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the heart is normal in size. the mediastinal and hilar contours appear unchanged. streaky left basilar opacity suggests minor unchanged atelectasis or scarring. otherwise, the lungs appear clear. there is no pleural effusion or pneumothorax. mild degenerative changes are similar along the thoracic spine.
chills and cough, on peritoneal dialysis.
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a large left pleural effusion has increased since the prior study. there is also a moderate right pleural effusion with possible superimposed consolidation. persistent moderate pulmonary edema is again noted, as is severe cardiomegaly. the right and left ij central venous catheters terminate at the cavoatrial junction. median sternotomy wires, surgical clips, and aortic valve replacement are all unchanged.
<unk> year old man with left pleural effusion s/p diagnostic thoracentesis, rule out pneumothorax.
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there is mild vascular congestion and mild cardiomegaly. the left atrium is more enlarged than prior study. no pleural effusion or pneumothorax is seen. the aorta is tortuous.
<unk> year old woman with <num> weeks worsening productive cough, sao<num> <unk>% // assess for pneumonia
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pa and lateral chest radiographs. there is persistent elevation of the right hemidiaphragm which is more pronounced than on priors. small right pleural effusion is new. however, there is no evidence of pulmonary edema. the heart size is normal. again noted is the abnormal contour of the right apex which may represent fibrotic changes.
dyspnea on exertion and chf. concern for pleural effusion.
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there are new bilateral interstitial opacities diffusely involving both lungs. there is no pneumothorax. top-normal heart size is unchanged.
<unk> year old woman with nhl> cough for one month // cough
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lung volumes remain low, slightly improved when compared to the prior study. a right internal jugular catheter terminates in the mid svc. a dual lead pacemaker is unchanged in appearance. median sternotomy sutures are also unchanged. there has been interval decrease in the size of the left pleural effusion with associated atelectasis. infection cannot be excluded. there is a small right pleural effusion. the right lung is otherwise clear.
<unk> year old woman with pod<num> cabg // evaluate for effusion/atelectasis
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pa and lateral views of the chest were provided demonstrating no focal consolidation effusion or pneumothorax. the cardiomediastinal silhouette is normal. the imaged osseous structures are intact. there is no free air below the right hemidiaphragm.
<unk>-year-old female with left-sided chest pain, assess for pneumonia.
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again seen are large bilateral effusions. it is difficult to directly compare due to change in patient position. however the left side looks slightly larger in the right side slightly smaller it is difficult to assess the underlying pulmonary aeration due to superimposed effusions. the et tube and feeding tube are unchanged
<unk> year old woman with resp insufficiency // please assess for signs of pneumonia/interval change in effusion
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extensive postoperative changes in the thoracic spine, with hardware in place. left perihilar, basilar consolidation is more prominent, may represent atelectasis, clinically correlate to exclude pneumonitis. mild left pleural effusion similar. right lung is clear. shallow inspiration accentuates heart size, pulmonary vascularity. heart size is enlarged. probably prominent pulmonary vascularity. bilateral perihilar prominence, edema and/or atelectasis, more prominent bilaterally. no pneumothorax. right ij central line in place, tip not seen, obscured by surgical hardware. left chest tube has been removed.
<unk> year old woman s/p chest tube removal // eval pneumothorax
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pa and lateral chest radiographs were obtained. the lungs are well expanded and clear. there is no consolidation, effusion, or pneumothorax. the thoracic aorta is chronically enlarged and tortous but neither focally dilated nor appreciably changed for more than <unk> years. cardiac and mediastinal contours are otherwise normal. eventration or bochdalek hernia involving the posterior left hemidiaphragm is unchanged. median sternotomy wires are intact.
altered mental status.
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there is no evidence of pneumothorax. the cardiomediastinal silhouette is normal. the lungs are clear. there is no pleural effusion.
<unk>m with l basilar lucency on supine cxr s/p fall, evaluate for pneumothorax.
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frontal and lateral views of the chest demonstrate normal lung volumes without 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.
patient with right-sided back and chest pain. assess for pneumothorax, pneumonia or widened mediastinum.
