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pa and lateral radiographs of the chest. the lungs are mildly underinflated, but there is no focal airspace consolidation. the cardiomediastinal silhouette and hilar contours are normal. pulmonary vascularity is normal and symmetric without pulmonary edema. there is no pleural effusion or pneumothorax detected.
chest pain. evaluate for cardiac abnormality.
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there is an opacity in the lingula, concerning for pneumonia.the right lung is essentially clear. there is no pleural effusion, pulmonary edema, or pneumothorax. the cardiomediastinal silhouette and hilar contours are normal. there is mild s shaped scoliosis.
history: <unk>f with atypical l sided chest pain.*** warning *** multiple patients with same last name! // r/o pna
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heart size is top 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 productive cough
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the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. lungs are well-expanded and clear without focal consolidation concerning for pneumonia. pulmonary vasculature is within normal limits. there is no pneumoperitoneum. an acute fracture of left posterolateral rib <num> is noted.
history: <unk>f with fall and open right hum fx // trauma
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since the prior radiograph, there has been improvement in bilateral pulmonary opacities, likely improvement in pulmonary edema. there is no definite focal consolidation. there is mild blunting of the left costophrenic angle, likely a small pleural effusion. cardiac silhouette is enlarged, but stable. there is no pneumothorax. tracheostomy tube is in place. right picc line catheter is unchanged in position.
<unk>-year-old man with fever, assess for pneumonia.
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the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. artifacts from multiple external lines and supporting devices are present. linear, tubular appearing opacity crossing the left lower lobe is likely external as well or might represent subsegmental atelectasis.
<unk>-year-old male with persistent tachycardia. evaluate for evidence of pneumonitis.
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there is moderate cardiomegaly and mildly widened mediastinum which is likely exaggerated by low lung volumes and appears stable when compared to prior studies. there is opacification in the retrocardiac space that appears stable when compared to prior studies but in the appropriate clinical setting could represent pneumonia. there is a linear opacification left upper lobe which represents atelectasis. there is mild pulmonary vascular congestion without evidence of pulmonary edema. there are no pleural effusions.
<unk> year old man with fever and gnr bacteremia // assess for pna and pulmonary edema
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the lungs are well expanded with linear opacities in the right lung base consistent with scarring or atelectasis. no pneumonia. trace right pleural effusion or pleural thickening is unchanged from <unk>. mediastinal contours, hila, and cardiac silhouette are normal.
<unk> year old woman with pneumonia // follow-up pneumonia
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endotracheal tube terminates approximately <num> cm above the carina. enteric tube courses below the diaphragm but terminates at the ge junction. recommend advancement so that it is well within the stomach. lung volumes remain low. patchy bibasilar opacities most likely represent atelectasis versus aspiration. no large pleural effusion or pneumothorax is seen. cardiac and mediastinal silhouettes are stable.
history: <unk>m s/p arrest with worsening academia and hypoxia // ?cardiopulmonary process
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is unchanged with top-normal heart size and slightly unfolded thoracic aorta again noted. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>m with cp // r/o acute process
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an endotracheal tube appears unchanged. a right subclavian central venous catheter terminates in the upper superior vena cava. an orogastric tube terminates near the pylorus, probably within the antrum, less likely but potentially the proximal duodenum. there is patchy opacification obscuring the left hemidiaphragm with a suspected pleural effusion, potentially atelectasis versus pneumonia. in addition, a right infrahilar opacity appears slightly more prominent, although apparent change may be due to differences in technique. aspiration could also be considered as a possible etiology, noting the history.
status post recent subarachnoid hemorrhage and aneurysm coiling with intubation for airway protection, presenting with new fever.
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pa and lateral chest radiographs were provided. a subtle opacity in the medial right lower lobe with obscuration of a portion of the right hemidiaphragm may represent an early pneumonia. the left lung is clear. no pleural effusion or pneumothorax is present. the cardiomediastinal silhouette is normal. multiple clips are noted in the mid abdomen, left upper quadrant and right upper quadrant. bones are intact.
history of diabetes with influenza concern for pneumonia at the right base.
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the heart is normal in size. the cardiac, mediastinal and hilar contours are within normal limits. the lungs are clear. there is no pneumothorax or pleural effusion. lumbar spinal fusion hardware is partially visualized. there is no change from prior radiographs <unk>.
dyspnea on exertion.
