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pa and lateral chest radiographs demonstrate clear lungs. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.
chest pain.
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the lungs are clear without pleural effusion, focal consolidation or pneumothorax. hilar and mediastinal silhouettes are unchanged. aortic arch calcifications are redemonstrated. the heart is normal in size. patient's known emphysematous changes are redemonstrated. there is no pulmonary edema.
<unk> year old woman with copd with new tachypnea and crackles;on fluids overnight; has normal ef <unk>% <unk> // compare to prior. ?volume overload
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the cardiac silhouette is enlarged. right basilar and retrocardiac opacities are noted, which and infectious process cannot be excluded. there is mild pulmonary edema. no large pleural effusion or pneumothorax identified.
sepsis. evaluate for pneumonia or fluid overload.
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interval insertion of right dialysis catheter terminating in right atrium. the pacemaker and right picc line are in unchanged position. the sternotomy wires are unchanged with no evidence of dehiscence. the patient is rotated. the lung volume is low. diffuse right lung opacification and right pleural effusion are unchanged. the pulmonary venous congestion, left pleural effusion, and left lower lobe atelectasis are unchanged. no pneumothorax. the cardiac silhouette is enlarged but unchanged. the mediastinum is unchanged.
<unk> year old woman on hemodialysis, right heart failure, known l pleural effusion and r lung scarring s/p radiation and pleuradesis, now with o<num> sat <unk>% on <num>l face mask. // ? cause of acute worsening of hypoxemia, ? worsening pleural effusion
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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 concerning for pneumonia. postcholecystectomy clips are seen in the right upper quadrant.
<unk>m with shortness of breath // ?pneumonia
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interval removal of chest tubes. no pneumothorax. left basilar opacity, likely atelectasis. previously suggested pneumomediastinum is less apparent. right lung is clear. epicardial pacer wires. shallow inspiration. sternotomy.
<unk> year old man with s/p cabg // s/p ct removal ? ptx
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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 cp // pna?
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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 // eval for cardiopulmonary process
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ap and lateral views of the chest. there is chronic blunting of the right lateral costophrenic angle as on prior. lungs are clear of focal consolidation or effusion. cardiomediastinal silhouette is stable given differences in positioning. cutaneous icd lead seen with lead in unchanged position. chronic deformities of the right posterior lateral ribs again seen. no definite acute osseous abnormalities.
<unk>-year-old male with fever and shortness of breath.
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there is minimal streaky density bilaterally consistent with subsegmental atelectasis. there is no focal consolidation. the heart is normal in size. the aorta is mildly tortuous. mediastinal structures are stable. the bony thorax is grossly intact. there is no significant change
edema/pna?
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lungs are clear. normal heart. no pleural effusions. no change since prior exam.
<unk> year old man possible pe // pre- v/q scan
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frontal and lateral views of the chest. the lungs are clear without focal consolidation, effusion, or pulmonary vascular congestion. previously seen retrocardiac opacity and effusion are no longer visualized. the cardiomediastinal silhouette is stable. median sternotomy wires again noted. no acute osseous abnormalities.
<unk>-year-old male with chest pain.
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pa and lateral views of the chest provided. there is known massive enlargement of the aorta accounting for widened mediastinal silhouette. left basal opacity is consistent with effusion and atelectasis. the right lung remains clear. the heart size is grossly unchanged though left heart border is partially effaced. no free air below the right hemidiaphragm. bony structures appear intact.
<unk>m with type b aortic dissection, discharged today and now with increasing abdominal pain (has not taken bp meds) and constipation
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the lungs are moderately well-expanded. heart size is borderline or slightly enlarged, but is likely accentuated by a lower inspiratory volumes and lordotic technique. no focal consolidations. no pulmonary edema. no pneumothorax. no pleural effusion. no displaced fracture detected.
history: <unk>m with mvc // ?fx
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pa and lateral views of the chest provided. lung volumes are low which limits assessment. there is mild left basal/retrocardiac opacity which could represent atelectasis versus an early pneumonia. the right lung appears clear. no large effusion is seen. no pneumothorax. no signs of congestion or edema. the heart appears mildly enlarged. mediastinal contour appears normal. imaged bony structures are intact. no free air below the right hemidiaphragm.
<unk>f with chest pain
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frontal and lateral views of the chest. prior right picc is no longer visualized. the lungs are clear without focal consolidation, effusion, pulmonary vascular congestion or pneumothorax. cardiomediastinal silhouette and hilar contours are stable. no acute osseous abnormality is identified.
<unk>-year-old female with chest pressure.
