomy wires which appear intact. surgical <unk> project over the left cardiac border. lungs are clear with linear opacity at the left lung base laterally which corresponds to subsegmental atelectasis as better appreciated on ct torso performed <unk>. there is no pleural effusion, pneumothorax, or evidence of pulmonary edema. no air under the right hemidiaphragm is present.
history: <unk>m with hx of renal transplant presenting with febrile neutropenia. // r/o pna
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since <unk>, new bilateral moderate pleural effusions are seen, right greater than left, with moderate bibasilar and retrocardiac atelectasis. mild pulmonary vascular congestion is unchanged. a focal opacity is seen in the left mid-lung, which is suggestive of pneumonia. lung volumes are low. the heart is borderline cardiomegaly. no pneumothorax. rightward tracheal deviation is again seen caused by a multinodular goiter.
<unk> year old woman with moderate as, pod<num> for l hip surgery // eval for pulm edema, aspiration
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in comparison to the chest radiographs obtained <unk>, no significant changes are appreciated. lungs are fully expanded and clear without consolidations or suspicious pulmonary nodules. no pleural abnormalities. heart size is top-normal. cardiomediastinal and hilar silhouettes are normal.
<unk> year old man with <num> days of feeling unwell, dizzy // please evaluate for pneumonia
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frontal and lateral chest radiographs were obtained. the lungs are fully expanded and clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax. diffuse sclerotic changes are present in the bones consistent with metastatic disease.
patient with history of prostate cancer with chronic cough, rule out intrathoracic abnormalities.
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as compared to <unk> radiograph, with mild cardiomegaly has slightly increased, and is accompanied by pulmonary vascular congestion, interstitial edema and small bilateral pleural effusions. focal opacity in right lower lobe partially obscures the posterior right hemidiaphragm.
<unk> year old man with pafib and presents with new onset heart failure symptoms. // assess for pulmonary edema
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frontal and lateral radiographs of the chest demonstrate normal heart size. patient is status post right medial clavicle resection. normal mediastinal and hilar contours. clear lungs. no pleural effusion or pneumothorax. no displaced rib fractures.
chest pain, prior osteomyelitis. evaluate for pneumothorax.
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the lung volumes are normal. there is increased opacity in the right lower lung corresponding to a opacity overlying the lower thoracic spine on lateral views. the cardiomediastinal and hilar contours are stable. a small right pleural effusion is possible however obscured by consolidation. no pneumomediastinum.
<unk> year old man with esophageal rupture. // interval change?
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the lungs are clear. there is no effusion or pneumothorax. the cardiomediastinal silhouette is normal. no acute osseous abnormalities.
<unk>m with cp // cardiomegaly? pna?
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pa and lateral chest radiographs demonstrate no definite focal consolidation. the lateral view also demonstrates subtle opacification at the left base which is probably representative of scarring. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. prominent anterior osteophytes of the thoracic spine are noted.
history of lymphoma presenting with fever and sore throat.
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heart size is top normal. there is a small effusion on the lateral view, side undetermined. no focal consolidation or pneumothorax. old left lateral healed rib fracture.
<unk>m with worsening liver failure, fatigue, c/f sepsis. eval for acute process.
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the tip of the right transjugular swan-ganz catheter projects over the proximal right main pulmonary artery however the catheter appears coiled within the right ventricle. there is a persisting retrocardiac opacity which likely reflects a combination of pleural fluid and atelectasis. new mild pulmonary edema. no pneumothorax identified. the size of the cardiac silhouette is enlarged but unchanged.
<unk> year old man with swan catheter for cardiogenic shock, unable to wedge // evaluate for swan catheter placement
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the right lung base opacity has improved compared to <unk>. same differential still applies; this could be re-expansion edema, pneumonia, or pulmonary hemorrhage. there is small left subpulmonic pleural effusion. cardiomediastinal silhouette is within normal size and unchanged.
