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moderate cardiomegaly is seen which may be exaggerated secondary to low lung volumes. a right picc line is seen which terminates in the mid svc. no pneumothorax is seen. mild bibasilar atelectasis is seen with probable bilateral small pleural effusions. no pleural effusions are visualized
<unk> year old man with dm<num>/htn/hld p/f rle vac change needs verification of his picc location on the right side. // right-sided picc location
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there is mild left pleural effusion, it has increased since <unk>. left basilar opacity, likely atelectasis. there is tiny left pneumothorax, not seen previously. right lung is clear. shallow inspiration accentuates heart size.
<unk> year old woman with left pleural effusion s/p <unk> // reaccumulation?
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pa 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 normal. osseous and soft tissue structures are notable for hypertrophic changes in the spine.
<unk>-year-old male with chest pain and tachycardia.
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there has been interval placement of a right ij central venous catheter which projects over the mid svc. lung volumes are low with increased hazy perihilar opacities, consistent with pulmonary edema. there are small bilateral pleural effusions. there is no pneumothorax. otherwise, no significant change compared to the prior study.
<unk>f with left ij placement, evaluate central venous line.
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frontal and lateral views of the chest demonstrate normal lung volumes. there is no pleural effusion, focal consolidation, or pneumothorax. the hilar and mediastinal silhouettes are unremarkable. heart size is normal. there is no pulmonary edema. visualized osseous structures are intact.
chest pain.
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pa and lateral image of the chest demonstrate well-expanded lungs, which are clear. there is no sign of acute pulmonary process. there is no pneumothorax or pleural effusion. cardiomediastinal silhouettes are unremarkable. port-a-cath is noted with the tip in the mid-to-lower svc on the right.
<unk>-year-old male with history of mds, on treatment, now with cough.
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the lungs are hyperexpanded with marked architectural distortion, consistent with the known history of severe emphysema. chronic right upper lobe consolidation is unchanged as far back as <unk>. there is no new opacity. 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 a history of severe emphysema presenting with cough and dyspnea.
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the endotracheal tube is positioned low with the tip in the proximal right main stem bronchus. a right internal jugular catheter and a left hemodialysis catheter are in unchanged position with the tip near the cavoatrial junction. the lung volumes are persistently low. there is stable mild-to-moderate pulmonary edema and basilar opacities, likely atelectasis. the apices of lungs are clear. there are small bilateral pleural effusions, possibly slightly increased from the prior exam. the cardiomediastinal silhouette is unchanged with persistent severe cardiomegaly.
extubated this morning, now reintubated. evaluate et tube.
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lung volumes are low. heart size is top normal. the aorta is diffusely calcified. mediastinal and hilar contours are unremarkable. lung volumes are low. crowding of bronchovascular structures is demonstrated without overt pulmonary edema. patchy atelectasis seen in the lung bases. no focal consolidation, pleural effusion or pneumothorax is present. marked degenerative changes are seen in both glenohumeral joints.
history: <unk>m with rigors, history of aspiration pneumonia
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moderate cardiomegaly with interval increase in bibasilar atelectasis. there is a possible right pleural effusion. the differential could include elevation of the right hemidiaphragm laterally. mild upper zone redistribution, without overt chf. no pneumothorax.
history: <unk>f with dyspnea // pna?
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frontal and lateral chest radiographs were obtained. lung volumes are decreased. the cardiac silhouette is enlarged. there is an increased left lung base opacity, not seen on prior study. no pleural effusion, pneumothorax or pulmonary edema is seen. mediastinal contours are normal. no bony abnormality is detected.
chest pain, rule out chf.
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frontal and lateral views of the chest demonstrate normal lung volumes. there is no pleural effusion, focal consolidation or pneumothorax. hilar and mediastinal silhouettes are unremarkable. heart size is normal. there is no pulmonary edema. partially imaged upper abdomen is unremarkable.
chest pain.
