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lung volumes are low. mild cardiomegaly with left ventricular predominance is re- demonstrated. mediastinal and hilar contours are unchanged with prominence of the hila again noted bilaterally. the pulmonary vasculature is not engorged. patchy opacities in the lung bases likely reflect areas of atelectasis. no pleural effusion or pneumothorax is seen. moderate multilevel degenerative changes are noted in the thoracic spine.
history: <unk>f presenting with cough, rhinorrhea, and possible shingles rash.
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the lungs are clear, the cardiomediastinal silhouette and hila are normal. there is no pleural effusion and no pneumothorax. cervical ribs are seen. there are no rib fractures identified on this chest radiograph; however, dedicated rib series is more sensitive.
<unk>-year-old with rib pain.
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interval intubation with an endotracheal tube which terminates <num> cm above the carina and placement of a right ij central venous catheter which terminates near the cavoatrial junction. severe cardiomegaly is unchanged. apparent mediastinal widening is likely exaggerated by patient rotation, unchanged compared to <unk>. mild pulmonary vascular congestion. no focal airspace opacity. no pleural effusion. no pneumothorax. a left pectoralis single chamber cardiac pacemaker is again noted with a lead that terminates likely within the right ventricle. mild thoracic levoscoliosis is noted. prominent gaseous distention of the stomach should not be mistaken for free air under the diaphragm.
<unk> year old woman with diverticulitis, a-fib, diastolic chf, s/p v-fib arrest, now intubated. // please assess location of et tube
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little change in comparison to prior study with displaced fractures of the right posterior fifth and sixth ribs with a stable small-to-moderate right apical pneumothorax. bibasilar opacities persist. cardiomediastinal silhouette is normal.
evaluation of patient with right-sided pneumothorax for interval change.
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assessment is limited due to positioning. the endotracheal tube ends <num> cm above the carina. an ng tube is in place with the tip out of view. lung volumes are low. there is bilateral hilar engorgement and pulmonary edema. apparent mediastinal widening may be due to positioning. patchy opacities in the retrocardiac region in both the right and the left aspects of the heart may represent atelectasis although infiltrative process cannot be excluded. there may be a small layering left-sided pleural effusion. no right-sided pleural effusion is seen. there is no pneumothorax.
<unk>-year-old female status post intubation.
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tracheostomy, nasogastric tube and right internal jugular central venous catheter are unchanged in position with small amount of contrast material again seen in the stomach. otherwise, there is slight interval decrease in the degree of pulmonary edema and small right effusion with persistent left-sided effusion, atelectasis and mild cardiomegaly. no pneumothorax is seen.
<unk>-year-old man with tracheobronchomalacia status post tracheoplasty and ex lap for bowel perforation and sepsis complicated by ards, assess for change.
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portable semi-upright radiograph of the chest demonstrates stable bilateral diffuse lung parenchymal opacities. the left apical pneumothorax is unchanged. free air is seen beneath the bilateral hemidiaphragms. known pneumomediastinum is better assessed on ct of the chest dated <unk>. the cardiac silhouette is unchanged. left upper extremity picc ends in the low svc.
<unk> year old man with hypercarbia // new opacity? history of aspiration, altered
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endotracheal tube terminates <num> cm above the carina. enteric catheter courses below the left hemidiaphragm loops in the stomach and travels out of view. cardiomediastinal and hilar contours are unremarkable. streaky opacification in the retrocardiac space likely represents atelectasis, though infection/aspiration is not excluded in the clinical setting. no pleural effusion or pneumothorax.
ich, intubated, evaluate endotracheal tube and og tube placement.
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compared with most recent prior radiographs there is increased opacity at the right medial lung base seen on the lateral in the right middle lobe concerning for early pneumonia. otherwise, no significant change from <unk> with no pleural effusion or pneumothorax, normal heart size, mediastinal and hilar contours.
hiv positive with persistent wheezing and cough despite treatment, question pneumonia.
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the cardiomediastinal silhouette is normal. again seen is diffuse opacification of both lungs unchanged from <unk>. endotracheal tube is in appropriate position, ending <num> cm above the carina. a right ij central line ends in the right atrium and should be pulled back by <num> cm. there are no pleural effusions and no pneumothorax.
<unk>-year-old woman with concern for pneumonia.
