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right midlung linear opacity, pleural based opacity in blunting of the right lateral costophrenic angles likely due to pleural thickening and scarring with possible trace residual effusion. no large left pleural effusion. calcified left apical granuloma is noted. right chest wall dual lumen central venous catheter is again noted. the lungs are otherwise clear. cardiac silhouette is mildly enlarged. atherosclerotic calcifications noted at the aortic arch. surgical clips in the right upper quadrant suggest prior cholecystectomy.
<unk>f with ckd on dialysis presenting with clotted fistula // chf? dialysis catheter
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heart size is normal with mild tortuosity of the thoracic aorta. hilar contours are unremarkable. lungs are clear. there is no pleural effusion or pneumothorax.
pleuritic chest pain.
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anterior cervical spinal fusion hardware is partially imaged. the cardiomediastinal silhouettes are stable and within normal limits. the bilateral hila are unremarkable. the lungs are clear without focal consolidation. there is no pulmonary vascular congestion. there is no pneumothorax or pleural effusion. there is no evidence of displaced rib fracture.
<unk>-year-old woman with a fall, evaluate for fracture.
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in comparison with the study of <unk>, the monitoring and support devices are unchanged and in standard position. there is continued enlargement of the cardiomediastinal silhouette with interval improvement of the pulmonary vascular congestion and bilateral pleural effusions. the basilar compressive atelectasis is stable when compared to the prior.
<unk> year old man with persistent respiratory failure // interval changes
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there is no consolidation, pleural effusion, or pneumothorax. cardiomediastinal and hilar silhouettes are stable in appearance compared to <unk> radiograph. prominence of the azygos vein contour and central pulmonary vascularity is also unchanged since that time.
history: <unk>m with cough // eval for pna
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pa and lateral views of the chest. linear bibasilar left greater than right opacities are most suggestive of atelectasis. the lungs are otherwise clear, there is no pneumothorax. cardiomediastinal silhouette is within normal limits. no displaced fractures identified.
<unk>-year-old male with fall and chest pain.
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portable chest radiograph
<unk>-year-old man with shortness of breath history of chf and copd.
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there is mild cardiomegaly. mild vascular congestion is new. there is no pneumothorax. bilateral effusions are small. bibasilar atelectasis have increased on the right. pacer lead is in standard position. there are low lung volumes. right ij catheter tip is in the lower svc.
<unk> year old man with chest pain and shortness of breath, hx of heart failure // ?pulmonary edema or infiltrate
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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. bilateral <unk> rods are seen spanning the thoracolumbar spine, incompletely imaged.
history: <unk>f with shortness of breath, left flank pain
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pa and lateral views of the chest provided. basilar opacities in the setting of low lung volumes likely reflect atelectasis. no convincing evidence for pneumonia edema effusion or pneumothorax. cardiomediastinal silhouette is normal bony structures are intact. no free air below the right hemidiaphragm is seen.
<unk>f with sob
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frontal and lateral chest radiographs were obtained. there are persistent prominent interstitial reticular markings, predominantly in bilateral lower lobes, consistent with known pulmonary fibrosis. no acute focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. the heart size is normal. mediastinal and hilar contours are stable.
patient with left lower rib cage pain and rales, rule out consolidation versus atelectasis.
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both lungs are well expanded and clear. there is no evidence to suggest pulmonary edema or volume overload. heart size is moderately enlarged. hilar and mediastinal contours are unremarkable. there is no pleural effusion.
liver decompensation, cirrhosis, lower extremity edema; please evaluate for volume overload.
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pa and lateral chest radiographs were obtained. the lungs are well expanded and clear. an <num> mm retrocardiac nodule compatible with known metastatic disease has decreased in size since <unk>. there is no new consolidation effusion or pneumothorax. there is no evidence of volume overload. a right chest port-a-cath tip terminates in the right atrium. thoracic scoliosis.
<unk>-year-old woman with bilateral lower extremity edema on chemotherapy. assess for pulmonary edema.