<unk> year old woman with r pleurel effusion s/p drainage with reaccumulation of edema // r/o pleural effusion
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. evidence of a large hiatal hernia is seen, but not well assessed on this study. residual enteric dense contrast is seen in the partially imaged colon.
history: <unk>m with known incarcerated hiatal hernia per rads read had barium swallow earlier today. want to see where contrast moved. // contrast movement/hiatal hernia?
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bibasal atelectasis is mild. there are no lung opacities worrisome for pneumonia or aspiration. top normal heart size is similar to prior radiograph. atherosclerotic calcification in the arch and descending thoracic aorta is severe. hilar contours are unremarkable. there is no pleural effusion or pneumothorax.
<unk>-year-old woman with dementia, to look for infections.
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lungs well expanded and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is enlarged, similar prior exam.
afib with rvr.
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the heart is moderately enlarged with a left ventricular configuration, as before. the mediastinal and hilar contours appear unchanged. the lungs appear clear. there are no pleural effusions or pneumothorax. spinal curvature and degenerative changes are similar.
non-ischemic cardiomyopathy. chest pain and shortness of breath, with right leg pain.
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low lung volumes are again seen, although with improvement in the left lung haziness. the left basilar opacification is more coalescent, therefore pneumonia is seriously considered. there are small bilateral pleural effusions with small atelectatic change at the base of the right lung.
<unk> year old man with hypoxemia, leukocytosis. pneumonia? edema?
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pa and lateral chest radiograph demonstrates clear lungs bilaterally. heart size is mildly enlarged. mediastinal and hilar contours are otherwise within normal limits. there is no pleural effusion or pneumothorax. no evidence of pulmonary edema. there is no air under the right hemidiaphragm.
<unk>-year-old female slurred speech.
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compared with the prior radiograph, there is improved aeration of the right lung base, without concerning consolidation or opacity. no new opacities, focal consolidation, or pleural effusion identified. cardiomediastinal silhouette is normal.
<unk>f with cough, pna, fever. evaluate for worsening pneumonia.
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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. linear foci of gas along the right chest wall is presumably within skin folds.
<unk> year old woman with dyspnea, chest heaviness // rule out pneumonia, pulmonary congestion, acute cardiopulmonary changes
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the left internal jugular line tip is at the level of superior svc. the heart and mediastinum appear unchanged in appearance. the lung volumes are low. there appears to be persistent bibasilar atelectasis and small bilateral pleural effusions. the left lung base is difficult to evaluate given artifact from the body habitus. no definite pneumothorax is present. median sternotomy wires appear intact.
<unk>-year-old female with a history of aortic valve replacement who presents for evaluation of effusion/infiltrate.
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heart size is normal. mediastinal and hilar contours are within normal limits. lungs are clear. pulmonary vascularity is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormalities are present.
diastolic congestive heart failure with shortness of breath for several weeks.
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portable upright chest radiograph <unk> at <time> is submitted.
mr. <unk> is a <unk> year old male with history of hfref (most recent lvef <unk>%), recurrent rt exudative pleural effusion, afib on coumadin, and cad s/p nstemi who was admitted to the micu on <unk> for hypoxic respiratory failure, treated with nppv and diuresis. // interval changes. interval changes.
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stable mild to moderate cardiomegaly accompanied by worsening pulmonary vascular congestion and interstitial edema. small to moderate right and small left pleural effusions are again demonstrated with adjacent areas of bibasilar atelectasis and or consolidation, right greater than left.
history: <unk>f with sob // eval for pna
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the lungs are clear without focal consolidation concerning for pneumonia, 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.
fever and cough, here to evaluate for pneumonia.
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the lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
history: <unk>m with vision changes. evaluate for infection
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new moderate pulmonary edema is seen diffusely in the bilateral lungs, right slightly greater than left. there is mild bibasilar atelectasis. the heart is enlarged. no pneumothorax.
<unk> year old woman with sob s/p angiogram // acute change
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the study is limited due to patient rotation to the right. within this limitation, the lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. the cardiac and mediastinal contours are stable. there is no free air beneath the right hemidiaphragm.