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the cardiac silhouette size is normal. the aorta is unfolded. mediastinal and hilar contours are relatively unchanged with fullness of the right hilum again be demonstrated. there is hyperinflation of the lungs with attenuation the pulmonary vascular markings towards the lung apices compatible with underlying emphysema. streaky bibasilar airspace opacities are noted which appear slightly progressed in the interval, likely reflecting areas of atelectasis. no pleural effusion or pneumothorax is identified. there are mild degenerative changes in the thoracic spine.
shortness of breath.
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mildly enlarged cardiac silhouette is unchanged. calcifications are again noted within the aortic arch, otherwise, the mediastinal and hilar contours are unremarkable. pulmonary vasculature is persistently engorged but there is no pulmonary edema. segmental atelectasis at the left lung base is new or worsse. transvenous leads from a left-sided pacemaker end in the right atrium and right ventricle.
congestive heart failure presenting with shortness of breath. evaluate for pneumonia or pulmonary edema.
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ap portable upright view of the chest. left chest wall pacer device is unchanged with leads extending to the region the right atrium and right ventricle. bilateral pleural effusions persist with bibasilar atelectasis. hilar congestion and mild pulmonary edema is again noted, slightly progressed in the interval. heart size is difficult to assess. mediastinal contour is stable. bony structures appear grossly intact.
<unk>f with respiratory distress // eval for acute process
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a right picc is present with the tip in the upper svc. again, there is mild vascular congestion, similar to the prior exam. there is no focal opacity, pleural effusion or pneumothorax. the mediastinal contours are normal. the heart is moderately enlarged and unchanged.
altered mental status. evaluate picc line and possible source of infection.
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the heart size is top normal. aorta is tortuous. the mediastinal and hilar contours are otherwise are unremarkable. the pulmonary vascularity is normal. subsegmental atelectasis in the lingula is noted. the remainder lungs are clear without focal consolidation. no pleural effusion or pneumothorax is identified. there are no acute osseous abnormalities.
bradycardia, diaphoresis, nausea and vomiting.
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frontal and lateral views of the chest demonstrate fully expanded and clear lungs. there is no pleural effusion or pneumothorax. the cardiomediastinal and hilar contours normal.
<unk> year old woman with esrd, peritoneal dialysis. yearly chest radiograph.
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ap and lateral views of the chest were compared to previous exam from <unk>. lungs are clear of consolidation or effusion noting some limitation on the lateral view due to respiratory motion. there is no pulmonary vascular congestion. cardiac silhouette is enlarged but stable in configuration given lower inspiratory effort on the current exam. mid thoracic compression deformity is unchanged from prior exam from <unk>. osseous and soft tissue structures are otherwise notable for multiple old healed anterior and posterior left rib fractures.
<unk>-year-old female with shortness of breath. history of diastolic dysfunction. question acute process.
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the lung volumes are normal. there is no pleural effusion, pneumothorax or focal airspace consolidation worrisome for pneumonia. there is minimal atelectasis at the left lung base. heart is normal size. mediastinal and hilar structures are unremarkable.
pleuritic chest pain for <num> days, evaluate for pneumonia or effusion.
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heart size is normal. mediastinal and hilar contours are normal. lungs are clear. pulmonary vascularity is normal. no pleural effusion or pneumothorax. no acute osseous abnormalities.
blunt force trauma with automobile landing on chest.
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compared to prior, there has been interval development of right lower lobe consolidation with bilateral small pleural effusions. the the left lower lobe is likely a mildly atelectatic. the upper lungs are clear. there is mild enlargement of the heart. there is no evidence of pulmonary edema. the mediastinal and hilar contours are unchanged. there is severe right convex scoliosis.
<unk> year old woman with bacteremia and unclear source // please evaluate for pneumonia/aspiration
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heart size is normal. the mediastinal and hilar contours are normal. left lower lobe opacity appears significantly improved. no pleural effusion or pneumothorax. evidence of diffuse severe bronchiectasis and bronchitis. old right rib fractures are again seen.
<unk> year old woman with hx pna, assess for resolution // resolution of pna
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there is no focal consolidation, effusion, or pneumothorax. there is scarring or atelectasis in the right perihilar region. heart size is normal. imaged osseous structures are intact. sternotomy wires and surgical clips are seen in the anterior mediastinum. degenerative changes are seen in the spine.
history: <unk>m with cp // r/o infe ctious process
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the cardiomediastinal and hilar contours are within normal limits. positioning is lordotic. given that, the lungs are clear without focal consolidation, pleural effusion or pneumothorax.