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mild pulmonary edema has minimally worsened since <unk>. left pectoral icd device with leads in standard position. patient is following cabg and there is evidence of median sternotomy and intact sternal sutures. moderately enlarged heart size is stable. mediastinal and hilar contours are unchanged. increased retrocardiac density reflecting left lower lung atelectasis or consolidation and small to moderate left pleural effusion is new. there is no pneumothorax.
<unk>-year-old man with coronary artery disease status post cabg, congestive heart failure, ejection fraction <unk>%, persistently shortness of breath.
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the lung volumes are low. there is a new moderate right and probable small left pleural effusion. additionally, new pulmonary vascular congestion and mild pulmonary edema is present. there is no focal airspace consolidation. there is no pneumothorax. the aorta is tortuous and calcified. calcifications are noted in the region of the mitral annulus. the cardiac silhouette is enlarged, and unchanged from the prior exam.
weakness and low hematocrit.
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there is no focal consolidation, pleural effusion or pneumothorax. previously demonstrated right infrahilar opacities have improved. there is stable enlargement of the main pulmonary artery. there is moderate cardiomegaly which is unchanged. again seen is mild retrocardiac atelectasis, unchanged.
left anterior chest pain.
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the lungs are well expanded and clear. there is no pleural abnormality. the cardiac and mediastinal silhouettes are unremarkable.
<unk>f w/chest pain please eval for mediastinal widening, pna, ptx
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ap portable upright view of the chest. a small right pneumothorax is slightly improved since <unk>. multiple right rib fractures are again noted. the heart size remains normal. the hilar and mediastinal contours are within normal limits. there is mild elevation of the right hemidiaphragm. no effusions are present.
<unk> year old man s/p traumatic r <unk> rib fractures with pulm contusion and r pneumo with new onset afib with rvr // acute intrathoracic process
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patchy right base opacity on the frontal view, not well substantiated on the lateral view, however, underlying pneumonia may be present. the left lung is clear. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are stable.
history: <unk>m with weakness, leukocytosis // eval for pna
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multiple surgical clips are seen within the soft tissue overlying the right chest wall, as well as overlying the left upper abdominal quadrant, as on prior ct. the cardiomediastinal silhouettes are normal. the bilateral hila are unremarkable. the lungs are clear. there is no pulmonary vascular congestion. there is no pneumothorax or effusion.
a <unk>-year-old woman with a fever and cough, evaluate for pneumonia.
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increased bibasilar interstitial prominence could represent early pulmonary edema or interstitial lung disease, and amiodarone toxicity could have this appearance. if there are clinical signs of volume overload, diuresis could be attempted with repeat radiographs to assess for interval change, otherwise chest ct could be performed to evaluate these changes. the left chest wall biventricular pacemaker leads are in appropriate position. there is no pneumothorax or focal consolidation. the heart size is top-normal.
<unk> year old man with cough, on amiodarone for <unk> years, dry crackles on rll // evaluate for fibrotic changes
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improved aeration of the right middle and lower lobes. the left lung is relatively clear. cardiomediastinal contours are stable. probable small right-sided effusion. no pneumothorax. tracheostomy tube midline. left picc line ends at the origin of the svc. right axillary venous stents noted.
<unk> year old woman s/p bronch with increasing o<num> requirement // eval for interval change
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there are low lung volumes bilaterally. linear atelectasis of the right lung base is seen. no focal consolidation. no pleural effusion or pneumothorax. the cardiac size is top normal.
<unk> year old man with hepatic encephalopathy, no clear infectious source // r/o pna or other infectious process
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endotracheal tube ends approximately <num> cm above the carina and is appropriately positioned and orogastric tube courses below the diaphragm into the stomach. an ill-defined opacity at the right lung base on the prior radiograph has resolved suggesting that it was an aspiration or atelectasis. there are no new lung opacities of concern. heart size, mediastinal and hilar contours are normal. there is no pleural abnormality.
<unk>-year-old man with likely aspiration event, evaluate for interval change.
