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mild to moderate enlargement of the cardiac silhouette is unchanged since <unk>. lung volumes are low. there is mild peribronchial cuffing and prominence of the pulmonary vasculature consistent mild fluid overload. there is no pneumothorax, fracture or dislocation. limited assessment of the abdomen is unremarkable. the lungs are mildly hyperinflated.
history: <unk>f with n/v, lightheadedness, crackles on lung exam r >l w/ no prior hx lung disease // eval ? infiltrate, edema
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pa and lateral views of the chest. the lungs are clear. there is no effusion, consolidation, or pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is identified. evidence of surgical mesh projects over the anterior upper abdominal wall.
<unk>-year-old female with hypertension, presenting with chest pain and shortness of breath.
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the cardiomediastinal and hilar contours are within normal limits. the lungs are clear of consolidation. there is no pleural effusion or pneumothorax.
<unk>-year-old female with bradycardia.
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pa and lateral views of the chest demonstrate hyperinflation of the bilateral lungs, as before, with relative flattening of the bilateral hemidiaphragms. there is mild subsegmental atelectasis in the lung bases bilaterally. no pleural effusion, pulmonary edema, pneumothorax, or focal consolidation concerning for pneumonia are identified. the cardiomediastinal silhouette is unremarkable.
<unk>-year-old man with cough and weakness. evaluation for pneumonia.
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ap and lateral views of the chest. slightly lower lung volumes seen on the current exam. streaky right mid-to-lower lung opacities are again seen, suggestive of scarring. indistinct pulmonary vascular markings are seen throughout. there is a small right-sided pleural effusion. degree of cardiomegaly has not changed. prosthetic aortic and mitral valve prostheses are noted. there is a compression deformity in the lower thoracic spine which was not present on prior and is age indeterminate. enlarged main pulmonary artery again seen compatible with pulmonary hypertension.
<unk>-year-old female with history of chf with worsening shortness of breath.
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left-sided aicd with lead following its expected course to the right ventricle. the tip of the endotracheal tube terminates at least <num> cm above the carina, though is incompletely assessed on this study. a nasogastric tube passes into the distal stomach and out of view. stable cardiomegaly. mild interstitial pulmonary edema. unchanged bibasilar opacities.
<unk> year old woman with sepsis // check ngt placement
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portable semi erect frontal image of the chest. there has been interval placement of right ij line, which terminates at the cavoatrial junction. the lungs are well expanded. there are heterogeneous peribronchial markings in the lungs bilaterally, which could represent an atypical pneumonia or less likely pulmonary edema from heart failure. the lungs are otherwise clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable.
right ij placement.
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the lungs are clear, without focal consolidation, pleural effusion or pneumothorax. no pulmonary edema. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.
history: <unk>f with ankle fx, needs pre-op cxr // eval for any infiltrates
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<num> views were obtained of the chest. left picc terminates in the low svc. small left pleural effusion and substantial left lower lobe consolidation, perhaps atelectasis, have increased from the previous examination; much smaller right pleural effusion is probably larger than before as well. there is no pneumothorax. heart size is probably normal, though exaggerated by low lung volumes. mediastinal appearance is normal. left hilus is indistinct. there is greater opacification and separation of bowel loops in the left upper abdomen. suggest ct to evaluate possible recurrent subdiaphragmatic infection, contributing to increased left pleural effusion
fever, assess for pneumonia.
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cardiac silhouette size is normal. the aorta is mildly tortuous but unchanged. pulmonary vascularity and hilar contours are normal. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is present. there is diffuse demineralization of the osseous structures. the patient is status post right mastectomy.
tremors, weakness and chest tightness.
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there is perhaps slight decrease in a moderate-sized pneumothorax and also increase in opacification of the right costophrenic sulcus that may reflect pleural fluid accumulation, atelectasis or both. the left lung remains clear.
pneumothorax following pleurx placement.
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there has been interval placement of an enteric tube coursing below the diaphragm with its tip likely in the lower stomach. bilateral pleural effusion may have minimally increased with fluid tracking upwards along the lateral wall bilaterally. increased amount of atelectasis is likely, especially on the left. the heart is enlarged. the right mediastinal border appear enlarged compared to prior with more prominent pulmonary vessels, concerning for pulmonary edema.
<unk> year old woman with just had ngt placed. please do xr to confirm ngt placement.