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large consolidation in the lingular lobe consistent with pneumonia as well as small left pleural effusion. slight inferior displacement of left hila concerning for possible post-obstructive causes and repeat chest radiograph in <num> weeks can be done to confirm resolution of pneumonia. no pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
<unk> year old man with fever decreased breath sounds left base // rule out infiltrate
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compared with prior radiographs on <unk>, the pa catheter still positioned peripherally in the right descending pulmonary artery, and should be withdrawn approximately <num> cm for standard placement. a right picc line terminates in the mid to low svc. there is no change in a small right and a moderate left pleural effusion. there is mild vascular congestion, and possible edema in the left lower lobe versus atelectasis. cardiomegaly is stable. median sternotomy wires are stable in position.
<unk> year old woman with end stage chf (ef <unk>%), here for tailored therapy // pa line assessment
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partially evaluated thoracic spinal hardware is present. the patient is status post median sternotomy. the size of the cardiac silhouette is enlarged but unchanged. there is mild hilar congestion and pulmonary edema, decreased since the prior radiograph. no pleural effusion or pneumothorax is identified.
<unk> year old man with shortness of breath, likely chf exacerbation. // evaluate for pulmonary edema vs consolidation
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calcific density projects over the right lung which is likely within the anterior subcutaneous tissues as demonstrated on the lateral view. the lungs are clear. anterior cervical fixation hardware is identified.
<unk>f with dizziness // eval for acute process
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heart size is normal. mediastinal and hilar contours are unremarkable. previously noted right basilar opacification has markedly improved, with near complete resolution of the right pleural effusion. bibasilar streaky opacities could reflect atelectasis with mild pulmonary vascular engorgement noted. there is no pneumothorax. no acute osseous abnormalities are seen.
altered mental status.
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there is blunting of the right costophrenic angle, consistent with a small right pleural effusion, which is new over the interval. no overt pulmonary edema. the cardiomediastinal silhouette is unchanged. no pneumothorax or consolidation. note is made of severe s-shaped scoliosis. spinal fusion hardware is partially imaged. no acute displaced rib fractures identified.
history: <unk>f with chest pain // eval for acute process
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a bedside ap radiograph of the chest demonstrates marked worsening of the dense airspace consolidation affecting the right upper and middle lobes and the left upper lobe. there is no marked change in the size of the cardiac silhouette or the mediastinum, which does feature persistent vascular engorgement. there is no pneumothorax or pleural effusion, and the pulmonary vascularity is normal. a right-sided picc terminates in the mid svc.
patient with aml, on induction chemotherapy complicated by pneumonia, now presenting with tachypnea and hypoxia. evaluate for interval change in pneumonia or signs of congestive heart failure.
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grossly unchanged appearance of the lung parenchyma including right lung volume loss, specifically involving the right upper lobe secondary to a right suprahilar mass. there is right upper lung pleural thickening, likely reflecting a loculated pleural effusion. there are new patchy retrocardiac opacities likely representing a focus of infection. no pneumothorax identified. the size and appearance of the cardiac silhouette is unchanged.
<unk> yo male with a history of stage iv nsclc (diagnosed <unk>, s/p etoposide platinum radiation <unk> with mets to the adrenal gland, paraspinal, lower thoracic, and thigh) who is admitted with cough and hypoxia. // ?pna
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ap upright and lateral views of the chest provided. the picc line has been removed in the interval. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. mild degenerative changes in mid to lower thoracic spine noted. no free air below the right hemidiaphragm is seen.
<unk>f with chest pain // eval for pna
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hyperinflation and flattening of the diaphragms consistent with emphysema. enlarged right pulmonary artery consistent with pulmonary hypertension. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
<unk> year old man with extensive smoking history // screening for malignancy. follow up copd
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frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. the lungs are clear. there is no pneumothorax, vascular congestion, or pleural effusion. there is a faint subdiaphragmatic lucency on the right, more conspicuous on lateral view, which corresponds with free intraperitoneal air seen on subsequent ct.
<unk>-year-old female with diffuse abdominal pain. question free air.
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the et tube tip projects approximately <num> cm above the level of the carina. a newly placed internal jugular central venous catheter terminates at the level of the mid svc. lung volumes are low bilaterally. the right hemidiaphragm and minor fissure are elevated and there is complete opacification of the right upper lobe suggesting complete collapse. the mediastinal structures are shifted rightward due to the collapse. this shift results in the marked rightward deviation of the trachea. additionally, patchy and linear sublobar atelectasis is noted. there is no pleural effusion or pneumothorax evident on this single supine frontal radiograph but these cannot be ruled out. mild gastric dissension is noted.
hematemesis, intubated. assess tube.
