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no focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are stable. old left-sided rib fractures are seen. partially imaged right shoulder prosthesis. re- demonstrated compression deformity of a vertebral body at the lumbosacral junction.
<unk>f w/chest pain, multiple episodes of n/v, please eval for pna // <unk>f w/chest pain, multiple episodes of n/v, please eval for pna
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pa and lateral views of the chest <unk> at <time> are submitted.
<unk> year old man with cirrhosis, hrs, now with rising wbc. // pna r/o pna r/o
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the lung volumes are low. no focal consolidation, effusion, or pneumothorax is present. plate-like left basilar atelectasis is identified. moderate cardiomegaly is accentuated by low lung volumes and ap technique. otherwise, the cardiac and mediastinal contours are unremarkable.
<unk>-year-old woman with fever.
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frontal and lateral views of the chest were obtained. the heart is of normal size with normal cardiomediastinal contours. lungs are clear. no pleural effusion or pneumothorax. no radiopaque foreign body.
<unk>-year-old female with pleuritic right upper quadrant flank pain. evaluate for acute process. wet read to <unk> <unk> at <unk>.
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no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no pulmonary edema is seen.
cough and low-grade fever.
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pa and lateral views of the chest provided. patient is rotated to the right. allowing for this, there is no focal consolidation, effusion or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. old right rib deformities are noted. no free air below the right hemidiaphragm is seen.
<unk>f with pancreatitis on ct and gallbladder wall edema, tachypnea, mild hypoxia,
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cardiac silhouette size is mildly enlarged. mediastinal and hilar contours are unremarkable. there is minimal pulmonary vascular engorgement without frank pulmonary edema. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
history: <unk>f with fever, cough, shortness of breath
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low lung volumes with vascular crowding. the linear opacities within the mid lung fields bilaterally likely represent subsegmental atelectasis. no new focal consolidations. persistent eventration of the right hemidiaphragm. the cardiomediastinal silhouette is stable. the pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen.
<unk>m with cough, lethargy recent uri
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right pectoral infusion port terminates in low svc. lung volume is low. previously seen right lower lobe atelectasis has nearly resolved. no new consolidation is identified. stable right middle lobe opacity likely reflect atelectasis. there is no pleural effusion or pneumothorax. cardiomediastinal silhouette is unremarkable.
<unk> year old man with hx of myeloma and recent multifocal pneumonia. presents today with weakness. please further evaluate. // <unk> year old man with hx of myeloma and recent multifocal pneumonia. presents today with weakness. please further evaluate.
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<num> portable views of the chest. the lungs remain clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities detected.
<unk>-year-old male with hypoxia.
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an opacity overlying the spine on the lateral radiograph is concerning for a right lower lobe pneumonia. there is no pleural effusion, pulmonary edema or pneumothorax. the heart size is normal. the mediastinal contours are normal.
<unk>-year-old male with cough for <num> weeks.
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right port-a-cath terminates at the cavoatrial junction, unchanged. persistent low lung volumes and chronic interstitial abnormality with emphysematous component appear stable. mediastinal contours, hila, and cardiac borders are normal. no pleural effusion.
<unk> year old man with aml, new onset mental status changes // infectious process causing confusion
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single portable view of the chest. somewhat linear right basilar opacity is seen. lungs are otherwise clear. cardiomediastinal silhouette is within normal limits. hypertrophic changes seen spine without acute osseous abnormality.
<unk>-year-old male with fever and confusion.
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single ap portable view of the chest is compared to previous exam from <unk>. exam is limited secondary to underpenetration. the lungs appear hyperinflated. there is right basilar opacity, more conspicuous than on prior exam, which correlates with prominent mediastinal fat when compared to previous ct of the abdomen and pelvis from <unk>. superiorly, the lungs are clear. there is no frank evidence of pulmonary vascular congestion. cardiomediastinal silhouette is unchanged. osseous and soft tissue structures are difficult to assess given technique.