<unk>m with worsening dyspnea // ? acute cardiopulmonary process
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ap and lateral views of the chest. no prior. there are bilateral parenchymal opacities identified and a small-to-moderate right pleural effusion. cardiac silhouette is slightly enlarged. calcification in the region of the right hilum could represent a calcified lymph node. dual-lumen central venous line is seen with tip in the right atrium. additional right-sided central line is seen with tip in the mid svc. osseous and soft tissue structures are notable for inferior subluxation of the right humeral head with respect to the glenoid which is incompletely characterized on this exam.
<unk>-year-old male with chest pain. end-stage renal disease on hemodialysis.
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there has been interval placement of a right ij central venous catheter which ends in the low svc. there is no evidence of pneumothorax. linear opacity at the left lung base is most compatible with atelectasis. the thoracic aorta is mildly tortuous. cardiomediastinal silhouette is normal. there is no focal lung consolidation.
<unk>-year-old woman status post central line placement.
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since the prior radiograph, there has been interval placement of a right-sided picc line that terminates in the proximal svc. there are no focal consolidations, pleural effusions or pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk> year old woman with picc // line position
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pa and lateral chest radiographs were provided. there is no focal consolidation, pneumothorax or pleural effusions. the cardiomediastinal silhouette is normal. there is no evidence of radiopaque foreign body. mild degenerative changes are noted in the thoracic spine.
<unk>-year-old woman with swallowed foreign body tooth/partial denture, please evaluate for foreign body.
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the lungs are clear. there is no focal consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities
<unk> year old man with hiv p/w diffuse aches, abd pain, nausea, occasional sob // r/o pna
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cardiomediastinal silhouette and hilar contours are normal. there are scattered hazy ground-glass opacities bilaterally with peripheral predominance suspicious for pneumocystis pneumonia. there is no pleural effusion or pneumothorax.
dyspnea, recently diagnosed hiv positive and low cd<num> count.
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the cardiomediastinal silhouette is enlarged and relatively unchanged from most recent same-day study. with change in positioning from previous study the right lower lobe opacity appears to have improved with with an unchanged left lower lobe opacity raising the concern that all these findings are related to improving pulmonary edema, although superimposed pneumonia cannot be completely excluded given the current clinical picture. the intra aortic balloon pump is unchanged from most recent study in the distal thoracic aorta. the swan-ganz catheter tip is unchanged and well positioned. the ett is seen and terminates in the mid trachea. nasogastric tube is unchanged in position.
<unk> lady with h/o cml s/p allogenic mrd (d<num> = <unk>) admitted with ams, hypoxemic respiratory failure, and shock now s/p cardiac catheterization without cad but remains in cardiogenic shock of unclear etiology on iabp. dampened tracing. // evaluate iabp position.
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portable ap upright chest radiograph <unk> at <time> is submitted.
<unk> year old man with ongoing epigastric chest pain and cirrhosis. // ?acute process vs recurrent pneumonia ?acute process vs recurrent pneumonia
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ap portable semi upright view of the chest. port-a-cath resides over the right chest wall with catheter tip in the upper svc as on prior exam. hilar congestion with perihilar ground-glass opacity suggesting edema. no large effusion or pneumothorax. heart size is normal. mediastinum appears prominent concerning for underlying adenopathy. no acute fracture is seen.
<unk>m with verify port placement from osh
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there is overall stable appearance of the chest with normal heart size and stable tortuosity of the thoracic aorta. no focal consolidation, pleural effusion or pneumothorax.
<unk> year old man with h/o a fib, on amiodarone, no resp sx. never a smoker. // r/o pulmonoary disease
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heart size is normal. the aorta is mildly tortuous. mediastinal and hilar contours are normal and the lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. there are mild multilevel degenerative changes in the thoracic spine.
fatigue and nausea.
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as compared to prior radiographic examination, there has been minimal interval change. there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema identified. the heart size is normal. mediastinal contours are normal.
persistent cough and shortness of breath.
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portable frontal radiograph of the chest demonstrates a right picc in unchanged position ending in the mid svc. an ng tube ends in the stomach. normal heart size, mediastinal and hilar contours. new opacity at the right lung base and possible opacity in the left lung base consistent with pneumonia given the clinical scenario.
new fever and tachycardia. evaluate for pneumonia.