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pa and lateral views of the chest provided. airspace consolidation is seen within the right middle lobe compatible with pneumonia. there may also be a smaller the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>f with fevers, hyperglycemia, wheezing // evaluate for pneumonia
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the lungs are clear of consolidation. increased interstitial markings seen on the left laterally are likely due to scarring, unchanged. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities, hypertrophic changes noted in the spine.
<unk>m with ams // r/o infection
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the endotracheal tube is appropriately positioned, ending <num> cm above the level of the carina. a right picc ends in the mid svc, unchanged. an enteric catheter passes below the level of the diaphragm, ending in the mid stomach. the sidehole is slightly below the expected level of the gastroesophageal junction. there are widespread bilateral opacities, more severe at the lung bases, overall similar to the most recent radiograph from <unk>, aside from in the left mid to lower lung where the opacities have increased. there are no definite pleural effusions. the cardiac and mediastinal contours are unchanged. no pneumothorax.
ards with recent urologic surgery. evaluate for interval change and assess endotracheal tube position.
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lung volumes are slightly low. this accentuates the size of the cardiac silhouette which is mildly enlarged. mediastinal and hilar contours are normal. lungs are clear. no focal consolidation, pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
history: <unk>m with severe abdominal pain/peritonitis, elevated lactate
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the heart is at the upper limits of normal size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. there is mild hyperinflation. the lungs appear clear. metallic pellets project along the soft tissues of the posterior base of the neck and upper back, as seen previously.
productive cough. history of hiv and dm.
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right-sided picc line in situ with the tip in the mid svc. no right-sided pneumothorax. difficult to comment on the cardiomediastinal shadow due to the technical factors. left lower lobe atelectasis. no airspace consolidation. evidence of a reverse right shoulder arthroplasty.
<unk> year old woman with picc placed at osh // please confirm picc location
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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 degenerative changes are similar along the lower thoracic spine.
dizziness.
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the patient is status post prior median sternotomy. the lungs are hyperexpanded. there are small bilateral pleural effusions with overlying atelectasis, greater on the right. there is mild persisting pulmonary edema and enlargement of the cardiac silhouette. no pneumothorax identified.
<unk> year old man with pe, s.p cath for nstemi, sob // eval for pulm edema vs copd
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ap upright and lateral views of the chest provided. clips are noted in the right upper quadrant. overlying ekg leads are present. 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. right ac joint arthropathy is noted.
<unk>f with concern for hemoptysis // evidence of mass or pneumonia
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the heart size is at the upper limits of normal. this is likely due to the exaggerating effect of ap projection. mediastinal contours demonstrate scant calcified atherosclerotic disease of the aortic knob. the lungs are clear of consolidation or pulmonary edema, but numerous pulmonary nodules are present. there is no pleural effusion or pneumothorax. a right humeral head anchor is present.
<unk>-year-old female with dyspnea.
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the enteric tube has been repositioned with tip terminating in the gastric body. the left picc terminates approximately <num> cm below the cavoatrial junction. the lung parenchyma is otherwise unchanged. bilateral lower lobe atelectasis and pleural effusions are unchanged. no new consolidation. no pneumothorax. heart size enlarged but unchanged. the mediastinum is unchanged.
:<unk> year old male with pmhx iddm, htn, hf with preserved ef, ckd stage iii, afib on coumadin, vre bacteremia and citrobacter uti on linezolid, c-diff on po vanco, initially admitted to the micu with hypotension. concern for septic shock of unknown origin, presumed typhlitis now being treated with meropenem. // ng tube in place, patient pulled. please eval location
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study is somewhat limited by body habitus. heart size is normal. cardiomediastinal silhouette and hilar contours are unremarkable. lungs are clear. pleural surfaces are clear without effusion or pneumothorax.
syncope.
