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mild basilar atelectasis/ scarring is seen. there is no focal consolidation. the lungs are hyperinflated, with flattening of the diaphragms, suggesting chronic obstructive pulmonary disease with probable pulmonary emphysema. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with chest pain sob // eval for pna
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the cardiomediastinal silhouette is normal. the hila and pleura are normal. there no focal opacity, pleural effusions or pneumothorax.
<unk> year old woman with ms, uti/fever, trouble clearing secretions so concern for pneumonia. // <unk> year old woman with ms, uti/fever, trouble clearing secretions so concern for pneumonia.
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ap portable upright view of the chest. lungs are clear. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is stable. stable mild prominence of the pulmonary hilar contour. imaged osseous structures are intact. partially visualized stent graft in the upper abdomen noted.
<unk>f with afib w/ rvr, hypotension
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low lung volumes cause bibasilar atelectasis and bronchovascular crowding. allowing for this, airspace opacities in the right lung base and retrocardiac region may represent atelectasis or early consolidation. there is no pleural effusion, pulmonary edema, or pneumothorax. the cardiomediastinal silhouette is within normal limits. no evidence for pneumoperitoneum.
<unk>m with abd pain, evaluate for free air.
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the lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
history: <unk>f with productive cough, fever. evaluate for pneumonia.
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a moderate size right pleural effusion is new in the interval with associated right basilar opacity, likely compressive atelectasis though infection cannot be excluded. heart size is difficult to assess given the presence of the pleural effusion that appears at least mildly enlarged. the mediastinal and hilar contours remain unchanged with no pulmonary edema noted. the left lung is clear. no pneumothorax is identified.
history: <unk>m with shortness of breath
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cardiomediastinal contours are normal. aside from the right upper lobe granuloma, the lungs are grossly clear. there are minimal retrocardiac atelectasis. there is no pneumothorax or pleural effusion. the osseous structures are unremarkable
<unk> year old man with crackles on exam // eval for pneumonia/infectious process
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low lung volumes accentuate bronchovascular markings. no overt pulmonary edema. no acute focal consolidation. no pleural effusions or pneumothorax.
<unk> year old man with alc hep, now with rising transaminitis and hypotension // e/o acute process
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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>f with cough and asthma exacerbation // please evaluate for pneumonia
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pa and lateral radiographs demonstrate mild pulmonary edema. the lungs are otherwise clear. the hila and cardiomediastinal contours are normal. there is no pneumothorax or pleural effusion. sternotomy wires are present. the <unk> wire from the top is fractured. the implantable aicd is unchanged in position and the leads are intact.
<unk>-year-old man with chest pain.
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no consolidation is seen. left picc is unchanged in position. no pleural effusion or pneumothorax is seen. cardiomediastinal silhouette is unremarkable.
<unk> year old woman with history of asthma with persistent cough. // ? infiltrate ? infiltrate
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. atherosclerotic calcifications are noted at the aortic arch. no acute osseous abnormalities.
<unk>m with weakness, syncope // evaluate for acute process
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there is no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is unremarkable. no acute skeletal findings.
<unk>-year-old woman with cirrhosis, being worked up for liver transplant.
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portable semi-erect chest radiograph <unk> at <time> is submitted.
<unk> year old woman with svc syndrome, lupus, esrd, here with persistent leukocytosis on vanc/<unk>/micafungin // interval change interval change
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ap and lateral chest radiograph demonstrates clear lungs bilaterally. cardiomediastinal and hilar contours are within normal limits. no evidence of pulmonary edema. there is no pneumothorax or pleural effusion. osseous structures demonstrates no acute abnormality.
<unk>-year-old male with weight loss.