<unk>f with elevated leukocytosis referral from nursing home // r/o pna
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portable upright half chest half abdominal study shows feeding tube tip at level of proximal stomach. the lung bases are clear and intestinal gas pattern is unremarkable. surgical clips in the right upper quadrant suggest prior cholecystectomy. mild lumbar dextroscoliosis.
<unk> year old man with stroke and dysphagia // ng placement f
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compared with the prior study, there has been resolution of the small bilateral pleural effusions. no focal consolidation or pneumothorax. biapical pleural thickening is unchanged. cardiomediastinal silhouette is within normal limits.
<unk>-year-old man with fever cough. evaluate for acute process.
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an nasoenteric tube has been removed, otherwise there has been no significant change in the supportive and monitoring equipment. pneumoperitoneum is again noted, similar in degree compared the prior study. left lower lobe atelectasis is similar in degree compared the prior study. no pleural effusion seen. no pneumothorax seen.
<unk> year old man s/p esophagectomy // <unk> <unk> am
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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. there has been no significant change.
fatigue.
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no focal consolidation is seen. no pleural effusion or pneumothorax is seen. cardiac silhouette is top-normal. the aorta is calcified and tortuous.
history: <unk>f with tib plataeu fx //
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the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear.
status post fall with confusion.
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a left pacemaker with right atrial and right ventricular leads is appropriately positioned. the lungs are clear. mild cardiomegaly is unchanged. unchanged mild blunting of the right costophrenic angle may be an a tiny pleural effusion or scarring. the mediastinal contours are normal. there is no pneumothorax. anterior wedging of a lower thoracic vertebral body is unchanged.
chest pain, evaluate for acute process.
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there is a new consolidation in the right middle lobe concerning for infection. there is no definite correlate seen on the lateral view given the positioning of her arms. again seen is minimal mid lung atelectasis/scarring. there is persistent elevation of the minor fissure. no pleural effusion or pneumothorax is seen. the aorta remains calcified. the cardiac silhouette is normal. the hilar and mediastinal contours are otherwise unremarkable.
history of cough, rule out infiltrate.
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. no pulmonary edema is seen.
<unk>f with sudden onset dizziness and nausea in setting of hypertension evaluate for acute cardiopulmonary process.
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there is no consolidation, pleural effusion, or pneumothorax. cardiac silhouette is normal size. thoracic scoliosis is unchanged. metallic density in the soft tissues of at the right lateral chest wall is again noted.
history: <unk>m with chest pain // ? acute cardipulm process
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lung volumes remain low, which leads to bronchovascular crowding. there is now mild interstitial edema. the cardiac silhouette is moderately enlarged. there is no pleural effusion or pneumothorax. a left ij central venous catheter terminates at the mid svc.
left ij placement, evaluate for position.
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the tracheostomy tube is in unchanged position. the right lung is well expanded and clear. the left lower lobe collapse is unchanged. the left tracheal shift is partially due to rotation of the patient. no new consolidation. no right pleural effusion. there is a small left pleural effusion. the cardiomediastinal silhouette is unchanged. no pneumothorax. no fractures
<unk> year old man with trach, resp failure, ll collapse // ? ll re-expansion, infiltrate
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there has been repositioning of the endotracheal tube, which now ends approximately <num> cm above the carina. an esophageal tube again is seen with both the side port and tip below the gastroesophageal junction. otherwise the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax.
patient with endotracheal tube and subarachnoid hemorrhage. confirm tube placement after repositioning.
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frontal and lateral radiographs of the chest demonstrate a right chest wall port catheter with the tip terminating in the mid portion of the svc. this is unchanged since <unk>. otherwise, the lungs are clear and the cardiac and mediastinal contours are normal.
lymphoma. assess line placement.
