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there is an endotracheal tube with tip terminating in the mid thoracic trachea in good position. an enteric tube is seen with distal tip projecting over the left upper quadrant, side-port seen distal to the ge junction. ekg leads overlie the chest. lung volumes are low. the cardiomediastinal silhouette is likely accentuated in the setting of low lung volumes. the hila are within normal limits. retrocardiac opacity may reflect atelectasis, however difficult to exclude superimposed infection in the appropriate clinical setting. there is no pulmonary edema. elsewhere there is no evidence of focal lung consolidation. there is no pneumothorax or sizable pleural effusion.
<unk>m with ett, evaluate tube placement.
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heart size is top normal. the aorta is mildly tortuous. hilar contours are normal. the pulmonary vascularity is not engorged. linear opacity within the left lung base likely reflects subsegmental atelectasis. right lung is clear. no pleural effusion, focal consolidation or pneumothorax is present. there are no acute osseous abnormalities.
cough.
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endotracheal tube is in standard positioning, terminating approximately <num> cm from the carina. an enteric tube tip terminates in the distal esophagus, with side port in the mid esophagus and should be advanced by at least <num> cm for appropriate positioning. remainder of the examination is unchanged. no pneumothorax is identified. retained barium is again demonstrated within the colon.
history: <unk>m status post intubation
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compared to the prior radiograph, the degree of pulmonary edema has increased slightly. no new focal consolidation concerning for pneumonia or larger pleural effusions. no pneumothorax. no change in the monitoring and support devices. moderate cardiomegaly is stable. patient is status post median sternotomy and aortic valve replacement.
<unk>/m on coumadin for history including afib, avr mvr w/ tissue valves cabg, now presenting with left basal ganglia iph likely hypertensive in etiology // to assess per pulmonary edema. request per neuro team
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frontal and lateral radiographs of the chest demonstrate normal heart size, mediastinal and hilar contours. clear lungs. no pneumothorax or pleural effusion. no radiopaque foreign body.
foreign body sensation in throat. question foreign body.
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cardiomediastinal contours are normal. there are low lung volumes. bibasilar atelectasis are unchanged, otherwise the lungs are clear. there is no pneumothorax or pleural effusion. there are moderate degenerative changes in the thoracic spine
<unk> year old man with h/o als with cough and fatigue // ? pneumonia
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minimal right basilar atelectasis/scarring is seen. there is no focal consolidation. no pleural effusion or pneumothorax is seen. the hilar contours are stable. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with pancreatic cancer, flank pain, rlq tenderness, fevers, jaundice // evaluate for acute changes
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right picc ends in the right axilla. lungs are hyperinflated due to emphysema or small airway obstruction, consistent with a history of copd. lungs are clear of focal consolidation or other evidence of infection. heart is normal size and mediastinal silhouette is normal. there is no pleural abnormality.
<unk>-year-old lady with picc from outside hospital. also, has copd on steroids but with leukocytosis, so please evaluate for any infiltrates to suggest pneumonia.
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the lungs are symmetrically well expanded and well aerated without focal consolidation, pleural effusion or pneumothorax. there is no pulmonary vascular congestion or edema. the cardiomediastinal and hilar contours are within normal limits. no acute osseous abnormality is detected.
history of eating disorder with anorexia, here to evaluate for acute cardiopulmonary process.
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heart size is normal. mediastinal and hilar contours are unremarkable. pulmonary vascularity is normal. the lungs are clear. no pleural effusion or pneumothorax is present. no acute osseous abnormalities present.
palpitations.
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the heart is mildly enlarged. the aorta is unfolded. there is mild pulmonary vascular congestion. no frank edema. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>m with afib/flutter // ? effusions
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the patient is status post median sternotomy and cabg. cardiac and mediastinal silhouettes are stable. there are aortic calcifications. no focal consolidation, pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with weakness // eval for pna
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evidence of previous cabg. nasogastric tube in situ coursing out of sight inferiorly. mild vascular congestion. no overt pulmonary edema. elevated right hemidiaphragm with subsegmental adjacent atelectasis in the right lower lobe appear similar compared to prior. no new areas of airspace consolidation to suggest pneumonia.