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lung fields are otherwise clear. the heart size is within normal limits. there is no pneumothorax. no fracture identified.
history: <unk>m with left upper chest pain and tenderness // pneumothorax, rib fracture
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left-sided port-a-cath tip terminates within the upper svc. lung volumes are low. mild enlargement of cardiac silhouette is unchanged. mediastinal and hilar contours are similar. no pulmonary edema is present. minimal atelectasis is noted in the lung bases without focal consolidation. no pleural effusion or pneumothorax is present. moderate multilevel degenerative changes are seen in the thoracic spine.
history: <unk>f with fever
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the heart is at the upper limits of normal size. the aorta is moderately tortuous and partly calcified, particularly along the arch. the cardiac, mediastinal and hilar contours appear unchanged. blunting along the left costophrenic sulcus, probably due to scarring, appears unchanged. it is accordingly difficult to exclude a small pleural effusion but pleural effusions are doubted. the lungs appear hyperinflated. patchy subpleural opacification at each lung apex, more extensive on the right than left, appears stable and suggests minor scarring. streaky linear opacities in the right lung are probably due to atelectasis or scarring. there is no evidence for focal consolidation.
cough and hypotension.
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frontal and lateral chest radiographs demonstrate interval removal of the left picc line. the cardiomediastinal silhouette is normal. the lungs are clear, without focal consolidation, pleural effusion, or pneumothorax.
chest pain and right rib pain.
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ap and lateral views of the chest. lower lung volumes seen on the current exam. indistinct pulmonary vasculature could be due to low lung volumes with component of vascular congestion is also possible. linear opacity in the left lower lung suggestive of atelectasis. there is no confluent consolidation. the cardiomediastinal silhouette is within normal limits. again seen is a hiatal hernia. no acute osseous abnormality detected.
<unk>-year-old male with cough and fever.
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frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. the hilar and mediastinal silhouettes are unremarkable. the heart size is normal. there is no pulmonary edema. partially imaged upper abdomen is unremarkable.
chest pain.
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pa and lateral views of the chest were reviewed. the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. the lungs are hyperinflated with large retrosternal air space, consistent with copd. there is no focal consolidation concerning for pneumonia. scattered granulomas are again seen. air is seen within the esophagus at multiple levels. there is the suggestion of a small hiatal hernia.
choking while eating, query aspiration.
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frontal and lateral views of the chest demonstrate low 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 notable for prominent air-filled loops of bowel.
syncope.
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compared with the prior radiograph, no significant change in the right lung base opacity and moderate cardiomegaly. the left costophrenic angle is not fully imaged. calcified aortic arch is unchanged. mild pulmonary vascular congestion without pulmonary edema is unchanged. calcified aortic arch is also seen.
<unk>f with hypoxia. evaluate for focal consolidation.
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left anterior chest wall dual lead pacer is in place. heart size is normal with mild unfolding of the thoracic aorta. cardiomediastinal silhouette and hilar contours are otherwise unremarkable. lungs are clear. pleural surfaces are clear without effusion pneumothorax.
confusion and leukocytosis.
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a single semi-upright frontal view of the chest was obtained portably. there is no free air under the diaphragm. gaseous distention of large bowel is incompletely imaged on this study. low lung volumes results in bronchovascular crowding. linear opacity at the right lung base corresponds to scarring seen on ct. there is no focal consolidation, pleural effusion or pneumothorax. heart size is normal. the aorta is mildly tortuous.
rigid abdomen with distention. evaluate for free air.
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pa and lateral views of the chest provided. right upper extremity access picc line is seen with its tip in the mid svc region. 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> year old man with picc from osh // eval picc position
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<num> views were obtained of the chest. the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. minimal biapical pleural thickening is noted. the heart is normal in size with normal cardiomediastinal contours.
left-sided chest pain, assess for pneumonia or pneumothorax.
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comparison is made to radiograph performed <num> day prior, <unk>. ap and lateral chest radiograph demonstrate clear lungs bilaterally. cardiomediastinal and hilar contours are within normal limits. there is no pleural effusion, pneumothorax, or pulmonary edema. visualized osseous structures are without an acute abnormality.