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lungs are clear. there is no consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>f with chest pain // chest pain
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there are low lung volumes, which results in bronchovascular crowding. the cardiomediastinal contours are unchanged. the aorta is tortuous. there is no pneumothorax, pleural effusion, or consolidation.
history: <unk>f with cough // eval for pna
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since the prior chest radiograph performed earlier on the same date, the right lung base opacity has worsened. mild to moderate pulmonary vascular congestion persists with mild interstitial edema and a small right pleural effusion. mild cardiomegaly is again noted.
<unk>-year-old male with history of atrial fibrillation, now with dyspnea.
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there is no suspicious mass, focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits. surgical clips are noted projecting over the left mediastinum.
<unk> year old man with hypercoagulable state, pvt, chronic smoker presenting with <num> weeks significant weight loss // pls r/o mass/nodule
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there are low lung volumes. the heart size is top normal. the mediastinal contour is likely within normal limits accounting for low lung volumes. there is no hilar enlargement. the pleura vascularity is normal. no focal consolidation, pleural effusion or pneumothorax is definitively noted. there are multilevel degenerative changes in the thoracic spine with anterior bridging osteophytes.
chest pain.
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the patient is status post median sternotomy and cabg. the heart size is top normal, unchanged. mediastinal and hilar contours are unchanged, and there is no pulmonary vascular congestion. linear scarring in the left lung base is re- demonstrated as is scarring within the lung apices. no focal consolidation, pleural effusion or pneumothorax is seen. there are multilevel degenerative changes in the thoracic spine, but no acute abnormalities are seen within the osseous structures.
<num> day history of cough, status post kidney transplant on chronic immunosuppressive therapy.
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there are low lung volumes. this accentuates the size of the cardiac silhouette which is likely mildly enlarged but unchanged. the aorta remains tortuous. a moderate-sized hiatal hernia is again demonstrated. there is crowding of the bronchovascular structures with mild pulmonary vascular congestion. patchy ill-defined opacities within the lung bases could reflect atelectasis though infection or aspiration cannot be completely excluded. a trace right pleural effusion may be present. there is no pneumothorax. no acute osseous abnormality is seen.
altered mental status.
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the cardiomediastinal silhouette is stable, consistent with a tortuous thoracic aorta. the heart appears normal in size. the hila are unremarkable. the lungs are clear without focal consolidation. there is no pulmonary vascular congestion or pulmonary edema. there is no pneumothorax or sizable pleural effusion. surgical clips noted in the upper abdomen.
<unk>f with dizziness, cp sob, evaluate for infiltrate.
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there has been interval placement of a left pleurx catheter with tip terminating near the aortic knob. there has been interval slight decrease in the now small left pleural effusion with resultant improvement in the left basilar atelectasis. there is no right pleural effusion. there is no pneumothorax. multiple left lateral upper rib deformities as well as the left clavicular deformity are likely sequela of prior trauma. deformity of the right clavicular head may be secondary to an inflammatory arthritic process.
new left pleurx catheter placement.
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pa and lateral chest radiographs demonstrate clear lungs. there is no pleural effusion, pulmonary vascular engorgement, or pneumothorax. the cardiomediastinal silhouette is normal.
productive cough and fever for three days.
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two views were obtained of the chest. the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. post-cabg changes are seen with normal heart size and mediastinal contours.
chest pain and dka, assess for acute process.
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the lungs are normally expanded without focal airspace opacity to suggest pneumonia. there is mild increase in interstitial markings suggesting pulmonary vascular congestion without frank pulmonary edema. there has been interval increase in size of the heart now with moderate to severe cardiomegaly. there are likely small bilateral pleural effusions blunting the costophrenic sulci. there is no pneumothorax.
<unk>m with esrd on hd p/w sob is there a focal pneumonia
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there are relatively low lung volumes and there is mild elevation of the left hemidiaphragm with overlying atelectasis. no definite focal consolidation is seen. there is no large pleural effusion. no pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with chest pain, pleuritic // eval for structural process
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multiple left-sided ribs, spanning at least second through seventh levels are fractured in two places, with significant volume loss associated in the left chest. a pleural pigtail catheter is similar in appearance, with its pigtail not well formed. no pneumothorax can be appreciated. left base atelectasis, and a small amount of linear atelectasis in the right lung is little changed. small left effusion is unchanged. there is no new focal consolidation. the cardiac silhouette and mediastinal contours are unchanged.