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heart size is normal. there has been interval improvement in aeration of the right upper lobe with bulging of the right paratracheal stripe and hilar contour compatible with known lymphadenopathy. there is no pulmonary vascular congestion. no focal consolidation, pleural effusion or pneumothorax is seen. linear atelectasis is noted within the right upper lobe. there are no acute osseous abnormalities. no pneumomediastinum is seen.
fever after mediastinoscopy.
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frontal and lateral chest radiograph demonstrates unremarkable cardiomediastinal and hilar contours. lungs are clear. no pleural effusion or pneumothorax is evident.
cough and chest congestion. evaluate for acute process.
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single ap chest radiograph was provided. the tiny right apical pneumothorax is barely visible. the lungs are otherwise clear without focal consolidation, pleural effusion. cardiomediastinal silhouette is normal. fusion hardware is noted spanning from t<num> through the lumbar spine and incompletely visualized. multiple rib fractures are better visualized on the prior ct.
evaluate for right apical pneumothorax.
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compared to the prior study there is no significant interval change.
<unk> year old man with adhf with hypercarbic respiratory failure // trend effusions and volume status.
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right-sided pacemaker device is noted with <num> leads noted, <num> terminating in the region the right atrium, and another appearing to be abandoned. second pacemaker device is noted projecting over the right upper quadrant of the abdomen with leads projecting over the left and right ventricles, unchanged. patient is status post median sternotomy and aortic valve replacement. heart size remains severely enlarged. the mediastinal contour is unchanged. mild pulmonary edema is slightly worse in the interval with mild increased moderate size right pleural effusion, a component which is loculated laterally. small left pleural effusion is also noted, not substantially changed in the interval. bibasilar atelectasis is seen. no pneumothorax is identified.
history: <unk>f with congestive heart failure
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pa and lateral views of the chest provided. the lungs are hyperinflated suggesting emphysema with lower lung atelectasis. no large effusion or pneumothorax is seen. no convincing evidence for pneumonia. the heart and mediastinal contours appear normal. bony structures are intact. no free air below the right hemidiaphragm. a metallic structure overlies the left breast.
<unk>f with sob // r/o acute process
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lungs are clear and well inflated. there are no consolidations or nodules. cardiac and mediastinal silhouette are normal. there are no pleural effusions. there is a large hiatal hernia
a <unk>-year-old woman worsening sob,has had <unk> +/-yrs fm hx copd per pt r/o copd,abnor
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the lungs are clear. there is no pneumothorax. heart size is normal. a slightly more nodular contour to the left hilus with corresponding increased density on the lateral radiograph raises concern for lymphadenopathy. the right paratracheal stripe also appears widened. regional bones and soft tissues are unremarkable.
<unk> year old man with dyspnea, cough // acute intrathoracic process? changes from <unk> chest xr? (sent patient downstairs with discs to be uploaded
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the lungs are well expanded and clear. the cardiac and mediastinal silhouettes are stable. there is no pleural effusion or pneumothorax. moderate dextroscoliosis centered in the mid thoracic spine is unchanged.
<unk>-year-old female with syncope. evaluate heart size.
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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 and stable.
history: <unk>m with sore throat and possible submandibular la for the last week, and cough w/ cp <num> week ago. // rule out pna and neck abscess
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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 sob // eval for pneumonia
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moderate levoconvex scoliosis of the thoracic spine is stable. since the prior radiograph, there is increased hazy opacification of the right lower lobe, which is confirmed on the lateral view. there is no pleural effusion or pneumothorax. heart size and mediastinal contours are stable.
history: <unk>f with chest pain, sob, cough // any evidence of consolidation or ptx?
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pa and lateral chest radiograph demonstrate a right middle lobe opacity which silhouettes the right heart border. there is mild downward displacement of the minor fissure suggestive of atelectasis. there is no pleural effusion or pneumothorax. the remaining lungs are clear. cardiomediastinal and hilar contours are within normal limits. there has been removal of the left-sided central venous line since the previous study.