<unk> year old man with post-op low grade temp
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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 to moderate degenerative changes are noted in the thoracic spine. an inferior vena cava filter is noted within the upper abdomen.
history: <unk>m with presyncope, altered mental status
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the lung volumes are normal. normal size of cardiac silhouette. no pleural effusions. no focal parenchymal opacity suggesting pneumonia. no pulmonary edema. no pneumothorax. normal hilar and mediastinal contours. degenerative changes of thoracic spine.
<unk> yo man with h/o recurrent respiratory infections, weight loss of <unk> lbs in <num> months, markedly elevated sed rate of <num>, and significant fatigue. r/o lung infection, malignancy, other etiology // <unk> yo man with h/o recurrent respiratory infections, weight loss of <unk> lbs in <num> months, markedly elevated sed rate of <num>, and significant fatigue. r/o lung infection, malignancy, other etiology
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the swan-ganz catheter is been removed. sternal wires are again visualized. there is mild cardiomegaly. there bilateral pleural effusions right greater than left with volume loss in both lower lobes, right more so than left. there is mild pulmonary vascular redistribution. compared to the prior exam the amount of volume loss in the lower lobes has increased but the vascular plethora has decreased
<unk> year old man s/p cabg // post-op baseline
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the lungs are hyperinflated without focal consolidation or pleural effusion. chronic interstitial prominence is unchanged with biapical pleural scarring is unchanged. the heart and mediastinum are within normal limits. spinal degenerative changes are stable.
<unk> year old woman with ovarian cancer // screening
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marked cardiomegaly is unchanged. the cardiac to place generator is present in the left chest with single intact lead terminating in the right ventricle. there is no evidence of retained radiopaque foreign body. the pulmonary vasculature and aorta are within normal limits. minimal blunting of the costophrenic angles on lateral projection is unchanged may represent trace effusions versus scarring.
<unk> year old man with possible peice of mid line retained after dc'd by pateint. // retention of broken mid line
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there is an indeterminate opacity in the left upper lobe lateral to the aortic arch. 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.
history: <unk>f with confusion // ?pna
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pa and lateral views of the chest provided. lungs are clear. there is no focal consolidation, effusion, or pneumothorax. mild effacement of the right inferior heart border is due to a prominent epicardial fat pad. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>f with sob, asthma, pls eval pna
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the patient is persistently rotated to the right obscuring some of the right lower lobe, with apparent mediastinal shift to the right. however the similar compared to prior. there is vascular engorgement with alveolar infiltrate diffusely on the left and patchy on the right that has increased compared to the study from the prior day. there are small bilateral pleural effusions, right greater than left. moderate cardiomegaly is chronic. no pneumothorax. et tube, nasogastric tube, and left internal jugular line are in standard placements respectively.
<unk> year old woman with bacteremia, gnr in sputum // eval for infiltrate
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frontal and lateral chest radiograph demonstrate interval retraction of a right picc tip which is now within the right mid subclavian vein. for optimal positioning in the mid to lower svc the catheter must be advanced <num>-<num> cm. persistently symmetrically hypoinflated lungs with stable bilateral perihilar interstitial opacities consistent with vascular crowding. stable retrocardiac atelectasis with stable small left pleural effusion. significant decrease in size of a previously identified loculated left pleural effusion along the lateral left chest wall. no right pleural effusion. stable air-fluid level seen on lateral chest radiograph is consistent with known hiatal hernia. no new focal opacity. no pneumothorax. limited assessment upper abdomen is unremarkable and visualized osseous structures are notable for prior healed left femoral head fracture, unchanged from previous examination. kyphosis again noted with diffuse osteopenia and multiple thoracic compression fractures, unchanged from previous examination.
history: <unk>f with recent traumatic sah presents with seizure like activity, congested cough. assess: for consolidation. <unk> read: read uploaded ct head from <unk>
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no definite focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. a rounded density is seen overlying the left lower lung field on the anterior projection, without a correlate on the lateral view, and likely represents a nipple shadow. the cardiomediastinal silhouette is stable. no acute bony abnormality is detected.
immunosuppressed, now with fever.