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et tube and enteric tube remain in standard position with tip of the enteric tube off the film. there is a right picc line with tip terminating in the mid svc. the cardiomediastinal and hilar contours are stable. interstitial opacities in the right lung have improved slightly since the prior study but are still present, and opacities in the left lung remain stable. there is no pleural effusion or pneumothorax.
assess interval change in a patient with vasculitis.
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there is no focal consolidation, pleural effusion or pneumothorax. multiple dense nodules in the left peripheral mid lung zone are new since the prior study. these most likely represent represent calcified pleural plaques the cardiomediastinal silhouette is unchanged. moderate degenerative changes are present in the thoracic spine.
<unk>-year-old man with persistent cough, increasing shortness of breath and dyspnea on exertion, no fever, rule out chf, infiltrate.
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compared to the examination from approximately <num> hr prior, there has been interval placement of a right internal jugular approach central venous catheter terminating at the approximate level of the cavoatrial junction. no associated pneumothorax. otherwise no relevant change.
hypotension. status post right internal jugular central venous catheter placement.
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the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax.
chest pain.
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a portable supine ap radiograph of the chest demonstrates an endotracheal tube terminating appropriately in the mid trachea, approximately <num> cm above the carina. the hila are elevated ?prior radiation therapy?. there is dense consolidation of the right middle lobe with air bronchograms. there are scattered less severe opacities throughout both lungs, worse on the right. there is a right upper rib fracture and a small right apical pneumothorax. there is no pleural effusion.
evaluate endotracheal tube position in a patient status post intubation and cardiac arrest.
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single ap view of the chest provided. an et tube ends <num> cm above the carina and above the level of the clavicles. a nasogastric tube courses below the level of the diaphragm the distal tip is not visualized. an apparent right picc line ends in the right axilla. numerous, rounded opacities throughout both lung fields are consistent with septic pulmonary emboli from ct <unk>. small, right pleural effusion and basilar mild atelectatic changes are noted. hilar contours are normal. moderate cardiomegaly is unchanged.
<unk> year old man with picc and et tube and septic pulmonary emboli // line placement
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>m with staring spells sent to evalulated by neuro // r/o infection and intracranial hemorrhage
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the lung volumes are low. there is bilateral basal atelectasis. the left costophrenic angle is blunted, which may be secondary to atelectasis or a trace pleural effusion. there is no consolidation, pulmonary edema, or pneumothorax. the cardiomediastinal silhouette is normal. surgical clips are noted in the right upper quadrant.
epigastric and right upper quadrant pain.
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relatively low lung volumes are noted. the lungs are clear. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>m with chest pain // eval for pna
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pa and lateral views of the chest provided. midline sternotomy wires and mediastinal clips are noted. the lungs are hyperinflated though appear clear. 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 chest pain // r/o pneumothorax
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the lungs are moderately aerated. there is no focal consolidation, pleural effusion, or pulmonary edema. bibasilar atelectasis is noted. there is slightly lobular contour of the right hemidiaphragm, likely diaphragmatic eventration. the heart is not enlarged. no pneumothorax. degenerative changes are noted in the thoracic spine with anterior bridging osteophytes.
<unk>m with sob, cough // r/o infection
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pa and lateral views of the chest. the exam is somewhat limited secondary to patient body habitus. linear opacities at the right lung base suggestive of atelectasis, similar to prior. lungs are otherwise clear and there is no effusion. cardiac silhouette is enlarged but stable. left axillary surgical clips are noted.
<unk>-year-old female with pain.
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frontal and lateral chest radiograph demonstrate new large left pleural effusion with diffuse bilateral pulmonary nodules better seen on ct dated <unk>. there is additional shift of the mediastinum to the right with an enlarged heart. question pleural effusion. no evidence of tamponade. there is collapse of the left lower lobe. there is no pleural effusion on the right. there is no pneumothorax. a single chamber pacemaker is identified with its tip terminating in the right ventricle in standard position.
<unk>-year-old female with metastatic melanoma. now with decreased breath sounds on the left.
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right-sided pleural effusion appears unchanged. cardiomegaly is stable. platelike atelectasis in the mid left hemi thorax and left base, are improving. median sternotomy wires are unchanged in position, however the inferior most wire has been broken since the first postop radiograph. left-sided chest tube remains within the basal left lung. midline drains remain in place. right ij sheath appears unchanged.