<unk> year old man with hcap, appropriate abx but still with mild hypoxemia. // pls eval for interval change/improvement
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there are persistent bilateral airspace opacities, slightly improved on the left when compared to the prior study. in addition there cystic air spaces and reticular opacities consistent with underlying interstitial lung disease. lung volumes are unchanged. the left-sided internal jugular catheter terminates in the proximal svc. an endotracheal tube is positioned <num> cm above the level the carina and could be withdrawn <num>-<num> cm. a nasogastric tube terminates below the left hemidiaphragm, the tip is not visualized but the side port is seen to lie in the stomach.
<unk> year old man with respiratory failure // s/p ett placement
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linear opacities in the bilateral lower lobes most likely represent atelectasis. the lung volumes are low and there is no focal consolidation, pleural effusion or pneumothorax. the cardiac and mediastinal contours are stable. there is no free air beneath the hemidiaphragms.
history: <unk>f with epigastric pain // r/o perforation, obstruction
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the cardiac, mediastinal and hilar contours appear stable including perihilar opacities. the chest is again hyperinflated. the lungs again show a heterogeneous bilateral opacification pattern with areas of bronchial wall thickening and bronchiectasis, most suggestive of sequelae of a chronic infectious process. patchy opacities at both lung bases have increased somewhat, although otherwise, the pattern appears unchanged and the change is mild. there are no pleural effusion or pneumothorax.
dyspnea and hypoxemia.
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one semi-erect ap portable view of the chest. right internal jugular line ends in the mid to low svc. endotracheal tube ends <num> cm from the carina. the diffuse parenchymal opacities with minimal sparing of only the mid right lung are unchanged. no pneumothorax. ng tube in the stomach.
multifocal pneumonia, evaluate for interval change.
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no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. heart and mediastinal contours are within normal limits with calcified mildly tortuous aorta. there has been interval placement of a right-sided port-a-cath, which terminates in the low superior vena cava.
<unk>-year-old male with pancreatic cancer, now with fever.
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interval worsening of the central perihilar opacities and diffuse interstitial opacities representing worsening interstitial pulmonary edema. there is also worsening retrocardiac opacity likely worsening atelectasis. partially imaged costophrenic angles are unremarkable. mild cardiomegaly. no pneumothorax.
<unk> year old man with cirrhosios, elevated lactate, worsening hypoxia. // evaluate for cause of hypoxia
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single ap view of the chest provided. lung volumes are lower. dilatation and indistinctness of the pulmonary vasculature have worsened from <unk>. diffuse, predominantly interstitial abnormality looked more nodular on the prior examination. no pneumothorax. probable, bilateral small pleural effusions. cardiomediastinal contours are normal.
<unk> year old woman with bacteremia, o<num> requirement // eval evolution of infiltrates
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calcified pleural plaques are again noted. lower lung fibrosis accounts for the opacity in the lung bases bilaterally, however the retrocardiac and left lower lobe opacity has increased since prior examination worrisome for superimposed pneumonia. no large pleural effusion or pneumothorax. there is new mild widening of the mediastinum, measuring <num> cm, likely accentuated due to supine positioning. heart size, and hila are grossly unremarkable. limited assessment upper abdomen is unremarkable. visualized osseous structures are grossly unremarkable. no displaced rib fractures.
<unk>f with chest trauma. assess for acute process.
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frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. the cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation. the left-sided port-a-cath ends at the distal svc, and has a normal appearance.
<unk> year old woman with locally advanced breast cancer // evaluate poc, not working
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ap and lateral views of the chest were compared to previous exam from <unk>. compared to prior, there has been interval enlargement of the left-sided pleural effusion. superiorly, the left lung remains clear and the right lung is unremarkable without effusion as well. cardiomediastinal silhouette is stable. degenerative changes are noted at the shoulders and in the spine.
<unk>-year-old male with history of severe aortic stenosis, presents with increasing shortness of breath.
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frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidations, or pneumothorax. hilar and mediastinal silhouettes are unremarkable. heart size is normal. there is no pulmonary edema. partially imaged upper abdomen is unremarkable.
jaw pain.
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pa and lateral views of the chest demonstrate the lungs are well expanded and clear. no focal consolidation, pleural effusion, pneumothorax or pulmonary edema is present. the cardiomediastinal silhouette is unremarkable. there is unchanged appearance of deformity of the proximal left humerus, likely from prior trauma.
hyperglycemia and agitation.