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there are no focal consolidations to suggest pneumonia. atelectasis and scarring is noted at both lung bases. the heart size is normal. no pneumothorax or pleural effusion.
history: <unk>f with chest pain // r/o infiltrate //history: <unk>f with chest pain
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the lungs are clear without overt edema, consolidation or effusion. cardiomediastinal silhouette is stable noting that the cardiac silhouette is mildly enlarged likely due to prominent epicardial fat as seen on prior ct. no acute osseous abnormalities, posterior spinal fixation hardware is identified. prominent loops of bowel noted in the abdomen which are incompletely evaluated. there is no free intraperitoneal air.
<unk>f with abdominal distension, peritonitis // presence of free air vs obstructive gas pattern
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the lungs are mildly hypoinflated with crowding of vasculature. no pleural effusion or pneumothorax. the aorta is tortuous. the heart, mediastinal contour and hila are otherwise unremarkable. no acute fracture.
<unk>f w/chest pain, assess for occult pneumonia.
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>m s/p recent proctocolectomy p/w fever // assess for infiltrate
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the heart is at the upper limits of normal size. the aorta shows mild unfolding and calcification along the arch. the lung volumes are low. streaky left basilar opacity suggests minor atelectasis. there is no pleural effusion or pneumothorax. mild degenerative changes are similar along the thoracic spine.
cough and fever.
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cardiac silhouette size is normal. mediastinal and hilar contours are unremarkable. pulmonary vasculature is not engorged. lungs are clear. no focal consolidation, pleural effusion or pneumothorax is present. no acute osseous abnormality is visualized.
history: <unk>m with chest pain
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no consolidation or pulmonary edema is seen. continued elevation of the left hemidiaphragm is unchanged, consistent with previous left lower lobectomy. opacities at the left base are likely secondary to scarring. stable calcifications of the aortic knob continue to be seen, and post-thoracotomy bony changes are seen. the left <num>th rib is not seen posteriorly.
<unk>-year-old woman with copd on <num> l nasal cannula at home. increased work of breathing. evaluate for pneumonia or fluid overload.
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frontal and lateral chest radiographs were obtained. the lung volumes are decreased since the most recent exam, which accentuates the pulmonary vascular markings. otherwise, the lungs are clear. heart and mediastinal contours are normal. the patient is status post coronary artery bypass. midline sternotomy wires are intact. minimal aortic arch calcifications are identified.
<unk>-year-old man with shortness of breath, malaise.
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the frontal chest radiograph again demonstrates a normal cardiomediastinal silhouette. there is mild bibasilar atelectasis. no focal consolidation, pleural effusion, or pneumothorax is seen. linear markings seen previously are no longer visualized, and likely represented overlying hair or fabric rather than pneumomediastinum. the visualized upper abdomen is unremarkable.
<unk>-year-old female initially presenting with increased work of breath, respiratory distress, with a history of iv drug abuse. linear markings seen on the prior chest radiograph likely overlying hair, but pneumomediastinum was a possibility; repeat chest radiograph to exclude pneumomediastinum.
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frontal radiograph of the chest demonstrates interval placement of tracheostomy tube which appears in standard position. the right subclavian central venous catheter is at the low svc, unchanged. no pneumothorax is seen. otherwise, there is minimal change since the prior study.
status post bedside percutaneous tracheostomy. evaluate for pneumothorax and other complications.
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there is a new left lower lobe infiltrate .there is also platelike atelectasis in both lower lobes. the heart is mildly enlarged. the upper lobes are clear.
cirrhosis hypotension, question pneumonia.
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the right-sided pleural effusion has significantly decreased in size and there is no pneumothorax. there is now an elevated left diaphragm, perhaps due to increased atelecatsis. no focal opacities concerning for an infectious process.
<unk>-year-old man with recent right effusion status post thoracentesis. question pneumothorax.
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compared to the most recent prior study, there is a new opacity in the right lung base obscuring the right heart border and the border of the right hemidiaphragm which also projects over the heart on the corresponding lateral radiograph compatible with right middle lobe pneumonia. a small to moderate right pleural effusion is also noted. the left lung demonstrates increased lung markings in the lung base without focal consolidation, which may reflect a combination of atelectasis and pulmonary vasculature. there is engorgement of the pulmonary vessels, which is unchanged. a small left pleural effusion is suggested on the lateral view. no pneumothorax is detected. the cardiac silhouette is stably enlarged. the mediastinal contours are within normal limits and unchanged. minimal calcification of the aortic knob is again noted.
malaise and cough, here to evaluate for pneumonia.
