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lungs are fully expanded and clear without consolidations or suspicious pulmonary nodules. no pleural abnormalities. heart size is normal. cardiomediastinal and hilar silhouettes are normal without any evidence of lymphadenopathy. mild degenerative changes of the thoracic spine.
joint pain, spine pain, history of crohn's. ? as? sarcoid
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lung volumes are low. there is mild pulmonary vascular congestion. otherwise no focal consolidation, pleural effusion or pneumothorax. heart size is top-normal. no acute osseous abnormalities identified.
history: <unk>m with stroke // eval for pna
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mild hyperinflation raising the question of background copd. heart size at the upper limits of normal with left ventricular configuration. there is upper zone redistribution, but no overt chf. no focal infiltrate or effusion is detected. possible fullness of the right hilum on the frontal view is slightly more pronounced than on the <unk> radiograph, but is not confirmed on the lateral view. mild degenerative changes of the thoracic spine are noted, similar to the prior film.
history: <unk>m with chest pain // eval for pna or chf
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frontal and lateral chest radiograph demonstrates mildly hyperinflated lungs with minimal flattening of the hemidiaphragms. the cardiomediastinal and hilar contours are unremarkable. there is a new nodular density of <num>-<num> cm within the right mid lung adjacent to the right hulim not seen previously on exam dated <unk> and concerning for a substantial lung nodule. there are additional heterogeneous interstitial abnormalities bilaterally suggesting an interstitial process.
<unk>-year-old male with longstanding smoking history with new cough. evaluate for emphysematous changes and nodules.
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asymmetrically distributed multifocal opacification is increased since <unk>, particularly involving the left upper lobe, though also within the right upper lobe and right lower lobe. there is a more nodular opacity demonstrated within the right upper lobe which has been previously demonstrated since at least <unk>. there are no large pleural effusions or pneumothorax. the cardiomediastinal and hilar contours are stable, demonstrating borderline cardiomegaly. there is marked enlargement of the main pulmonary artery, indicative of pulmonary arterial hypertension.
<unk>-year-old female with hypoxia. evaluate for pneumonia.
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the lungs are relatively hyperinflated, suggesting chronic obstructive pulmonary disease. the patient is status post median sternotomy and cardiac valve replacements. no focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are stable.
stroke-like symptoms question pneumonia.
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the inspiratory lung volumes are appropriate. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. a vertically oriented linear density projecting over the left hemithorax is likely external to the patient. the pulmonary vasculature is not engorged. the cardiac silhouette is normal in size. the mediastinal and hilar contours are within normal limits. the trachea is midline. the visualized upper abdomen demonstrates no free air beneath the right hemidiaphragm.
left-sided chest pain, here to evaluate for pneumothorax.
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the patient is status post sternotomy. the heart is normal in size. patchy calcifications are noted along the aortic arch. there is also mild unfolding of the thoracic aorta. a mildly bulging contour along the lower left mediastinum suggests hiatal hernia. the right hemidiaphragm is moderately elevated. streaky overlying opacities at each lung base suggest minor atelectasis. the upper mediastinum has mildly widened appearance, although this is probably within normal limits for the technique applied.
recent pelvic fracture and shoulder dislocation after motor vehicle collision.
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since the prior study from <unk>, there is now increased partially loculated right pleural effusion and fluid in the right fissure. again seen are bilateral interstitial opacities, similar in appearance to prior study. the cardiomediastinal silhouette is unchanged with dense atherosclerotic calcifications. there are degenerative changes throughout the spine.
<unk>-year-old woman with pleural effusion, evaluate.
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dual lead left-sided pacer device is seen, with leads extending the expected positions of the right atrium knee and right ventricle. the cardiac and mediastinal silhouettes are unremarkable. there is mild basilar atelectasis. no focal consolidation is seen. there is no pleural effusion or pneumothorax.
history: <unk>m with need for psych placement // eval infiltrate, cardiomegaly
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portable semi-upright radiograph of the chest demonstrates interval increase in diffuse bilateral pulmonary opacities, consistent with worsening pulmonary edema. small bilateral pleural effusions are present. cardiomediastinal contours are unchanged. no pneumothorax. an old posterior left rib fracture is present.