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left-sided picc terminates in the low svc without evidence of pneumothorax.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 picc line in l arm. here for workup of numbness/tingling // pls eval for picc line. also eval for pna or other cardiopulm process
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pa and lateral views of the chest. no focal consolidation or pneumothorax. trace pleural effusions if any. cardiomediastinal and hilar contours are normal.
vats blebectomy, pleurodesis, and discontinued chest tubes.
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pa frontal and lateral chest radiograph demonstrates poorly visualized left-sided chest tube seen in the left lower lobe. there is persistent moderate left pleural effusion with associated atelectasis which is unchanged when compared to chest radiograph dated <unk>. there is decreased interstitial prominence suggestive of resolved pulmonary edema. there is no new focal consolidation. hear size is difficult to determine in setting of left pleural effusion. hilar and mediastinal contours are unchanged in appearance. no definite pnemothorax identified.
<unk>-year-old female with metastatic non-small cell cancer and left pleural effusion.
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pa and lateral views of the chest provided. focal eventration of the right hemidiaphragm is unchanged. on the lateral projection, a retrocardiac opacity is noted which has no correlate abnormality on the frontal view which raises potential concern for a lower lobe pneumonia. please correlate clinically. no large effusion is seen. no pneumothorax. cardiomediastinal silhouette appears normal. no acute bony abnormalities.
<unk>f with weakness // pna?
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single frontal view of the chest was obtained. lung volumes are normal. there is no focal consolidation, effusion, or pneumothorax. linear opacities in the right lower lobe likely represent subsegmental atelectasis versus scarring. heart is enlarged, unchanged from <unk>.
history: <unk>m with stroke // stroke
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the lung volumes are low, exaggerating the pulmonary vasculature. there is no pulmonary edema, pneumothorax, focal consolidation, or pleural effusion. the heart size is normal. the hilar and mediastinal contours within normal limits.
unresponsive.
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minor basilar atelectasis is seen without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.
<unk> year old woman with substernal chest pressure and shortness of breath // please evaluate for pulmonary edema
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the patient is status post coronary artery bypass graft surgery. allowing for differences in technique, the cardiac, mediastinal and hilar contours appear unchanged. a mild interstitial abnormality appears similar to the prior examination and suggests slight background congestion, but otherwise the lungs appear clear. there are no pleural effusions or pneumothorax. severe degenerative changes again involve the left shoulder.
fatigue.
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sternotomy wires are intact. et tube is <num> cm above the level of the carina in appropriate position. ng tube enters into the stomach and out of view. swan-ganz catheter tip is at outflow tract. pacemaker-like device projects over left pectoral region with lead tip in the right ventricle. elevated left hemidiaphragm is as seen on ct with mild left lower lobe atelectasis. no pneumothorax, pulmonary edema, focal opacity or pleural effusion. heart size is normal with normal mediastinal contour and hila. no bony abnormality.
status post-cabg and chest tube removal. assess for pneumothorax.
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compared to chest radiographs from <unk>, moderate multiloculated right pleural effusion has mildly improved, as well as adjacent right middle and lower lobe atelectasis. left pleural effusion has resolved. lungs are hyperinflated with vascular deficiency in the upper lobes, consistent with emphysema, better assessed on prior chest ct. there is no new focal consolidation concerning for mass or infection. no central vascular congestion or overt pulmonary edema. cardiomediastinal silhouette is stable. compression deformities of the thoracic spine are unchanged. right port-a-cath tip terminates in the right atrium.
<unk> year old woman with met pancreatic cancer to lung. r breath sounds heard in upper lobe. // lung disease v fluid v other
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bibasilar peripheral lung markings are compatible with interval progression of pulmonary fibrosis. there is no focal pulmonary consolidation or pleural effusions. there is a dual lead left-sided cardiac pacemaker in appropriate position, and a redundant pacemaker lead is again noted in the right hemithorax. the cardiac and mediastinal silhouette is within normal limits.
<unk>m with right flank pain // is there any evidence of nephrolithiasis? soft tissue injury?