<unk>f with hx aml, breast ca in remission now w/ likely r lung ca and lobe collapse per ?? pcp and<unk> w/u
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the heart size is normal. note is made of mild elevation of the right hemidiaphragm. no focal consolidations concerning for pneumonia are identified. there is no pleural effusion or pneumothorax. note is made of a left-sided port-a-cath with the tip in the low svc. the visualized osseous structures are unremarkable.
history of small cell lung cancer here with fatigue. please 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 tia // eval for consolidation
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the endotracheal tube is low, approximately <num> cm from the carinal. a new percutaneous drain overlies the right upper quadrant. a right internal jugular central venous catheter is unchanged with the tip in the mid svc. a spinal stimulator is unchanged projecting over the lower thoracic spine. an enteric tube courses below the diaphragm with the tip out of the field of view. note, the stomach is distended and filled with air. the lung volumes are low. since the prior exam, the bibasilar atelectasis, bilateral pleural effusions, and pulmonary edema have all almost completely resolved. there is no focal opacity. there is no pneumothorax. the cardiomediastinal silhouette is normal.
septic shock and respiratory failure due to cholecystitis. assess for infiltrate or pulmonary edema.
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allowing for technical differences, no gross change. again seen are multi focal small nodular opacities throughout both lungs, most pronounced in the right upper and right mid zones. the degree of involvement in the right upper zone is equivocally slightly worse and changes at the right lung base (right middle lobe ) are slightly less confluent. the cardiomediastinal silhouette is probably unchanged, with note made of mediastinal and hilar lymph adenopathy identified by ct. known ectatic ascending aorta seen is slight unfolding of the aorta on this examination. no pneumothorax or effusion is identified. incidental note made of severe right and probable mild-to-moderate left glenohumeral joint osteoarthritis.
<unk> year old man with ?lung ca and pna // assess for worsening opacities
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there has been continued interval improvement in the bilateral opacities in the right upper and left mid to lower lung. on the lateral, however there is a new opacity projecting over the heart potentially localizing to the right middle lobe. effusions have also decreased in size. the cardiomediastinal silhouette is within normal limits. healed posterior left rib fractures are again noted.
<unk>m with altered mental status, fall from standing // eval for trauma
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ap and lateral views of the chest are compared to previous exam from <unk>. there is diffuse increased interstitial marking seen throughout the lungs. there is however no confluent consolidation nor effusion. the cardiac silhouette is enlarged but not significantly changed from prior given differences in technique. osseous and soft tissue structures are unremarkable.
<unk>-year-old female with cough and shortness of breath. pneumonia versus chf.
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there is a patchy opacity in the left lower lobe consistent with pneumonia. the cardiomediastinal silhouette is normal. a faint nodular opacity near the right lung base may reflect a nipple shadow. there is no pleural effusion or pneumothorax.
cough and fever
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frontal and lateral chest radiographs demonstrate clear lungs without pleural effusion or pneumothorax. the cardiac silhouette is normal in size, the mediastinal contours are normal.
<unk>-year-old female with fever, question infiltrate.
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the lungs are clear without focal consolidation, effusion, or consolidation. the cardiomediastinal silhouette is normal. no acute osseous abnormalities identified.
<unk>f with r arm/chest pain // eval for acute process
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the lungs are well expanded and clear. there is mild cardiomegaly, but the cardiomediastinal and hilar contours are unremarkable otherwise. there is no pleural effusion or pneumothorax.
<unk>-year-old female with chest pain and shortness of breath. evaluate for evidence of cardiopulmonary process.
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the cardiomediastinal and hilar contours are within normal limits demonstrating mild cardiomegaly. the aorta is tortuous and shows moderate calcified atherosclerosis. there is a subtle opacity involving the inferior portion of the right upper lobe seen on both the frontal on lateral views concerning for infection. there is no pleural effusion or pneumothorax.