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the heart appears again mildly enlarged. the mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the interstitium appears prominent to a similar extent including mild upper zone distribution of pulmonary vascularity. there is no focal opacity, however.
fever, dyspnea and cough. question left basilar pneumonia.
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ap portable upright view of the chest. the lungs are hyperinflated and clear. overlying ekg leads are present. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact.
<unk>f with asthma // ? infiltrate
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ap upright and lateral views of the chest were provided. there is improvement in aeration in the left lower lung with persistent linear density likely relating to persistent atelectasis. no effusion. no pneumothorax. the right lung is clear. cardiomediastinal silhouette is normal. bony structures are intact. no free air below the right hemidiaphragm.
<unk>-year-old man with complex past medical history with two weeks of persistent nausea, vomiting, weight loss, recent pneumonia. assess for resolution of pneumonia.
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lung volumes remain decrease in the right lung. there are bilateral chest tubes in-situ. the medial portion of the right chest tube is difficult to visualize. there has been an interval decrease in the right-sided pleural effusion however. no pneumothorax seen. a right subclavian and right internal jugular catheter are unchanged in appearance when compared to the prior study. an endotracheal tube and two nasoenteric tubes are also unchanged. airspace opacity adjacent to the right heart border likely reflects atelectasis but infection cannot be excluded.
<unk> year old woman with bilateral chest tubes that aren't draining // evaluate for growing r pleural effusion
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streaky bibasilar opacities are likely secondary to atelectasis. superiorly, the lungs are clear. the cardiomediastinal silhouette is within normal limits. median sternotomy is a mediastinal clips are again noted. no acute osseous abnormalities.
<unk>m with fever // infiltrate
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there is an opacity seen within the right upper lobe which may represent pneumonia. however, given the history of hemoptysis this could represent blood. there is no pleural effusion or pneumothorax. the heart size is normal. the mediastinal contours are unremarkable.
hemoptysis from <unk>, evaluate for mass or acute cardiopulmonary process.
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there has been significant interval worsening of the left sided pleural effusion with associated left lower lobe collapse. a right lower lung opacity is a combination of a layering effusion and atelectasis. vascular congestion and interstitial edema is also unchanged. assessment of cardiac size is limited due to technique but there appears to be moderate cardiomegaly. there is no pneumothorax. left-sided picc line ends in the mid svc. severe degenerative changes of the right glenohumeral joint are reidentified.
<unk> year old woman with hf and respiratory distress. pulmonary edema?
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a new endotracheal tube is in satisfactory position approximately <num> cm from the carina. a nasogastric tube courses below the diaphragm with the tip out of the field of view. since the prior exam, the moderate-sized right pleural effusion appears slightly increased in size. bibasilar consolidations appear slightly worse, particularly on the right. this is consistent with multifocal pneumonia, likely with a component of increasing pulmonary edeam given the rapid interval change. there is no pneumothorax. the cardiomediastinal silhouette is normal.
status post intubation. evaluate tube placement.
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right internal jugular central venous catheter terminates in the low svc as before. enteric tube courses into the stomach. since the prior study the lungs appear better aerated bilaterally. moderate right pleural effusion is slightly decreased. left retrocardiac opacity is improving. the heart remains mildly enlarged. mediastinal and hilar contours are stable. the aortic arch is calcified. there is no pneumothorax.
<unk>m s/p pea and now s/p extubation w/tachypnea // please assess for interval changes
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heart size and cardiomediastinal contours are normal. lungs are clear without focal consolidation, pleural effusion, or pneumothorax.
history: <unk>f with dysponea // pna?
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pa and lateral chest radiographs demonstrate no focal consolidation, pleural effusion, or pneumothorax. the heart is mildly enlarged, but there is no pulmonary vascular congestion or pleural effusion. there is no pneumothorax.
cough.
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a new right subclavian picc line is seen with a normal course and the tip projecting over the lower svc. there is no evidence of complications, specifically there is no pneumothorax. there is slight increase in the left lower lobe atelectasis compared to previous imaging. the pre-existing left pleural effusion is also somewhat more extensive. otherwise, exam is unchanged from previous imaging.
<unk>-year-old female with shortness of breath in the setting of receiving several units of ffp.