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ap portable semi supine view the chest provided. port-a-cath resides over the right chest wall with catheter tip in the region of the right atrium. cardiomegaly persists with hilar congestion and persistent left pleural effusion. pulmonary edema is moderate. no acute fracture is identified.
<unk>-year-old male with fall and injury to chest.
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the lungs are clear. there is no evidence of pneumonia, pneumothorax, or pleural effusion. cardiac silhouette is normal in size.
history: <unk>f with retrosternal chest pressure // evaluate for acute process
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pa and lateral views of the chest. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are normal. a few air-fluid levels are seen in bowel in the upper abdomen.
history of immunosuppression and low blood pressure, evaluate for pneumonia.
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postoperative appearance of the right mid to lower hemi thorax is grossly stable as compared to the prior study. no definite new focal consolidation is seen. there is persistent blunting of the right costophrenic angle. no large pleural effusion is seen. there is no pneumothorax. the cardiac and mediastinal silhouettes are stable and unremarkable.
history: <unk>m with lung ca s/p resecction with fever and cough // pna?
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pa and lateral views of the chest. compared to prior study, there is new mild pulmonary vascular congestion. a left lower lobe heterogeneous opacity is consistent with atelectasis. no evidence of consolidation, pleural effusion, or pneumothorax. the heart size is normal.
postop day <num> fever after a total knee replacement, productive cough, rule out infiltrate.
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the heart size is normal. the mediastinal and hilar contours are unremarkable. patchy ill-defined opacities are noted within the left mid lung field. lungs are well inflated. there is no pneumothorax. minimal blunting of the right costophrenic angle may reflect pleural thickening or scarring. no large pleural effusion is noted. no free air is seen under the diaphragms. no acute osseous abnormality is detected.
hypotension after colonoscopy.
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postoperative appearance of cardiomediastinal contours is stable since <unk>. bibasilar atelectasis has substantially improved in the interval, and bilateral pleural effusions have decreased in size with residual small effusions remaining, left greater than right. tiny right apical pneumothorax is in retrospect decreased in size since <unk>.
<unk> year old woman s/p mvr/tvr // post-op baseline. obtain cxr at <num>pm
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linear left basilar opacities are noted potentially atelectasis, similar compared to prior there is no new consolidation or effusion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>f with leukocytosis, mild wheeze l>r lung fields // eval for pna
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frontal and lateral radiographs of the chest demonstrate well-expanded lungs. there is an area of increased opacification in the right upper lobe of the lung, concerning for pneumonia. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax.
<unk>-year-old man with lymphoma, now with fever and cough. evaluate for pneumonia.
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no focal pneumonia, edema, effusion, or pneumothorax. the heart is normal in size. no acute osseous abnormality. prominence of the right mediastinal contour corresponds to an ectatic ascending thoracic aorta on the prior ct in <unk>.
<unk>-year-old man with left atraumatic chest pain. evaluate for pneumothorax or pneumonia.
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the lungs are clear of focal consolidation or effusion. there is no pneumothorax. there is loss of the right heart border which is likely due to mild pectus deformity. no acute osseous abnormality is identified.
<unk>-year-old male with palpitations and chest pain, likely secondary to anxiety. no shortness of breath or dyspnea. question pneumothorax.
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pa and lateral views of the chest. the lungs are hyperinflated but clear of confluent consolidation. biapical pleural based scarring is again is noted, left more so than right. there is no effusion. cardiac silhouette is slightly enlarged. no acute osseous abnormality detected.
<unk>-year-old female with cough and hemoptysis.
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left-sided picc tip terminates in the lower svc. heart size is normal. mediastinal and hilar contours are unremarkable. lungs are clear. pulmonary vascularity is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormalities are seen.
cough, fever, immunosuppressed.
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the lungs are clear given bibasal atelectasis to the low lung volumes. there is no focal consolidation identified. there is no evidence of pneumonia, pneumothorax, or pleural effusion. cardiac silhouette is likely exaggerated by the ap projection and low lung volumes.
history: <unk>m with sickle cell with cp/sob // eval pna, acute chest
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lung volumes are unchanged. moderate pulmonary edema and bibasilar linear opacities are new since <unk>. mediastinal contours, hila, and cardiac silhouette are normal. no pleural effusion or pneumothorax. lateral view is highly limited by motion.