<unk> year old woman with dyspnea and hypoxemia // e/o pna, ild
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ap upright and lateral views of the chest provided. a right upper extremity access picc line is seen with its tip in the mid svc region. 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 picc line with intermittent dysfunction
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there is a tiny right apical pneumothorax. this <unk> not account for the entire right-sided pneumothorax. lucency at the right cardiophrenic angle and along the right heart <unk>, <unk> also be related to the pneumothorax. alternatively, lucency at the right heart <unk> could represent <unk> artifact. some subcutaneous emphysema is seen along the lower right chest wall, where there are rib fractures, as seen on recent ct. there is minimal atelectasis at the right lung base. the right lung is otherwise grossly clear. the possibility of slight elevation of the right hemidiaphragm cannot be excluded. mild prominence the cardiomediastinal silhouette is unchanged. there is atelectasis at the left lung base and minimal blunting the left costophrenic angle. no left-sided pneumothorax is detected. at the edge of these films, the lower portion of cervical spine fusion hardware is noted.
<unk> year old man with fall from <unk> ft, with small right pneumothorax // eval for progression of pneumothorax
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the patient is status post tracheoplasty. the endotracheal tube is <num> cm from the carina. right-sided chest without evidence of pneumothorax. low lung volumes with small right-sided pleural effusion and bibasal atelectasis. moderate cardiomegaly has increased since the prior and should have attention on the follow up to ensure no pericardial or mediastinal hematoma.
<unk> year old man s/p tracheoplasty // eval for right ptx, chest tube placement
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et tube present, at the level of lower clavicular heads, <num> cm below the carina. ng tube present, extending beneath diaphragm, off film. allowing for differences in positioning, the cardiomediastinal silhouette is probably unchanged. the mean pulmonary artery and hila both . prominent, similar to the prior film. again seen is increased retrocardiac opacity, consistent with left lower lobe collapse and/or consolidation. there is diffuse vascular plethora, thickening of the minor fissure and peribronchial cuffing. hazy opacity at both lung bases could reflect atelectasis and/or small amount of layering pleural fluid. compared with the prior film and allowing for technical differences, the overall appearance is similar.
<unk> year old man with hypoxemic respiratory failure with likely pna. // please assess for interval change
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the cardiomediastinal shadow is normal. the airspace opacification in the left lower lobe has resolved. no new areas of airspace consolidation. no pulmonary edema. no pleural effusions. no suspicious pulmonary nodules or masses.
<unk> year old woman admitted with stroke found to have lll pna. was treated with cefepime and narrowed to ceftriaxone but spiked to <num> // eval for worsening pna
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there is minor left basilar atelectasis. no focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. evidence of dish is seen along the spine.
history: <unk>f with cough, rhinorrhea, chest pain, and elevated wbc // ?pneumonia
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pa and lateral views of the chest were obtained. heart is normal in size, and cardiomediastinal contour is unremarkable. lungs are clear. there is no pleural effusion or pneumothorax.
<unk>-year-old woman with chest pain.
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the lungs are well-expanded and clear. mediastinal contour, hila, and cardiac silhouette are normal. no pneumothorax or pleural effusion. there is slight elevation of the left hemidiaphragm, of unclear chronicity.
<unk>m with fever without source // evidence of pneumonia
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as compared to prior chest radiograph from <unk>, there is no visualization of a pleural line in the region of the right apex. however, there is absence of lung structure in the two apical centimeters of the right hemithorax, suggesting that the size of preexisting pneumothorax is not substantially changed. there is no evidence of tension. the left lung is clear. pneumomediastinum appears less severe on this examination. air collection is again seen in the right cervical and lateral soft tissues.
<unk>-year-old female patient status post right vats for mediastinal lymph node biopsy. study requested for evaluation of pneumothorax.
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the heart size is moderate to severely enlarged, slightly increased when compared to the prior exam. the mediastinal contours are unchanged. there is mild pulmonary edema, minimally increased compared to the prior exam. left basilar streaky opacity likely reflects atelectasis. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
shortness of breath.
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ap portable upright cxr provided. atelectasis and tiny bilateral pleural effusions are noted at the lung bases. a portacath resides in the right chest wall with catheter extending to the low svc. mid to upper lungs are well aerated. heart size is normal. mediastinal and hilar configuration normal.
<unk>m with acute liver failure // eval for acute process
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frontal and lateral views of the chest. the patient is status post cabg with intact median sternotomy wires. moderate cardiomegaly and cardiomediastinal contours are stable. increased pulmonary vascular markings are consistent with pulmonary vascular congestion. small right pleural effusion is stable. no focal consolidation or pneumothorax. eventration of the right hemidiaphragm is similar to prior.
chest pain.