<unk>f with dyspnea, tachypnea, ecg changes, ? fever // evaluate for acute changes, interval change from osh films
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a three-lead pacemaker/icd device appears unchanged with leads terminating in the right atrium, ventricle and coronary sinus, respectively. the heart is moderately enlarged to a similar degree. a band-like opacity in the left mid lung suggests atelectasis in the lingula. more generally, however, there is a diffuse new mild-to-moderate interstitial abnormality most suggestive of interstitial pulmonary edema. there is no pleural effusion or pneumothorax. the lungs seem mildly hyperinflated. small osteophytes are noted along the thoracic spine.
unexplained low sugar.
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right subclavian central venous catheter tip terminates in the mid svc. no pneumothorax is identified. cardiac silhouette is within normal limits. widening of the superior mediastinum, particularly the right paratracheal stripe, corresponds to lymphadenopathy and ill-defined soft tissue density within the mediastinum, better assessed on recent ct. mild to moderate pulmonary edema is new compared to the prior radiograph with a layering moderate size right pleural effusion and small left pleural effusion, also new from prior. worsening opacification of the lung bases, particularly on the left with air bronchograms, reflect regions of compressive atelectasis as seen on the prior ct.
history: <unk>f with right subclavian central line placement
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lung volumes are low. the cardiac silhouette is enlarged. there is central pulmonary vascular congestion as well as indistinct peripheral pulmonary vasculature. hazy bilateral opacities are noted, with scattered interlobular septal thickening. these findings are consistent with pulmonary edema, minimally improved. superimposed consolidation is not entirely excluded. small bilateral pleural effusions are present, left greater than right. there is no pneumothorax. midline sternal wires are intact and well aligned. there has been interval placement of a endotracheal tube, with the tip terminating <num> cm above the carina. a transesophageal tube is also in place, coursing into the stomach, with distal tip beyond the field of view of this radiograph,.
history: <unk>m with suspected hypoxic cardiac arrest // please eval for pulm edema, please eval ett
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pa and lateral views of the chest. the lungs are clear without consolidation, pneumothorax, or pulmonary vascular congestion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities detected.
<unk>-year-old male with chest pain.
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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 chest pain
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an et tube is in place with tip <num> cm above the carina. an enteric tube extends inferiorly with side port in the stomach. a right internal jugular approach central venous catheter has tip in the mid svc. prominent mediastinal contour with widening likely represent a combination of vascular engorgement and underlying mediastinal lymphadenopathy compatible with lymphoma. although mediastinal hematoma is not excluded status post new central line placement, lack of tracheal deviation makes this less likely. the cardiac silhouette is prominent. the lung volumes are low, with new interval development of a moderate left pleural effusion and dense retrocardiac opacity compatible with atelectasis. the right lung is relatively clear. a rounded density in the left supraclavicular soft tissues measures at least <num> x <num> cm, upon correlation with prior ct dated <unk>, consistent with a large centrally necrotic nodal mass.
<unk>-year-old female with recent bowel perforation. question et tube and og tube placement.
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the cardiomediastinal and hilar contours are normal. no chf, focal infiltrate, pleural effusion, or pneumothorax.
<unk>-year-old male with hyperglycemia.
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pa and lateral views of the chest provided. lungs are clear. there is no pneumothorax. right-sided pigtail catheter in appropriate position. cardiomediastinal and hilar contours are normal. pleural surfaces are normal.