<unk>-year-old male with weight gain and shortness of breath. question fluid overload.
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vague linear opacities in the left lung likely represent atelectasis and is largely unchanged from prior studies. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal. the hilar and cardiomediastinal contours are normal. a right chest wall infusion port and catheter are unchanged.
<unk>-year-old man with possible consolidation on chest radiograph at an outside hospital, now status post resuscitation, presenting with worsening hypoxia. patient has a history of metastatic signet ring cell rectal cancer and on palliative chemotherapy.
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the lungs are hyperinflated with architectural distortion of the lung parenchyma, suggestive of copd. compared to the prior examination, there is bronchial wall thickening in the left lower lobe with small peripheral nodular opacities at the left lateral lung base. the hilar and cardiomediastinal contours are normal. there is no pneumothorax. there is no pleural effusion. pulmonary vascularity is normal.
<unk>-year-old woman with cough.
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pa and lateral views of the chest provided. low lung volumes limits assessment. allowing for this 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>f w/fever, please rule out pna
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there is unchanged mild opacification at the medial right apex. however, note new focal consolidation, effusion, or pneumothorax. the cardiomediastinal and hilar silhouettes are unchanged.
<unk> year old man with tb (now smear negative), on <num> drug tb therapy, renal transplant. persistent fever x ><num> month and return of cough. ?any new evidence of infiltrate.
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ap single view of the chest has been obtained with patient in sitting semi-upright position. comparison is made with the next preceding similar study of <unk>. during the interval, the patient has been extubated. no pneumothorax has developed. rather high-positioned diaphragms indicate poor inspirational effort and this conceals some major portion of the cardiac silhouette. however, there is no suspicion for significant cardiac enlargement as the pulmonary vasculature is not congested. no new acute infiltrates can be identified. the lateral pleural sinuses remain free. skeletal structures of the imaged thorax are grossly unremarkable. if suspicion for specific skeletal injuries exists it is recommended to request dedicated rib examination, thoracic spine or shoulders etc.
<unk>-year-old female patient status post fall during alcohol intoxication, assess for fracture.
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overlying soft tissue somewhat limits the evaluation. right subclavian hemodialysis catheter terminates in the right atrium. there is likely small right pleural effusion blunting the costophrenic sulcus. moderate cardiomegaly is stable. the pulmonary artery is enlarged, unchanged. there is mild pulmonary vascular congestion without frank pulmonary edema. there is no pneumothorax. no evidence of pneumonia. chain suture projects over the left lower lung
history: <unk>f with dyspnea // eval for pulmonary edema
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the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable.
history: <unk>f with dizziness, dyspnea // r/o pna
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compared to the study from the prior day there is interval increase in the right upper lobe and right lower lobe infiltrates. is also new area of volume loss/ infiltrate the left lower lobe in the retrocardiac region the heart is upper limits normal in size and there is mild pulmonary vascular redistribution
<unk> year old man with pnia/fevers, eval status // eval status
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heart size within normal. no pleural effusions. no focal consolidation or pneumothorax.
<unk> year old woman with cough, renal transplant // r/o pneumonia
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frontal views of the chest. moderate cardiomegaly is similar to prior. there is mild interstitial pulmonary edema and improved small retrocardiac opacification. no substantial pleural effusion or pneumothorax.
<unk>-year-old man with fever and hypoxia.
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et tube terminates approximately <num> cm from the carina. compared to prior, lung volumes are decreased and there is an increase in nodular interstitial opacities bilaterally, worse on the left. moderate left pleural effusion is likely. previously described left nodularity near the aortic knob is obscured. the heart size and mediastinum are difficult to evaluate, though likely enlarged.
<unk> year old man with gib and intubation. confirm ett placement.
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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. several well-circumscribed dense opacities projecting over the anterior aspect of multiple intervertebral disc spaces on the lateral view only, represent osteophytes and calcified disc protrusion.
<unk>-year-old man with chest pain and shortness of breath.