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a left chest port terminates in the low svc. lung volumes are low and there is bibasilar platelike atelectasis. no pleural effusion. no pneumothorax. a right breast implant is noted.
<unk>f w/ ble weakness today after standing up. eval for cardiopulm change
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there is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits.
history: <unk>m with fever, tachy // eval for pna
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there is complete opacification of the right hemithorax with leftward shift of mediastinal structures indicative of a large right pleural effusion. left lung is grossly clear without focal consolidation, left pleural effusion or pneumothorax. heart size is appears unchanged. pulmonary vasculature is not engorged. left hilar contour is unremarkable. there are no acute osseous abnormalities.
history: <unk>f with prior right pleural effusion status post thoracentesis, now with recurrent shortness of breath
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there is no visualized pneumothorax based on this supine film. there is an oblong <num>cm opacity projecting over the right mid lung. some of the density may be attributed to overlying skin fold seen is vertical densities however underlying parenchymal nodule is suspected as it was present on examination from earlier the same day. elsewhere, the lungs are clear. the cardiomediastinal silhouette is stable. degenerative changes noted at the shoulders bilaterally.
<unk>f with difficult right ij cvl placement, please assess for pneumothorax // pneumothorax?
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left-sided port-a-cath tip terminates in the low svc. heart size is mildly enlarged, but decreased in size compared to the previous exam. the mediastinal and hilar contours are unchanged with tortuosity of thoracic aorta again noted. also again noted is indentation upon the right aspect of the trachea at the thoracic inlet due to the presence of a large thyroid goiter, as seen on prior ct. the pulmonary vasculature is normal. the lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. a common bile duct stent is incompletely assessed.
history: <unk>f with leukocytosis
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pa and lateral views of the chest. there is minimal left apical pneumothorax, improved from prior study. the left pleural effusion has resolved. there is minimal left lower base atelectasis. abnormal contour of the mediastinum on the left likely represents the known mediastinal mass. the right lung is fully expanded and clear. there is no right pleural effusion. the heart size is normal.
status post vats, mediastinal biopsy, question of pneumothorax.
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the heart and mediastinal contours are within normal limits. mild perihilar fullness is present. bilateral pleural effusions with associated atelectasis are present. there is no pneumothorax.
<unk>-year-old male with shortness of breath and cough.
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low bilateral lung volumes with pulmonary vascular congestion. no pleural effusion or pneumothorax identified. the size of the cardiac silhouette is within normal limits.
<unk> year old man s/p lumbar fusion with tachycardia, transient drop in sats and episode of chest pain. // eval for pulmonary process
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ap upright and lateral views of the chest provided. lung volumes are low with mild interstitial edema noted. no large effusion is seen. heart size is top-normal. mediastinal contour is normal. no pneumothorax or large effusion. bony structures are intact.
<unk>f with cp // ?pna
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ap portable upright view of the chest. there has been interval intubation with the endotracheal tube tip located approximately <num> cm above the carina. midline sternotomy wires again noted as well as overlying ekg leads. excreted contrast in the left renal collecting system is partially visualized. increasing ground-glass opacity within both lungs is concerning for worsening edema. patient is known to have severe emphysema. a deep sulcus sign on the right indicates a small right pleural effusion on this supine radiograph. known right rib fractures are poorly visualized.
<unk>m with post intubation
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patient is status post repair of left diaphragmatic hernia. compared to <unk>, there is no significant change. previous left apical pneumothorax appear replaced with fluid. left lung base atelectasis and pleural effusion appear stable and unchanged. the right lung is unchanged and grossly normal. the heart size is likely top normal. the mediastinal and hilar contours are unremarkable.
<unk> year old man s/p repair l diaphragmatic hernia.
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lung volumes are low. the heart size is mildly enlarged. the aorta is tortuous. mild pulmonary edema with a small left pleural effusion. more focal left basilar opacification could reflect atelectasis. there is no pneumothorax. no acute osseous abnormalities are detected. s-shaped scoliosis of the thoracolumbar spine is present.
altered mental status.
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the cardiomediastinal and hilar contours are within normal limits. lungs are well expanded and clear. there is no focal consolidation, large pleural effusion, pneumothorax or pneumomediastinum. limited evaluation of the trachea appears grossly unremarkable.
history of tracheal stenosis with difficulty swallowing. evaluate for worsening stenosis.