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semi-upright portable view of the chest demonstrates small right apical pneumothorax, which has decreased in size since study obtained four hours prior. no appreciable left pneumothorax. subcutaneous gas of the chest wall is unchanged. low lung volumes. no focal consolidation or pleural effusion. hilar and mediastinal silhouettes are unchanged. heart size is normal. trace amount of free air is seen under the right hemidiaphragm.
patient is status post nissen fundoplication. assess for right pneumothorax.
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rotated positioning. left pigtail catheter has been removed. probable small left apical pneumothorax. again seen is patchy opacity at the left lung base, likely a combination of collapse/consolidation and pleural fluid. there is also patchy opacity at the right base, similar to prior. slight upper zone redistribution and vascular plethora is also similar to the prior film. as before, the left hemidiaphragm is elevated.
<unk> year old woman with left pleural effusion, status post removal of chest tube // evaluate for pneumothorax, recurrent effusion
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<num> views were obtained of the chest. the lungs are somewhat low in volume but clear aside from minimal left lingular linear atelectasis. there is no pleural effusion or pneumothorax. the heart is normal in size with normal cardiomediastinal contours.
cough assess for pneumonia.
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lung volumes remain low exaggerating heart size and pulmonary vasculature. the mediastinal and hilar silhouettes are unchanged. there is stable blunting of the left costophrenic angle and eventration of the left hemidiaphragm. there is mild compressive bibasilar atelectasis. there is no pneumothorax.
sepsis status post right total knee replacement.
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the patient is status post sternotomy. heart size is normal. mediastinal and hilar contours are unremarkable. there is crowding of the bronchovascular structures due to low lung volumes. patchy opacities in the lung bases are concerning for areas of aspiration or infection. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
history: <unk>m status post witnessed fall, history of alcohol abuse, chronic pancreatitis, junky cough
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single frontal view of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. again seen are multiple clips projecting over the left breast and remote left-sided rib fractures. no free air below the right hemidiaphragm is seen.
<unk>f with cough // acute process?
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cardiac silhouette size remains mildly enlarged. mediastinal and hilar contours are unchanged. the pulmonary vasculature is normal. apart from streaky atelectasis at the left lung base, the lungs are clear. no pleural effusion or pneumothorax is seen. assessment of the right lung apex is somewhat obscured by the neck soft tissues projecting over this region. no acute osseous abnormality is identified.
bradycardia.
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ap and lateral views of the chest. there is a new left lower lobe opacity which slightly blurs the left hemidiaphragm on the lateral cxr and may represent early pneumonia or aspiration. no pleural effusion or pneumothorax. the cardiomediastinal hilar contours are normal.
chest pain.
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there is mild haziness of the pulmonary vasculature suggestive of mild increased central venous pulmonary pressure. post-cabg changes are again visualized and the cardiomediastinal silhouette appears stably moderately enlarged. biventricular pacemaker appears normal in place. no acute fractures are identified.
evaluation of patient for fluid overload.
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the cardiac, mediastinal and hilar contours are normal. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. mild s-shaped scoliosis of the thoracolumbar spine is present.
progressive ascending weakness.
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frontal and lateral views of the chest. the lungs are clear without consolidation, effusion, or pulmonary vascular congestion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities detected.
<unk>-year-old female with cirrhosis and bilateral lower extremity swelling. question pulmonary edema.
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ap and lateral views of the chest. there are new bibasilar opacities, right greater than left compatible with pleural effusions. superiorly, the lungs are clear of focal consolidation. cardiac silhouette is enlarged but likely not significantly changed since prior even lower lung volumes. no acute osseous abnormality detected.
<unk>-year-old male with chest pain.
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ap upright and lateral views of the chest provided. again noted is a dextroscoliosis of the thoracic spine. the lungs appear hyperinflated and somewhat lucent suggesting underlying emphysema. no large effusion or pneumothorax. the cardiomediastinal silhouette is stable. no acute osseous injury.