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pa and lateral views of the chest provided. lung volumes are low limiting evaluation. there is mild elevation of the right hemidiaphragm unchanged. no large pleural effusion is seen. hilar congestion is noted with mild interstitial pulmonary edema. the heart size is stable. mediastinal contour is unchanged. bony structures are intact.
<unk>m with hx of chf p/w dyspnea // eval for pna, edema
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subtle patchy opacity at the left lung base may be due to atelectasis although early infectious process is not excluded. no pleural effusion or pneumothorax is seen. cardiac and mediastinal silhouettes are stable.
history: <unk>f with breast ca, neutropenia, chills // evidence of acute infectious process
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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. tubular radiopaque foreign body projecting over the left lung is likely a pen, external to the patient.
history: <unk>m with fever and dry cough. // pna?
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
<unk> year old woman with second episode of syncope preceded by lightheadedness/dizziness.
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ap and lateral views of the chest. the exam is limited secondary to patient body habitus. the lungs are clear of consolidation or effusion. mildly increased intertial markings seen without frank edema. cardiac silhouette appears enlarged could be partially associated plate technique and positioning. no acute osseous abnormality detected.
<unk>-year-old male with chf history and possible gout who presents with chest pain for <num> days.
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bibasilar fibrotic changes are noted, better seen on patient's prior ct chest examination. the lungs are well expanded without focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits.
history: <unk>m with fever cough sob // eval for pna
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lungs are clear, the cardiomediastinal silhouette and hila are normal. there is no pleural effusion and no pneumothorax. a right picc line ends at the right cavoatrial junction.
<unk>-year-old with abdominal pain and history of duodenal ulcer. please assess for free air.
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the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. there is a small well defined rectangular opacity lateral to the ekg lead overlying the left upper chest wall, which is likely associated with the ekg lead. there is no other focal consolidation concerning for pneumonia. pulmonary vasculature is within normal limits.
leukocytosis, dka, chills.
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the tip of the ng tube is located subdiaphragmatically likely at the gastric antrum. a peritoneal drain is in unchanged position. lung volumes remain somewhat low with streaky atelectasis at the right mid lung and also at the left lung base. the cardiomediastinal silhouette and hilar contours are unchanged. there is a small left pleural effusion. no pneumothorax is seen.
<unk> year old woman s/p exlap for perforated du. // ? ng tube placement
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left mid and lower lung field airspace opacities appear almost entirely resolved with a mild residual left lower lobe opacity. the et tube ends <num> cm from the carina, the left subclavian line ends in the right atrium, and the enteric tube lies within the stomach. there is no pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits.
<unk> year old man with ett, pneumonia // eval interval changes
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the patient is status post recent tracheoplasty. a chest tube overlies the right hemi thorax. lung volumes are low which accentuates the transverse diameter of the heart and bronchovascular markings. bibasilar opacities suggest atelectasis. there is mild pulmonary vascular engorgement. there is no pneumothorax identified. there is minimal subcutaneous air over the right chest wall.
<unk>f with severe tbm now s/p tracheoplasty // postop
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multifocal opacities are unchanged from ct on <unk>. there is mild engorgement of the mediastinal vascular pedicle and mild pulmonary vascular pulmonary edema, unchanged from <unk>. small bilateral pleural effusions are stable from <unk>. no pneumothorax.
<unk>m w/worsening sob and new tachycardia // interval changes, pulm edema, consolidations
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there has been interval intubation with the endotracheal tube terminating approximately <num> cm from the chronic. an enteric tube tip and side-port terminates within the stomach. heart size is normal. mediastinal and hilar contours are unremarkable. ill-defined small nodular opacities are demonstrated within both lung bases. hazy opacity within the left hemi thorax suggest a layering pleural effusion. no large pneumothorax is identified. there are no acute osseous abnormalities.
history: <unk>m with intubation // ?tube placement
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the enteric tube, right ij central line, and et tube remain in satisfactory position. there is a stable degree of rightward deviation of the right ij central line, which is presumed to be secondary to prominent vascularity. new blunting of the left costophrenic angle is likely due to a small pleural effusion. bibasilar subsegmental atelectasis is also unchanged. there is no pneumothorax. right shoulder degenerative changes are present.