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pa and lateral views of the chest provided. lungs are clear. cardiomediastinal and hilar structures are normal. there are no pleural effusions. cholecystectomy clips are noted in the right upper quadrant.
<unk> year old woman with <num> weeks of cough // ? infiltrate
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normal heart size, mediastinal and hilar contours. no focal consolidation, pleural effusion or pneumothorax.
history: <unk>f with palpitations // eval for infiltrate
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frontal and lateral views of the chest. left chest wall dual-lead pacing device is seen with lead tips in the right ventricular apex and right atrium. the lungs are clear without focal consolidation, effusion, or pulmonary vascular congestion. the cardiac silhouette is top normal in size. no acute osseous abnormality is identified.
<unk>-year-old male with syncope and pacer in place.
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lungs are clear without focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is within normal limits. extensive degenerative changes noted at the right acromioclavicular joint. no acute osseous abnormalities identified.
<unk>m with chest pain // acute process, exp wheezes
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there are low lung volumes with mild bibasilar atelectasis. no focal consolidation is seen. there is no large pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are unremarkable. no overt pulmonary edema is seen.
history: <unk>m with tachycardia // cardiopulm process?
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the cardiac, mediastinal and hilar contours appear stable. lung volumes are low. there is no pleural effusion or pneumothorax. the lateral view shows vague focal opacification projecting over the lower spine; no correlate is seen on the frontal view.
persistent cough.
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the cardiomediastinal and hilar contours are within normal limits. the lung fields are clear. the lungs are mildly hyperinflated. there are tiny bilateral pleural effusions. there is no pneumothorax, fracture or dislocation. limited assessment of the abdomen is unremarkable.
history: <unk>f with chest pain // pneumonia? pneumothorax?
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lung volumes are low. no pleural effusion or pneumothorax is detected. bibasilar atelectasis is present. there is mild left ventricular enlargement. bilateral rib fractures are noted.
<unk>-year-old male status post acetabular surgery with concern for pleural effusion.
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there is persistent left base opacity which could be due to consolidation due to infection or aspiration. underlying left pleural effusion with atelectasis could be present. the right lung is grossly clear aside from pulmonary vascular congestion. no right pleural effusion is seen. there is no evidence of pneumothorax. the heart remains mildly enlarged. the aortic knob is calcified. large-bore dual-lumen right central venous catheter terminates at the cavoatrial junction/right atrium.
history: <unk>f with acute onset aphasia // eval for consolidation
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there are relatively low lung volumes and basilar atelectasis. left base opacity may be due to atelectasis however, underlying consolidation due to pneumonia is not excluded in the appropriate clinical setting. no large pleural effusion is seen. there is no pneumothorax. cardiac and mediastinal silhouettes are grossly stable.
history: <unk>m with intermittent fever x <num> wk, cough, pleuritic pain, afib w/ rvr // eval ? effusion, infiltrate
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there is mild enlargement of the cardiac silhouette. the aorta is tortuous. the mediastinal and hilar contours are otherwise unremarkable, and no pulmonary vascular congestion is present. minimal linear opacities within the left lung base likely reflect subsegmental atelectasis. no focal consolidation, pleural effusion or pneumothorax is visualized. diffuse demineralization of the osseous structures is present with multilevel degenerative changes noted. there is mild dextroscoliosis of the thoracic spine. additionally, mild compression deformity of a vertebral body at the thoracolumbar junction is noted, age indeterminate.
altered mental status.
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ap view of the chest provided. there is near total opacification of the left lung, with residual right upper lobe aeration. there is no contralateral shift of mediastinal structures. altogether, these findings are concerning for partially collapsed left lung that is most likely due to mucus plugging. there is additional moderate amount of layering pleural effusion on the left. compared to prior study, the right juxta-hilar region opacity appears much worse, likely reflective of atelectasis however aspiration pneumonia is also certainly a possibility. there is a small to moderate amount of pleural effusion on the right.