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ap upright and lateral views of the chest provided. lung volumes are low with bronchovascular crowding atelectasis of the lung bases. no convincing evidence for pneumonia or chf. no large effusion or pneumothorax. the cardiomediastinal silhouette is stable. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>m with cough, weakness, facial trauma, unclear how old, poor historian // infiltrate, intracranial injury
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pa and lateral views of the chest provided. lung volumes are low limiting assessment. the heart is mildly enlarged. the hila appear slightly congested. there is no overt edema or signs of pneumonia. no large effusion or pneumothorax. bony structures appear intact.
<unk>f with cough, fall // pneumonia?
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ap portable upright view of the chest. port-a-cath resides over the right upper chest wall with catheter tip again seen in the level of the mid svc. there is a nodular opacity projecting over the left mid lung appears slightly smaller than on prior with gross measurements approximating <num> x <num> cm. lungs are hyperinflated. no evidence of pneumonia or edema. no pneumothorax or large effusion. cardiomediastinal silhouette appears normal. bony structures appear grossly intact.
<unk>m with c/o sob with hx lung ca // ? pna
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pa and lateral chest radiograph is compared to prior study dated <unk>. note is again made of residual loculated right pleural effusion which is decreased in size when compared to prior study. heart is moderately enlarged. no evidence of overt pulmonary edema. a right-side hemodialysis catheter is in unchanged position. a left picc is noted which ends within the left subclavian vein, slightly migrated since prior study dated <unk>.there is no pneumothorax. age indeterminate compression fracture within the mid thoracic vertebral body in is similar in appearance to prior study.
<unk>m with fever // pna
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biapical scarring is unchanged. new focal opacity in the left upper lung field is concerning for pneumonia in the correct clinical setting. there is no pleural effusion, or pneumothorax. the aorta is tortuous and unchanged. the heart size is normal. the mediastinal and hilar contours are normal.
syncope and dyspnea. evaluate for pneumonia.
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feeding tube with the wire stylet ends in the stomach. nasogastric drainage tube ends at the gastroesophageal junction would need to be advanced <num> cm to move all the side ports below the diaphragm.et tube, left jugular dual channel catheter and right internal jugular line are in standard placements unchanged. moderate bilateral pleural effusions mild cardiomegaly and mild pulmonary edema have worsened since the prior examination, predominantly the effusions. no pneumothorax.
<unk> year old woman with s/p asc aorta // assess for bleed
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minimal bibasilar atelectasis is noted. no focal consolidations are seen. the tip of a right picc line is seen in the mid svc. the heart size is normal. no pulmonary edema, pleural effusion, or pneumothorax.
<unk> year old woman with crackles on left lower base // acute intrapulmonary process
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low lung volumes cause bronchovascular crowding. there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. minimal linear bibasilar atelectasis is present, slightly improved from earlier radiograph from the same date heart is upper limits of normal in size and accompanied by pulmonary vascular congestion.
<unk>m with post arrest, evaluate for pulmonary edema or effusion.
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the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. the lungs are well expanded and clear without focal consolidation concerning for pneumonia. there is visualization of the left inferior pulmonary ligament. the upper abdomen is unremarkable. mild dextroscoliosis is noted centered in the mid thoracic spine.
<unk>f with l chest pain and dyspnea.
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there is streaky retrocardiac opacity. elsewhere, the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified. left clavicular orthopedic hardware is identified.
<unk>m with peripanc fluid collectoion and pleural effusion. fevers. // r/o chf/pneumonia
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since the prior radiograph performed earlier this morning, there has been interval placement of a left-sided ij catheter which terminates in the distal svc. et tube is <num> cm above the carina. enteric tube extends to the stomach. right picc line is unchanged in position, with the tip located in the distal svc. lung volumes are persistently low. there are diffuse parenchymal opacities, more prominent in the bilateral perihilar regions, which suggests pulmonary edema. bibasilar atelectasis is again noted. there are small bilateral pleural effusions. no pneumothorax. stable moderate cardiomegaly.
<unk> year old man with new central line // central line on left side in correct position
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no definite focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac silhouette is top-normal. the aorta is somewhat unfolded. no pulmonary edema is seen.
history: <unk>m with pre-op // pre-op
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frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. the cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation.
history: <unk>f with cough // r/o infiltrate
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no focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. hilar contours are stable.
<unk> year old woman with chest pain, s/p clean coronary cath // eval for new effusion or pneumo
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the lungs are well-expanded and clear. no pleural effusion, pneumomediastinum, or pneumothorax. heart size, mediastinal contour, and hila are unremarkable. limited assessment of the upper abdomen is within normal limits.