<unk> year old woman s/p cabg // eval for effusion eval for effusion
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lung volumes are unchanged compared to the prior study. there are persistent perihilar airspace opacities, similar in extent when compared to the prior study. given the rapid development, this likely reflects pulmonary edema. there is left lower lobe atelectasis. . no pneumothorax seen. a right internal jugular catheter terminates in the distal svc.
<unk> year old woman with anemia hypotension on pressors and worsening hypoxia // ?interval change
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frontal and lateral radiographs of the chest demonstrate a small apical right-sided pneumothorax. a chest tube is seen projecting over the right hemithorax. there is stable cardiomediastinal widening. the left lung is clear.
<unk>-year-old female status post right lower lobectomy. evaluate for pneumothorax.
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single ap view of the chest shows interval increase of right lung opacification, for increased pleural effusion. interval increase of right basilar atelectasis, likely related to consequent compression. left lung is clear without pleural effusion or consolidation. heart size is normal. tracheostomy tube and left picc are unchanged and in standard position.
<unk> years old man with known hemopneumothorax to the right. please evaluate for lung reexpansion.
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the cardiomediastinal silhouettes are stable and within normal limits. an aortic core valve device is an unchanged orientation. the bilateral hila are unremarkable. the lungs are clear without focal consolidation. again noted are multiple calcified pleural plaques. there is no pulmonary vascular congestion or pulmonary edema. there is no pneumothorax or pleural effusion.
<unk>m with sob, evaluate for acute process.
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pa and lateral views of the chest are compared to previous exam from <unk>. there are vague rounded opacities projecting over the right mid-to-lower lung seen over the anterior and lateral ribs, suggesting healing fractures. the lungs are clear of focal consolidation or effusion. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable.
<unk>-year-old female with diabetes and hyperglycemia.
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the heart is normal in size. the mediastinal and hilar contours are stable. there is no pleural effusion or pneumothorax. the lungs appear clear. bony structures are unremarkable. there has been no significant change.
chest pain.
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single frontal radiograph of the chest demonstrates interval left chest tube removal with no evidence of pneumothorax. additionally, there has been interval extubation and as a consequence, reduced lung volumes accentuating the cardiac silhouette and causing crowding of the vasculature. the right internal jugular catheter is unchanged. no focal consolidation is identified.
status post cabg. evaluate for pneumothorax after chest tube removal.
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the heart is borderline enlarged with a left ventricular configuration. the mediastinal and hilar contours appear unchanged. there are streaky lingular opacities, suggesting minor atelectasis or scarring, which are unchanged. there is no pleural effusion or pneumothorax. there has been no significant change.
confusion.
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the cardiac, mediastinal and hilar contours appear unchanged including tortuosity of the thoracic aorta. there is no pleural effusion or pneumothorax. the lungs appear clear.
back and chest pain.
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moderate cardiomegaly has been stable compared to the prior exam from <unk>. mild pulmonary venous congestion is seen without overt pulmonary edema. the hilar and mediastinal contours are otherwise unremarkable. mild bibasilar atelectasis is persistent. there may be a small left pleural effusion. there is no evidence of a pneumothorax. the visualized osseous structures are unremarkable.
history: <unk>m with hx chf with sob // eval effusion, edema, pna
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the cardiac, mediastinal and hilar contours are normal. lungs are clear and the pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities demonstrated.
chest pain.
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pa and lateral views of the chest provided. lungs are grossly clear. no pneumothorax. minimal, bilateral pleural effusions. hilar and cardiomediastinal contours are normal.
<unk> year old woman with new diagnosis of multiple myeloma, with subacute dyspnea and chest discomfort. // scheduled for v/q scan, needs cxr beforehand to assess for infiltrate that may affect interpretation of v/q scan
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chest, pa and lateral. the lungs are hyperinflated. again noted are diffuse, reticulonodular opacities, denser in the lower lungs. there is also increased linear opacities in the right lower lobe. there is a small right pleural effusion. moderate cardiomegaly is stable. there is no pulmonary edema, however pulmonary vascular engorgement is noted. there is no pneumothorax.
<unk>-year-old woman with history of previous abnormal chest ct with new interstitial lung disease. the patient now presents with wheezing and productive cough for the last <num> hours.