<unk>f with nausea, mild "trouble breathing" // evaluate for pneumonia, acute process
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cardiomediastinal contours are normal. the lungs are clear. there is no pneumothorax or pleural effusion. the osseous structures are unremarkable
<unk> year old woman with likely ms, cough, low grade temps, to start steroids // please re-eval retrocardiac opacity
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the tip of the nasogastric tube extends into the stomach. no focal consolidation, pleural effusion or pneumothorax identified. the size of the cardiomediastinal silhouette is within normal limits. a small amount of free intraperitoneal air is noted below the right hemidiaphragm.
<unk>m chrons s/p colectomy, ileostomy takedown <unk>, p/w recurrent ileus vs. sbo // ngt position
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left-sided dual lumen central venous catheter tip terminates in the proximal right atrium. lung volumes are low. heart size is normal. mediastinal and hilar contours are unchanged. there are streaky bibasilar airspace opacities most likely reflective of atelectasis. blunting of the left costophrenic angle likely reflects a trace left pleural effusion. no pneumothorax or pulmonary vascular congestion is identified. no acute osseous abnormalities detected.
hypotension, chronically ill.
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single ap radiograph of the chest demonstrates mild pulmonary edema with bibasilar opacifications likely representing atelectasis. small bilateral pleural effusions are noted. the right minor fissure is prominent. the cardiac silhouette is mildly enlarged, and the mediastinal contour is unchanged. no pneumothorax.
shortness of breath, evaluate for pneumonia.
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an endotracheal tube is seen approximately <num> cm above the carina and in appropriate position. a left chest tube is unchanged in position and a right swan-ganz catheter is seen terminating in the right ventricular outflow tract. sternotomy wires are unchanged. the lung volumes are low and again seen is mild pulmonary edema, which appears minimally improved. there are no pleural effusions. the cardiomediastinal silhouette and hilar contours are grossly unchanged. there is no pneumothorax.
evaluate for pleural effusion status post cabg.
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the visualized portions of the lungs are clear bilaterally, without evidence of consolidations, pleural effusions or pneumothorax. the cardiomediastinal silhouette is within normal limits. the left picc line terminates in the azygous vein. lateral view demonstrates a metallic density in the breast tissue that is unchanged since <unk>. no acute osseous abnormalities.
<unk> year old woman with recent cholangitis and now fatigues and sob, dullness in the right chest // please assess for a focal effusion/consolidation
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portable ap s chest film <unk> at <time> is submitted.
<unk> year old woman being treated for community acquired pneumonia with acute onset shortness of breath and increased oxygen requirement. // please evaluate for pulmonary edema/worsening pulmonary process. please evaluate for pulmonary edema/worsening pulmonary proc
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compared to the prior study there is a new ng tube with tip in the stomach. there is slight increase in bilateral lower lobe volume loss with dense retrocardiac opacity that could be due to volume loss/infiltrate/effusion.
<unk> year old man with ngt placed // ngt placement
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the lungs remain hyperinflated, with flattening of the diaphragms and increased ap diameter.no focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable, with mild enlargement of the cardiac silhouette. the aorta is tortuous. no pulmonary edema is seen.
history: <unk>f with new afib // eval for infiltrate
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pa and lateral views of the chest. the right-sided consolidation has resolved. no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal and hilar contours are normal. sclerosis involving thoracic vertebral bodies is unchanged.
question resolution of pneumonia.
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small to moderate bilateral pleural effusions including loculated pleural fluid in the right major fissure has increased compared to <unk>. no new consolidation is identified. moderately enlarged cardiac silhouette is similar as before. sternotomy wires are intact.
history: <unk>m with dyspnea on exertion // r/o intrapulm process
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pa and lateral views of the chest provided. cardiomegaly is again noted with hilar congestion and mild pulmonary edema. no large effusion is seen. no pneumothorax. no convincing evidence for pneumonia. mediastinal contour is stable. left chest wall aicd is unchanged with leads extending into the region of the right atrium, right ventricle and coronaries sinus. bony structures are intact. no free air below the right hemidiaphragm.