<unk> year old man with right pneumothorax, chest tube clamped <num> hrs, evaluate for pneumothorax
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lung volumes are low. the heart is mildly enlarged. there is worsening left retrocardiac opacity. there are small bilateral pleural effusions, left greater than right. there is mild pulmonary vascular congestion without frank pulmonary edema. .
history: <unk>m with nash cirrhosis p/w <num> day of lethargy and lack of bm; denies abd pain, n/v; hx of hernia repair; // ct head: eval for subduralct a/p: eval for obstruction
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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.
history: <unk>m with sob, high altitude seizure? ha // cp, cerebral edema
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patient status post median sternotomy and cabg. heart size is mildly enlarged. the mediastinal and hilar contours are unremarkable. the pulmonary vasculature is not engorged. small bilateral pleural effusions, left greater than right are present, with the left-sided pleural effusion slightly larger compared to the prior exam. left basilar opacity may reflect atelectasis or pneumonia in the correct clinical setting. no pneumothorax is seen. no acute osseous abnormalities seen.
history: <unk>m with dyspnea on exertion and lower extremity swelling
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ap upright 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> year old man with cough and wheeze
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bronchiectasis at the bilateral lung bases is confirmed on prior ct in <unk>. elevation of the left lung base due to scarring is chronic. pulmonary vascularity is marginally increased. new small pleural effusions and mild interstitial abnormality at the right lung base, could be edema due to early cardiac decompensation even though mild cardiomegaly has improved since <unk>.
<unk> year old woman with scleroderma, recent pneumonia, with persistent shortness of breath // evaluate for resolution of pneumonia
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a left chest wall dual lead aicd is present. left mid lung atelectasis is again noted. no focal consolidation, pleural effusion or pneumothorax identified. the size of the cardiac silhouette is enlarged but unchanged.
<unk> year old woman with hypotension and hypoxia post op // eval for pulm edema
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the previously seen small apical pneumothorax is unchanged in size from the prior exam. subcutaneous air is still present. bibasilar atelectasis and a large hiatal hernia are unchanged in appearance. there is no new consolidation. there is no edema or pleural effusion. the cardiomediastinal silhouette is normal.
status post pleurodesis with pleurx placement. chest tube removed. evaluate for change in pneumothorax.
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ap upright and lateral views of the chest provided.there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>f with chest pain // evaluate for acute process
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single ap view of the chest demonstrates mildly underinflated lungs with normal cardiac, hilar, and mediastinal contours. the lungs are clear and there is no pleural effusion or pneumothorax. old upper left rib fractures are seen laterally.
fever with altered mental status. evaluate for pneumonia.
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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. degenerative changes are noted along the spine.
history: <unk>m with dm, htn, stroke <unk> p/w elevated bp and h/o difficulty ambulating. <unk> <unk> <unk> deficits from stroke but notes rle feels "heavier." // cxr - please evaluate for pneumonia or other infectious process, head ct - please evaluate for acute intracranial process, new stroke.
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the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax.
<unk>-year-old female with dka. evaluate for infection.
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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. there has been interval removal of a right-sided picc.
history: <unk>m with aml, pancytopenia, w/ diffuse body aches s/p chemo - maintain neutropenic precaution during transport w/ mask // eval ? infection, congestion
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pa and lateral views of the chest. the lungs are clear of focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is stable. no acute osseous abnormality is identified.
<unk>-year-old female with chest pain and mild shortness of breath.
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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. old left rib cage deformities are again seen. no free air below the right hemidiaphragm is seen.
<unk> year old man with shortness of breath with activity // infection
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there is no focal consolidation, pleural effusion or pneumothorax. there is no significant change since the chest radiograph from <unk> however please note that the opacities seen on the chest ct from the same day were not visualized on the radiograph at that time. the cardiomediastinal silhouette is normal. the imaged upper abdomen is unremarkable. the bones are intact.
history: <unk>m with cp // evidence of pneumonia or pneumo
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support lines and devices are in unchanged position. bibasilar opacities in the left retrocardiac opacity most likely represent atelectasis. pulmonary vascular congestion has increased since the radiograph performed <num> days ago. no pleural effusion or pneumothorax is identified. the cardiac and mediastinal contours are stable.