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increase in prominence of chronic interstitial markings suggest progression of chronic interstitial lung disease; superimposed infectious process or subtle pulmonary edema are not excluded. no pleural effusion is seen. there is no pneumothorax. the cardiac and mediastinal silhouettes are grossly stable. the bones remain diffusely osteopenic.
history: <unk>f with sepsis, n/v, wbc <unk> // eval ? pna
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ap portable upright view of the chest. hardware again noted projecting over the lower cervical and upper thoracic spine. a right ij central venous catheter is new and terminates in the low svc. left ij central venous catheter is been removed. multiple chronic left rib deformities again noted. lung volumes are somewhat low with mild basal atelectasis and bronchovascular crowding. no large effusion or pneumothorax though the cp angles are partially excluded. the hila appear slightly congested though there is no overt edema. cardiomediastinal silhouette is unchanged. bony structures are intact.
<unk>m with poor mobility, from snf, altered, hypotensive
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the cardiomediastinal silhouette is normal. there is no pleural effusion pneumothorax. there is no focal lung consolidation.
<unk>-year-old woman with cough and fever evaluate for pneumonia
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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>f with fever and cough
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there is bibasilar atelectasis, but no focal consolidations. the pulmonary vasculature is normal. cardiomediastinal silhouette is stable. there is no pleural effusion. there is no pneumothorax.
<unk> year old woman with new onset cough fevers sweats and right basilar rhonchi // please evaluate for right lowerlobe pneumonia
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there is hazy right greater than left basilar opacities better seen on the frontal view which could be due to atelectasis. elsewhere, the lungs are clear. the cardiomediastinal silhouette is normal. no acute osseous abnormalities.
<unk>f with lightheadness, shortness of breath // acute process?
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
history: <unk>f with dizziness and headaches
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pa and lateral radiographs of the chest demonstrate interval increase in size of the right pleural effusion, with stable left pleural effusion. the lungs are otherwise clear and the cardiac and mediastinal contours are normal.
pleural effusion status post chest tube. evaluate for interval change.
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the cardiac size is normal. the hilar and mediastinal contours are normal. there has been interval improvement of the right sided pleural effusion. right middle lobe opacity is not as sharply seen on today's examination. there is no pneumothorax.
<unk>-year-old female patient with right pleural effusion status post right-sided thoracentesis. study requested to rule out pneumothorax.
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pa and lateral views of the chest provided. lung volumes are low. port-a-cath is been removed. 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 chest pain
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the nasogastric tube can be traced to the level of the mid esophagus. the left picc line terminates at the superior cavoatrial junction. sternotomy wires are intact and aligned. mild pulmonary edema and a small left pleural effusion are unchanged. the heart and mediastinum are within normal limits despite the projection.
mr. <unk> is a <unk>m with a history of avr and marfan's on aspirin and coumadin here for a r craniectomy after sustaining a sdh and sah in an unwitnessed fall. // interval change
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frontal lateral chest radiographs demonstrate a normal cardiomediastinal silhouette. multiple metastatic pulmonary nodules and are better evaluated on recent ct chest. nodules visualized on chest radiograph include <num> left lower lobe nodules measuring <num> x <num> cm and <num> x <num> cm, seen on frontal view, and a posterior nodule measuring <num> x <num> cm on lateral view which likely corresponds with a nodule posterior to the right hilus on ct chest. there is no focal consolidation, pleural effusion, or pneumothorax.
metastatic renal cell cancer. baseline assessment prior to start of therapy.
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the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. the lungs are well expanded and clear without focal consolidation. pulmonary vasculature is within normal limits. the upper abdomen is unremarkable.
chest pain, rule out pneumonia.
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lungs are well expanded. an eventration of the right hemidiaphragm is better seen in the lateral view. also in the lateral view, there is a triangular opacity obscuring the posterior right costophrenic sulcus and silhouetting out the posterior margin of the right hemidiaphragm which corresponds to a fat containing bochdalek hernia better characterized in prior chest ct. linear opacities along the left lung base are compatible with subsegmental atelectasis. otherwise, no other focal parenchymal opacities are identified. there is no pleural effusion or pneumothorax. degenerative changes of the thoracic spine with calcification of the anterior longitudinal ligament are present. cardiac size is normal. the cardiomediastinal and hilar contours are unremarkable.
patient with weakness. evaluate for pneumonia.