<unk>m with cp. assess for pneumonia or pneumothorax.
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frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. the lungs are clear. there is no pneumothorax, pulmonary vascular congestion, or large pleural effusion. minimal blunting of the posterior costophrenic angle is noted. moderate kyphosis is unchanged.
<unk>-year-old female with a prolonged cough. question pneumonia.
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cardiac silhouette size is normal. the aorta is tortuous. mediastinal and hilar contours are unremarkable. the pulmonary vasculature is not engorged. linear opacities in the left lung base are compatible with subsegmental atelectasis. no focal consolidation, pleural effusion, or pneumothorax is present. moderate multilevel degenerative changes are noted in the thoracic spine.
history: <unk>m with myelodysplasia presenting with fever
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ap and lateral views of the chest are compared to previous exam from <unk>. given differences in positioning and technique, there has been no significant interval change. bilateral peripheral and lower lobe reticular opacities are again seen which are worse on the right than on the left. this is compatible with patient's pulmonary fibrosis. there is no definite new region of consolidation nor effusion. cardiomediastinal silhouette is unchanged. high-density material seen within the colon. no acute osseous abnormality is detected.
<unk>-year-old male with shortness of breath and cough.
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compared to the prior radiograph from <unk>, there has been interval improvement in bibasilar opacities with the residual low opacity of the right middle lobe which could represent atelectasis. the heart size, hilar, and mediastinal contours are normal. no pleural effusion or pneumothorax. compression deformity in the midthoracic spine is unchanged since <unk>.
<unk> year old man with severe asthma, clinical diagnosis of pna, on abx, with a question of a nodule vs infiltrate seen on outside cxr.
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compared to the prior film, there is possible increased opacity at the left base, as the left hemidiaphragm is slightly less distinct. inspiratory volumes are lower. allowing for this, i doubt significant interval change. again seen is a left-sided dual lead pacemaker, with lead tips over the right atrium and right ventricle. only <num> of the pacemaker leads is well seen on the lateral view; the other is obscured due to motion. allowing for this, positioning appears nominal. heart size, as before, is borderline, likely exaggerated by technique. no pneumothorax is detected. on the lateral view, the patient's arm overlies the chest, limiting assessment for subtle infiltrate. even so, the lowermost/ posteriormost portion of the lower lobes are well seen . there is possible minimal blunting of the posterior costophrenic angles, but this portion of the lower lobes is otherwise clear. more anteriorly, assessment is limited by the overlying arm. incidental note is made of ossification of the anterior longitudinal ligament (dish).
<unk> year old man s/p ppm placement, subclavian access // ptx, leads
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frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. hilar and mediastinal silhouettes are unremarkable. heart size is normal. there is no pulmonary edema. partially imaged upper abdomen is unremarkable.
shortness of breath.
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compared with prior radiograph, there is no significant change in calcified pleural plaques. the lungs are well expanded and clear. there might be a small right-sided pleural effusion. there is no left-sided pleural effusion or pneumothorax. cardiomediastinal contours are unremarkable. a dobbhoff tube is again seen, which appears to end in the second portion of the duodenum, given its posterior course of the last portion in the lateral radiograph. a cbd stent is in place. there is no evidence of abdominal free air.
<unk>-year-old male with dobbhoff dislodged. evaluate placement of the tube.
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lung volumes are low. the heart size is mildly enlarged, unchanged. the aortic knob is calcified. mediastinal and hilar contours are otherwise unremarkable. pulmonary vascularity is normal. there is minimal atelectasis in the left lower lobe. no focal consolidation, pleural effusion or pneumothorax is present. anterior flowing osteophytes are noted in the thoracic spine compatible with dish.
history: <unk>f with hypoglycemia // eval for pneumonia
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pa and lateral radiographs of the chest demonstrate new elevation of the left hemidiaphragm and minimal bibasilar atelectasis. the lungs are otherwise clear and heart size is normal. there is a left upper lobe paraaortic mass which is stable in size. the lungs are otherwise clear. there is no pneumothorax.
evaluate for pulmonary edema or pneumonia. the patient is experiencing new onset dyspnea and hypoxia.
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pa and lateral views of the chest provided. cardiomegaly is again noted with mild pulmonary edema. no large effusion or pneumothorax. no focal opacity to suggest pneumonia. mediastinal contour is normal. mild hilar congestion is noted. bony structures are intact. no free air below the right hemidiaphragm.