<unk>m w/ history pertinent for multiple orthopedic/spine procedures who was scheduled for an anterior lateral interbody fusion l<num>-s<num> stage i procedure via rp approach complicated by an ivc tear s/p rp packing. intubated sedated. low lung volumes. evaluate for interval change.
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the lungs are well-expanded and clear. the cardiomediastinal silhouette is stable. median sternotomy wires and post cabg changes are again noted. a left lateral rib deformity is well healed. the pleural and hilar surfaces are unremarkable.
history: <unk>f with chest pain // ?pneumonia
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the cardiac and mediastinal silhouettes are stable. hilar contours are stable.no focal consolidation is seen. there is slight blunting of the posterior costophrenic angle on the lateral view which can be seen with trace pleural effusions versus pleural thickening. cervical hardware is noted, partially imaged over the cervical spine.
history: <unk>m with chf and mood disorder w/ new onset agitation // evaluate for pulm edema, pna
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pa and lateral chest radiograph demonstrates clear lungs bilaterally. cardiomediastinal and hilar contours are within normal limits. there is no pleural effusion or pneumothorax. no displaced rib fracture is identified. no air under the right hemidiaphragm is seen.
<unk>f with l back/flank pain s/p mvc, wosre with inspiration // r/o rib fx
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pa and lateral views of the chest are compared to previous exam from <unk>. the lungs are clear. there is no effusion. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable.
<unk>-year-old male with shortness of breath.
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the cardiomediastinal and hilar contours are within normal limits. the lungs are clear without focal consolidation, pleural effusion or pneumothorax.
history: <unk>f with chest pain // evaluate for acute process
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. in addition to multifocal linear opacities in the left mid and both lower lungs, and more confluent area of opacification is present in the right infrahilar region. . no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. marked scoliosis is noted.
<unk> year old woman pod#<num> after laparoscopy with chest heaviness and decreased bs on rlb // atelectasis? early pneumonia?
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heart size is top-normal in size. 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>f with seizures, previously controlled, <num> today, infectious w/u
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portable semi-erect chest radiograph <unk> at <time>
<unk> year old man with hypoxia // worsening pna? rll worsening pna? rll
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the lungs are well-expanded and clear. the cardiomediastinal silhouette is unremarkable. there is no pleural effusion, pneumothorax, pulmonary edema, or focal airspace opacification concerning for pneumonia.
history: <unk>f with cp // evidence of pneumothorax or cause of cp
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the lungs are slightly hyperinflated, but no focal consolidation, pleural effusion, or pneumothorax. heart size and cardiomediastinal contours are normal. calcified presumed right axillary nodes are stable.
<unk> year old man with productive cough x <num> month // rule out pneumonia
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frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. bibasilar opacities likely represent atelectasis. hilar and mediastinal silhouettes are unremarkable. heart size is normal. there is no pulmonary edema. partially imaged upper abdomen is unremarkable.
syncope and hyperglycemia.
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areas of patchy left lower lobe opacities are worrisome for pneumonia. the right lung is clear. there is no pleural effusion or pneumothorax.
history: <unk>f with cough, fevers // r/o acute process
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the cardiomediastinal and hilar contours are within normal limits. the lungs are well expanded. there is no focal consolidation, pleural effusion or pneumothorax.
shortness of breath and swelling in left lower extremity. rule out pneumonia.
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lung volumes are slightly low. there is no focal consolidation, pleural effusion or pneumothorax. linear opacities in the left lung base are likely atelectasis. the cardiomediastinal silhouette is unremarkable. the imaged upper abdomen is unremarkable. bones are intact.
<unk>f with chest pain // r/o acute process
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left chest wall dual lead pacing device is again seen. the lungs are clear of focal consolidation, effusion or edema. the cardiomediastinal silhouette is within normal limits. tortuosity of the descending thoracic aorta is again noted. no acute osseous abnormality seen, right humeral head orthopedic hardware noted.