<unk>-year-old female pedestrian struck.
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ap portable upright view of the chest. cardiomegaly is stable with mild pulmonary edema. no large effusions or pneumothorax. no convincing signs of pneumonia. bony structures are intact.
<unk>m with chf, dyspnea // edema?
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frontal and lateral views of the chest were compared to previous exam from <unk>. lungs are clear. there is no effusion or pneumothorax. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable. seen on the lateral view are linear densities in the upper abdomen, compatible with cholecystectomy clips.
<unk>-year-old female with suicidal ideation, prior foreign body ingestion, rule out foreign body.
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cardiac, mediastinal and hilar contours are unchanged and within normal limits. the pulmonary vascularity is not engorged. minimal streaky bibasilar airspace opacities likely reflect atelectasis. there is no focal consolidation. no pleural effusion or pneumothorax is identified. scarring within the lung apices is re- demonstrated. no acute osseous abnormalities are visualized.
dizziness.
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the cardiac, mediastinal and hilar contours are normal. the pulmonary vascularity is normal. the lungs are clear. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities. mild degenerative changes are seen in the thoracic spine.
chest tightness and cough.
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left chest wall power injectable port tip projects over the right atrium. no focal consolidation, pleural effusion or pneumothorax identified. the size of the cardiomediastinal silhouette is within normal limits.
<unk> year old man with pancreatic ca sp whipple, now with leukocytosis of unknown etiology // please assess for consolidation (pna vs atelectasis vs aspiration)
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pa and lateral views of the chest. no prior. the lungs are clear of focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. osseous and soft tissue structures are unremarkable.
<unk>-year-old female with left rib pain, question pneumonia or pneumothorax.
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pa and lateral views of the chest provided demonstrate no focal consolidation effusion or pneumothorax. overlying ekg leads are present somewhat limiting evaluation. the cardiomediastinal silhouette is normal. the imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>-year-old female with right facial numbness, weakness, assess acute intrathoracic process.
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the heart size is normal. aorta is unfolded. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>m with chest pain
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since the prior chest radiograph performed on <unk>, there has been interval placement of a new enteric tube which terminates in the right lower lobe. replacement/repositioning is documented on a subsequent radiograph. streaky bibasilar opacities likely represent atelectasis. no sizable pleural effusion or pneumothorax. stable cardiomegaly. aorta is tortuous, and appears aneurysmal. multiple rib deformities are noted on the right, chronic.
<unk> year old man with l thalamic hemorrhage now with ng in place // assess for ng tube placement
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lungs are hyperinflated with flattening of the diaphragms suggestive of copd. heart size is normal. mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. linear opacities in the lung bases reflect subsegmental atelectasis or scarring. no focal consolidation, pleural effusion or pneumothorax is seen. scarring is noted within the lung apices. remote right-sided rib fractures are again demonstrated.
history: <unk>f with fall unclear cause with headache pain, head injury, right eye proptosis.
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ng tube tip is in the stomach. left ij line tip is in the proximal svc. this is a rotated film which somewhat limits evaluation. there are moderate bilateral pleural effusions and volume loss in both lower lungs. compared to the prior study the pleural effusions are larger, although some of this appearance could be due to technique
<unk> year old man with new l ij, and ogt // please eval ogt and l ij
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the heart size is normal. the aorta is tortuous. the hilar contours are normal. the pulmonary vascularity is normal. the lungs are clear. no pleural effusion or pneumothorax is present. no free air is noted under the diaphragms. there is no acute osseous abnormality.
vomiting.
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the heart size is normal. the hilar and mediastinal contours are within normal limits. there is no pneumothorax, focal consolidation, or pleural effusion.
new facial droop.
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pa and lateral views of the chest. tunneled venous catheter seen with tip at the ra/svc junction. the lungs remain clear. the cardiomediastinal silhouette is normal. no acute osseous abnormalities detected. old right mid clavicular fracture is again noted.
<unk>-year-old male with vomiting. question pneumonia.