<unk> year old man with quadriplegia with worsening dyspnea and somewhat decreased bs on the l // eval for pna or collapse
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the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. no free air is identified below the hemidiaphragms. a biliary catheter is noted in the right upper quadrant.
new diagnosis of pancreatic cancer with diffuse abdominal pain after endoscopic ultrasound-guided pancreatic biopsy. evaluate for free air.
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a left pectoral pacemaker is in place. lung volumes are low. there are stable small bilateral pleural effusions with associated bibasilar atelectasis. interstitial and airspace opacities are likely due to pulmonary edema.
<unk> year old woman with dchf, cirrhosis and possible history of amiodarone-induced lung toxicity with pleural effusions // please eval for interval changes in pleural effusions
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frontal and lateral chest radiograph demonstrate interval removal of a left pleural pigtail catheter and unchanged mild cardiomegaly. there are unchanged small bilateral pleural effusions, left greater than right, with associated compressive atelectasis of the left lower lobe. no focal consolidation is clearly seen. there is no pneumothorax. incidentally noted are severe degenerative changes of the right shoulder.
history of left pleural mssa empyema status post pigtail removal. evaluate for interval change.
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heart size is normal with mild tortuosity of the thoracic aorta. slight indentation of the cervical trachea is suggestive of enlarged thyroid, which has been previously evaluated by ultrasound. hilar contours are unremarkable. lungs are clear. nipple shadows should not be confused for nodules. pleural surfaces are clear without effusion or pneumothorax.
chest pain.
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there is a hematoma in the right lower lung adjacent to the site of recent bronchoscopic biopsy. there is no pneumothorax or hemothorax. there is no focal consolidation or pleural effusion. cardiomediastinal contours are unchanged.
<unk> year old woman with peripheral lung nodule and mediastinal lad s/p ebus. eval for ptx // pneumothorax? evaluate for pneumothorax
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compared to prior, there has been substantial decrease in right pleural effusion with minimal pleural effusion. right lower lobe atelectasis is improved. no appreciable pneumothorax is seen. there is persistent moderate left pleural effusion, possibly larger. there is engorgement of the pulmonary vasculature, though no pulmonary edema is seen. the heart size is enlarged. fiducial markers are seen in the abdomen. severe degenerative changes of the spine is seen.
<unk> year old woman with b/l pleural effusion s/p right <unk> with <num>ml removed. evaluate for pneumothorax.
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lung volumes are low, which leads to bronchovascular crowding. no focal consolidation is identified. the cardiomediastinal silhouette and hilar contours are normal. there is no pleural effusion or pneumothorax.
<unk>-year-old man with shortness of breath and productive cough. rule out pneumonia.
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lung volumes remain low. there is mild enlargement of the cardiac silhouette. the mediastinal and hilar contours are unchanged. pulmonary vasculature is not engorged. increased interstitial markings with patchy opacities at the lung bases persist, most likely reflective of a combination of known chronic interstitial lung disease with atelectasis. no focal consolidation, pleural effusion or pneumothorax is present. there are mild to moderate multilevel degenerative changes demonstrated in the thoracic spine.
history: <unk>m with shortness of breath
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widening of the mediastinum, particularly the right mediastinal contour is due to a large infiltrative mediastinal mass, better assessed on the prior ct performed the same day. a right apical mass is also demonstrated. a large right pleural effusion with right basilar opacity compatible with atelectasis is again seen. small left pleural effusion is noted. there is mild prominence of the interstitial markings within the left lung which could suggest mild volume overload. no pneumothorax is identified. heart size is difficult to assess given the presence of the large right pleural effusion. numerous compression deformities are seen within the imaged thoracolumbar spine, better assessed on the ct. remote right-sided rib fractures are present.
history: <unk>f with right-sided effusion and mass.
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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.
<unk> year old woman with <num> wk h/o cough // r/o pneumonia
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pa and lateral views of the chest provided. tiny surgical clips project over the chest wall. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>f with onc fever, no focal sxs // eval ? infiltrate
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bronchovascular markings remain prominent. there is streaky density at the lung bases most consistent with subsegmental atelectasis. there is somewhat asymmetric density at the right lung base. the cardiac silhouette is prominent but may be exaggerated by portable technique. the aorta is calcified. mediastinal structures are stable. the bony thorax is grossly intact.
pulmonary edema?