<unk>f with cough and fever // r/o pneumonia
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there are low lung volumes leading to bronchovascular crowding. the thorax at the level of the diaphragm is under penetrated which may be due to overlying soft tissue. apparent blunting of the bilateral costophrenic angles may be due to overlying soft tissue although <unk> pleural effusions are excluded. mild bibasilar atelectasis. cardiac and mediastinal silhouettes are stable. no pneumothorax is seen.
history: <unk>m with dyspnea, tachypnea // eval for pneumonia
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there are bilateral lower lung consolidations, increased compared to yesterday. no pleural effusion or pneumothorax is detected on this single frontal view. heart and mediastinal contours are within normal limits.
<unk>-year-old male with pneumonia, shortness of breath, and cough.
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compared to chest radiographs from <unk>, a new dobhoff feeding tube terminates in the pylorus. lung volumes remain low with persistent mild left basilar atelectasis. no focal consolidation. no appreciable pleural effusions. no pneumothorax. cardiomediastinal silhouette is stable.
<unk> year old man s/p placement of ng tube. cxr to confirm placement. // cxr to confirm placement.
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the heart is mildly enlarged with a left ventricular configuration. the aorta is tortuous. the arch is calcified. the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. there is new asymmetric opacification of the left suprahilar region concerning for pneumonia. there are perhaps patchy additional vague opacities in the right mid and lower lungs but not as definite.
cough. report of left hilar infiltrate.
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there has been interval improvement of the right lower lung consolidation and decrease in size of the right pleural effusion. no left pleural effusion is detected. no pneumothorax or new focal consolidation is seen. heart and mediastinal contours are within normal limits. right picc courses along the expected location of the superior vena cava with tip likely in the region of the cavoatrial junction. mass effect on the proximal trachea is again noted, better evaluated on prior ct.
<unk>-year-old male with right pleural effusion.
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when compared to previous exam, there has been no definite interval change. degree of cardiomegaly is unchanged. bibasilar opacities, right greater than left are again seen compatible with bronchiectasis and peribronchial opacities. these may have subtly increased at the right lung base compared to prior. apparent increased opacity projecting over the right upper lung is due to patient's overlying scapula which was not in this position on prior.
<unk>-year-old female with cough and fever with right lower lung field breath sounds reduced.
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mild pulmonary edema has not significantly changed since <unk>. mild widening of the cardiomediastinal contours is likely due to mediastinal lipomatosis. no pleural effusion or pneumothorax is seen.
<unk>-year-old woman with obesity hypoventilation, acute respiratory distress.
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the lungs are clear. no consolidation. the hila and pulmonary vasculatures are normal. no pleural abnormalities or pneumothorax. the cardiomediastinal silhouette is normal. no fractures.
<unk> year old man with etoh withdrawal // interval changed
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increased interstitial markings seen throughout the lungs, potentially due to lower lung volumes although superimposed pulmonary vascular congestion is suspected. more confluent basilar opacity suggests bilateral pleural effusions larger on the left and more dense consolidation at the lung bases are potentially atelectasis noting that infection or aspiration are also possible. cardiac silhouette is grossly unchanged. no acute osseous abnormalities identified.
<unk>f with hypoxia shortness of breath // eval for pna
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right central venous line is in stable position at the mid svc, and the left picc line ends near the cavoatrial junction. gastric tube passes below the diaphragm and ends in the body of the stomach. low lung volumes continue to be seen. previous vascular congestion has improved, and the heart size and mediastinal contours are normal.
<unk>-year-old man with fever, rule out 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 <num> week fatigue, runny nose, cough productive of dark sputum // eval for consolidation.
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frontal and lateral views of the chest. the lungs are clear. there is no consolidation or effusion. the cardiomediastinal silhouette is stable. atherosclerotic calcifications noted at the aortic arch. no acute osseous abnormalities identified.
<unk>-year-old female with chest pain and shortness of breath since this morning.
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pa and lateral images of the chest were obtained with the patient in the upright position. these images are extremely limited due to underpenetration. there is no evidence seen of a new pneumonia. heart size is unchanged and within normal limits. there is some elongation of the thoracic aorta but no local abnormalities. there is no pulmonary vascular congestion. a prosthesis is seen in the left humerus. soft tissue consistent with morbid obesity is identified which limits exam interpretation due to underpenetration. the lateral image shows there is no pleural effusion.