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there is subtle right midlung opacity possibly projecting posteriorly on the lateral view. elsewhere, the lungs are clear. there is no effusion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality identified.
<unk>f with fever, cough // eval for pna
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there is dense retrocardiac opacity silhouetting the descending thoracic aorta and medial hemidiaphragm compatible with a left lower lobe consolidation. elsewhere, the lungs are clear. the cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable.
<unk>-year-old male with fever and productive cough for one week.
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frontal and lateral views of the chest. vague opacity overlying the left heart border is not confirmed on the lateral view but is new since <unk>. no pleural effusion or pneumothorax. the heart size and cardiomediastinal contours are normal.
<unk>-year-old female with history of acute promyelocytic leukemia, presenting with cough and shortness of breath.
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compared to the prior study the left effusion has dramatically increased in size and there is only a small amount of visualized aerated left lung with remainder of the lung obscured by volume loss/infiltrate/ effusion. on the right there is hazy alveolar infiltrate and low lung volumes. the swan-ganz catheter is been removed. there is a right ij cordis with tip in the superior vena cava. the et tube tip is unchanged. the enteric tube tip is off the film, at least in the stomach. .
<unk> year old man with cirrhosis and ards // compare with prior ards and pna
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pa and lateral views of the chest provided. heart size is normal. mediastinal and hilar contours are normal. the previously identified right infrahilar opacification is probably due to a pericardial fat pad, pericardial cyst or lipoma. there is no focal consolidation. minimal, if any, pleural effusion. bibasilar linear atelectasis and small pleural effusions. no pneumothorax. there are serpiginous radiodense structures in the left axilla and right upper chest, which could represent soft tissue calcifications or external structures.
<unk> year old woman with pvd, newly placed picc now with ? r hilar lung abnormality seen on post picc cxr // further evaluation of r hilar abnormality
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ap upright and lateral. there are low lung volumes, but the lungs are clear. cardiomediastinal silhouette is unremarkable. there is no pneumothorax or pleural effusion.
cough productive of brown sputum for <num> days.
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postinflammatory changes are noted in bilateral apices, likely old tuberculous disease and are unchanged from prior films.otherwise lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unchanged.
<unk> year old man pod<num> from l<num>-l<num> lami and discectomy, febrile to <num>. // evaluate for cause of fever
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>m with fever
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the lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen. mild elevation of the left hemidiaphragm is noted.
<unk>f with <num> weeks of sinus congestion with cough productive of green sputum, intermittent shortness of breath. evaluate for consolidation.
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the cardiomediastinal silhouette and pulmonary vasculature are unremarkable. there is no pleural effusion or pneumothorax. a vague opacity, not present on prior films of the chest, is seen in the right lower lobe.
history: <unk>f with cough*** warning *** multiple patients with same last name! // eval for pna
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a right port-a-cath is unchanged with the tip in the low svc. a left subclavian central venous catheter is unchanged with the tip in the mid svc. the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the mediastinal contours are normal. the heart size is at the upper limits of normal, though unchanged.
hodgkin's lymphoma with cough and fever. evaluate for pneumonia.
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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. in particular, the right rib cage appears intact. no free air below the right hemidiaphragm is seen.
<unk>f with substernal and right rib pain // eval cardiomediastinal shadow and right ribs
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lines and tubes are grossly unchanged. again seen is dense opacity along the upper left chest wall, not significantly changed compared with the most recent prior film, but probably slightly improved compared with <unk> at <time>. there is also persistent increased retrocardiac opacity, though the left hemidiaphragm remains visible. hazy density at the left base laterally is in part due to overlying materials. no gross left effusion. there has been interval clearing of opacity that was previously seen at the right base.
<unk> year old man with s/p bronch for left lung collapse // interval chnage
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frontal view of the chest demonstrate no abnormality. there is mild increased opacification along the spine on lateral view that is most likely secondary to patient's mild rightward scoliosis. the cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax.
<unk> year old woman with cough, sob, evaluate for pneumonia.