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single portable frontal image of the chest. et tube is in adequate positions. ng tube passes into the stomach, but distal tip not included on the image. the lungs are well expanded. bibasilar opacities are seen, likely representing atelectasis but cannot exclude pneumonia or aspiration in the right clinical setting. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable.
overdose on seroquel, intubated at osh.
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the drain previously seen at the base of the left lung is not definitively identified. possible small right apical pneumothorax. small right effusion and hazy opacity along the lower right chest is not significantly changed. the previously seen ellipsoid density in the right midzone is no longer visualized. minimal platelike atelectasis or trace fluid in the minor fissure is now noted. otherwise, i doubt significant interval change.
<unk> year old man s/p vats decortication, s/p dc of basilar drain. please perform around noon. // post pull evaluation
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the heart is normal in size. there is tortuosity of the descending aorta. the hilar and mediastinal contours are otherwise normal. increased right paratracheal density is compatible with normal vascular structures seen on ct. the lungs are well-expanded and clear. there is no focal consolidation, pleural effusion or pneumothorax.
asthma, shortness of breath, cough productive of yellow sputum.
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the lung volumes are normal. normal size of the cardiac silhouette. normal hilar and mediastinal structures. no pneumonia, no pulmonary edema. no pleural effusions.
<unk> year old man with cough / fever // cough and fever and decreased left basilar breath sounds
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there is symmetric expansion and aeration of both lungs without focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. the pulmonary vasculature is normal. the cardiac silhouette is normal in size. the mediastinal and hilar contours are within normal limits. the trachea is midline. no acute osseous abnormality is detected.
history of hiv, hcv and diabetes, now with weight loss and fatigue, here to evaluate for acute cardiopulmonary process.
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moderate to severe enlargement of the cardiac silhouette is unchanged. the mediastinal and hilar contours are similar. lung volumes remain low. no focal consolidation, pleural effusion or pneumothorax is visualized. pulmonary vasculature is normal. no acute osseous abnormalities demonstrated. clip is seen projecting within the upper abdomen.
history: <unk>f with seizure, question of infection
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there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. osseous structures are unremarkable.
<unk>-year-old man with potential donor for renal transplant, assess for cardiopulmonary abnormalities.
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portable upright chest radiograph <unk> at <time> is submitted.
<unk> year old woman with left sided chest tube and pericardial drain. // evaluate interval change. please perform at <time> on <unk>. evaluate interval change. please perform at <time> on <unk>.
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ap portable upright view of the chest. a new left upper zone opacity is present. there is resolution of a right-sided pleural effusion. a small left pleural effusion persists. the heart is mildly enlarged. the hilar and mediastinal contours remain within normal limits. there has been interval removal of a left ij central venous catheter. a right picc terminates within the lower svc.
<unk> year old man with shortness of breath // eval for pneumonia, effusion
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cardiomediastinal contours unchanged. increased vascular congestion pulmonary edema bilaterally in the lower bases. there is no pneumothorax or pleural effusion. tip of the intra-aortic balloon pump again seen less than <num> centimeter from the apex of the aortic knob and should be pulled back about <num> cm.
<unk> year old man with iabp // placement of iabp
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lower lung volumes seen on the current exam with secondary crowding of the bronchovascular markings and streaky left greater than right bibasilar opacities. of note, skin fold projects over the right upper lung. there is no large effusion. the cardiomediastinal silhouette is stable. no acute osseous abnormalities. surgical clips in the right upper quadrant suggest prior cholecystectomy.
<unk>m with altered mental status // eval for infiltrate
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. a calcified granuloma is again seen projecting over the right upper lung. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no displaced rib fractures are identified. no free air below the right hemidiaphragm is seen.
<unk>m with l-chest wall pain // evaluate for pneumonia, acute changes
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given mild rotation of the patient to the right, the cardiomediastinal silhouette is likely not significantly changed compared to <unk>. there is mild cardiomegaly, with unfolding of the thoracic aorta. right hilus is non-evaluable. left hilus is unremarkable. there is mild central pulmonary vascular congestion without frank interstitial edema. the lungs are otherwise clear without consolidation worrisome for pneumonia. pleural surfaces are clear without effusion or pneumothorax. severe degenerative changes are noted in the right glenohumeral joint.
chest tightness and hypoxia.