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since <unk>, the new focal opacity in the right lower lobe is consistent with pneumonia. the previously described new small focal consolidation the right upper lobe, is less apparent today, but still present. the left lung is clear. no pleural effusion, pulmonary edema, or pneumothorax. the heart is top-normal in size and unchanged. the mediastinal contours and hila are normal.
<unk>-year-old woman with history of multiple myeloma, presenting with cough and fever. evaluate for pneumonia.
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low lung volumes accentuate the cardiac silhouette and bronchovascular structures. heart is likely upper limits of normal in size. calcified mediastinal and hilar lymph nodes are present as well as probable calcified granulomas at the lung apices or potentially additional calcified nodes. bibasilar atelectasis is present as well as small left pleural effusion. . there are no acute osseous abnormalities.
<unk> year old man with ? occult infection // ? infection
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right-sided picc terminates in the lower svc. normal cardiomediastinal and hilar contours. slight interval improvement in markedly low lung volumes bilaterally, which may be partly positional. stable, moderate right basilar atelectasis. interval improvement in left basilar atelectasis may reflect deeper inspiration. small, persistent left pleural effusion. no pneumothorax. no definite evidence of pneumonia. probable, small right pleural effusion. increased, moderate pulmonary edema.
<unk>-year-old woman with coarse breath sounds and fever. evaluate for pneumonia or evidence of volume overload.
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right ij central line is unchanged, tip overlying right atrium. ng tube tip overlies the gastric fundus. no chf, focal infiltrate, or gross effusion is identified. minimal blunting of left costophrenic angle noted.
<unk> year old man s/p kidney and pancreas transplant, ?nstemi, now with ileus // interval change
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the endotracheal tube projects <num> cm above the carina, without change in the right ij central line. compared with the prior study, multifocal opacities are similar in appearance, with an unchanged cardiomediastinal silhouette. no larger pleural effusions or pneumothorax detected. re demonstration of the known lumbar spinal hardware and ivc filter.
<unk>m s/p fall, found down unknown duration, found to have small foci iph, nondisplaced sternal manubrial <unk>, mediastinal hematoma, l<num> burst fracture with retropulsion and obliteration of the spinal canal, t<num>/l<num> compression fracture, t<num> left superior facet, t<num> inf facet fracture, r fem neck <unk>, r proximal femur <unk>, <unk> r ptx s/p diuresis. evaluate for interval change.
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mild left atrial enlargement is re- demonstrated. the mediastinal and hilar contours are normal. pulmonary vasculature is normal. linear opacity within the right upper lung field is unchanged, and likely reflective of scarring. the lungs are otherwise clear. no focal consolidation, pleural effusion or pneumothorax is seen. no acute osseous abnormalities present.
chest pain.
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. lungs are hyperinflated, and note is made of a saber sheath configuration of the trachea, findings that can be seen in the setting of copd. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
<unk> year old man with breakthrough seizure // r/o infx
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portable semi-erect chest film <unk> at <time> is submitted.
<unk> year old man with witnessed aspiration event and increasing wbc count. // r/o pneumonia r/o pneumonia
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the lungs are well expanded without focal opacities. minimal prominence of the central vasculature is observed. the heart size is top normal. calcifications are noted in the aortic knob. the hilar contours are unremarkable. there is a tiny right-sided pleural effusion. there is no left-sided pleural effusion or pneumothorax.
<unk>-year-old male with shortness of breath. evaluate for evidence of acute process.
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cardiac and mediastinal contours are normal. coarse interstitial abnormalities are again demonstrated diffusely with bronchiectasis, bronchial wall thickening, and ill-defined nodularity. overall, these findings appear progressed within the right upper lobe and left lung base. no pleural effusion or pneumothorax is present. the pulmonary vasculature is not engorged.
history: <unk>m with cystic fibrosis presents with altered mental status, cough, wbc <unk>
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the lungs are clear. the cardiomediastinal silhouette is normal. mid thoracic dextroscoliosis is noted.