<unk>f with dyspnea on exertion.
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the cardiomediastinal and hilar contours are within normal limits. lungs are well expanded and clear. there is no focal consolidation, pleural effusion or pneumothorax. again seen is rightward deviation of the trachea, likely reflective of known enlarged thyroid gland.
history: <unk>f with cough and congestion // evaluate for pneumonia evaluate for pneumonia
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the patient is status post coronary artery bypass graft surgery. the heart is mild to moderately enlarged. there is prominent and indistinct central interstitium with prominent pulmonary vascularity suggesting mild-to-moderate vascular congestion. in addition, there is a moderate right-sided pleural effusion which has increased with associated opacity, which can probably be attributed to atelectasis, but underlying pneumonia is also a possibility. a trace left-sided pleural effusion is suspected. there is no pneumothorax. moderate anterior osteophyte formation is noted along the mid-to-lower thoracic spine.
cough and shortness of breath; history of congestive heart failure.
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pa and lateral chest radiographs demonstrate clear lungs. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.
shortness of breath and fever.
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pa and lateral views of the chest. the lungs are hyperinflated as on prior. there is a focal opacity identified in the right middle lobe. additional nodular opacity projecting over the left lower lung on the frontal exam is not seen on the lateral and may be a nipple shadow. cardiomediastinal silhouette is within normal limits. compression deformity in the upper lumbar spine unchanged.
<unk>-year-old male with <unk> year smoking history and confusion.
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heart size is normal. mediastinal and hilar contours are within normal limits. lungs are clear. pulmonary vascularity is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormalities are present.
chest pain.
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lung volumes are low with bibasilar linear opacities compatible with atelectasis. small bilateral pleural effusions are also demonstrated. heart size appears unchanged and within normal limits. mediastinal and hilar contours are unremarkable. pulmonary vasculature is not engorged. the right hemidiaphragm remains elevated. azygos fissure is again noted. no acute osseous abnormality.
history: <unk>m with shortness of breath, edema
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the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear.
fever and cough. history of intravenous drug abuse.
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the lungs are hyperinflated, compatible with known emphysema. probable small bibasilar pleural effusions are unchanged. no lobar consolidation or pneumothorax. stable cardiomediastinal silhouette. a hiatal hernia is again noted.
history: <unk>f with cough // ? pna
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pa and lateral chest views have been obtained with patient in upright position. analysis is performed in direct comparison with the next preceding chest examination in our records of <unk>. the heart size is within normal limits. no configurational abnormality is identified. unremarkable appearance of thoracic aorta. the pulmonary vasculature is not congested. no signs of acute or chronic parenchymal infiltrates are present, and the lateral and posterior pleural sinuses are free. no pneumothorax in the apical area on the frontal view. skeletal structures demonstrate moderate degree of degenerative changes mostly in the upper half of the thoracic spine with prominent sometimes bridging degenerative spurs. there is no evidence of any vertebral body compression fracture.
<unk>-year-old male patient with chest pain, evaluate for pneumonia, chf or acute process.
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frontal and lateral radiographs of the chest demonstrate slight interval decrease in the degree of left-sided pleural thickening. the cardiomediastinal contours are unchanged. a chest tube projects over the left hemithorax. no pneumothorax is seen. the right lung is clear.
<unk>-year-old man status post left-sided decortication. evaluate for pneumothorax.
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the patient is status post median sternotomy and cabg. heart remains moderate to severely enlarged but unchanged. the aorta is tortuous and diffusely calcified. there is mild pulmonary vascular congestion. small bilateral pleural effusions are re- demonstrated, not significantly changed from prior, right greater than left. no pneumothorax is identified. mild bibasilar atelectatic changes are seen. there are no acute osseous abnormalities.
anterior left chest pain.
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the lungs are normally expanded and clear. the heart is not enlarged. the mediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. there is no pulmonary edema. posterior spinal fusion from t<num> through l<num> with bilateral pedicle screws and interlocking rods. compression deformities of t<num> and l<num> are better evaluated on prior lumbar spine radiographs.
<unk> year old woman with multiple myeloma // pre bmt eval
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the lungs are grossly clear. cardiac silhouette is and hilar contours are uwithin normal limits. there is no pleural effusion, pneumothorax or pulmonary edema. there is no free air seen beneath the diaphragms.
acute abdomen. question free air.