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in comparison to previous radiograph, diffuse lung opacities have somewhat decreased with some residual opacities predominently in the lower lobes. no pleural effusion or pneumothorax is present. right upper lobe linear opacity is unchanged from prior. stable mild cardiomegaly.
history of chf, copd and crack cocaine use who presents with <num> week of shortness of breath. question change from previous.
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lungs remain relatively hyperinflated. there is persistent blunting of the right costophrenic angle worrisome for trace pleural effusion. no new focal consolidation is seen. the patient is status post median sternotomy and cabg. cardiac and mediastinal silhouettes are stable. no pulmonary edema is seen.
history: <unk>f with chf, as, cad, who presents with presyncope // e/o acute process, such as pulmonary edema?
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is a mild interstitial abnormality, possibly attributable to pulmonary congestion. vague but more dense opacities can be seen in the lower lungs, greater on the left than right, in association with low lung volumes. this appearance probably is due to a combination of mild atelectasis and pulmonary congestion.
syncope and hypertension.
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lung volumes are low, with chronic elevation of the right hemidiaphragm. there is a small right and moderate left pleural effusion with significant atelectasis of the bilateral lower lungs. there is pulmonary vascular engorgement and perihilar opacities suggestive of mild edema. there is no pneumothorax. cardiac pacemaker and leads are present.
dyspnea in a patient with a history of pleural effusion.
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the patient has had median sternotomy and cabg. normal postoperative cardiomediastinal silhouette seen and improved from <unk> studies. a small left pleural effusion has decreased in size from previous studies. no focal consolidations, pulmonary edema, or pneumothorax is seen. the osseous structures are grossly unremarkable.
<unk> year old man s/p cabg with mva <num> days ago, increased pain // rule out fracture or acute process
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there has been no significant interval change.no focal consolidation is seen peer there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are stable. no overt pulmonary edema is seen.
history: <unk>f with cp // r/o acute process
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the heart size, mediastinal, and hilar contours are normal. the lungs are clear without pleural effusion, focal consolidation, or pneumothorax.
<unk>m with fall and sah. eval for chf/pneumonia.
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subpleural opacities at the lung bases are slightly more prominent in comparison to <unk> and are consistent with subpleural cysts and pleural thickening. an opacity at the lung base seen on the lateral view is consistent with subpleural cyst formation and interstitial thickening, unchanged from <unk>. heart size is mildly enlarged, unchanged.there is no pneumothorax or definite pleural effusion. a suture chain projecting over the right upper lobe is unchanged. osseous structures are unremarkable.
history: <unk>f with mixed ct disease, ild w/honeycombing, lubus, raynaud's, lupus, pw <num>d hx cough coryza and sick contacts c/f influenza and known contact with bacterial pneumonia w/sx also concerning for possible lupus flare (pleurisy and (less so) pericarditis)*** warning *** multiple patients with same last name! // consolidation s/f pna?
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ap portable chest radiograph. lungs are low in volume with mild right basilar atelectasis and trace effusion. increased retrocardiac consolidation suggests larger amount of atelectasis and small to moderate pleural effusion. the remainder of the lungs are clear without pneumothorax. cardiac size is stably enlarged with tortuous aortic contour. left picc courses into the svc with an unusual turn, raising concern for termination within the azygous.
hypoxia overnight with bibasilar crackles, assess for acute process.
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lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>f with ili // r/o pna
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upright ap and lateral views of the chest demonstrate vague bilateral perihilar ground glass opacities which in an asthmatic favors an atypical airways infection/inflammatory process. difficult to exclude congestion and edema however and clinical correlation is advised. sternotomy wires are noted. no pneumothorax or effusion.
<unk>f with hx asthma presenting w/ cough and hypoxia
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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
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pa and lateral views of the chest demonstrate low 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.
patient with cough and fever, assess for pneumonia.
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asymmetric density is again demonstrated at the right lung base. the heart and mediastinal structures are unchanged. an endotracheal tube is been inserted and terminates at the thoracic inlet. a nasogastric tube is been placed and terminates in the region of the stomach.
?interval change
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a right-sided picc line terminates in the lower superior vena cava. the cardiac, mediastinal and hilar contours are stable. moderate unfolding along the lower descending thoracic aorta is stable. the lungs appear clear. there are no pleural effusions or pneumothorax. mild degenerative changes are stable along the mid thoracic spine.
picc line placement.
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stable calcified lesion in the left hilar region. the cardiomediastinal silhouette is normal and the lungs are clear and there is no pleural effusion and no pneumothorax. large hiatal hernia.
<unk>-year-old with hypoglycemia.