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in the interval the patient has been extubated and the nasogastric tube has been removed. a central line with the tip in the right atrium is unchanged in position. there is a left subclavian line terminates in the svc. lung volumes are low, but there is no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is unchanged. bones are intact. median sternotomy wires are intact.
<unk>-year-old man with bowel ischemia, status post ex lap and intubated. evaluate for interval change.
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>m with chest pain // chest pain
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ap and lateral views of the chest were obtained. allowing for differences in technique and lung volumes, cardiomediastinal silhouette including cardiomegaly is stable. lung volumes have slightly increased. mild pulmonary edema and small right pleural effusion is unchanged compared to the prior study. retrocardiac opacity projecting over the lower spine on the lateral radiograph may represent atelectasis or small focus of developing pneumonia. lungs are otherwise clear. there is no pneumothorax. the sternotomy wires appear stable. bones are diffusely osteopenic. scoliosis is noted.
<unk>-year-old male with cad, previous mi, chf, hypertension presenting with chest pain and shortness of breath, evaluate for chf exacerbation or pneumonia.
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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>f with hx of renal txp with fever // eval for pna
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a tortuous ascending and descending thoracic aorta alter the cardiomediastinal contour. heart size is enlarged, although stable from prior examinations. the trachea is mildly shifted towards the right, likely secondary to enlargement of the aortic arch, although patient positioning is suboptimal. lungs are relatively hypoinflated with bibasilar atelectasis. no large pleural effusion or pneumothorax. no definite focal pneumonia. there are moderate degenerative changes throughout both glenohumeral joints.
history: <unk>f with wekaness. please evaluate for pulmonary edema and pneumonia.
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as compared to <unk>, insertion of a right-sided pigtail catheter with drainage of the right effusion. no pneumothorax. marked elevation of the left hemidiaphragm with interposed bowel. bowel
<unk> year old woman with b/l effusion s/p right pigtail // ? ptx
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there is a small to moderate right pneumothorax. no significant mediastinal shift. no focal consolidation or pleural effusion in either lung. the size of the cardiac silhouette is within normal limits. right lower rib fractures are again noted.
<unk> year old man with right-sided rib fractures s/p fall // please evaluate for pneumothorax
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as compared to the prior examination, there has been mild worsening of the patient's moderate to severe interstitial pulmonary edema. small bilateral pleural effusions are stable. there is no focal consolidation or pneumothorax. stable, mild cardiomegaly is noted. aortic calcifications are seen. the mediastinal and hilar contours are grossly normal.
copd and chf.
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endotracheal tube and nasogastric tubes are no longer visualized. left central line is unchanged with tip terminating at the cavoatrial junction. there is blunting of the left costophrenic angle. there is improved aeration of the right lower lobe with decreased fluid within the right minor fissure and sharp right costophrenic angle. there is mildly improved left lower lung aeration. there is no pneumothorax. there is no new area of consolidation.
<unk> year old woman with osteomyelitis and severe hypertension causing flash pulmonary edema // interval change
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no focal consolidation, pleural effusion, or pneumothorax is seen. heart and mediastinal contours are stable with postoperative cardiac sillouhette and postsurgical hardware.
<unk>-year-old male with cough.
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slight blunting of posterior left costophrenic angle may be due to a trace pleural effusion. there is mild bibasilar atelectasis without definite focal consolidation. surgical clips are seen overlying the right heart border. cardiac silhouette is mild to moderately enlarged. no pulmonary edema is seen. aortic knob is calcified.
history: <unk>m with ams. currently being treated for pneumonia // ?pneumonia
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the left hemidiaphragm appears chronically elevated. there are increased left lower lobe opacities likely reflecting combination of worsening of known left lower lobe pneumonia versus radiation pneumonitis along with an adjacent pleural effusion. the left upper lung and the right lung appear clear. previously noted subpleural radiation changes are better delineated on dedicated ct. no acute fractures are identified.
left-sided chest pain.