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mild to moderate cardiomegaly is a stable. mild pulmonary edema has worsened. bibasilar opacities consistent with atelectasis left greater than right have increased. presumed bilateral pleural effusions are small. calcified mediastinal lymph nodes are again noted.
<unk> year old man with history of heart failure and increased sob. // please assess for pneumonia/volume overload.
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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. multilevel degenerative changes of the thoracic spine are noted.
lower extremity swelling and diagnosis of hepatitis at outside hospital. evaluate for pulmonary edema.
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heart size is normal. mediastinal and hilar contours are unremarkable. pulmonary vascularity is normal. linear opacities in the left mid lung field peripherally may reflect scarring or subsegmental atelectasis. remainder of the lungs are clear. no pleural effusion or pneumothorax is present. no acute osseous abnormalities detected.
shortness of breath.
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lung volume is low. mild left lower lobe opacity is likely atelectasis. there is no pneumothorax or pleural effusion. cardiomediastinal silhouette is normal size. pulmonary vascular congestion is mild.
history: <unk>m with chest pain, anemia // evaluate for pneumothorax, hemothorax
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moderate cardiomegaly is chronic and mild pulmonary edema is worse today than on <unk>, though less severe than on <unk> or <unk>. pleural effusions would not be surprising, but are small if any. obscuration of the left hemidiaphragm could be due to atelectasis and confluent edema or, less likely, pneumonia.
<unk>-year-old male with chf.
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frontal and lateral views of the chest demonstrate low lung volumes which result in bronchovascular crowding. as before there is an area of increased opacification of the left lung base. this is slightly less conspicuous than on the recent prior chest radiograph, and may represent atelectasis, although superimposed infection cannot be excluded. an area of increased opacification of the right lung base slightly increased from the prior exam, and likely represents atelectasis or aspiration. there is no pneumothorax, pleural effusion or overt pulmonary edema. the cardiomediastinal contours are unchanged. the patient is status post spinal fusion, with fracture of the right-sided fusion rod, unchanged from prior exams.
cough and fever. evaluate for pneumonia.
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et tube is present, terminating approximately <num> cm above the carina. an enteric tube is present, coursing through the stomach with distal tip not captured on the current study. the heart is normal in size. the mediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. lungs are well-expanded without focal consolidation concerning for pneumonia. nodular densities at the right lung base are of uncertain etiology and may represent calcified granulomas. the upper abdomen is unremarkable. healed left lower posterior rib fracture is noted.
<unk>f with ett pls eval placement
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the right lateral chest is not fully included on the image. endotracheal tube terminates <num> cm above the carina. enteric tube courses below the diaphragm, out of the field of view. partially imaged right sided chest tube is noted which appears to course to the mediastinum. there is extensive left chest wall subcutaneous emphysema and multiple displaced left-sided rib fractures, including left third through seventh ribs, and possibly eighth rib. the left diaphragm is obscured which may be due to atelectasis, aspiration, pleural effusion, pulmonary contusion. the right lung is not well assessed, but is lower in volume than that on the left. relative opacity projecting over the partially imaged right lung could be due to layering pleural effusion, aspiration, and/or pulmonary contusion. dual lead left-sided pacer device has leads extending to the expected positions of the right atrium and right ventricle.
history: <unk>m with cpr, chest tube on r // ? ptx on l, s/p chest tube on r. intubated
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sternotomy wires are intact and aligned. a right subclavian central venous catheter terminates in the low svc. a swan-ganz catheter terminates in the proximal right pulmonary artery. a feeding tube terminates in the stomach. stable retrocardiac airspace opacification is most likely due to subsegmental atelectasis. marked cardiomegaly despite the projection is unchanged. there is minimal pulmonary edema if any. small left pleural effusion is unchanged.
<unk> year old man with cardiogenic shock // chf?
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enteric tube tip is in the mid stomach. left basilar opacity has mildly worsened since prior. bilateral pulmonary nodules and consolidations are otherwise similar. stable pleural effusions. endotracheal tube tip in good position. surgical clips bilateral axilla, right abdomen. normal heart size, pulmonary vascularity. bilateral hilar fullness, consistent with adenopathy, stable. left picc line projects over left axilla.