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svc stent in similar position. the lungs are clear. the cardiomediastinal silhouette is unremarkable. no interstitial edema or pleural effusions. no pneumothorax. sclerotic bony lesion involving the seventh right rib posterior laterally is stable since <unk> and is likely a bone island, documented on prior ct thorax <unk>.
<unk> year old woman with sle, renal transplant and chronic cough with acute on chronic cough // eval for ?pna
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. left upper lobe calcified nodule is better appreciated on the chest ct obtained on the same the later, as well as left lower lobe rounded atelectasis. cardiomegaly is unchanged from <unk> images from ct chest <unk>. cardiomediastinal silhouette is unchanged from <unk>. tortuosity of the thoracic aorta is again noted. sternotomy wires and aortic valve prosthesis is noted. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
history: <unk>m with syncope, hx cardiac arrest, pes. // wide mediastinum?
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normal heart size, mediastinal and hilar contours. no focal consolidation, pleural effusion or pneumothorax.
history: <unk>m with hypoxia // pna?
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portable ap chest radiograph. left-sided pectoral pacemaker leads are in stable position. right-sided picc tip is in the upper svc. moderate interstitial pulmonary edema and cardiomegaly are noted. bilateral pleural effusions are small-to-moderate and involve the major fissure on the right. left upper lobe opacity is new from prior radiographs. there is no pneumothorax.
peritoneal abscess. concern for pneumonia.
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the heart size is enlarged. the mediastinal contours suggest some degree of central venous engorgement. the lungs show retrocardiac atelectasis but no edema. there is no large pleural effusion or pneumothorax.
<unk>-year-old female with shortness of breath.
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severe cardiomegaly is present. mediastinal and hilar contours are unremarkable. there is no pulmonary edema. patchy opacities in lung bases may reflect atelectasis. no pleural effusion or pneumothorax is demonstrated. there are no acute osseous abnormalities.
weakness.
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the lungs are well-expanded and clear. there is no pleural effusion, pulmonary edema, pneumothorax, or focal consolidation. the cardiomediastinal silhouette is unremarkable.
<unk>m with cp // r/o cardiopulm abnorma
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tracheostomy tube is unchanged in position. right central line tip position is stable. all a small to moderate right pleural effusion has slightly increased from the prior study and there is now fluid in the fissure. there is a small left pleural effusion. patchy opacities in the right lower lobe may represent infectious process. there is retrocardiac atelectasis. the cardiomediastinal silhouette is stable.
<unk> year old man with hx esophageal cancer s/p radiation therapy with obstructive mass impinging on trachea s/p tracheostomy, now with new dyspnea
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frontal and lateral views of the chest demonstrate low lung volumes, which accentuate bronchovascular markings. cardiac and mediastinal silhouettes are unchanged. moderate cardiomegaly is stable. pacemaker leads are unchanged in position. the patient is status post median sternotomy and cabg. right lung base opacities are slightly more conspicuous since prior. there is mild pulmonary edema, slightly improved since <unk>.
fever and cough. assess for pneumonia.
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compared to the prior study there is no significant interval change. there continues to be a pneumopericardium. the surrounding appearance of the lungs is unchanged. moderate cardiomegaly is unchanged et tube and ng tube are unchanged.
<unk>m s/p avr(<unk> <unk> <unk> <unk> <unk>)/mvr(<unk> <unk> <unk> <unk>)<unk> re-presented with pericardial effusion, now s/p pericardial window // please look for interval change in pericardial pneumo
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heart size is mildly enlarged, but unchanged. the aorta is unfolded. the mediastinal and hilar contours are otherwise within normal limits and similar compared to the prior study. lungs are clear and the pulmonary vascularity is not engorged. no pleural effusion or pneumothorax is visualized. no acute osseous abnormalities are seen.
pleuritic chest pain.
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no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. heart and mediastinal contours are within normal limits.
<unk>-year-old male with shortness of breath.
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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>f with chest pain, doe. // pneumonia?