<unk>f with fever and productive cough // eval for pneumonia
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since the prior study, there is a new rounded density along the left lateral chest wall, likely an osseous metastasis, as well as suspicion of an osseous lesion arising from the right lateral ribs just above the costophrenic sulcus. the right breast shadow is absent. the lungs are well inflated and essentially clear, with right apical pleural thickening, and no evidence of focal airspace consolidation, pulmonary edema, pneumothorax or large pleural effusion. the cardiomediastinal silhouette is unremarkable.
<unk>-year-old female with history of osteoporosis and breast cancer with bone metastases. now with right-sided pain. evaluation for metastatic lesions or rib fractures.
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in comparison to the chest radiograph obtained <num> day prior, a small subpulmonic effusion has minimally increased. mild pulmonary vascular congestion has decreased. severe cardiomegaly is unchanged. no pulmonary edema. lungs are fully expanded and clear without focal consolidation. dual-chamber pacemaker leads are unchanged and appropriately positioned.
<unk> year old man with giant cell endocarditis // ? interval change
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the cardiac silhouette size is normal. mediastinal and hilar contours are unchanged and within normal limits. the pulmonary vascularity is normal. no focal consolidation, pleural effusion or pneumothorax is demonstrated. mild degenerative changes are seen within the thoracic spine.
fever.
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patient is slightly rotated. the lateral view is suboptimal due to underpenetration from overlying soft tissue/body habitus. streaky left base opacity most likely represents combination of vascular crowding and atelectasis, less likely pneumonia. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.
history: <unk>f with hyperglycemia // eval for pna
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the cardiomediastinal contours are normal. there is a moderate left pleural effusion, increased in size compared to the prior exam from <unk> with adjacent compressive atelectasis. there is no evidence of a pneumothorax. a venous stent is again seen, unchanged in position. there is mild right basilar atelectasis. a venous stent is again seen, unchanged in position. the visualized osseous structures are unremarkable. there is a small right pleural effusion.
history of uremia, shortness of breath. please evaluate.
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single frontal view of the chest: the lungs are clear. there is no pleural effusion, pneumothorax or focal airspace consolidation to suggest pneumonia. the heart size is normal. the aorta is slightly tortuous.
shortness of breath after syncopal episode, evaluate for an acute process.
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the cardiac, mediastinal and hilar contours appear unchanged. the aortic arch is calcified. the lungs appear clear. there are no pleural effusions or pneumothorax.
chest pain, shortness breath.
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the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. a right-sided port-a-cath catheter is present, with the tip of the catheter located at approximately the cavoatrial junction.
<unk>-year-old male with history of pancreatic cancer and dvt, on chemotherapy. now with tachycardia, tachypnea and low-grade temperatures, as well as right upper quadrant pain. evaluate for evidence of infiltrate or edema.
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normal heart, lungs, pleura and mediastinal surfaces.
history: <unk>f with chest pain // acute process?
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lungs are well-expanded and clear. cardiac silhouette appears stable. the aorta is tortuous. no pneumothorax, pleural effusion, or consolidation. no free air beneath the right hemidiaphragm.
history: <unk>m with critical // critical patient
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the patient has been extubated in the interim since <unk>. the inspiratory lung volumes are very low, decreased from <unk>, with progressive bibasilar atelectasis. there is no large pleural effusion. the pulmonary vasculature is not engorged. the cardiomediastinal and hilar contours are within normal limits. no acute osseous abnormality is detected. dilated air-filled colon is noted in the imaged upper abdomen.
<unk> year old man s/p t<num>-l<num> open treatment of fracture now with peristent o<num> requirement // comparison xr
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pa and lateral views of the chest were obtained. patient is status post median sternotomy and pacemaker placement. unchanged appearance of the sternotomy wires and positioning of the pacemaker leads. cardiomediastinal silhouette is stable. lungs are well expanded and clear. there is no focal consolidation, pleural effusion, or pneumothorax.
<unk>-year-old man with a history of stage iiib melanoma, rule out metastatic melanoma.