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pa and lateral views of the chest. no prior. there are bilateral infiltrates identified in the apical segments of the lower lobes. lungs are otherwise elsewhere clear without effusion. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable.
<unk>-year-old male, previously healthy, returned from <unk> two weeks ago with three days of fever, chills and sweats. nonproductive cough.
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a left pectoral pacemaker is unchanged with dual leads terminating in the right atrium and the right ventricle with the ventricular lead oriented superiorly towards the free wall of the right ventricle, as before. there is increased interstitial thickening bilaterally on the right greater than the left consistent with worsening interstitial pulmonary edema. there is substantial atelectasis if not complete collapse of the right lower lobe from <unk>. increased opacification of the right lung base silhouetting the diaphragm suggests increased small to moderate right pleural effusion. there is slightly improved aeration at the left lung base with a persistent small pleural effusion and underlying atelectasis. no pneumothorax is present. prominence of the aortic knob widening the mediastinal contour is unchanged, likely related to an unfolded thoracic aorta; however, aneurysmal dilatation of the thoracic aorta or dissection is not excluded. this appearance is new from the remote prior <unk> study but unchanged from <unk>. the cardiac silhouette is mildly enlarged but stable.
dyspnea with clinical concern for pneumonia, here to evaluate for interval change.
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the patient is status post median sternotomy, cabg, and mitral valve replacement. the heart is mildly enlarged. the mediastinal contours are unchanged with calcification of the aortic knob again noted. mild pulmonary edema appears progressed compared to the prior exam with small bilateral pleural effusions, also minimally increased compared to the prior exam. left basilar opacification likely reflects atelectasis. there is no pneumothorax. no acute osseous abnormalities are identified.
crackles at the lung bases and shortness of breath.
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the lungs are well expanded and clear. there is no focal consolidation, effusion, or pneumothorax. cardiac and mediastinal contours are normal. thoracic spine degenerative changes are mild.
shortness of breath and chest pain.
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the lung volumes are low. the cardiac silhouette is likely mildly enlarged. no definite consolidation is seen. there is no definite pleural effusion or pneumothorax. a right-sided internal jugular venous catheter terminates just below the cavoatrial junction, in the upper right atrium.
history: <unk>f with r ij cvl from osh // eval r ij cvl
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lung volumes are somewhat low limiting assessment. no focal consolidation, effusion or pneumothorax is seen. cardiomediastinal silhouette appears normal. bony structures are intact. no free air below the right hemidiaphragm.
<unk>f with cough fever general maliase
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ap upright and lateral views of the chest were obtained. the heart is top normal in size and cardiomediastinal contour is unremarkable. lungs are clear. there is no pleural effusion or pneumothorax.
<unk>-year-old woman with chest pain.
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mild cardiomegaly and a calcified aorta are again seen. hilar contours are unremarkable. there is no evidence for pulmonary edema, pulmonary consolidation, or pleural effusion. eventration of the anterior right hemidiaphragm is again seen. small endplate osteophytes are again seen in the thoracic spine.
cough.
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compared with the prior radiograph, lungs are persistently hyperinflated without focal consolidation. no pneumothorax or pleural effusions. the cardiomediastinal silhouettes are normal. diffuse demineralization.
<unk>m with intermittent 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. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
<unk> year old man with <num> pack year smoking history and chronic cough // please evaluate for evidence of hyperinflation/masses
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cardiac silhouette size is normal. moderate size hiatal hernia is re- demonstrated. mediastinal and hilar contours are unchanged. streaky opacity in the right lower lobe is again noted and could reflect an area of recurrent aspiration. previously noted right upper lobe pneumonia has essentially resolved. no additional focal consolidation, pleural effusion or pneumothorax is present. pulmonary vasculature is normal. there are no acute osseous abnormalities.
history: <unk>f with sarcoid, presents with a week of cough, new shortness of breath today with pain in her back
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ap upright portable view. the cardiac silhouette remains markedly enlarged. mediastinal contours are stable. the trachea again courses to the right. the lungs remain hyperinflated. right greater than left bibasilar opacities are again seen, similar to prior, however, it is unclear whether resolved and increased in the interval. there is persistent blunting of the right costophrenic angle. interval decrease in bilateral mid lung opacities as compared to prior.
history: <unk>f with hx chf with hypoxia and leg swelling // eval pulm edema
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the lungs are clear. there is no consolidation, effusion, edema or pneumothorax. the cardiomediastinal silhouette is within normal limits. no displaced fractures identified. incidentally noted is colonic interposition above the liver.