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et tube terminate <num> cm above the carina and can be advanced <num> cm for secure positioning. right ij swan-ganz catheter with tip in right pulmonary outflow tract. stable severe cardiomegaly, unchanged since <unk> and mediastinal widening unchanged since chest radiograph performed earlier on the same day and increased since <unk>. increased vascular congestion bilaterally on verge of pulmonary edema. there is no pneumothorax or pleural effusion.
<unk> year old man with new pa // check pa placement
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a single portable ap supine view of the chest was obtained. a right internal jugular central venous catheter terminates in the proximal right atrium. cardiomediastinal silhouette is unchanged. again seen are diffuse bilateral interstitial opacities in a predominantly nodular pattern with increased background haziness, probably representing superimposed edema. moderate bilateral pleural effusions are new. no pneumothorax.
<unk>-year-old woman with hypoxia, evaluate for acute interval thoracic process.
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the cardiomediastinal silhouette is unchanged. evaluation of heart size is limited to the low lung volumes, ap projection, and bilateral airspace opacities. there is again seen a calcified thoracic aorta. there are again seen areas of diffuse bilateral airspace opacities. in particular, the right lower lobe appears better aerated, with improved visualization of right hemidiaphragm and right heart border. the left upper lobe is worse, and has developed more confluent areas of consolidation. this may reflect redistribution of pulmonary edema, or possibly overlying secondary process involving left upper lobe such aspiration or pneumonia. there is no pneumothorax or effusion.
<unk> year old man with chf p/w hypoxia, now s/p lasix // evaluate for interval improvement
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the tip of the left picc line extends to the mid svc. there is no focal consolidation, pleural effusion or pneumothorax identified. the size of the cardiomediastinal silhouette is within normal limits. partially evaluated thoracic spinal hardware.
<unk> year old man with picc in place // eval picc placement
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the heart is mildly enlarged. the mediastinal and hilar contours appear unchanged. there is a retrocardiac opacity, seems to correlate with a small left-sided pleural effusion and associated parenchymal opacity that can probably be attributed to atelectasis. pneumonia is also a differential consideration, however. there is probably a trace pleural effusion on the right. a nodule in the lingula on the prior ct torso is not well demonstrated on this examination. sclerotic bony metastases are widespread.
new atrial fibrillation. question infiltrate.
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heart size remains mildly enlarged. mediastinal and hilar contours are unremarkable. the lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is identified. no acute osseous abnormality is present.
history: <unk>m with hyperglycemia
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the cardiac, mediastinal and hilar contours are within normal limits. the lungs are clear and the pulmonary vascularity is within normal limits. no pleural effusion or pneumothorax is detected. cervical spinal fusion hardware is re- demonstrated, but not fully assessed.
chest pain.
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in comparison with chest radiographs from <unk>, there is little overall change. lung volumes remain low and exaggerate heart size, which is moderately enlarged. there is persistent elevation of the right hemidiaphragm with right mid lung atelectasis. small left pleural effusion with associated atelectasis is likely unchanged. no focal consolidation. no pneumothorax. no central vascular congestion or overt pulmonary edema.
history: <unk>m with recent cabg with doe // pulmonary edema?
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the lungs are hyperinflated with no focal consolidation to suggest pneumonia. heart size is normal and there is no pleural effusion or pneumothorax. the osseous structures are diffusely osteopenic and there is mild rightward curvature of the lower thoracic spine. chronic left lateral rib deformities are likely chronic.
<unk>f with left hip fracture. preoperative radiograph.
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heart size is mildly enlarged. the mediastinal and hilar contours are normal. pulmonary vascularity is is normal. <num> mm nodular density in the right mid lung field likely reflects a calcified granuloma. streaky retrocardiac opacity could reflect atelectasis, but infection is not completely excluded. linear opacities in the right lung base likely reflect subsegmental atelectasis. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
chest pain.
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the mild interstitial prominence seen bilaterally is unchanged from the prior exam and is likely related to the patient's underlying sickle cell disease. there is no consolidation, pulmonary edema, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal. concavity of the vertebral bodies is again noted and a sequelae of sickle cell disease.
history of sickle cell disease with recent cough and chest pain. evaluate for pneumonia.