<unk>m with extensive cardiac hx including stents x <num>, acid, p/w sob and elevated bnp // please eval for signs of volume status, pna
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there has been interval decrease in size of the left pleural effusion which is now moderate in size with some decrease in the mediastinal shift. the heart is moderately enlarged but is now more appropriately placed within the thorax. there is a small drain in place projecting over the left lower lung. right subclavian line tip is in the svc. there is small right pleural effusion. there is right lower lobe volume loss/ consolidation.
<unk> year old man with l pl effusion s/p drainage // please eval interval change
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mild to moderate cardiomegaly is stable. pulmonary edema is new and obscures the previously described right lung opacities. no new focal consolidation concerning for pneumonia or pneumothorax.
<unk> year old woman with dyspnea and cxr infiltrate suspicious for infarction vs pneumonia. please assess interval change in infiltrate.
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lung volumes remain low. mild enlargement of the cardiac silhouette with a left ventricular predominance is re- demonstrated. widening of the superior mediastinum is attributable to mediastinal lipomatosis, and is unchanged. a moderate left pleural effusion is partially loculated laterally, and there is a continued rounded opacity within the left upper-mid lung field measuring up to <num> cm, likely reflective of rounded atelectasis as a similar appearance was noted on the previous chest ct. no pulmonary edema is present, and there is no pneumothorax. there is no right-sided pleural effusion. left basilar opacity likely reflects compressive atelectasis though infection cannot be excluded in the correct clinical setting. marked degenerative change of the imaged thoracic spine is present with loss of height of multiple vertebral bodies as seen previously.
history: <unk>m with cough and dyspnea
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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 man with productive cough and lll/lml rhonchi // evaluate for pneumonia
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status post median sternotomy and cardiac valve replacement. the tip of the right picc line in terminates in the mid svc. there is persisting pulmonary edema with small bilateral pleural effusions. the size and appearance of the cardiac silhouette is unchanged.
<unk> year old man s/p cabg, tiss avr, <unk> ligation, pvi // predischarge eval
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there is silhouetting of the right hemi diaphragm, which is new since <unk>, and may represent a right lower lobe pneumonia. mild interstitial edema, which is also new. mild enlargement of the right atrial silhouette in comparison to <unk>. the mediastinal and hilar contours are normal. no pneumothorax is seen.
<unk> year old woman with h/o htn, hl, and lung nodules; now presenting with new-onset sob, no calf pain, +rll crackles // is there evidence of fluid or infection in right lung?
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the lungs are underinflated with resultant bronchovascular crowding in the bilateral lungs. no focal consolidation concerning for pneumonia, pleural effusion, or pneumothorax is detected. the pulmonary vasculature is normal and there is no evidence of overt pulmonary edema. the cardiac silhouette is mildly enlarged but stable compared to <unk>. the mediastinal and hilar contours are within normal limits. the trachea is midline.
dyspnea, here to evaluate for acute cardiopulmonary process.
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there is no focal consolidation, pleural effusion or pneumothorax identified. the size cardiac silhouette is enlarged but unchanged.
<unk> year old woman with h/o cad, chf, htn, dm, carotid stenosis. // is there any intra-thoracic pathology/pulmonary congestion or concerning signs pre-op surg: <unk> (right carotid stent)
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marked cardiomegaly is unchanged. the mediastinal and hilar contours are stable. previous pattern of pulmonary vascular congestion has improved. no focal consolidation, pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
cough.
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there has been interval removal of a swan-ganz catheter, enteric tube and endotracheal tube from <unk>. a right basilar chest tube, mediastinal drain and epicardial leads are unchanged. the patient is status post median sternotomy with intact sternal wires. aortic and mitral valve prostheses are again seen. there is no definitive evidence of pneumothorax. the inspiratory lung volumes remain low, but improved from <unk>. mild residual bibasilar atelectasis is seen, improved from <unk> with decreased size of small pleural effusions. there is no pulmonary edema. the cardiomediastinal silhouette is prominent but within normal post-operative range.
status post avr, mvr, pfo closure with possible air leak in the pleurovac, now on waterseal, here to evaluate for pneumothorax.