<unk>f with chest pain
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compared with earlier the same day, the iabp has been pulled back and now lies slightly below the inferior rim of the aortic knob (the inferior edge of the right thumb is indistinct due to rotation, which limits precise measurement). cardiomediastinal silhouette is grossly unchanged. vascular markings are more pronounced than on <unk>, but similar to earlier the same day --<unk> could reflect chf. minimal blunting of the right costophrenic angle is probably unchanged. no left effusion identified. probable bibasilar atelectasis, similar to prior. no pneumothorax is detected.
<unk> year old man with severe mr with iabp. pulled back balloon pump <num>cm. // please evaluate for iabp position.
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cardiac size is normal. the lungs are clear. there is no pneumothorax or pleural effusion.
<unk> year old man with ankle fracture returns for fixation. preop cxr // preop cxr surg: <unk> (ankle fracture orif)
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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 chest tightness and cough. evaluate for pneumonia.
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pa and lateral images of the chest. the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable.
epigastric and right upper quadrant abdominal pain.
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cardiomediastinal contours are normal. lungs are grossly clear. no pleural effusion or pneumothorax.
<unk> year old woman with cough // r/o infiltrate
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the lungs remain hyperinflated, with flattening of the diaphragms, suggesting chronic obstructive pulmonary disease. focal apparent eventration of a posterior diaphragm is grossly similar as compared to the prior study and similar as compared to <unk>. anterior costochondral calcifications are seen projecting over the lung bases. bibasilar scarring noted. no focal consolidation, pleural effusion, evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. aortic calcifications are seen.
dyspnea, productive cough.
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subcarinal and bilateral hilar and paratracheal mediastinal adenopathy is consistent with provided diagnosis of sarcoidosis, and remains unchanged from prior examination. the aorta is tortuous and mildly dilated and is unchanged. there are stable scattered granulomas bilaterally. no new focal consolidations are identified. there is no pleural effusion or pneumothorax.
<unk>-year-old man with history of sarcoidosis and unintended weight loss.
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compared with the prior film, the chest tube is been removed. there is a new small left pleural effusion, with underlying collapse and/or consolidation. note is made of trace pneumomediastinal air, which has decreased compared with the prior film. no pneumothorax is detected. there are lower inspiratory volumes. allowing for this, no definite change in the cardiomediastinal silhouette. atelectasis at the right base. mild vascular plethora is likely accentuated by low lung volumes. sternotomy wires again noted. right ij central line tip overlies the mid/ distal svc.
<unk> year old man s/p ct pull // eval for ptx
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crowding of vessels likely due to low lung volumes bilaterally. no pneumothorax, pulmonary hemorrhage, pulmonary edema, pleural effusions, or focal consolidation. left lower lobe mass better evaluated on recent chest ct from <unk>. left hilar contours consistent with known lymphadenopathy noted on recent ct. right lung is clear. cardiac size is top normal.
<unk> year old woman with lymphoma, lll mass and brain lesion, s/p lung biopsy; r/o ptx // exclude ptx
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the cardiomediastinal and hilar contours are within normal limits. the lungs are clear. there is no large pleural effusion or pneumothorax. there is no subdiaphragmatic free air.
<unk>-year-old female with abdominal pain.
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there is again elevation of the right hemidiaphragm, seen on the prior study, however the lungs are clear with no evidence of effusion or pulmonary edema. there is a stent in the left axilla, with a mild kink in the midportion of the stent, as before. heart size is normal and there is no pleural effusion or pneumothorax.
<unk>m with diabetic ketoacidosis. evaluate for pneumonia.
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again seen are low lung volumes and bibasilar opacities, improved on the left. the cardiomediastinal silhouette is within normal limits. there is no pulmonary vascular congestion or pneumothorax.
altered mental status. evaluation for infection.
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right-sided central venous catheter is again seen, terminating in the mid svc without evidence of pneumothorax. right-sided calcified breast implant is again noted. there is persistent mild blunting of the right costophrenic angle. no focal consolidation is seen. there is no large pleural effusion. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with altered mental status // acute cardiopulm diseaase
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pa and lateral images of the chest demonstrate well expanded lungs. there has been interval improvement in the bilateral pleural effusions and pulmonary vascular congestion. there is no pneumothorax. cardiomediastinal silhouette is unremarkable. visualized osseous structures are unremarkable.