<unk>f h/o stage iv recurrent invasive ductal carcinoma of the r breast, stage iv on palliative chemo (lapatinib/capecitabine) with new pe who is transferred to the ficu with worsening cough, dyspnea and hypoxia. // s/p ogt placement, please verify location
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frontal and lateral views of the chest are compared to previous x-ray from <unk> and cta chest from <unk>. large right-sided pleural effusion is unchanged. large hiatal hernia is better characterized on the current exam due to air within the stomach. left-sided pleural calcification is again noted. superiorly, the lungs remain clear without focal consolidation. cardiomediastinal silhouette is difficult to assess but grossly unchanged. multiple old bilateral rib fractures are again noted.
<unk>-year-old male with shortness of breath.
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pa and lateral views of the chest provided. there is a vague asymmetric opacity projecting over the left lung base best appreciated on the frontal view which in the correct clinical setting could represent a very early pneumonia versus atelectasis. no large effusion or pneumothorax. no signs of edema or congestion. cardiomediastinal silhouette is normal. bony structures are intact. no free air below the right hemidiaphragm.
<unk>f with increased seizure frequency // eval for evidence of pna
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partially visualized are <unk> rods in the thoracolumbar spine. a right-sided port-a-catheter ends at the right cavoatrial junction. lungs are clear. the cardiomediastinal silhouette and hila are normal. there is no pleural effusion and no pneumothorax.
<unk>-year-old with fever.
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heart size is normal. mediastinal and hilar contours are unchanged. pulmonary vasculature is normal. the lungs are clear. no pleural effusion or pneumothorax is present. anterior compression deformity at the thoracolumbar junction is unchanged compared to the previous ct.
history: <unk>f with chest pain
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cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax. there is no focal lung consolidation.
left-sided abdominal pain.
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cardiomediastinal silhouette and hilar contours are unremarkable. lungs are clear. pleural surfaces are clear without effusion or pneumothorax.
chest pain and shortness of breath.
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pa and lateral views of the chest. vague opacity in the left mid lung may represent residual of prior pneumonia. heart size is normal. the cardiomediastinal and hilar contours are normal. there is no focal consolidation, pleural effusion or pneumothorax.
shortness of breath for many weeks, evaluate for mass or infiltrate.
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the lungs are well expanded and clear. there is no focal consolidation, effusion, or pneumothorax. cardiac and mediastinal contours are normal.
<unk>-year-old woman with cough, epigastric abdominal pain, rule out pneumonia.
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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. no subdiaphragmatic free air or radiopaque foreign body is identified.
history: <unk>m with epigastric pain status post eating spare rib
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the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. there is no free air below the hemidiaphragms.
jaundice and shortness of breath. evaluate for pleural effusions.
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frontal and lateral views of the chest demonstrate hyperextended lungs without pleural effusion, focal consolidations, or pneumothorax. the hilar and mediastinal silhouettes are unremarkable. heart size is normal. there is no pulmonary edema. partially imaged upper abdomen is unremarkable.
syncope.
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a left-sided pacemaker device is noted with leads terminating in right atrium and right ventricle. patient is status post median sternotomy and aortic valve replacement. cardiac, mediastinal and hilar contours are normal. lungs are clear. no pleural effusion or pneumothorax is present. there is no pulmonary vascular congestion. there are mild degenerative changes in the thoracic spine. cholecystectomy clips are noted in the right upper quadrant the abdomen.
fever and cough.
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in comparison to <unk> portable chest radiograph, the lung volumes are again low. there appears to be interval moderate increase in the severity of pulmonary vascular congestion and asymmetrical pulmonary edema. bilateral costophrenic angles are blunted suggesting bilateral pleural effusions with a right side greater than the left side. heart size is enlarged. no acute bony abnormalities nor fractures appreciated.
<unk> year old woman with shortness of breath. // pulmonary edema?
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the lungs are clear, the cardiomediastinal silhouette and hila are normal. there is no pleural effusion and no pneumothorax.
<unk>-year-old with abdominal pain.
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heart size is normal. the aorta is diffusely calcified. mediastinal and hilar contours are unremarkable. the pulmonary vasculature is not engorged. no focal consolidation, pleural effusion or pneumothorax is present. streaky atelectasis is noted in the lung bases. mild loss of height of a low thoracic vertebral body is of indeterminate age.
history: <unk>f with pain status post fall
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there are bibasilar opacities, left greater than right, and somewhat more conspicuous when compared to prior ct given differences in technique. superiorly, the lungs are grossly clear. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>m with hypoxia, lung ca // pna?