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the heart size is normal. the hilar and mediastinal contours are normal. the lungs are clear without evidence of focal consolidations, pneumothoraces or pleural effusions.
history of right lower rib pain. rule out pneumothorax.
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the heart is enlarged. there is upper zone redistribution and increased interstitial markings, as well as more confluent opacity at the left lung base, compatible with chf. there is increased retrocardiac density consistent with left lower lobe collapse and/or consolidation. there is no gross pleural effusion, though small left effusion would be difficult to exclude. no pneumothorax detected.
<unk>-year-old female with shortness breath, evaluate for effusion or infectious process.
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. there are no pleural effusions or pneumothorax.
chest pain.
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ap single view of the chest has been obtained with patient in sitting semi-upright position. comparison is made with the next preceding similar study obtained <num> hours earlier during the same day. there is marked improvement of the previously identified massive pleural effusion occupying major portions of the right hemithorax. new pigtail end small caliber catheter is now seen on the right base and explains the evacuation of the pleural effusion that occurred during the interval. no pneumothorax has developed. the lung parenchyma on the right side appears free as this can be identified by the single ap chest view. on the left side, there is also a small caliber pigtail end catheter in the basal space of the pleura but no evidence of pleural effusion is seen. a previously described left-sided advanced picc line remain in unchanged appropriate position and terminating just <num> cm below the level of the carina. an ng tube remains and is seen to point with the dobbhoff tip towards the pylorus.
<unk>-year-old male patient with air leak on right pigtail catheter. evaluate for residual pneumothorax.
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the size of the cardiac silhouette remains enlarged. there is no focal consolidation, pleural effusion or pneumothorax identified. interval resolution of the previously visualized pulmonary edema.
<unk> year old man with chf, pulm edema // eval interval change
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single ap semi-erect chest radiograph demonstrates low lung volumes. heart size is midly enlarged. mild pulmonary vascular congestion identified. a left-sided internal jugular line is seen with its tip terminating in the upper superior vena cava. a right brachiocephalic stent is noted. there is no pneumothorax or pleural effusion.
<unk>-year-old female with hypotension and ij placement.
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the et tube terminates approximately <num> cm above the carina. there is an ng tube which extends below the diaphragm with the side port at the ge junction. the tip of the tube is in the stomach. the lungs are clear without evidence of focal consolidations concerning for pneumonia. there is no pleural effusion or large pneumothorax. cardiomediastinal contours are unremarkable.
history intubation. please evaluate tube placement.
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there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are normal. the prosthetic valve and sternal wires are seen. mild pulmonary vascular congestion is present.
cough, history of valve replacement. evaluate for pneumonia.
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low bilateral lung volumes. there are small bilateral pleural effusions with overlying atelectasis as well as pulmonary vascular congestion. no pneumothorax identified. the size of the cardiac silhouette is enlarged.
<unk> year old man with acute liver failure due to subacute tylenol overdose and etoh overuse. // please evaluate for consolidations/infiltrate
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better inspiration bilaterally.the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unchanged and cardiac size likely exaggerated by low lung volumes. severely distended stomach with air-fluid level and risk of aspiration
<unk> year old man with uti, fever, initial cxr with poor inspiration // re-evaluate for acute processes with better study
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the cardiac silhouette size is normal with a left ventricular predominance. the aorta remains unfolded. the mediastinal contours are unchanged. there is no pulmonary edema. patchy opacity is noted within the right lower lobe and to a lesser extent within the left lower lobe with bronchial wall thickening, findings compatible with known bronchiectasis and probable small airways infection or inflammation. there is no pleural effusion or pneumothorax. no acute osseous abnormalities detected.
altered mental status, leukocytosis, decreased right lower lung field sounds.
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the visualized mediastinal structures are unremarkable. there is increased opacification of the retrocardiac area when compared with prior film. additionally, there is poor delineation of the left hemidiaphragm. given leukocytosis, these findings are concerning for left-sided pneumonia.