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pa and lateral chest views were obtained with patient in upright position. there is moderate cardiac enlargement. no typical configurational abnormality can be identified. lateral view does not show any conclusive evidence for significant pericardial effusion. thoracic aorta mildly widened with a few calcium deposits in the wall at the level of the arch but no local contour abnormalities are present. the pulmonary vasculature demonstrates extensive perivascular haze bilaterally at the bases as well as in the mid portions of the lung fields. in addition there are number of scattered somewhat confluenting infiltrates in the lung bases, somewhat more on the right than the left. on the left side the lateral pleural sinus is mildly blunted and the lateral view demonstrates extension of some pleural effusions in both posterior pleural sinuses. there exists a diffuse haze in the left upper lobe area which raises the possibility of an acute infection. this density appears to have increased since the next preceding portable chest examinations of <unk>. comparison with multiple preceding portable chest examinations obtained between <unk> and <unk> is little rewarding as the portable examinations concentrated most on the delineation of the ng tube. when comparison is extended to a more remote chest examination of <unk> the cardiac enlargement has developed since that time and that no pleural effusions or acute pulmonary infiltrates were present.
<unk>-year-old male patient with past medical history of decompensated ethanol cirrhosis with varices, ascites and encephalopathy. was admitted for hematemesis status post egd showing no focal source of bleeding, hospital course complicated with abdominal distention and likely ileus, fever and tachycardia. evaluate for interval change.
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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. degenerative spurring in the thoracic spine noted anteriorly. no free air below the right hemidiaphragm is seen.
<unk>f with chest tightness // ?pna
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scarring is again noted in the left suprahilar region. calcific density compatible previous granulomatous disease projecting over the left lung apex. additional calcified granuloma seen in the left mid to lower lung laterally. lungs are otherwise clear. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>m with <num> month cough, orthopnea // eval for cardiomegaly
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the heart continues to be mildly enlarged. bulging contour at the ap windowis in part due to enlarged pulmonary artery and prominent mediastinal fat. there are low lung volumes without focal consolidation, pleural effusion or pulmonary edema. atherosclerotic calcifications are again noted at the aortic knob.
<unk>-year-old man with hypotension, evaluate for pneumonia. .
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heart size is normal. mediastinal contours are unchanged with a moderate hiatal hernia re- demonstrated. hilar contours are unremarkable with no evidence for pulmonary vascular congestion. bronchiectasis in the right upper lobe is unchanged. elevation of the right hemidiaphragm is similar. no focal consolidation, pleural effusion or pneumothorax is present. the osseous structures are diffusely demineralized with unchanged height loss of a vertebral body at the thoracolumbar junction.
history: <unk>f with chest pain and shortness of breath
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pa and lateral views of the chest were obtained. the heart size is normal. the mediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. there is no focal consolidation concerning for pneumonia.
chest pain.
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the heart size is moderately enlarged with worsening pulmonary edema and moderate venous engorgement that appears to have progressed. a large right pleural effusion has a decreased fluid component that has been replaced with air. there is a mild rightward mediastinal shift secondary to right lung volume loss. a feeding tube is seen which terminates in the upper stomach.
<unk> year old man with cryptogenic cirrhosis, enterobacter empyema w/ hepatic hydrothorax, now w/ worsening sob, weight up // progression of effusion/loculation
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pa and lateral views of the chest were provided. there are bilateral pleural effusions, new from prior exam with subjacent consolidation which could represent compressive atelectasis. the possibility of pneumonia is not excluded. there is no pneumothorax. the heart is top-normal in size. a vascular stent is again noted in the left brachiocephalic vein. the imaged osseous structures are intact. no free air is seen below the right hemidiaphragm.
<unk>-year-old female with right chest pain, nausea for <num> days.
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the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable.
history: <unk>f with cough, hypoxemia // ? acute cardiopulm process
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frontal and lateral views of the chest re-demonstrate congenital dextrocardia. the descending aorta is normal in contour. the central airway is midline. congenital or post-traumatic left upper anterior chest wall deformity is again seen. the lungs are clear. there is no pneumothorax, vascular congestion, or pleural effusion.
<unk>-year-old male with fever. question pneumonia.
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the heart size is normal. the hilar and mediastinal contours are normal. patchy opacities overlying the lower lung fields bilaterally are concerning for pneumonia. mild bibasilar atelectasis is seen, left greater than right. there is a small left pleural effusion. there is no evidence of a pneumothorax. note is made of rib fractures involving the left <unk>, <unk>, <unk> ribs, of indeterminate chronicity. et tube terminates approximately <num> cm above the carina. there is an enteric tube which extends below the diaphragm with the tip out of view of this film.
history of respiratory failure secondary to pneumonia. please evaluate et tube placement.
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compared to the prior study. a left-sided picc is been removed and a right-sided picc is been placed, this terminates in the distal svc. lung volumes are within normal limits. the heart is not grossly enlarged. there is prominence of the bilateral hila and mild upper lobe pulmonary venous congestion. no frank pulmonary edema. no consolidation, pneumothorax or pleural effusion seen.