<unk>-year-old female with <unk>'s and uti, now with fever.
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the patient is status post median sternotomy and cabg. heart size is top normal. the aortic knob is calcified. no pulmonary vascular congestion is present. lungs appear hyperinflated with attenuation of the pulmonary vascular markings towards the apices reflective of emphysema. streaky opacities in the lung bases likely indicates atelectasis. no pleural effusion or pneumothorax is visualized. there are no acute osseous abnormalities.
cabg, copd, shortness of breath.
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left-sided pacer device with leads terminating in the right atrium and right ventricle is demonstrated. heart size is normal. mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities visualized.
history: <unk>m with confusion
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there is no focal consolidation, pleural effusion or pneumothorax. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities are identified.
history: <unk>m with chest pain and back pain // eval mediastinum, eval for pneumothorax
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the heart is at the upper limits of normal size. the mediastinal and hilar contours appear within normal limits. there is a streaky opacity, which is better seen on the lateral view, residing inferior and posterior to the hilum and probably relates to the left lower lobe where patchy atelectasis was seen on the recent prior ct. elsewhere, the lungs appear clear. there are no pleural effusions or pneumothorax. bony structures are unremarkable.
fever, cough and abdominal pain.
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pa and lateral views of the chest demonstrate the lungs are well expanded with mild bibasilar subsegmental atelectasis. the cardiomediastinal silhouette is unremarkable. there is no pleural effusion, pulmonary edema, pneumothorax, or focal consolidation concerning for pneumonia.
<unk>-year-old female with right upper quadrant pain. evaluation for right lower lobe pneumonia.
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frontal and lateral chest radiographs demonstrate low lung volumes and patient to be lordotic in position. the cardiac silhouette is prominent, but likely accentuated by ap technique. the mediastinal and hilar contours are otherwise within normal limits. the lungs are clear. previously seen left basilar opacity has improved with better visualization of the left hemidiaphragm. there is no pneumothorax, vascular congestion, or pleural effusion. right humeral deformity is noted, compatible with remote injury.
<unk>-year-old female with liver disease and altered mental status. question pneumonia.
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the cardiac, mediastinal and hilar contours are normal. lungs are clear. no pleural effusion, focal consolidation or pneumothorax is present. there are no acute osseous abnormalities.
history of hiv on <num> week.
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the cardiomediastinal silhouette is unchanged. the thoracic aorta is tortuous. the lungs are hyperinflated without focal consolidation. there is no pleural effusion or pneumothorax. a <num> mm right lower lobe nodular opacity is unchanged from <unk>, and is likely a calcified granuloma.
<unk>-year-old woman with leukocytosis and fall.
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heart size is mildly enlarged. the mediastinal and hilar contours are unchanged. previously seen pulmonary edema has resolved. lungs appear hyperinflated. small right pleural effusion has decreased in size compared to the previous study. no focal consolidation or pneumothorax is present. marked dextroscoliosis of the thoracic spine is re- demonstrated.
history: <unk>f with hypotension, rales on exam
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heart size is normal. the aorta is tortuous. pulmonary vascularity is normal and the hilar contours are within normal limits. no focal consolidation, pleural effusion or pneumothorax is present. minimal linear opacities within the left lung base likely reflect subsegmental atelectasis. there is are no acute osseous abnormalities.
bradycardia.
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low lung volumes, with atelectasis at left-greater-than-right base. this may account for an area of increased density at the left base medially. upper zone redistribution, likely accentuated by low lung volumes. no chf. no effusion or pneumothorax detected. the cardiomediastinal silhouette is unchanged.
<unk> year old man with cough s/p tha // e/o pneumonia
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the endotracheal and nasogastric tubes are in appropriate position. opacity in the left lung base correlates with a small effusion and atelectasis on the ct performed <num> day prior. the effusion has decreased in size. no new opacities are concerning for pneumonia are identified. no pneumothorax. the cardiac and mediastinal contours are stable.