<unk>-year-old male with bilateral pleural effusions and chest tube for hydropneumothorax.
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lungs are now clear. there is no evidence of cardiac decompensation. the aorta is generally large and calcified, little changed since <unk>. however the contour of the proximal descending portion, where there may be separation of intimal calcification from the aortic margin could be due to chronic dissection or ulceration with periaortic bleeding, and as such raises concern for acute changes. heart size is normal.
history: <unk>m with chest pain, mild crackles on the right please evaluate for pneumonia or edema // history: <unk>m with chest pain, mild crackles on the right please evaluate for pneumonia or edema
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the lungs are clear. the cardiac size is normal. mild rightward deviation of the trachea may be due combination of kyphosis and mild dextroscoliosis. moderate kyphosis and degenerative changes are noted. a hiatal hernia is again visualized, but appears much smaller than in prior exams. no pulmonary edema, pleural effusion, pneumothorax, or pneumonia.
<unk> year old woman with hx of hiatal hernia and worsening gas pain // hiatal hernia?
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pa and lateral chest radiographs were provided. very vague hazy opacities in the bilateral mid lung zones, and more confluent at the right lung base, may represent pulmonary congestion or sequelae of acute chest syndrome; however opacification is somewhat more confluent at the right lung base and developing infection cannot be excluded. there is no pleural effusion or pneumothorax. the heart size is moderately enlarged and possibility of pericardial effusion cannot be excluded. there is depression of the superior and inferior endplates of the thoracic vertebral body, of indeterminate age and compatible with history of sickle cell disease. no other acute skeletal abnormalities.
<unk>-year-old female with sickle cell disease, evaluate for infiltrates.
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ap upright and lateral views of the chest were provided. aicd is unchanged. lung volumes are low. in this patient with pulmonary fibrosis, there is a similar overall appearance when compared with the prior exam. a fiducial marker is noted projecting over the lateral left mid lung. there is central hilar engorgement likely indicative of central congestion. heart size cannot be assessed. no large effusion or pneumothorax.
<unk>m with sob // eval for volume overload
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the cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax. there is no focal lung consolidation. the aortic knob is calcified. note is made of mild left acromioclavicular arthropathy.
<unk>-year-old woman with hypotension evaluate for acute process
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a new right internal jugular central venous catheter terminates in the upper superior vena cava. there is no evidence for pneumothorax. the left lung base is better aerated with decrease in the extent of elevation of the left hemidiaphragm and basilar opacification of the left lung. a right basilar opacity is unchanged. early pneumonia could be considered. there is also some suggestion of upper zone redistribution of pulmonary vascularity. the cardiac, mediastinal and hilar contours appear unchanged.
central line placement.
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the cardiomediastinal and hilar contours are stable. there are small bilateral pleural effusions with linear atelectasis projecting over the mid and lower lung fields bilaterally. pulmonary edema is slightly improved. there is no pneumothorax. there is no focal consolidation concerning for pneumonia. multiple rib deformities are again noted.
assess for interval change of pulmonary congestion.
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the lungs are hyperinflated with flattening of the diaphragms suggestive of underlying copd. the heart remains mild to moderately enlarged, and the aorta is unfolded. mildly increased interstitial opacities are noted diffusely, likely related to chronic changes, and no overt pulmonary edema is present. there is no focal consolidation, pleural effusion or pneumothorax. there are multilevel degenerative changes noted in the thoracic spine.
transient vision loss, low-grade temperatures.
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the heart is again mild-to-moderately enlarged. the mediastinal and hilar contours appear unchanged, again noting calcifications along the aortic arch. the lungs are clear. there are no pleural effusions or pneumothorax. mild rightward convex curvature is centered along the mid thoracic spine with mild degenerative anterior osteophyte formation.
cough, nausea and vomiting. question pneumonia.
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<num> views were obtained of the chest. the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the heart is moderately and globally enlarged with particular prominence of the left atrial contour on the lateral view. no pleural effusion or pneumothorax is identified.
chest pain, assess for widened mediastinum.
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no acute pulmonary pathology including pneumothorax, pulmonary edema or focal consolidation is identified. extensive apical bullous emphysematous changes are again noted. the cardiac and mediastinal contours are normal. no bony abnormalities are identified.