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a right internal jugular central venous catheter is unchanged with the tip in the mid svc. an endotracheal tube is borderline high at the level of the clavicles, approximately <num> cm from the carina, similar to the prior exam. an enteric tube courses below the diaphragm with the tip out of field of view. since the prior exam, the lung volumes have improved. there is persistent bibasilar atelectasis. no new opacities identified. there is no pleural effusion or pneumothorax. the aorta is tortuous and calcified, similar to prior exams. the cardiomediastinal silhouette is otherwise normal.
pneumonia and sepsis. evaluate for change.
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the tip of the endotracheal tube is approximately <num> cm from the carina, at the upper margin of the clavicles. the enteric tube is in stomach. lung volumes are low and there is no large pleural effusion or pneumothorax. consolidation in the left lung appears worse.
<unk> year old man s/p intubation // ett placement
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the pulmonary vasculature is more engorged than on prior exams and there is cephalization of the vessels. the right mediastinum demonstrates increased prominence, the cardiomediastinal silhouette is enlarged compared to prior, and there is a right pleural effusion. bibasilar opacities are seen, right greater than left. the right pleural effusion accounts for at least some of the right base opacity, however cannot exclude underlying atelectasis, pneumonia, or aspiration in the right clinical setting. the left base opacity could also represent atelectasis, pneumonia, or aspiration in the right clinical setting. there is no left pleural effusion or pneumothorax.
history: <unk>f with weakness // eval infiltrate
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the lungs are well expanded and clear. mediastinal contours, hila, and cardiac silhouette are normal. there is no pneumothorax or pleural effusion. degenerative changes are seen in the spine.
<unk>m with cough, fever // eval for pna
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a cardiac conduction device is noted, unchanged. heart size is normal. retrocardiac and right mid lung field opacities are new and concerning for pneumonia. no pneumothorax or pleural effusion.
<unk> year old man with h/o kidney transplant on immunosuppression p/w cough, fever, hypoxia // ?pneumonia
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frontal and lateral views of the chest demonstrate small bilateral pleural effusions. pulmonary edema is new since prior exams. hilar and mediastinal silhouettes are unremarkable. heart has slightly increased in size since prior. no pneumothorax. sternotomy wires appear intact. multiple clips project over cardiac silhouette. partial imaged upper abdomen is unremarkable.
cough. assess for pneumonia.
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the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. allowing for the portable technique, the cardiomediastinal silhouette is unremarkable.
body aches and weakness. metastatic cervical cancer.
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pa and lateral chest views were obtained with patient in upright position. comparison is made with the next preceding similar study of <unk>. the heart size remains unchanged and is within normal limits. normal appearance of thoracic aorta with a few calcium deposits in the wall at the level of the arch. 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 evidence of pneumothorax in the apical area on the frontal view. skeletal structures of the thorax grossly unremarkable. unchanged evidence of surgical clips in the right axillary area in this patient with history of treated breast cancer.
<unk>-year-old female patient with productive cough, history of pneumonia, decreased breath sounds in left lower lobe area. evaluate for pneumonia.
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the patient has been intubated since the prior study. the endotracheal tube terminates about <num> cm above the carina. a central venous catheters appear unchanged. the cardiac, mediastinal and hilar contours appear stable. the lung volumes are low. there is no pleural effusion or pneumothorax. there is a mild interstitial abnormality suggesting vascular congestion, but otherwise clear lungs.
status post endotracheal intubation.
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lung volumes are low. interstitial markings are increased bilaterally. the lung apices are partially obscured by the patient's chin and incompletely evaluated. the heart size is moderately enlarged. basilar atelectasis is mild. bilateral pleural effusions are small. surgical clips project over the left upper quadrant. the thoracic aorta is unfolded with atherosclerotic calcifications.
shortness of breath. evaluate for congestive heart failure.
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the right and left chest tubes appear to be within the pleural space, and unchanged in orientation in comparison to the prior chest radiograph. the ett is in appropriate positioning. there is a right subclavian, which terminates in the distal svc. there is an ng tube in appropriate positioning. the right pneumothorax appears to have resolved. there is an unchanged left pneumothorax with apical and subpulmonic components, with evidence of tension. heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion is seen. there are no acute osseous abnormalities.
<unk>m unrestrained driver, t-boned in mvc, intubated at scene with ivh, l frontal contusion, r inferior orbital wall fx, small b/l ptx, lul collapse, posterior liver lac, and non-displaced acute fx of l glenoid, l humeral mid shaft fracture. // placement of right chest tube - concern that it is in subcutaneous space.