<unk>-year-old female with hypotension. assess for interval change.
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the lungs are clear without consolidation. cardiac silhouette is within normal limits for technique. no acute osseous abnormalities.
<unk>f with waxing/waning altered mental status // ?ich, ?pna
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pa and lateral views of the chest. there is no focal consolidation. the cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax.
right chest pain, evaluate for pneumonia.
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there is new opacity in the right lower lobe obscuring the right heart border and right hemidiaphragm the upper lungs are clear
<unk> year old woman with cad awaiting cabg, w/new leukocytosis. // ? infection
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the lungs are clear. there is no focal consolidation, effusion, or edema. there is mild cardiac enlargement and tortuosity of the thoracic aorta with calcifications at the arch. no acute osseous abnormalities.
<unk>m with tachycardia and sob // pleural effusion
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a <num> cm right lower lobe nodule was previously seen on the ct from <unk>. no new pulmonary nodules are identified. the lungs are otherwise clear. the heart and mediastinal contours are unchanged. a chronic left perihilar opacity is unchanged. there are no pleural effusions. no pneumothorax is seen. surgical clips are noted in the upper abdomen.
intermittent delirium. 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. mild rightward curvature of the thoracic spine is noted.
history: <unk>m with shortness of breath
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moderate cardiomegaly appears increased compared to the prior exam. aorta remains tortuous. no overt pulmonary edema is demonstrated. patchy opacities in the lung bases are noted, more so on the right, possibly reflective of atelectasis though infection or aspiration is difficult to exclude. possible trace left pleural effusion may be present. no pneumothorax is identified. no acute osseous abnormalities are seen.
altered mental status, fall.
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supine portable radiograph of the chest demonstrates slight elevation of the left hemidiaphragm with minimal left basilar atelectasis. no focal consolidation concerning for pneumonia is identified. there is no pneumothorax, pleural effusion or pulmonary edema. the cardiomediastinal silhouette is within normal limits, allowing for portable technique. calcified mediastinal lymph nodes are incidentally noted.
<unk>-year-old female with svt. evaluation for pneumonia.
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the lungs are well expanded and clear. hila and cardiomediastinal contours and pleural surfaces are normal. right clavicular lytic foci are unchanged. although suboptimal to assess for myeloma, subtle lucencies in the vertebral bodies and posterior ribs suggest the possibility of additional lesions.
<unk> year old man with shortness of breath. h/o multiple myeloma // assess lungs
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<num> views of the chest demonstrate clear lungs. the cardiac, hilar, and mediastinal contours are normal. no pleural abnormality is seen.
chest pain and dyspnea.
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median sternotomy wires intact and aligned. prosthetic aortic valve intact. stable, small right pleural effusion. interval resolution of linear opacities at the left base reflects improved atelectasis. normal cardiomediastinal and hilar contours. no acute pneumonia or pneumothorax.
<unk>-year-old man with a pleural effusion. evaluate for interval change.
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ap upright and lateral views of the chest provided. lung volumes are low with basilar platelike atelectasis. no focal consolidation concerning for pneumonia. no effusion or pneumothorax. the cardiomediastinal silhouette is stable. previously noted ng tube is been removed. bony structures appear intact. no free air below the right hemidiaphragm.
<unk>m with fever // ?pna
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frontal ap and lateral views of the chest were obtained. low lung volumes results in bronchovascular crowding. there is no focal consolidation, pleural effusion or pneumothorax. the heart size is normal. mediastinal silhouette and hilar contours are normal. there is gaseous distention of large bowel.
fever and polyarthritis.