<unk> year old m with pmhx ms, vitiligo, latent tb, <unk> transferred from <unk> to ed with cough, hypotension, and concern for aspiration pna. // please eval for interval development of aspiration pneumonitis or pna, no evidence on yesterday's cxr, trying to determine if there is any component of an aspiration event in lungs
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left lower lobe continues to be not well aerated and is probably collapsed. left pleural effusion is slightly increased compared to prior. there is no pulmonary vascular congestion or edema. the et tube tip abuts the left tracheal wall. right picc is in unchanged position. ng tube is extends below the inferior edge of the film. there is severe dextroscoliosis of the thoracic spine. cardiomediastinal silhouette is normal size.
eval ett placement <unk> year old woman with iph, intubated // eval ett placement
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pa and lateral views of the chest. there is faint nodular opacity projecting over the anterior <unk>nd rib interspace on the right which may be external to the patient as there is asymmetric density projecting over the soft tissues in the supraclavicular region on this side thought to be external. the lungs are otherwise clear without consolidation, effusion or pneumothorax. the cardiomediastinal silhouette is normal. no acute osseous abnormality detected.
<unk>-year-old female with shortness of breath and fever.
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frontal and lateral views of the chest. linear bibasilar opacities are most suggestive of atelectasis in the setting of low lung volumes. superiorly, the lungs are clear. blunting of the posterior costophrenic angles may be due atelectasis or small effusions. cardiomediastinal silhouette is within normal limits. degenerative changes noted in the spine. surgical clips identified in the upper abdomen.
<unk>-year-old female with chest pain.
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cardiomediastinal silhouette is unchanged. lungs are hyperinflated, as before. the central pulmonary arteries remain prominent. a linear opacity at the right base is unchanged and likely represents scarring. there is no consolidation or pleural effusion. no pneumothorax.
<unk> year old man with hx of asthma; cough and shortness of breath // r/o pneumonia
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pa and lateral views of the chest. a well circumscribed <num> x <num> cm oval opacity projects between the right sixth and seventh posterior ribs on frontal view and in the posterior soft tissues at the level of the middle to lower third of the scapula on the lateral view. right upper lateral and apical pleural surfaces are thickened with mild tracheal deviation to the right, signifying scarring in the right upper lobe. the heart size is normal. there is mild thickening of the left major fissure. there is no evidence of pneumonia. no pleural effusion or pneumothorax.
end-stage renal disease, prerenal transplant, assess for cardiopulmonary abnormalities.
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the lungs are hypoinflated with accentuation of the pulmonary vasculature. heterogeneous bibasilar opacities likely represent atelectasis. no evidence of pleural effusion or pneumothorax.
history: <unk>m with shortness of breath. evaluate for pneumonia.
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a fiducial marker is seen projecting over the right upper quadrant, likely in the medial aspect of the right lung base. nodular opacities are noted in the left lung as seen on prior ct. lung volumes are low which accentuates heart size. mild pulmonary vascular congestion is noted. no large pleural effusion or pneumothorax present.
<unk> year old man with bronch and fidicual placement // follow up film
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ap upright and lateral views of the chest provided. left subclavian central venous catheter is again seen with its tip located in the mid svc region. the lung volumes are low with reticulonodular opacities noted diffusely within both lungs which could represent worsening edema versus a superimposed pneumonia. small right pleural effusion persists with loculated fluid along the right major fissure, appearing minimally increased. cardiomediastinal silhouette appears stable. no pneumothorax.
<unk>f with fatigue // r/o pna
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portable radiograph of the chest demonstrates unchanged position of endotracheal tube, right picc and nasogastric tube since the prior study. the bilateral lower lung opacities appear to have progressed since the prior study, consistent with worsening pleural effusions and bibasilar consolidations as well as worsening pulmonary edema. the cardiomediastinal silhouette is unremarkable.
<unk>-year-old male with multiple myeloma and abdominal perforation with respiratory failure, now intubated with desaturation and decreased left lung sounds. evaluation for endotracheal tube position and other findings suggestive of pneumonia.