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there is a new right-sided ij which appears to terminate in the low svc. again seen are opacities overlying the mid to upper left lung concerning for pneumonia. mild cardiomegaly is persistent. mild bibasilar atelectasis and small bilateral pleural effusions are stable. there is no evidence of a pneumothorax.
history of new central line placement. please evaluate.
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the very tip of the et tube is visualized at the thoracic inlet. the nasogastric tube courses below the diaphragm into the stomach. lung volumes are low. bibasilar consolidations are better visualized on the current ct torso. the cardiomediastinal silhouette is difficult to evaluate due to the ap lordotic projection, but the left heart border is straightened and the possibility of some leftward shoft cannot be excluded. the imaged upper abdomen is unremarkable. no displaced fractures identified. (please see other contemporaneous studies showing left humeral fracture, not directly imaged on this exam).
status post mvc with altered mental status and desaturation. from et tube placement.
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frontal and lateral views of the chest. the lungs are clear of consolidation, pulmonary vascular congestion or effusion. cardiomediastinal silhouette is within normal limits. right-sided cardiac stent is identified as well as median sternotomy wires and mediastinal clips. no acute osseous abnormality detected. surgical clips seen in the upper abdomen.
<unk>-year-old female with chest pain now resolved.
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cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax. there is no overt pulmonary edema. there is no focal lung consolidation.
<unk>f with dyspnea, evaluate for pulmonary edema
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no focal consolidation or pneumothorax is seen. there is no large pleural effusion. heart and mediastinal contours are within normal limits.
<unk>-year-old male with chest pain after cocaine use.
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the lungs are clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. surgical clips are noted in the right upper quadrant, likely from cholecystectomy.
<unk> year old woman with cough for <num> weeks // pna?
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there has been interval placement of left chest tube, and near- resolution of left-sided pneumothorax, with possible small left apical pneumothorax not definitively visualized. a right-sided port is in stable position. the dobbhoff tube again appears to overlie the trachea and enter the left mainstem bronchus, coursing inferiorly and in grossly unchanged position, with tip projecting over the mid left abdomen. the mediastinal silhouette is normal. the cardiac silhouette is upper limits of normal, however this evaluation is limited by the low lung volumes and ap projection. the right lung is clear without evidence of focal consolidation. there is a generalized diffuse hazy opacification of the left lung which likely represents re-expansion pulmonary edema. there are some areas of platelike atelectasis over the left lower lung. there is no right pleural effusion. there is no significant left pleural effusion, however left lateral cp angle is not seen on current radiograph, which limits evaluation for small effusions.
<unk> year old man with s/p needle decompression with new chest tube // eval interval change
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lung volumes remain low. the heart size remains mildly enlarged. there is re- demonstration of superior mediastinal widening, due to a combination of a tortuous thoracic aorta and focal aneurysmal dilatation of the descending thoracic aortic, better assessed on the previous ct. hilar contours are unchanged, and pulmonary vasculature is normal. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
history: <unk>m with dementia and syncope
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lungs are well expanded. multiple right lung opacities are again seen, consistent with patient's known disease. there has been interval resolution of the right-sided chest wall air inclusion. chest radiograph is otherwise essentially unchanged from prior exam. the mediastinum is again seen shifted to the right. cardiomediastinal silhouette is unchanged. there is no pneumothorax. there is no left pleural effusion.
<unk>-year-old female status post right vats with lung biopsy, now requiring assessment for interval change.
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there is a dobhoff tube coursing below the diaphragm, however the tip is not visualized on this image. there is a new left lower lobe retrocardiac opacity that is silhouetting the left hemidiaphragm. minimal vascular congestion. heart size is stable. the mediastinal and hilar contours are stable. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
<unk> year old woman with alc hep, now with increasing bilirubin. // pna. vs. effusion
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lung volumes are persistently low. heart size is mildly enlarged. there are diffuse atherosclerotic calcifications. mediastinal and hilar contours are unchanged. focal opacity is seen within the right upper lobe concerning for pneumonia, and worse compared to the previous radiograph from <unk>. patchy and interstitial opacities within the lung bases bilaterally also appear similar compared to the prior study. no pleural effusion or pneumothorax is present. the pulmonary vasculature is not engorged. there are mild multilevel degenerative changes in the thoracic spine.
history: <unk>m with hypotension, hypoxia