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the cardiomediastinal and hilar contours are within normal limits. there is a right-sided port-a-cath which terminates in the lower svc. streaky opacities in the left lower lobe likely reflect known bronchiectasis (as seen on prior ct chest). there is a new streaky opacity in the retrocardiac region which given bronchiectasis in this region raises concern for bronchial mucoid imaction though atelectasis/pneumonia cannot be excluded. there is no large pleural effusion or pneumothorax. visualized osseous structures are unremarkable. known nodules from metastatic rectal cancer is incompletely evaluated on this exam.
history of confusion. please evaluate for cardiopulmonary disease.
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there is a single lead pacemaker terminating in the right ventricle. the heart appears moderately enlarged. superior vena cava shows new mild distention. there is also a new bilateral hilar congestion. the cardiac, mediastinal and hilar contours are otherwise unchanged. mild interstitial process suggest pulmonary edema. left posterior basilar opacity was present before but increased.
shortness of breath and lower extremity edema.
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the lungs are hyperinflated with flattening of the diaphragms. in comparison to prior studies, there is an increase in the already prominent interstitial markings, most predominantly affecting the lung bases. upper lungs remain more lucent, compatible with emphysema. no pneumothorax. heart is mildly enlarged and increased from <unk>. mediastinal and hilar contours are unremarkable.
syncope and cough. evaluate for a focal consolidation.
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the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. there is no free air below the hemidiaphragms.
cancer, copd, and headache.
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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. no displaced rib fracture is seen.
left rib pain.
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a single portable frontal radiograph of the chest was acquired. the patient is rotated to the right. the heart is mildly enlarged, not significantly changed. widening of the vascular pedicle is not significantly changed. hazy opacification of the mid-to-lower right lung and lower left lung is likely secondary to overlying soft tissue. there is evidence of vascular cephalization with prominent bilateral perihilar interstitial markings, concerning for mild interstitial pulmonary edema. a small pleural effusion at either lung base cannot be excluded. there is no pneumothorax.
left shoulder and back pain. evaluate for the presence of mediastinal widening or pneumonia.
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lungs well expanded. there is a hazy opacity in the right lateral lung base, which could represent atelectasis or pneumonia in the right clinical setting. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is mildly enlarged.
history: <unk>f with sob and cough // r/o infiltrate
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the lung volumes are normal. normal size of the cardiac silhouette. normal hilar and mediastinal structures. no pneumonia, no pulmonary edema. no pleural effusions.
<unk> year old man with decreased lung sounds on the rll, diaphoresis, cough, pleuritic pain // eval for pneumonia
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bedside upright ap radiograph of the chest demonstrates clear lungs. there is no pneumothorax or pleural effusion. there is no evidence of pneumomediastinum. the hilar and cardiomediastinal contours are normal. pulmonary vascular markings are normal.
chest pain in patient status post mediastinal biopsy. evaluate for complication.
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the lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen. partially imaged lumbar spinal hardware.
<unk>f with dyspnea // dyspnea
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heart size is normal. the aorta is mildly unfolded. mediastinal and hilar contours are otherwise within normal limits. pulmonary vasculature is normal. subsegmental atelectasis is noted in the left lower lobe. the lungs are otherwise clear without focal consolidation. no pleural effusion or pneumothorax is present. no acute osseous abnormalities seen.
history: <unk>m with shortness of breath
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the patient is status post median sternotomy and mitral valve replacement. stable postoperative appearance of cardiomediastinal contours and sternal wires. improving bibasilar atelectasis. persistent small left pleural effusion and interval resolution of small right pleural effusion. possible splenic enlargement in left upper quadrant.
<unk> year old man // eval effusion/opacity
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the heart is moderately enlarged but unchanged in size. the cardiomediastinal and hilar contours are within normal limits. the lungs are clear without focal consolidation. there is no effusion or pneumothorax.
<unk> year old man with r fissural nodule // s/p bronch tbna of lesion
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pa and lateral views of the chest provided. buttons projecting over the left upper lung are external to the patient. 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/presyncope, please rule out occult pna
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the lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. moderate cardiomegaly and a tortuous aorta are stable compared to the prior chest radiograph. there is no free air beneath the right hemidiaphragm. there are surgical clips in the right abdomen.