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there is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits. there is no evidence of displaced rib fracture.
history: <unk>m with mvc. hd stable neuro intact*** warning *** multiple patients with same last name! // head neck : eval for ich, c spine injury
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the cardiomediastinal silhouette and hilar contours are unremarkable. calcifications are seen along the aortic knob. the lungs are clear. there is no pleural effusion or pneumothorax. there is a chronic appearing deformity of the left shoulder.
weakness. evaluate for pneumonia.
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cardiomediastinal silhouette is stable. there is no focal consolidation. minimal blunting of the left costophrenic angle is new compared to the prior examination and may represent a tiny left pleural effusion. there is no right pleural effusion. no pneumothorax. bones and the upper abdomen are grossly unremarkable.
<unk> year old man with influenza a // fluid collection on r? dull to percussion on exam.
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frontal and lateral chest radiograph demonstrates hypoinflated lungs with crowding of vasculature and bilateral lower lobe atelectasis. heterogeneous opacity within the right lower lobe is worrisome for pneumonia. heart size is obscured due to patient positioning and low lung volumes. mediastinal contour and hila are unremarkable. limited assessment of the upper abdomen is within normal limits.
jaundice, chills. assess for infiltrate.
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the known dominant metastatic lesion in the right upper lobe is increased, now measuring <num> cm compared to <num> cm on prior ct. other known subcentimeter metastatic pulmonary lesions are not well seen on this radiograph. no evidence of pneumonia. no pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are normal.
history: <unk>m with fevers on steroids with metatstatic melanoma
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heart size appears mildly enlarged but similar. mediastinal and hilar contours are unremarkable. lung volumes are low which result in crowding of bronchovascular structures. no overt pulmonary edema is present. patchy opacities in the lung bases <unk> reflect areas of atelectasis. no pleural effusion or pneumothorax is apparent. there are no acute osseous abnormalities.
history: <unk>m with chest pain
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severe enlargement of the cardiac silhouette persists. prominence of the hila is again seen. there is slight increase in opacity projecting over the right suprahilar region which most likely relates to vascular structures but underlying consolidation is not excluded. there is a small right pleural effusion. findings of renal osteodystrophy are again demonstrated. moderate pulmonary vascular congestion.
dyspnea.
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fractures of the right <unk> and left <num>th ribs are unchanged from at least <unk>. there are no new, acutely displaced rib fractures. there is no pleural effusion or pneumothorax. increased opacity within the right upper lung on the frontal view is likely a confluence of shadows, however, there is a rounded opacity superior to the aorta on the lateral view which could represent an underlying lesion. repeat imaging with a lordotic view is recommended. the cardiac and mediastinal contours are normal. the hilar structures are unremarkable. there is no focal consolidation.
cough and left chest wall pain. evaluate for rib fractures.
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left-sided central venous catheter terminates at the cavoatrial junction. endotracheal tube terminates <num> cm above the carina. enteric tube is visualized only in the upper mediastinum and not seen clearly, likely due to underpenetration. there is interval worsening of bilateral perihilar and lower lobe opacities with cardiomegaly compatible with worsening pulmonary edema. likely bilateral small pleural effusions. no pneumothorax. bony thorax is unchanged.
<unk> year old woman with pneumonia // pneumonia
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the lung volumes are hyperinflated. consolidation of the right upper lobe and right lower lobe are either worsened or new than prior exam, which may represent recent aspiration if the latter. left lower lobe atelectasis is present and appears unchanged. the enlarged cardiomediastinal and hilar contours are stable. probable small pleural effusions bilaterally. pacemaker is intact and leads are in the appropriate position. stable degenerative changes of thoracic spine.
<unk> year old man with sbo, hcap now emesis x<num>, increased o<num> requirement. // interval change rul, lll, rll consolidations? aspiration?
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tracheostomy is unchanged position. a right picc is stable. bibasilar opacities are increased from the prior exam consistent with worsening pulmonary edema. bilateral effusions, small on the right and moderate on the left are minimally increased from the prior examination. there is no pneumothorax. cardiomegaly is stable.
<unk> year old man with fall, rib fractures mssa bacteremia, s/p r chest tube placement and removal now with tachycardia and hyoxemia. // interval change? new infiltrate?
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portable chest radiograph <unk> at <time> is submitted
<unk> year old man with worsening pulm opacifications and hypoxemia // e/o acute process, interval monitoring e/o acute process, interval monitoring
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the lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen. there is persistent elevation of the left hemidiaphragm status post left upper lobectomy. suggestion of small left pleural effusion.
history: <unk>f with hypotension and shortness of breath. evaluate for pneumonia.