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assessment of the lung apices is somewhat limited by the patient's neck and chin projecting over these areas. a left-sided pacer device is noted with leads terminating in the right atrium and right ventricle. moderate cardiomegaly is re- demonstrated with a left ventricular predominance. the aorta is diffusely calcified and tortuous. mediastinal and hilar contours are unchanged. the pulmonary vasculature is not engorged. patchy opacities are demonstrated within the right lung base, along with streaky retrocardiac opacity. no pleural effusion or pneumothorax is clearly noted. moderate to severe degenerative changes of the thoracic spine are present along with chronic compression deformity of a mid thoracic vertebral body.
history: <unk>m with confusion per family
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ap upright and lateral views of the chest provided. dual lead pacemaker unchanged with leads extending to the region of the right atrium and right ventricle. midline sternotomy wires are present. 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>m with fever, cough, history of endocarditis // pna?
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pa and lateral views of the chest demonstrate well-expanded and clear lungs. heart is normal in size and cardiomediastinal contour is unremarkable. there is no pleural effusion or pneumothorax.
<unk>-year-old man with chest pain, rule out pneumonia.
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the cardiomediastinal and hilar contours are stable. there is no pleural effusion or pneumothorax. there is no focal consolidation concerning for pneumonia or contusion. multiple left posterior and lateral rib fractures are better seen on the concurrent rib plain films. a left pacemaker defibrillator is seen with tips terminating in the right atrium and right ventricle.
left chest wall pain.
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normal heart size, mediastinal and hilar contours. no focal consolidation, pleural effusion or pneumothorax.
history: <unk>m with cough, wheeze // pna?
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portable semi-erect chest radiograph <unk> at <time> is submitted.
<unk> year old man with placement of new pa catheter // eval position eval position
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lung volumes are low. cardiomediastinal and hilar silhouettes are unremarkable. bibasilar atelectasis is identified, without focal consolidation concerning for pneumonia. no pleural effusions or pneumothorax.
<unk>f with hypoxia. eval for pneumonia, structural process.
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pa and lateral views of the chest demonstrate the lungs are well expanded and clear. the cardiomediastinal silhouette is unremakable. there is no evidence of focal consolidation, pneumothorax, or pleural effusion. bilateral nipple shadows should not be confused with pulmonary nodules. no subdiaphragmatic free air is seen.
<unk>-year-old male with sudden onset of chest pain and diffuse abdominal pain. evaluation for free air.
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no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no displaced fracture is seen. there are degenerative changes at the right greater than left acromioclavicular joints. degenerative changes are also seen on the spine with anterior osteophytes.
chest pain.
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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 cough
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cardiac silhouette size is mildly enlarged. the mediastinal contour is unremarkable. bibasilar ill-defined airspace opacities are concerning for multifocal pneumonia. mild pulmonary vascular congestion is present without overt pulmonary edema. no large pleural effusion or pneumothorax is detected. mild degenerative changes are seen in the thoracic spine.
history: <unk>m with copd, hypoxia. cough
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a pigtail pleural catheter has been placed at the base of the left chest with marked reduction in a large left-sided pleural effusion. a small left apical pneumothorax is present; the pleural edge is located <num> mm from the chest wall. the heart is markedly enlarged with streaky residual left basilar opacification, although probably explained by atelectasis. the right lung remains clear aside from mild interstitial prominence in the lower lung most suggestive of mild vascular congestion, similar to the earlier exam.
chest tube placement. question pneumothorax.
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ap upright and lateral views of the chest provided. cardiomegaly is again noted with mild pulmonary edema. no large effusions or pneumothorax. no focal consolidation to suggest pneumonia. imaged bony structures are intact. mediastinal contour is normal. no free air below the right hemidiaphragm is seen.
<unk>f with dyspnea, eval for volume overload
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the lung volumes are low. within that limitation, the cardiac, mediastinal and hilar contours are probably stable. there is no pleural effusion or pneumothorax. the lungs also appear clear within the limitations of technique. bony structures are unremarkable.
altered mental status.