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frontal and lateral chest radiographs demonstrate normal cardiomediastinal and hilar contours. lungs are clear. no pleural effusion or pneumothorax present. no osseous abnormality identified.
chest pain, assess for acute abnormality.
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multiple rounded a the calcific densities are again seen projecting over the left upper lung, vertically left lung apex, could be sequela of prior infection. no new focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac silhouette is not enlarged. mediastinal contours are unremarkable. no pulmonary edema is seen.
history: <unk>f with shortness of breath // evaluate for pneumonia
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ap portable upright view of the chest. overlying ekg leads are present somewhat limiting assessment. lucent appearance of the lungs likely reflects underlying emphysema. there is no large consolidation, effusion or pneumothorax. cardiomediastinal silhouette appears normal. bony structures are intact.
<unk>m with stroke, s/p tpa // stroke protocol
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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>f with fever // please evaluate for acute cp process
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ap and lateral chest radiographs were provided. there is no focal consolidation, pleural effusion or pneumothorax. lung volumes are slightly low. the cardiomediastinal silhouette is notable for a tortuous aorta. the bones are intact without evidence of displaced rib fractures. there are mild degenerative changes in the thoracic spine.
<unk>-year-old female with mechanical fall. rule out rib fracture.
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the moderate left pleural effusion is unchanged. prominent interstitial lung markings in the left lung are also unchanged, and remain concerning for lymphangitic spread of metastasis. left-sided volume loss is unchanged. the right lung remains clear. there is no pneumothorax. the heart and mediastinum cannot be accurately assessed.
<unk> year old man with l sided effusion, likely malignant and pericardial effusion with tamponade physiology // interval change
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the lungs are clear. the hilar and cardiomediastinal contours are normal. there is no pneumothorax. there is no pleural effusion. pulmonary vascularity is normal.
<unk>-year-old woman with vomiting, chest pain, and dyspnea. evaluate for pneumonia.
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biapical pleural scarring is noted. streaky bibasilar atelectasis is noted, more significant on the right. there is no evidence of lobar consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. the descending thoracic aorta is mildly tortuous and contains calcifications. the cardiac silhouette is top normal in size.
history: <unk>f with cp // ? pna
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patchy right lower lobe opacity is worrisome for pneumonia or aspiration. blunting of the posterior right costophrenic angle may be due to a trace pleural effusion. no left pleural effusion is seen. the cardiac and mediastinal silhouettes are stable. there is no pulmonary edema. skin fold noted overlying the right hemi thorax. midline tracheostomy tube is noted. vascular stenting is noted at the thoracic inlet.
history: <unk>m with syncope episode // eval for pna
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extensive bilateral rounded airspace opacities may represent multifocal pneumonia, however widespread metastatic disease and septic emboli can have a similar appearance. dedicated chest ct is recommended. there is no pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits.
<unk>f with cough, evaluate cough.
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one ap portable upright view of the chest. previously seen bibasilar opacities have decreased, now with only left lower lobe linear opacities likely representing atelectasis. small left pleural effusion is unchanged. there is no pulmonary vascular congestion. the cardiac, mediastinal and hilar contours are normal. no pneumothorax.
atelectasis versus pneumonia in the left lower lobe, now with aspiration, evaluate for worsening left lower lobe consolidation.
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left-sided dual-chamber pacemaker device is noted with leads terminating in the right atrium and right ventricle, unchanged. mild enlargement of the cardiac silhouette is similar. the aorta remains tortuous and diffusely calcified. pulmonary vasculature is not engorged, and hilar contours are unchanged. lungs are hyperinflated with emphysematous changes again noted in the upper lobes. scarring in the lung apices is similar. no focal consolidation, pleural effusion or pneumothorax is detected. clips are seen in the right upper quadrant of the abdomen. there are no acute osseous abnormalities.
history: <unk>f with sudden onset chest wall when turning torso yesterday.
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the heart size is moderately enlarged but unchanged. mediastinal and hilar contours are stable. the pulmonary vasculature is not engorged. minimal patchy opacity in the left lung base may reflect atelectasis though infection is not completely excluded. no pleural effusion or pneumothorax is visualized. there are no acute osseous abnormalities.
atrial fibrillation with rapid ventricular rate, congestive heart failure, hiv, worsening dyspnea on exertion over the last month.