<unk>m with chills, cough // eval pna
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cardiac size is normal. the lungs are clear. there is no pneumothorax or pleural effusion. et tube is slightly high <num> cm above the carina, could be advanced couple of cm for more standard position. ng tube tip is in the stomach, the side port is at the level of the eg junction, recommend advancement approximately <num> cm for more standard position
<unk> year old man with ett, seizures, +ich, now with increased secretions // eval for consolidation
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there has been interval placement of a right internal jugular approach central venous catheter with tip terminating in the upper to mid svc. there is no pneumothorax. the cardiomediastinal and hilar contours are stable. there is no pleural effusion. mild left basilar atelectasis is increased since the prior study.
<unk>m with new central line.
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again seen is moderate cardiomegaly and low lung volumes. there is no focal consolidation, pleural effusion or pneumothorax. there has been no significant change since the prior radiograph.
<unk>-year-old woman with new rhonchi on exam and rising white blood cell count, question pneumonia.
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a moderate sized right pneumothorax is demonstrated with atelectasis of the right lung base. there is minimal leftward shift of midline structures. heart size is normal. mediastinal and hilar contours normal. pulmonary vasculature is normal. left lung is clear. no pleural effusion is identified. there are no acute osseous abnormalities. a right-sided vp shunt catheter is partially imaged.
history: <unk>m with chest pain, dyspnea and history of pneumothorax
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heart size is mildly enlarged, unchanged. 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. mild degenerative changes are noted in the thoracic spine
history: <unk>f with right sided flank/upper back pain and shortness of breath
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bilateral pleural effusions have resolved. there is continued partial atelectasis of the right middle lobe. postoperative findings are seen in the left upper lobe. there is no focal consolidation or pneumothorax. the heart is normal in size. the aorta is tortuous, unchanged.
left upper lung resection for adenocarcinoma on <unk>. evaluation for interval change.
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there has been placement of an ng tube, which terminates in the stomach fundus. the heart size, mediastinal, and hilar contours are normal. the lungs are clear without focal consolidation, pleural effusion, or pneumothorax.
<unk> year old man with ng tube just placed, bowel obstruction. ? placement of ngt
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single ap upright portable chest radiograph demonstrates several healed fractures involving the right ribs. opacity at the left lung base may reflect atelectasis or alternatively scarring. an early pneumonia cannot be excluded. the remaining lungs are clear. cardiomediastinal and hilar contours are within normal limits allowing for patient positioning.
<unk>f with hypoixa
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cardiac silhouette size is normal. mediastinal and hilar contours are unchanged. pulmonary vasculature is not engorged. lungs are clear. no pleural effusion or pneumothorax is present. bilateral shoulder arthroplasties are incompletely imaged.
<unk> year old woman with likely fractured right hip, needs pre-op pre-op surg: <unk> (r hip)
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the lungs are clear of focal consolidation, pleural effusion or pneumothorax. there is no pulmonary edema. the heart is normal in size, and a retrocardiac opacity reflects a hiatal hernia.
<unk>-year-old female with syncopal episode. evaluate for pneumonia.
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bilateral pulmonary opacities and evidence of pleural fluid persist. mediastinal structures are unchanged. there is no pneumothorax. mediastinal structures are stable. a mediastinal drain and left chest tube is been withdrawn. the right internal jugular catheter remains in place.
eval ptx-post pull
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lines and tubes: none lungs: well inflated with persistent bibasilar opacities likely atelectasis. pleura: there are bilateral pleural effusions that appears slightly improved compared to the prior radiograph. mediastinum: cardiomegaly remains unchanged. bony thorax: no interval change.
<unk> year old woman with recent effusion/consolidation and persistent o<num> requirement; also holding home lasix in setting of elevated creatinine // pls eval for interval change of r-side effusion/consolidation; also holding home lasix in setting of elevated creatinine. pls perform cxr in am of <unk> (preferably earlier than <num>am). thank you!