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compared to prior, there are indistinct but nodular opacities in the right upper lung as well as in the right lower lobe. the left lung is grossly clear. left hilus appears fuller on today's exam compared to <unk>. no pleural abnormality is seen. the heart size is top normal and unchanged.
<unk> year old woman with hyponatremia. evaluate for intra thoracic mass.
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frontal and lateral chest radiographs were obtained. a left chest pacemaker has leads terminating in the right atrium and right ventricle. there is no pneumothorax. the lungs are fully expanded and clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion.
patient with left-sided pacemaker, eval lead placement.
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the heart is again markedly enlarged, probably unchanged, however, allowing for differences in technique (lung volumes are lower on this study. there is also an indication of a large coinciding hiatal hernia. there is no pleural effusion or pneumothorax. there is mild upper zone prominence of pulmonary vasculature but without explicit pulmonary edema.
left flank pain.
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there is a consolidation at the left base in the retrocardiac space, most consistent with a left lower lobe pneumonia. the right lung is essentially clear. there is no pulmonary edema, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal.
cough.
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pa and lateral radiographs of the chest demonstrate clear lungs and normal hilar and cardiomediastinal contours. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal. no displaced rib fracture is seen.
severe right rib pain. evaluate for rib fracture or pneumothorax.
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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 male with presyncope, diaphoresis. evaluate for acute cardiopulmonary process.
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. the lungs appear clear. mild to moderate s-shaped curvature to the thoracolumbar spine is noted.
chest pain.
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the patient is status post median sternotomy and cabg. mild enlargement of cardiac silhouette is again noted. the mediastinal and hilar contours are within normal limits. minimal atelectasis is seen in the lung bases. there is no pulmonary edema, focal consolidation, pleural effusion or pneumothorax. moderate multilevel degenerative changes are seen in the thoracic spine. no acute osseous abnormality is visualized.
history: <unk>m with coronary artery disease, diabetes mellitus, hepatitis-c, peripheral vascular disease presenting with neck discomfort
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the lungs are clear. no focal consolidation, pulmonary edema, pleural effusion, or pneumothorax. the heart size is normal. the mediastinum hila, and pleura are unremarkable.
<unk> year old woman with acute liver failure, fever, leukocytosis. evaluate for pneumonia.
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the lungs are clear. right chest wall port-a-cath is unchanged in position. tortuosity of the thoracic aorta is noted. no acute osseous abnormalities, old left posterior ninth rib fracture is noted as well as anterior compression deformities of multiple mid thoracic vertebral bodies.
<unk>m with history of multiple myeloma, new diarrhea, borderline fever // any evidence of consolidation or ptx
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ap portable upright view of the chest. right chest wall port-a-cath is unchanged in position with tip in the upper svc. bilateral pleural effusions are again noted, small without significant change. there is minimal increased opacity in the right mid and lower lung which in the correct clinical setting could represent pneumonia. cardiomediastinal silhouette is stable.
<unk>m with afib with rvr crackles on the left greater than right // eval for acuter process
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small left pleural effusion, minimally decreased. left basilar opacification, mildly improved. improved right pleural effusion. mildly improved pulmonary vascularity, basilar opacity. stable postoperative changes. right picc line.
<unk> year old man with schf and moderate-to-severe copd // ? cause of hypoxemia (anything other than copd)
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single frontal view of the chest was obtained. there has been slight interval improvement of diffuse pulmonary edema. a layering right pleural effusion is of similar size to prior. bilateral lung base opacities are compatible with atelectasis. the heart size remains enlarged. a new dobbhoff feeding tube is coiled in stomach, not in post-pyloric position. a swan-ganz catheter is in similar position to prior.
<unk>-year-old female with pbc status post liver transplant. evaluate dobbhoff placement.
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen.
<unk>m with generalized malaise x<num>wks // ?pna
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single frontal view of the chest was obtained. there are relatively low lung volumes. the cardiac and mediastinal silhouettes are stable with the cardiac silhouette enlarged and the aorta calcified and tortuous. increased interstitial markings persist likely relating to patient's chronic interstitial disease. no pleural effusion or pneumothorax is seen.