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the cardiac, mediastinal and hilar contours are normal. the pulmonary vasculature is normal. streaky opacity within the right lower lobe may reflect an area of developing infection. left lung is clear. no pleural effusion or pneumothorax is identified. no acute osseous abnormality seen.
history: <unk>m with fever, cough
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the inspiratory lung volumes are appropriate. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. the pulmonary vasculature is not engorged and there is no overt pulmonary edema. the cardiac silhouette is normal in size. the mediastinal and hilar contours are within normal limits with tortuosity of the thoracic aorta noted. the trachea is midline. the imaged upper abdomen demonstrates a nephroureteral stent in the right upper abdomen.
pre-operative evaluation of the chest prior to right hip fracture repair.
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the heart is normal in size. the hilar and mediastinal contours are normal. the lungs are well expanded and clear. there are no pleural effusions or pneumothorax. the osseous structures are unremarkable.
<unk>-year-old female patient with productive cough and fever. study requested to rule out pneumonia.
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pa and lateral chest radiographs demonstrate clear lungs bilaterally. cardiomediastinal and hilar contours are within normal limits. no evidence of pulmonary edema, pleural effusion, or pneumothorax. there is no air under the right hemidiaphragm.
<unk>m with l chest pain, nonradiating // eval for pneumothorax
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ap upright and lateral views of the chest provided. lung volumes are low limiting evaluation. airspace consolidation is noted within the right middle lobe partially obscuring the right heart border, concerning for pneumonia. there is basilar atelectasis noted bilaterally. no large pleural effusion or pneumothorax. the heart size appears enlarged and unchanged. the mediastinal contour is unchanged with an unfolded thoracic aorta noted. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>f with cough, fever
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there is mild right middle lobe atelectasis, increased since the prior study, but similar compared to the radiograph from <unk>. mild linear atelectasis is present in the left lung base. there is no pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is stable. indentation along the right trachea reflects known right thyroid nodule.
history: <unk>m with fever on chemo // eval for pna
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since the prior radiograph, there has been interval placement of a dobbhoff tube that terminates in a branch of the right bronchial tree. there are no other significant changes. left retrocardiac opacity is likely due to pleural effusion with adjacent atelectasis, but there may also be residual consolidation from recent pneumonia. no pneumothorax. stable cardiomegaly.
<unk> year old man with hcap/aspiration pna s/p dobhoff placement // dobhoff placement
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ap portable upright view of the chest. midline sternotomy wires again noted. overlying ekg leads are present. allowing for technical limitations, there is no focal consolidation, effusion, or pneumothorax. no convincing signs of pulmonary edema. the cardiomediastinal silhouette is stable with top-normal heart size. . imaged osseous structures are intact.
<unk>m with dyspnea, chest pain // infiltrate?
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mild right basilar atelectasis. cardiomediastinal and hilar contours are unchanged. there is no pneumothorax, pleural effusion, or consolidation. the aorta is tortuous.
history: <unk>m with sob pls ev al pna // history: <unk>m with sob pls ev al pna
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compared with prior radiographs performed on same day on <unk> at <time>, there has been interval placement of bilateral chest tubes, with decrease in bilateral pleural effusions and increased aeration of the bilateral lungs. an et tube terminates approximately <num> cm above the carina. an ng tube passes below the level of the diaphragm and into the stomach. again seen is pneumomediastinum, and subcutaneous air in the neck and lateral chest wall. there is no focal consolidation or pneumothorax.
<unk> year old woman s/p esophageal perforation repair. bilateral chest tube. // eval for b/l chest tubes, effusions, ngt placement
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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 evidence of free air seen beneath the diaphragms. anchor screws are noted over the right humeral head.
abdominal pain.
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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 tachycardia // pneumonia?
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the lungs are well expanded and clear. a <num>-cm rounded opacity projecting over the right hilum is better assessed in prior ct and represents hilar lymphadenopathy. no new hilar or mediastinal mass is observed. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. a right-sided port-a-cath line ends in lower svc.
patient with history of lymphoma and new fever. evaluate for acute cardiopulmonary process.