<unk> yo female with hx of alzheimer's dementia presenting from rehab facility with swollen r leg with + leni with extensive thrombus in both l and r venous systems. // r/o pneumonia in presence of elevated wbc
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the cardiac, mediastinal and hilar contours appear unchanged. there are patchy basilar opacities, more extensive on the left than right, and fairly similar to the prior radiographs, although these had cleared at the time of the ct. there is no pleural effusion or pneumothorax. mild similar rightward convex curvature is centered along the upper thoracic spine.
chest pain.
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pa and lateral views of the chest provided. on the lateral view there is a rounded density projecting over the lower thoracic spine, corresponding to a left paraspinal mass seen on prior ct. this lesion appears relatively stable dating back to prior radiograph from <unk>, suggesting a benign entity. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>f with hypotension, wish to r/o pulmonary infection // ? pneumonia
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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. there is a nodular focus measuring up to <num> mm which projects along the left lower lung, possibly a nipple shadow but potentially a true pulmonary nodule of substantial size. otherwise, the lungs appear clear. bony structures are unremarkable.
chest pain and productive cough.
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an accessed left pectoral mediport extends into the right atrium. the large right pleural effusion has increased despite the presence of a pigtail catheter at the right base. bibasilar airspace opacities are grossly stable on the left, but difficult to assess on the right due to pleural fluid. the small left pleural effusion is stable. the heart and mediastinum are within normal limits despite the projection. upper lung fields remain clear.
<unk> year old woman with metastatic gastric cancer, new pleural effusion s/p chest tube placement // eval for persistence of fluid
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no significant interval change. lung volumes remain low. the patient has had prior left upper lobe segmentectomy with expected and stable appearing post- operative changes on this radiograph. no focal consolidation, edema, effusion, or pneumothorax. streaky opacities in the region of the lingula are also overall unchanged with persistent mild blurring of the left heart border. the heart size is normal. the mediastinum is not widened. no evidence of an acute osseous abnormality. pulmonary nodules are best assessed on recent ct from <unk>.
<unk>-year-old man with know lung cancer status post chemotherapy and radiation therapy. evaluate for interval change in lung cancer.
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borderline hyperinflation. the lungs are clear. no focal consolidation, pulmonary edema, pleural effusion, pneumothorax. normal cardiomediastinal silhouette, hila, and pleura. slight levo-convex scoliosis of the upper thoracic spine. no acute osseous abnormality. no sub-diaphragmatic intra-abdominal free air.
<unk>-year-old man presenting with probable musculoskeletal pain involving the left ribs and lower back; evaluate for lung etiology.
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linear lateral left base atelectasis/scarring is seen. no definite focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac silhouette is top-normal. mediastinal contours are unremarkable. the aorta appears tortuous. no pulmonary edema is seen.
history: <unk>m with syncope // eval cardiomegaly
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pa and lateral views of the chest. the lungs are clear. there is no pleural effusion or pneumothorax. the cardiac, mediastinal, and hilar contours are normal.
<unk>-year-old male with palpitations and shortness of breath; evaluate for acute infectious process.
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pa and lateral views of the chest <unk> at <time> are submitted.
<unk> year old woman with loculated empyema w/right ct // interval change (per ip) interval change (per ip)
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the heart size appears moderately enlarged, perhaps slightly increased compared to the prior exam. the aorta is tortuous and calcified at the aortic knob. there is mild pulmonary edema, which appears worse compared to the prior exam. no pleural effusion or pneumothorax is seen. <num> clips are seen projecting over the upper lung fields bilaterally. there are no acute osseous abnormalities.
cough and dyspnea.
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no focal consolidation concerning for pneumonia. no large effusion or pneumothorax. heart is mildly prominent. hila appear slightly engorged. there is likely mild interstitial pulmonary edema. the mediastinal contour is normal. bony structures are intact.
<unk>-year-old woman presenting with sob, transferred on bipap. evaluate for pulmonary edema.