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pa and lateral views of the chest are compared to chest ct from <unk>. biapical scarring is again noted with superior retration of the hila. the lungs are clear of consolidation or effusion. cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is detected.
<unk>-year-old female with syncope, pneumonia.
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frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs without focal consolidation, pleural effusion, or pneumothorax. the visualized upper abdomen is unremarkable. no displaced rib fracture is identified.
evaluate for right rib fracture in a patient with right-sided rib pain.
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the patient is status post cabg with intact sternotomy wires. there is a dobhoff coursing below the diaphragm and appears to be curled in the stomach. there has been interval removal of the left chest tube. there is no evidence of pneumothorax on the left, however there is a small apical pneumothorax on the right, which is unchanged. the postoperative cardiomediastinal silhouette is stable. there is a small left pleural effusion and bibasilar atelectasis. the lungs are otherwise clear.
<unk> year old man with s/p cardiac surgery, ct d/c'd // evaluate for pneumothorax
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dual lead left-sided pacemaker is again seen extending to the expected positions of the right atrium and right ventricle. no focal consolidation is seen. there is slight blunting of the posterior costophrenic angles which may be due to very trace pleural effusions. there is slight prominence of the interstitium which may be due to minimal interstitial edema. the cardiac and mediastinal silhouettes are stable. right proximal humerus hardware is seen but not well evaluated.
portions and exertion x.
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the lungs are well-expanded and clear. no focal consolidation, effusion, edema, or pneumothorax. the consolidation in the right mid lung has resolved. the heart is normal in size. the mediastinum is not widened.
history: <unk>f with cough // pna?
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faint linear streaks overlying the thorax bilaterally is likely the patient's hair. the heart size, mediastinal, and hilar contours are normal. the lungs are clear without pleural effusion, focal consolidation, or pneumothorax.
<unk>f with ongoing chest pain, tightness, normal ekg, elevated dimer. evaluate for infarction, edema, cardiomegaly.
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frontal and lateral views of the chest were obtained. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. heart size is normal. mediastinal silhouette and hilar contours are normal.
smoke inhalation.
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ap upright and lateral views of the chest provided. right arm access picc line is again seen with its tip in the region of the cavoatrial junction. a tips catheter projects over the right upper quadrant. there is a small persistent right pleural effusion with right basal atelectasis. left lung is clear. cardiomediastinal silhouette is unchanged. bony structures remain intact.
<unk>m with cryptogenic cirrhosis, today ams.
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increase in moderate left pleural effusion with stable small right pleural effusion. left lower lobe atelectasis again seen. new opacity in the right upper lobe consistent with pneumonia. no pulmonary edema. no pneumothorax is seen. the cardiac and mediastinal silhouettes are unchanged. median sternotomy wires and mediastinal clips again noted.
<unk> year old man with s/p cardiac surgery - returns with afib // follow-up moderate left effusion
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compared with the prior radiograph <unk>, no significant change. lungs are clear without pleural effusion, pneumothorax, or focal consolidation. mild hyperinflation of the lungs. the heart, mediastinum, and hilar contours are normal. surgical clips in the lower neck are unchanged, consistent with thyroidectomy.
<unk> year old woman with cough // eval for infiltrate
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frontal and lateral radiographs of the chest demonstrate normal heart size. the cardiomediastinal silhouette and hilar contours are normal. there is atelectasis at the right lung base and the lungs are otherwise clear. no pleural effusion or pneumothorax. no displaced rib fracture identified.
question tia with right arm weakness. evaluate for infection.
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ap upright and lateral views of the chest provided. port-a-cath resides over the right chest wall with catheter tip in the low svc region. patient is slightly rotated to the right. mild left basal atelectasis is noted. no definite signs of pneumonia or edema. no large effusion or pneumothorax. cardiomediastinal silhouette is normal. multiple sclerotic bone lesions compatible with known metastatic disease.
<unk>m with fever // pna?
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left chest port-a-cath terminates in the right atrium, unchanged from <unk>. lung volumes are low accentuating vascular crowding. opacities in the right lower lobe are new from <unk>. blunting of the left costophrenic angle may suggest a small pleural effusion, new from <unk>. there is no right pleural effusion. no pneumothorax. mediastinum, hila and cardiac silhouette are stable from <unk>. a right upper quadrant biliary drain is partially visualized.