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there is interval placement of enteric tube with tip residing in the stomach. the et tube remains in standard position. cardiomediastinal and hilar contours are stable. there is no pleural effusion or pneumothorax. there has been perhaps slight interval improvement in the bilateral parenchymal opacities, particularly in the upper lung zones. however, extensive parenchymal opacities still remain.
anca vasculitis and likely alveolar hemorrhage, please assess position of enteric tube.
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vague right lower lobe opacity may be reflective of atelectasis although infection is not excluded. elsewhere the lungs are clear. the cardiomediastinal silhouette is stable. tortuosity of descending thoracic aorta is again noted. no acute osseous abnormalities.
<unk>f with dyspnea, hypoxia, recent hx pna // eval for acute process, attn to pna
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the heart size is mildly enlarged. mediastinal and hilar contours are normal. there is no pulmonary edema. no focal consolidation, pleural effusion or pneumothorax is seen. minimal streaky retrocardiac and right basilar opacities likely reflect atelectasis. mild degenerative changes are seen within the thoracic spine. clips are seen within the right axillary region.
increased falls at home.
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an ng tube is present --<unk> tip extends beneath the diaphragm to overlie the stomach. a sideport if present, likely also overlies the stomach. rotated positioning. allowing for this, the cardiomediastinal silhouette is probably unchanged. there is upper zone redistribution with mild vascular plethora. there is patchy opacity at the left lung base, improved compared with <unk>. minimal subsegmental atelectasis the right base is also present. the right costophrenic angle is obscured by overlying anatomy and lines. no gross right effusion. a small left effusion would be difficult to exclude no pneumothorax is identified. partially imaged partially visualized posterior spinal fixation hardware is noted in the lumbar spine. residual oral contrast is seen in the colon in the descending colon, with scattered contrast filled diverticuli noted.
<unk> year old woman with ngt placement after stroke // ngt position
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pa and lateral views of the chest provided. midline sternotomy wires and mediastinal clips are again noted. the lungs are clear. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is stable with atherosclerotic calcifications along the thoracic aorta. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>m with syncope // eval for acute process
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pa and lateral views of the chest. the lungs are clear. there is no pneumothorax. the cardiomediastinal silhouette is normal. metallic density in the ap window seen in the region of the ligamentum arteriosum. no acute osseous abnormality detected.
<unk>-year-old female with sudden onset of chest pain.
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the right ij terminates in the low svc. the et tube terminates <num> cm from the carina and should be withdrawn <num>-<num> cm cm. the ng tube is in the stomach in the region of the pylorus. bibasilar opacities, right greater than left, are worse on the left since yesterday and represent pleural effusions and atelectasis. a heterogenous opacity in the right lower lung suggests pneumonia. the cardiomediastinal silhouette is normal. there is no pneumothorax. also, there is no evidence of subdiaphragmatic air.
c. diff colitis with respiratory distress status post intubation. position of et tube, evidence of free air under the diaphragm.
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portable upright ap chest radiograph demonstrates an enlarged heart. a left chest pacer defibrillator device is present, its leads which appear intact in the in stable configuration relative to prior examination. there has been interval placement of a left internal jugular cordis, its tip which projects more inferiorly than the expected location of the brachiocephalic vein. there is no pneumothorax. a right picc terminates within the low superior vena cava. there is no large pleural effusion. central vascular engorgement is mild. no focal consolidation is identified convincing for pneumonia given low lung volumes, portable technique and patient body habitus.
history: <unk>m s/p left ij cordis placement // eval ij placement, for pneumothorax
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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 shortness of breath
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since prior, there has been interval placement of an endotracheal tube with tip approximately <num> cm from the carina. enteric tube seen passing below the inferior field of view. diffuse bilateral parenchymal opacities have somewhat progressed <unk> more confluent at the lung bases. cardiomediastinal silhouette is unchanged given differences in technique.
<unk>f with pna s/p intubation // eval ett placement
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. dextroscoliosis of the thoracic spine is noted.
history: <unk>f with weakness