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since the prior radiograph performed yesterday evening, the patient is now newly intubated. the tip of the endotracheal tube terminates approximately <num> cm above the carina. there is worsening opacification of the right lung base, which may be due to aspiration. additionally there is complete opacification of the left hemithorax with leftward shift of mediastinal structures, suggesting lung collapse. there is no pneumothorax.
<unk> year old man with intubation, ett // new intubation
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pa and lateral views of the chest provided. a cardiac valve replacement is noted. there is minimal residual right pleural effusion. left effusion has resolved. minimal basilar atelectasis persists. otherwise the lungs are clear. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>f with sle and mr <unk>/p mvr now with hypotension.
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the heart size is borderline enlarged. mediastinal and hilar contours are within normal limits. pulmonary vascularity is normal and the lungs are clear. no pleural effusion or pneumothorax is visualized. there are mild degenerative changes in the thoracic spine.
altered mental status.
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with cough and congestion // evaluate for pneumonia
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heart size is normal. the mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. the lungs are hyperinflated but clear. minimal biapical scarring is re- demonstrated. no focal consolidation, pleural effusion or pneumothorax is visualized. there are no acute osseous abnormalities.
hypertension, chills, cough, wheezing.
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the lung volumes are low. small bilateral pleural effusions are noted. there are bibasilar infiltrates / atelectasis. mild interstitial prominence may represent pulmonary edema. there is a wedge compression fracture t<num> and l<num> which was not seen previously in <unk>.
<unk>f s/p l mastectomy with fevers at osh, reported to have pulmonary edema, has fevers to <num> on abx and slight cough with deep inspiration // ? postoperative pna, effusion
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the lungs are hyperinflated consistent with underlying emphysema. there is no focal airspace consolidation, pleural effusion, pulmonary edema or pneumothorax. a faint nodular opacity overlying the left eighth posterior lateral rib is felt to represent a nipple shadow rather than a pulmonary nodule. comparison to old studies would be helpful. in their absence, followup imaging with nipple markers performed. in addition, however, there is a <num> cm nodular opacity at the right apex for which comparison to outside radiographs to assess for stability is recommended. if outside studies are not available, further imaging evaluation with ct should be considered. heart size is normal. no acute osseous abnormalities identified. there is eventration of the right hemidiaphragm.
<unk>m with cough, r/o pneumonia // <unk>m with cough, r/o pneumonia
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lungs are hyperinflated. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are unchanged. tortuosity of the aorta and atherosclerotic calcifications are re- demonstrated. no pulmonary edema, pneumothorax, or pleural effusion. no consolidations are seen. radiopaque density within the right upper quadrant is compatible with known right staghorn calculus, unchanged since <unk>.
history: <unk>f with influenza like illness
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the lungs are clear without focal consolidation, pleural effusion or pneumothorax. there is no pulmonary edema. the heart is normal in size, and the mediastinal contours are normal.
<unk>-year-old female with dyspnea. please evaluate for acute cardiopulmonary 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.
history: <unk>m with chest pain
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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. hilar contours are stable.
history: <unk>f with sob // r/o pna
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the heart is normal in size. there is again slight elevation of the right hemidiaphragm. the cardiac, mediastinal and hilar contours appear unchanged allowing for technique. streaky left basilar opacity has mostly resolved, suggesting minor atelectasis. the lungs appear otherwise clear. there is no definite pleural effusion or pneumothorax.
shortness of breath and new atrial fibrillation.
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lung volumes are low leading to crowding of the bronchovascular structures. there is no lobar consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is unchanged in appearance.
<unk>m with cough, fever, weakness // evaluate for pneumonia, acute process
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pa and lateral chest radiographs were obtained. the lungs are well expanded and clear. there is no focal consolidation, effusion, or pneumothorax. cardiac and mediastinal contours are normal.
pleuritic chest pain.