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the lungs are clear. cardiac silhouette is normal in size. slight rotation exaggerates the mediastinum, but is probably within normal limits. the hilar contours are normal. there is no pleural effusion, pneumothorax, or pneumonia.
fevers, question pneumonia.
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there is persistent blunting of the right costophrenic angle with pleural thickening seen along the lateral right lower hemi thorax. the left lung is clear. no large pleural effusion is seen. there is no pulmonary edema. no evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.
history: <unk>f with recent pna now with luq pain that radiates across. // pneumonia?
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the appearance of the lungs is stable. no focal consolidation is seen. . no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with orthopnea, concern for atrial myxoma on tte // eval for acute process
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frontal and lateral views of the chest. diffuse bilateral calcified pleural plaques are seen. the lungs appear grossly clear noting that calcified pleural plaques could obscure subtle region of consolidation. there is no effusion. cardiomediastinal silhouette is within normal limits. hypertrophic changes noted in the spine. osseous and soft tissue structures are otherwise unremarkable.
<unk>-year-old male with asbestosis and copd. question pneumonia or effusion. shortness of breath.
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pa and lateral chest views were obtained with patient in upright position. analysis is performed in direct comparison with the next preceding similar study of <unk>. status post sternotomy and previous bypass surgery as before. unchanged appearance of heart size. no evidence of pulmonary vascular congestion with normal appearing right hemithorax. the previously described pleural density blunting the left lateral pleural sinus and obscuring the diaphragm remains rather unchanged. extension into the posterior pleural sinus also unaltered and no evidence of pneumothorax.
<unk>-year-old male patient with history of left pleural effusion, status post thoracocentesis, assess for interval change.
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frontal and lateral views of the chest demonstrate normal lung volumes. right middle and lower lobe opacities are better seen on the ct exam of the same date. there is no pleural effusion or pneumothorax. hilar and mediastinal silhouettes are unremarkable. heart size is normal.
shortness of breath.
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frontal and lateral views of the chest demonstrate markedly decreased lung volumes, accentuating bronchovascular crowding. the heart is normal in size. there is no pneumothorax or large effusion. no confluent consolidation is seen to represent infection, particularly given the lateral view.
<unk>-year-old female with chest pain. question infection.
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the cardiac, mediastinal and hilar contours appear unchanged including mild cardiomegaly and mitral annular calcifications. the aortic is tortuous and calcified. there is no definite pleural effusion or pneumothorax. the lungs appear clear. moderate degenerative changes again affect the mid through lower thoracic spine. a left ninth rib fracture is not well visualized.
recent fall and oliguria. history of congestive heart failure.
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the ng tube terminates in the distal esophagus and needs to be advanced significant background lung disease is identified including postoperative changes in the left apex. et tube remains in unchanged position. the appearances in the right base suggests a sharp demarcation with the heart border and attention on followup to exclude a developing basilar pneumothorax suggested
<unk> year old woman post- ng tube placement // ng tube placement
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interval placement of a right pleural pigtail catheter with decrease in size of the right pleural effusion. opacities in the right lower lung zone are noted, likely reflect development of pulmonary edema and the patient's underlying lung cancer. patchy airspace opacities in the left mid to lower lung zone have increased and may reflect a combination of atelectasis and superimposed infection. a small left pleural effusion persists. no pneumothorax identified. the size of the cardiac silhouette is within normal limits.
<unk> year old man with pleural effusion s/p chest tube // pleural effusion
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<num> views were obtained of the chest. the lungs are low in volume with linear right basilar atelectasis or scarring. there is no pleural effusion or pneumothorax. the heart is top normal in size with tortuous aorta.
syncope.
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ap view of the chest. there is a new diffuse hazy opacity of the right hemithorax as well as fluid in the minor fissure. a hazy opacity overlying the left lower hemithorax is also seen. these likely represent new pleural effusions layering posteriorly given that the patient is semi supine. no pneumothorax. no definite focal consolidation. cardiomediastinal hilar contours are stable. mitral annular calcifications are seen. tiny amount of pneumomediastinum in the left neck and adjacent to the aortic arch. stent is seen in the thoracic aorta and kyphoplasty changes are seen in the upper lumbar spine. left-sided pacemaker wires are unchanged in position.
aortic stenosis status post avr, evaluate postoperative change.