<unk> year old man intubated for ams. evaluate for pneumonia.
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mild cardiomegaly is a stable. retrocardiac opacities most likely correspond to a hiatal hernia. several punctate dens nodules throughout the lungs could represent calcified granulomas. there is mild vascular congestion. there is no pneumothorax. left effusion is small. . the aorta is tortuous degenerative changes in the thoracic spine are mild
<unk> year old woman with delirium and worsening wbc. // r/o acute process
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frontal and lateral views of the chest demonstrate low lung volumes without pleural effusion, focal consolidation or pneumothorax. left lung base opacities are most likely atelectasis. hilar and mediastinal silhouettes are unremarkable. heart is normal in size. there is no pulmonary edema. no displaced rib fracture is detected. partially imaged upper abdomen is unremarkable.
the patient status post fall with right flank pain. assess for rib fracture.
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enteric tube terminates in the region of the stomach below the left hemidiaphragm. lung volumes are somewhat low. the cardiomediastinal and hilar contours are within normal limits. streaky opacity at the left base likely represents atelectasis. no pneumothorax or large pleural effusion.
<unk>f with ng tube placed // eval ng tube placement
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compared to prior, right-sided central venous line has been removed. lung volumes are low with no focal consolidation seen. there is elevation of the right hemidiaphragm. the cardiomediastinal silhouette is unchanged. there is no pneumothorax. no large intraperitoneal free air is seen. a density projecting over the right hemithorax is likely outside the patient.
<unk> year old man with sob, decreased sats .
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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 fever, syncope // eval pneumonia
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pa and lateral chest radiographs were obtained. low lung volumes accentuate the interstitial markings. there is no focal consolidation, effusion, or pneumothorax. cardiomegaly is mild. cardiac and mediastinal contours are normal.
bike accident.
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the lungs are clear. there is no effusion or pneumothorax. there is no pulmonary edema. the cardiomediastinal silhouette is within normal limits. hypertrophic changes are noted in the spine. no acute osseous abnormalities identified.
<unk>f with chest pain, doe // eval for volume overload
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mild flattening of the hemidiaphragms may reflect mild hyperexpansion. the lungs are clear. heart size is normal. the mediastinal and hilar contours are normal. there is no large pleural effusion or pneumothorax.
<unk> year old man with fall yesterday // r/o pna
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a right picc is present with tip in the right atrium. the cardiomediastinal and hilar contours are normal. there is no pleural effusion. there is a small left apical pneumothorax with a left chest tube in standard position. slight increased density along the left base along the chest tube tract is likely slight hemorrhage related to chest tube placement. the lungs are well expanded and clear. there is no focal consolidation concerning for pneumonia.
chest tube after left vats.
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the lungs are hypoinflated and slightly limit evaluation. however, the lungs are without a focal consolidation or pneumothorax. a small bilateral pleural effusions are present. minimal bibasilar atelectasiis noted. right-sided picc line is visualized with the catheter tip in the right atrium and retraction by at least <num> cm is recommended. no free air is noted under the hemidiaphragms.
evaluation of the patient with chemotherapy with history of metastatic pancreatic cancer with fever.
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frontal and lateral chest radiographs demonstrate well expanded and clear lungs. there is no pleural effusion or pneumothorax. there is a tortuous aorta. cardiomediastinal and hilar contours are otherwise unremarkable.
<unk>-year-old female with history of aml and increasing shortness of breath.
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac, hilar and mediastinal silhouettes are unremarkable. the aorta is tortuous. a large hiatal hernia is noted.
<unk> year old woman with polyarticular joint pain, and bilateral ankle swelling // r/o thoracic lymphadenopathy (sarcoid)
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the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. a nodular density with cavitation along the right lower lobe abutting the hemidiaphragm is more distinctly visible but probably decreased in size since the prior study, now with smooth margins. this may represent a resolving pulmonary infarct but should be followed with either radiography or ct within <num> months to reassess.
chest pain.