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pa and lateral views of the chest. no prior. the lungs are clear. cardiomediastinal silhouette is normal. osseous and soft tissue structures are unremarkable, there is no evidence of displaced fracture.
<unk>-year-old female with heroin overdose and "roughed up" up by boyfriend.
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the lungs are well inflated and clear. no focal consolidations. no pulmonary edema. the cardiomediastinal silhouette appears slightly enlarged compared to <unk>, however this may be projectional. no pleural effusion. no pneumothorax.
history: <unk>m with ams // ?cpd
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the lungs remain hyperinflated, with flattening of the diaphragms. the hilar contours are stable. the cardiac and mediastinal silhouettes are stable and unremarkable. no focal consolidation is seen. there is no pleural effusion or pneumothorax.
<unk> year old man with exersional sob // ? pneumonia
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ap upright and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. dense breast tissue overlying the lower lungs likely accounts for the subtle increase in lower lung opacity. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
history: <unk>f with l femur fracture s/p fall // eval extent of injury, pre-op cxr
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frontal and lateral views of the chest were obtained. there is no focal consolidation, pleural effusion or pneumothorax. heart size is normal. mediastinal silhouette and hilar contours are normal, noting an aortic "nipple" likely from traversing left superior intercostal vein. note again made of a round <num>mm radioopaque foreign body projecteing over the neck.
cough, pleuritic chest pain and fever.
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there is a very large left-sided pleural effusion with opacification of nearly the entire left hemi thorax with a small amount of aerated left upper lobe. there is associated rightward mediastinal shift. the cardia as mediastinal silhouette is non evaluable. the right lung is clear. the fluid appears to partially <unk> on the left lateral decubitus views, though the lower component is difficult to assess due to its size. there is re- demonstration of a severe compression deformity of t<num>, unchanged compared to the prior exam as well as moderate to severe wedge compression of the t<num> vertebral body which appears increased compared to the prior study. mild compression of the l<num> vertebral body appears unchanged.
history of stage iv non-small cell lung cancer. evaluate left pleural effusion after biopsy.
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frontal and lateral chest radiographs demonstrate clear lungs. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is stable.
shortness of breath. evaluate for pneumonia.
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mild prominence of the cardiac silhouette may be projectional in nature when compared to prior radiograph. otherwise, the cardiomediastinal silhouettes are unremarkable. the bilateral hila are within normal limits. the lungs are clear without focal consolidation. again seen is a left upper lung calcified granuloma. there is pulmonary vascular congestion suggestive of early cardiac decompensation. there is no pneumothorax or pleural effusion.
<unk>f with dka, evaluate for pneumonia.
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the cardiomediastinal and hilar contours are within normal limits. the lung fields are clear. there is no pneumothorax, fracture or dislocation. limited assessment of the abdomen is unremarkable.
history: <unk>f with cp // pna?
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the lungs are normally expanded and clear. minimal right infrahilar opacity is not correlated on the lateral radiograph and likely reflects summation of shadows. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax. mild deformity of the left chest wall is unchanged.
history: <unk>f with ams // eval for pna
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there has been interval improvement in the moderate right-sided pleural effusion. there is evidence of atelectasis in the right mid lobe. there has been slight interval increase in the small-to-moderate left-sided pleural effusion. there is a right-sided chest tube. the heart borders are obscured. there has been an interval increase in pulmonary vascular engorement. there is an right apical line parallel to the lateral aspect of the upper ribs, which may be from the scapula. there is no definite pneumothorax.
<unk>-year-old female with a right loculated pleural effusion, status post vats and decortication, who presents for evaluation of pneumothorax.