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pa and lateral views of the chest provided. a very subtle opacity in the right mid lung may represent a small focus of pneumonia. otherwise lungs are clear. no signs of congestion or edema. no large effusion or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>m with new seizures, cough // eval for pna
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ap upright and lateral views of the chest provided. there is the ill-defined opacity in the right upper lobe which is somewhat different appearance compared with prior chest radiograph suggesting resolution of previously noted right upper lobe pneumonia. there is apparent collapse of the posterior segment of the right upper lobe on the lateral projection. the left lung is clear. no effusion or pneumothorax. cardiomediastinal silhouette appears stable. bony structures are intact.
history: <unk>f with stage iv lung adeno p/w cough, fatigue, fevers and sob. // please assess for post-obstructive pna
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there may be mild hyperinflation. again seen is multi chamber cardiomegaly. the aortic knob is calcified and calcifications in the upper extremity are noted. there is upper zone redistribution, without overt chf. again seen is linear atelectasis at the left lung base. no focal infiltrate suggestive of pneumonia is identified. no pleural effusions are seen. slight asymmetry in the degree of hyperlucency of the lungs, greater on the left, may be related to slight rotation. mild retraction of the minor fissure is noted, but no obvious right upper lobe atelectasis is identified. of note, there is a rounded density measuring <num> mm in the right infrahilar region. i suspect that this represents a nipple shadow. equivocal rounded density measuring approximately <unk>.<num> mm overlying the right seventh anterior rib was not seen on the <unk> radiograph may be an artifact due to overlap of rib shadows. rounded lucency in the left humeral head, suggestive of osteonecrosis.
<unk> year old woman with fever, altered mental status // focal consolidation review of omr suggest additional history ofsle, esrd
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this study is read in conjunction with ct of the chest on the same day. peripheral wedge-like opacity at the right base is most consistent with infarct. there are no other focal consolidations or pneumothorax. there is blunting of the right costophrenic angle likely due to small pleural effusion. osseous structures are intact. cardiomediastinal silhouette is unremarkable.
<unk>-year-old male with right-sided chest pain, evaluate for pneumothorax.
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the ett is <num> cm above the carina. there is no significant change in the other lines or tubes. there continues to be fluid overload with bilateral pleural effusions and volume loss at both bases and pulmonary vascular redistribution. compared to the prior exam that alveolar infiltrates are slightly worse.
check et tube placement and interval change over.
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there is no focal consolidation, pleural effusion or pneumothorax.there is a nodular opacity projecting on the lateral view on the lowest thoracic vertebral body adjacent to one of the hemidiaphragms that was not clearly present on the prior exam and may represent a vessel on end. the cardiomediastinal silhouette is normal. the imaged upper abdomen is unremarkable. the bones are intact.
history: <unk>f with sob and prducive cough // r/o infectios process
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moderately well inflated lungs with bibasilar atelectasis secondary to bilateral moderate-sized layering pleural effusions. cardiomegaly, unchanged with prominence of bilateral pulmonary arteries. et tube tip terminates <num> cm above the carina. enteric tube traverses below the diaphragm, tip appropriately positioned in the stomach. swan-ganz catheter tip is at the level of the right ventricular outflow tract and not been the pulmonary artery, as before. ekg leads overlie the chest wall.
<unk> year old man with respiratory failure in setting of septic shock // ett tube, airspace disease
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the mediastinal and hilar contours are within normal limits. again seen is a moderate-to-large left pleural effusion, stable to slightly increased in size since the last study., with associated opacification of the left lung base. this may represent atelectasis or infection. a small right pleural effusion is likely present. cardiac size cannot be assessed due to the left pleural effusion.
<unk>-year-old female with shortness of breath.
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pa and lateral views of the chest demonstrate prominent pulmonary vasculature, with no evidence of overt pulmonary edema or pleural effusion. no focal consolidation concerning for pneumonia is identified. there is no pneumothorax. the cardiomediastinal silhouette is stable in appearance. multiple wedge deformities of the thoracic spine are unchanged.
chest pain and left chest pressure.