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lung volumes are low. streaky bibasilar airspace opacities likely reflect atelectasis. there is no evidence of lobar consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits.
history: <unk>m with cp fever // eval for pna
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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.
<unk>m with h/o cva pw severe headache // rule out acute cardiopulmonary process
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there is a new dobbhoff tube which appears to terminate in the first part of the duodenum. the heart size is normal. there has been interval worsening of the consolidations overlying the right mid and lower lung zones. there is a stable small left pleural effusion, however slight interval worsening of the mild bibasilar atelecatsis and small right pleural effusion. note is made of slight interval worsening of the pulmonary vascular congestion. the visualized osseous structures are unremarkable.
history of cirrhosis and <unk> with new dobbhoff placement. please evaluate position of the dobbhoff tube.
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pa and lateral views of the chest demonstrate an ill-defined opacity within the posterior left lower lobe, compatible with pneumonia in the appropriate clinical setting. the lungs are otherwise well expanded with no evidence of pulmonary edema, pleural effusion or pneumothorax. the aorta is tortuous, and unchanged. additionally, a small hiatal hernia is re- demonstrated. the heart size is stable. multiple healed left-sided rib fractures are again identified.
cough and fever with crackles at the left lung base.
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frontal and lateral views of the chest were obtained. right middle lobe opacity silhouettes the right heart border and there is fullness of the right hilum. blunting of the right costophrenic angle is consistent with pleural fluid. no pneumothorax. the heart size appears mildly enlarged. left chest wall port-a-cath has been accessed.
<unk>-year-old female with cough and fever, on chemotherapy. evaluate for infiltrate.
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interval removal of the right internal jugular central venous catheter. minimal bibasilar atelectasis. no focal consolidation, pleural effusion or pneumothorax identified. there is mild pulmonary vascular congestion, unchanged. the size of the cardiomediastinal silhouette is enlarged but unchanged.
<unk> year old man with hypoxia // ? pulmonary edema
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the lungs are clear. no effusion, pneumothorax or consolidation is present. heart and mediastinal contours are normal.
<unk>-year-old man, right-sided chest pain, question pneumonia or pneumothorax.
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frontal and lateral radiographs of the chest demonstrate top normal heart size with normal mediastinal and hilar contours. no pleural effusion or pneumothorax. calcified plaques are noted along the bilateral diaphragms with calcified areas projecting over the left hemithorax likely also reflecting calcified pleural plaques. one more rounded area projecting over the eighth posterior rib on the left may represent an additional calcified pleural plaque, although a pulmonary nodule is possible. no focal consolidation. multilevel mild compression deformities are noted in the thoracic spine.
feeling unwell, question pneumonia.
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nodule seen at the left lung base on prior exam is compatible with nipple shadow. lungs are otherwise clear. cardiomediastinal silhouette is within normal limits. severe degenerative changes seen at the right shoulder. no acute osseous abnormalities. pectus excavatum again noted.
<unk>m with chest pain, poss pulm nodule vs nipple shadow on last xr. please obtain w/ nipple markers // pulm nodule? please use nipple markers
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in comparison with the study of <unk>, there is again enlargement of the cardiac silhouette with evidence of elevated pulmonary venous pressure bilateral pleural effusions, more prominent on the right, with basilar atelectasis. no evidence of pneumothorax.
<unk> year old man with effusion s/p pleurx placement // effusion f/u
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the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. no fracture is identified.
shoulder pain after a fall.
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the inspiratory lung volumes are appropriate. the lungs are clear without focal consolidation, pleural effusion, or pneumothorax. the pulmonary vasculature is not engorged. the cardiac silhouette is normal in size. the mediastinal and hilar contours are within normal limits. the aortic knob is partially calcified with mild tortuosity of the descending thoracic aorta.
<unk>-year-old female with history of asthma with markedly decreased breath sounds bilaterally on physical exam, here to evaluate for evidence of copd.