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mild cardiomegaly has slightly increased compared to the prior exam from <unk>, however, appears overall stable compared to the exam from <unk>. smoothly contoured soft tissue density projecting over the medial aspect of the right hemidiaphragm posterior to the heart is consistent with the patient's known diaphragmatic hernia, however appears slightly increased compared to the prior exam from <unk>. adjacent to the hernia, there appears to be a slight interval increase in consolidation. there is mild pulmonary edema. there is no evidence of pleural effusion or pneumothorax. the visualized osseous structures are unremarkable.
history of chest pain, please evaluate for cardiopulmonary process.
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single portable view of the chest. left greater than right basilar opacities suggestive of atelectasis. the lungs are otherwise clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is identified. no free intraperitoneal air identified.
<unk>-year-old female with abdominal pain and vomiting.
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pa and lateral views of the chest. the lungs are clear. there is no pneumothorax. cardiomediastinal silhouette is normal. no displaced fractures identified.
<unk>-year-old female with chest pain and back pain.
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the lung volumes are low. there is minimal left apical scarring. the lungs are otherwise clear. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. the thoracic aorta is tortuous. there is eventration of the right hemidiaphragm. compression fracture of the thoracic spine is better appreciated on the ct from the same day.
<unk> year old woman with history of fall and confusion // r/o infection
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cardiomediastinal silhouette is normal. there is no focal lung consolidation. there is no pleural effusion or pneumothorax. there is no overt pulmonary edema. there is no acute osseous abnormality.
<unk>-year-old woman with copd, now with increasing dyspnea, cough, tachycardia, evaluate for pneumonia
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heart size is normal. cardiomediastinal silhouette and hilar contours are normal. lungs are clear. pleural surfaces are clear without effusion or pneumothorax.
palpitations and ekg abnormality.
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the patient is mildly rotated. cardiomegaly is mild. the study is somewhat limited by motion. the lung fields appear clear. there are several moderate to severe compression deformities of vertebral bodies, unchanged from <unk>. degenerative changes are noted at the acromioclavicular joints, bilaterally.
history: <unk>m with copd and cough pls eval pna // history: <unk>m with copd and cough pls eval pna
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pa and lateral views of the chest. lungs are clear without consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is within normal limits. well-circumscribed radiopacity projects over the lateral aspect of left first rib, thought to be external in nature. no acute osseous abnormality is identified. no free air below the diaphragm.
<unk>-year-old female with epigastric pain status post ercp.
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a right apical chest tube remains in place. the small right apical pneumothorax has resolved. a small right pleural effusion is stable. right lower lobe subsegmental atelectasis is slightly improved. the left lung remains clear. the heart and mediastinum are within normal limits. multiple displaced right posterior rib fractures are unchanged in configuration.
<unk> year old man with pneumothorax.
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ap view of the chest provided. interval placement of orogastric tube courses below the level of the diaphragm and appears appropriately positioned. et tube ends <num> cm above the carina. patient is status post mitral valve replacement. cardiac silhouette with prominence of the right atrium, left atrium and main pulmonary artery is unchanged from the examination <num> hours prior. mild pulmonary edema is unchanged from the examination <num> hours prior. small, bilateral pleural effusions are unchanged from the examination <num> hours prior.
<unk> year old man with ogt and recent intubation // placement
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new moderate right pleural effusion since <unk>. the cardiac silhouette appears increased from the prior exam, likely from a new small-to-moderate right-sided juxtacardiac component of pleural fluid, and less likely from a pericardial effusion. the lungs are otherwise clear. no focal consolidation to suggest pneumonia. no pulmonary vascular congestion, pneumothorax, or pulmonary edema. the mediastinal contours and hila are unchanged. no pneumoperitoneum.
<unk> year old woman with decompensated nash cirrhosis with ascites; evaluate for pleural effusion and pneumonia. .
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with cp // ? pna or effusion
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a single portable frontal upright view of the chest was obtained. confluent airspace opacification in the right lower lung has slightly improved. the left lung remains clear. heart is stable in size and cardiomediastinal contour is otherwise unremarkable. there is no large effusion or pneumothorax.
<unk>-year-old woman with altered mental status, recent pneumonia, tachycardia.