<unk>-year-old female with history of shortness of breath, tachypnea, pulmonary fibrosis, coughing blood.
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the lungs are clear without focal consolidation. no pulmonary edema. no pleural effusion or pneumothorax is seen. the cardiac silhouette is unremarkable. widened mediastinum has improved since <unk>. symmetric extrapleural fat bilaterally. previous left seventh rib fracture is noted
<unk> year old man with ams and wheeze // evaluation for consolidation
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right chest tube has been removed. there is a small right apical pneumothorax, measuring up to <num> cm. there is no left pneumothorax. there is no effusion. stable elevation of right hemidiaphragm. no new opacity to suggest pneumonia. stable hilar and mediastinal contours, without pulmonary vascular congestion or edema.
<unk>-year-old male status post right upper lobectomy and chest tube removal.
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new right ij terminates at about the mid svc. there is no evidence of pneumothorax. loculated right pleural effusion along the mediastinum and right base are not significantly changed since the next most recent study. diffuse infiltrating abnormality in the right lung is severe and unchanged. pulmonary edema in the left lung is improved. there may be a small left pleural effusion. the heart is partially obscured on the right, but not grossly enlarged.
right ij placed. evaluate new line placement.
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bilateral pleural and diaphragmatic plaques/calcifications suggest prior asbestos exposure. additional left-sided pleural thickening is seen. left basilar atelectasis is seen. no pleural effusion is seen. there is no evidence of pneumothorax. the cardiac and mediastinal silhouettes are unremarkable. the aorta is calcified. what is presumed to be a vp shunt is partially imaged overlying the right hemithorax. evidence of dish is seen along the spine.
weakness.
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moderate cardiac enlargement is unchanged. the aortic knob remains calcified. mediastinal and hilar contours are normal, and the pulmonary vascularity is not engorged. while there is minimal blunting of the right costophrenic angle posteriorly which could suggest a tiny pleural effusion, no focal consolidation or pneumothorax is identified. there is no acute osseous abnormalities. a compression deformity of a lower thoracic vertebral body is unchanged.
dyspnea.
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no focal consolidation is seen. there is no pleural effusion or pneumothorax. cardiac and mediastinal silhouettes are stable. no pulmonary edema is seen.
history: <unk>m with chest pain s/p cath on <unk> // acute cardiopulmonary process
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right-sided dual-chamber pacer terminates in the right atrium and ventricle. there are small bilateral pleural effusions, greater on the left. the lungs are clear, though there is evidence of volume loss on the left. the heart size is normal. prominent atherosclerotic calcifications are noted throughout the thoracic aorta.
mechanical fall and fever. evaluation for pneumonia.
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frontal and lateral chest radiographs demonstrate a right chest port with the tip within the mid-low svc. the cardiomediastinal silhouette is normal and the lungs are clear. there is no pleural effusion or pneumothorax.
lymphoma status post chemotherapy, currently undergoing radiation therapy, with the port not drawing back correctly. evaluate catheter placement.
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bibasilar opacities are similar compared to <unk>. there are small to moderate bilateral pleural effusions. there is no pulmonary edema. cardiomegaly is unchanged. central retrocardiac opacity is consistent with history of hiatal hernia.
<unk> year old woman with dyspnea and increased o<num> requirement // abrupt sob. potential flash pul edema
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linear opacities at the left lung base suggest minor atelectasis. otherwise, the lungs appear clear. there is no pleural effusion or pneumothorax.
chills. question pneumonia.
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heart size is top normal with mildly tortuous thoracic aortic arch, with atherosclerotic calcifications. mediastinal and hilar contours are unchanged compared to prior examination. lungs are clear. there is no pulmonary edema. there is no pleural effusion or pneumothorax.
dyspnea.
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since prior, there has been interval enlargement of the right-sided pleural effusion which is now moderate. superiorly the right lung is clear and the left lung is clear. there is a left-sided pleural effusion. cardiomediastinal silhouette is difficult to assess given silhouetting on the right but is not grossly changed. tortuosity of the descending thoracic aorta is noted. no acute osseous abnormalities. stent projects over the mid abdomen on the lateral view.
<unk>m with dyspnea // r/o acute process