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lungs are grossly clear besides mild right basilar atelectasis. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. again seen are multiple surgical clips in the region of the lower compatible with prior thyroidectomy.
<unk>f with dry cough over the past month worsening this week // ? pneumonia
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the left pleural effusion is overall similar to the chest ct on <unk> and chest radiograph on <unk>. small right pleural effusion is overall unchanged. unchanged elevation of the left hemidiaphragm for suggesting volume loss. stable appearance of the widened mediastinum. increased diffuse interstitial markings compatible with severe interstitial lung disease is better appreciated on the recent ct. .
<unk> year old man with pleural effusions // has left effusion re-accumulated?
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the lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. a circular density is noted at the right hilum and nonspecific but possibly representative of confluence of vessels. cardiomediastinal silhouette is stable. median sternotomy wires appear intact. there is no free air noted under the hemidiaphragms.
evaluation of patient with fever and pain.
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the cardiac, mediastinal, and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear.
dyspnea.
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pa and lateral views of the chest were viewed. the cardiac silhouette remains moderately enlarged. mediastinal and hilar contours are unchanged with severe enlargement of the main pulmonary artery. there is no pneumothorax. a fluid collection in the left lung base projects posteriorly on the lateral view and is new since the prior study. consolidation in the superior segment of the left lower lobe is also new. surgical clips projecting over the right mid lung zone may relate to overlying breast tissue.
pain after recent thoracoscopy for left lower lobe malignancy with pain at the surgical site.
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ap upright and lateral chest radiograph demonstrate clear lungs bilaterally. cardiomediastinal and hilar contours are within normal limits. there is no pleural effusion, evidence of pulmonary edema, or pneumothorax. there is no air under the right hemidiaphragm.
<unk>m with cirrhosis, ascites p/w abd pain fullness // eval for pna, pulm edema
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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 chest pain // eval for pneumonia
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pa and lateral chest views were obtained with patient in upright position. comparison is made with the next preceding two chest examinations of <unk> and <unk>. the heart size remains unchanged and is within normal limits. thoracic aorta mildly widened and elongated but without local contour abnormalities. the pulmonary vasculature is not congested. the on next previous examination identified temporarily increased pleural effusion that blunted the left lateral pleural sinus and extended into the posterior pleural spaces has now decreased markedly and only a very mild peripheral blunting of the lateral pleural sinus remains. also the appearance of the crowded pulmonary vasculature on the previously existing left lower lobe atelectasis has normalized with the exception of a few peripheral linear scar formations, the findings are now unremarkable. when comparison is extended to the chest examinations of <unk>, there was indeed a temporary increase of the pleural effusion on examination of <unk>. there is no evidence of new changes in the previously described rib fractures and on the frontal view can identify several non-displaced rib fractures. no radiographic detectable callus formation present.
<unk>-year-old male patient with history of multiple rib fractures after trauma. compare with next previous chest examination for any improvement or change in lung findings.
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a frontal supine view of the chest was obtained portably. there has been interval placement of a right pacemaker with the leads projecting over the expected locations of the right atrium and right ventricle. no focal consolidation, pleural effusion or appreciable pneumothorax. mediastinal silhouette is slightly narrower. heart size is unchanged.
status post pacemaker placement. evaluate for pneumothorax.
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there is relative elevation of the right hemidiaphragm. increased opacity on the lateral view over lower spine is compatible with sclerosis of the vertebral bodies likely degenerative. linear opacities at the right lateral costophrenic angle is likely due to scarring and atelectasis as seen on ct. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.
<unk>f with fever, rhonchi // pna?
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left-sided pacemaker device is re- demonstrated with lead terminating in right ventricle. heart size remains moderately enlarged. the aorta is unfolded and diffusely calcified, similar compared to the prior exam. no overt pulmonary edema is present. increased interstitial markings within the lung bases may reflect atelectasis. no focal consolidation is noted. no definite pleural effusion or pneumothorax is seen. no acute osseous abnormality is detected.
chest pain.