<unk>-year-old male with acute right side chest pain and shortness of breath, evaluate for infiltrate or mass.
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in comparison with chest radiographs obtained <unk>, no significant changes are appreciated. there is unchanged scarring at the lateral left lung base. lungs are otherwise fully expanded and clear without focal consolidation or suspicious pulmonary nodules. no pleural effusions. heart size is normal. cardiomediastinal hilar silhouettes are normal.
<unk> year old woman with unexplained recurrent pleural effusions and infiltrates, with recurrent left chest pain, cough, fever // ? pleural effusion ? infiltrate
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dextroscoliosis of the midthoracic spine and levoscoliosis of the upper thoracic spine is stable from the immediate prior study. six median sternotomy wires are unchanged from prior study, including a fracture of the inferior-most wire. there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. the cardiomediastinal contour is stable.
<unk>f with chest pain, shortness of breath, and presyncope, evaluate for acute cardiopulmonary process.
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et tube tip is approximately <num> cm from the carina. enteric tube tip projects over the gastric body, side-port past the ge junction. the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified. left lateral sixth and right posterior seventh prior rib fractures are identified. anterior cervical spinal fixation hardware is partially visualized.
<unk>f with intubated pls eval ett
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there are relatively low lung volumes.given this no focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with dyspnea, back pain // infiltrates, effusion, ptx, volume status, fractures
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pa and lateral views of the chest provided. right chest wall aicd is noted with leads extending to the region of the right atrium and right ventricle. lungs are 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 pancreatic cancer on chemo with fever.
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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>m with syncope
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the lungs are well expanded and clear bilaterally with no areas of focal consolidation, masses, lesions, or pleural effusions. there is no pneumothorax. the aorta is moderately tortuous. otherwise, the cardiomediastinal silhouette is within normal limits. the pleural surfaces are unremarkable. there are mild stable degenerative changes seen in the thoracic spine.
<unk>-year-old female with previous history of pneumonia, now presents with cough.
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there are low lung volumes. there has been interval removal of a right-sided picc. the cardiac and mediastinal silhouettes are stable. minimal to no vascular congestion is seen. there is no focal consolidation, pleural effusion or pneumothorax.
history: <unk>f with sob and hx of chf with wt gain // eval chf
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the cardiac silhouette is mildly enlarged. the pulmonary vasculature is unremarkable. the lungs are clear aside from bibasilar linear scarring. no pleural effusion or pneumothorax is identified.
<unk> year old man with cough and history of smoking // any mass
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a right-sided picc line ends at the superior cavoatrial junction. lung volumes are low. bibasilar areas of linear and subsegmental atelectasis are unchanged. mild pulmonary edema is unchanged. there is no pneumothorax. mild cardiomegaly despite the projection is stable. mediastinal widening secondary to adenopathy is stable.
<unk> y/o female with history of hfpef (lvef <unk>%) called out micu s/p hypercarbia, new o<num> desat // r/o pulm edema pna
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ap single view of the chest has been obtained with patient in semi-upright position. analysis is performed in direct comparison with the next preceding similar study dated <unk>. the patient remains intubated, the ett terminating in the trachea <num> cm above the level of the carina. previously described left-sided picc line terminates in unchanged position in lower third of svc. no pneumothorax identified in apical area. mild cardiac enlargement, not significantly changed since previous examination. no new acute pulmonary parenchymal infiltrates are seen. evidence of bilateral small amount of pleural effusions, slightly more on right than left, also grossly unchanged.
<unk>-year-old female patient with pancreatic carcinoma, pulmonary embolism, with hypoxia and altered mental status, now intubated, found to have catastrophic antiphospholipid syndrome, fungemia, and leukocytosis, evaluate for interval change.
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the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. the lungs are well expanded and clear without focal consolidation concerning for pneumonia. there is mild increased bronchial wall thickening. pulmonary vasculature is within normal limits. the upper abdomen is unremarkable. no acute osseous abnormality is detected.
<unk>m with cough, myalgias // eval for pna
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single portable view of the chest is compared with previous exam of <unk>. low lung volumes are again noted however they appear grossly clear of confluent consolidation or pulmonary vascular congestion. rounded lucency in the retrocardiac region is suggestive of possible hiatal hernia, similar to prior exam.
<unk>-year-old male with worsening shortness of breath, low oxygen saturation. question pneumonia.