<unk>m with dyspnea, confusion, now with more tachypnea and o<num> requirement // evidence of new airway disease
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frontal and lateral chest radiographs were obtained. lungs are hyperinflated. the previous right lower lobe consolidation has essentially cleared. an elliptical opacity projects over the right major fissure on the lateral view and is present since at least <unk>. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax.
patient with right lower lobe pneumonia, eval for resolution.
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there has been interval placement of a small-bore endotracheal tube with its tip sitting between the clavicular heads, approximately <num> cm above the carina - just at the thoracic inlet. the heart size is at the upper limits of normal. the mediastinal and hilar contours are unremarkable. the lungs are clear. there is no pleural effusion or pneumothorax.
<unk>-year-old male with nasopharyngeal intubation because of tracheomalacia. the patient has a history of tongue cancer with local invasion.
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the appearance of the chest is overall unchanged. a left port-a-cath terminates in the right atrium. a right pleurx catheter extends to the right lung apex without pneumothorax. there is a persistent small-to-moderate right pleural effusion with fluid extending into the minor fissure and underlying atelectasis, unchanged. a trace left pleural effusion is also noted. the left lung is clear. bilateral extensive mediastinal and hilar adenopathy is stable. the cardiomediastinal silhouette is incompletely evaluated but does not appear grossly changed.
<unk>-year-old woman with recurrent pleural effusions, status post pleurx catheter placement, here to evaluate for interval changes.
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there has been interval removal of right-sided picc line. there are again visualized right midlung surgical clips consistent with prior wedge resection. the mediastinal silhouette is grossly unchanged compared to prior study. the cardiac silhouette is within normal limits and grossly unchanged. the bilateral hila are normal. there is no significant interval change in the bilateral lungs. no new parenchymal abnormalities or focal consolidations are seen. there is evidence of a small right pleural effusion seen on prior exam which is unchanged. there is no evidence of pulmonary vascular congestion. there is no pneumothorax.
<unk> year old woman with worsening dyspnea and hypoxia after course of tx for pcp with known pulmonary vasculitis // .infiltrates
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since prior, there has been no significant interval change to the extent of a right pleural effusion. the pigtail remains at the right base. there is no pneumothorax. the left lung is clear. cardiomediastinal silhouette is unchanged. there is no pneumothorax.
<unk> year old man with lung cancer now status post thoracentesis and pigtail placement, assess interval change.
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there is a new left ij line with tip at the cavoatrial junction. the et tube. is unchanged. ng tube tip is off the film. it is difficult to assess for the esophageal balloon placement since it is unclear where exactly the balloon is expected to be in this particular case. the appearance of the lungs with diffuse disease, right pleural effusion, and distended bowel are unchanged.
<unk> year old woman with ahrf with balloon pump placed. // esophageal balloon placement
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ap and lateral views of the chest <unk> at <time> are submitted.
<unk> year old woman with fever // eval for pna eval for pna
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fissure attention limits assessment. however, allowing for this there has been interval placement of a pigtail chest tube with its tip at the right apex. there has been interval re-expansion of the right lung with no residual right pneumothorax identified. otherwise, there has been no change.
<unk>f with ptx s/p pigtail // s/p pigtail, ? improvement of ptx
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lungs remain relatively hyperinflated. no focal consolidation is seen. there is no large pleural effusion or pneumothorax. the aorta is somewhat tortuous and calcified. cardiac silhouette is top-normal to mildly enlarged. no pulmonary edema is seen. re- demonstrated is mild loss of height of mid thoracic vertebral bodies.
history: <unk>f with hypotension, hx pericarditis // eval for acute process
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pa and lateral chest radiographs were provided. there is no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal. osseous structures are intact.
<unk>-year-old female with shortness of breath, cough, and known lymphoma. evaluate for pneumonia, chf, acute process.
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there is no pleural effusion, pneumothorax or focal airspace consolidation. prominence of the mediastinum and tortuosity of the aorta is unchanged from the prior ct. heart size and pulmonary vascularity are normal. there is a minimal left apical scarring. compression deformities of the lower thoracic spine are again noted.
fever, evaluate for infiltrate.
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the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. elevation of the right hemidiaphragm is unchanged from prior exams.
malaise. evaluate for pneumonia.
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low lung volumes limits assessment as does multiple overlying wires. patient is status post endotracheal tube placement which appears <num> cm above the level of the carina. an enteric tube traverses the thorax in an uncomplicated course. the heart appears top-normal in size. mediastinal contour appears normal. mild hilar prominence with perihilar opacity could reflect bronchovascular crowding, possibly aspiration or atelectasis. there is no large pleural effusion. no pneumothorax. bony structures are grossly intact.
<unk>-year-old male status post endotracheal tube placement.
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a left bronchial stent appears in unchanged position. there is complete collapse of the left lower lobe, with contiguous large mass in the lingula. left pleural effusion has increased in size in the interval and is now moderate to large. again demonstrated are multiple additional bilateral pulmonary nodules, consistent with diffuse metastases. no pneumothorax. cardiac silhouette is enlarged.
history: <unk>f with weakness. // pneumonia?
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lateral view is obscured by patient's arm. the lungs are clear of focal consolidation, effusion or vascular congestion. nodular opacities over the lung bases are likely nipple shadows. the cardiomediastinal silhouette is within normal limits. atherosclerotic calcifications noted at the aortic arch. no acute osseous abnormalities identified.
<unk>m with
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pa and lateral chest views were obtained with patient in upright position. comparison is made with the next preceding portable ap single view chest examination of <unk>. as before, there is borderline heart size. considering that the patient has a marked chronic copd and emphysema present the heart size suggests the possibility of some chronic chf which can represent the presently existing small bilateral pleural effusions blunting the lateral pleural sinuses and extending in the depending posterior pleural space as noted on the lateral view. comparison of the frontal views also suggests a diffusely present perivascular haze in the pulmonary circulation is more marked than it was on the previous study one week ago. there is no pneumothorax. comparison with the previous study does not demonstrate any new discrete local pulmonary parenchymal infiltrate that may represent pneumonia. similar as shown on previous examinations, there is status post distal left clavicular fracture and displacement.
<unk>-year-old male patient with history of follicular lymphoma with effusions. now with pleuritic pain at right base, evaluate for effusion.
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pa and lateral views of the chest are compared to previous exam from <unk>. right ij line is seen in similar position. left subclavian line however has been removed. the lungs are clear. costophrenic angles are sharp. the cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable. note is made of surgical clips in the right upper quadrant suggesting prior cholecystectomy.
<unk>-year-old female with cough and shortness of breath. history of chemotherapy, pneumonitis. question pneumonia.
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the heart size is top normal. the hilar and mediastinal contours are within normal limits. there is no pneumothorax, focal consolidation, or pleural effusion. mild degenerative changes are seen throughout the thoracic spine.
fall. altered mental status.
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lung volume is low. there is no consolidation, pneumothorax, or large pleural effusion. cardiomediastinal silhouette is normal size. there is no pulmonary edema.
<unk> year old woman with cp // r/o pna, pulm edema
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the heart is mildly enlarged. there is perihilar fullness with a new widespread mild interstitial abnormality, which includes fairly prominent patchy perihilar opacities. on the other hand, dense left basilar consolidation has nearly cleared. however, there are new patchy right basilar opacities in addition to background interstitial prominence. there is no pleural effusion or pneumothorax. the mediastinal and hilar contours appear unchanged.
history of aspiration with recent admission for pneumonia, now presenting with lethargy.
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. the lungs appear clear.
night sweats, fever, and cough.
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portable semi-upright radiograph of the chest demonstrates well expanded clear lungs. the cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation.
<unk>-year-old man with a tia. evaluate for infectious process.
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there is no focal consolidation, effusion or pneumothorax. the cardiomediastinal silhouette is normal. the previously described pleural thickening is not well appreciated on this examination. the patient has had a prior lower cervical decompressive surgery.
<unk> year old man with cough, old smoker, who had a chest ct. pleural finding in right side is new, and recommendation was for cxr to ascertain if it can be seen. if so, will repeat in <unk> weeks again. // need for follow-up of pleural abnormality.
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a left-sided chest wall pacer is noted with leads overlying the right atrium and ventricle, unchanged in their position. the cardiac size is difficult to approximate, but appears persistently enlarged. interval increase in the degree of now moderate to severe pulmonary edema. streaky bibasilar opacities likely reflect atelectasis, although superimposed infection is difficult to exclude. bilateral moderate pleural effusions are noted, increased bilaterally from the prior examination.
history: <unk>f with chf // eval for chf