<unk> female with pmh notable for decompensated hcv/etoh cirrhosis on transplant list p/w nausea, vomiting, fever, and diarrhea c/f viral gastroenteritis // eval for pulmonary edema/pna
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the lungs are clear. cardiomediastinal silhouette and hilar contours are unremarkable. there is no pleural effusion or pneumothorax.
<unk>-year-old woman with cough, question pneumonia.
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an endotracheal tube is in-situ, the tip terminates approximately <num> cm above the level the carina. a nasogastric tube is coiled in the esophagus and extends back towards the mouth. lung volumes are within normal limits. the trachea is central. the cardiomediastinal contour is normal allowing for the projection. mild prominence of the pulmonary vasculature is likely due to fluid overload. no frank pulmonary edema. no pleural effusions.
<unk> year old man with brain mass ,s/p ngt placement // confirm the ngt placement
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the cardiomediastinal silhouette and pulmonary vasculature are normal. the lungs are clear. there is no pleural effusion or pneumothorax.
history: <unk>m with rash and chest pain // ?acute cardiopulmonary process
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patient is status post median sternotomy, mitral valve replacement and left-sided defibrillator are unchanged. moderate cardiomegaly. ill-defined nodular and hazy opacities are seen throughout the right lung, are unchanged and can be asymmetric pulmonary edema or infection. there is a small left effusion. pleural effusion or pneumothorax is identified.
<unk> year old woman with idiopathic chf, pulm htn, asthma admitted with dyspnea and hypoxia. // ? interval change
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a substantial right perihilar nodule has substantially improved since the prior radiographs with an area of cavitation seen in lieu of a substantial solid nodule. other nodules also appear somewhat less distinct including a cavitating nodule in the right upper lobe which seems surrounded perhaps by slightly less opacity than before. there are no pleural effusions or pneumothorax. mild-to-moderate degenerative changes are similar throughout the thoracic spine.
cough and previous upper lobe nodular disease.
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the lungs are well expanded and clear. there is no pleural abnormality. the mediastinal and hilar contours are unremarkable. there is mild rightward curvature of the spine.
history: <unk>f with fever, chest pain // ? acute cardiopulm process
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there is a right picc line with tip terminating in the lower svc. the cardiomediastinal and hilar silhouettes are normal. the lungs are well expanded and clear. there is no pleural effusion, pulmonary edema, or pneumothorax.
<unk>-year-old male with pancreatitis and fever.
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dual-chamber pacemaker leads in stable position. cardiomediastinal silhouette is normal. unchanged small left pleural effusion with likely adjacent atelectasis. no right pleural effusion. lungs are clear.
history: <unk>m with leukocytosis, chills // pna?
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the lungs are reasonably well expanded. left retrocardiac streak the airspace opacity likely reflects atelectasis. the bilateral costophrenic angles are slightly blunted, which may be secondary to small effusion, atelectasis, scarring, or patient body habitus. a rounded nodular opacity overlies the right upper lung and distal clavicle, and is incompletely localized on this single image. there is no large pneumothorax or frank pulmonary edema. the cardiac silhouette is within normal limits.
history: <unk>f with resp distress, pls eval for edema, pna or effusion // history: <unk>f with resp distress, pls eval for edema, pna or effusion
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since the prior study, there has been development of large opacity projecting over most of the left hemi thorax with mediastinal shift to the left. the left diaphragm is obscured. the right lung is clear. no right pleural effusion is seen. there is no evidence of pneumothorax. the cardiac and mediastinal silhouettes are not well assessed due to the left hemithorax opacification.
history: <unk>m with hypoxia, coughing // r/o pna
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the cardiac silhouette size is normal. the aorta remains tortuous. the mediastinal and hilar contours otherwise are unremarkable. lungs are clear and the pulmonary vascularity is normal. biapical scarring is unchanged. no pleural effusion or pneumothorax is identified. there are no acute osseous abnormalities.
weakness.
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heart size is normal. mediastinal and hilar contours are unremarkable. pulmonary vasculature is not engorged. bibasilar airspace opacities are concerning for multifocal pneumonia. no pleural effusion or pneumothorax is demonstrated. there is no acute osseous abnormality.
<unk> year old woman with fevers to <num>.<unk> f
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upright ap image of the chest was obtained. a right basilar opacity likely reflects chronic consolidation. there is possible minimal diffuse bilateral interstitial edema. there are emphysematous changes. there is cardiomegaly. a picc line entering via a right subclavian vein appears to end in the low superior vena cava. there is left upper arm hardware device.
cough and increased oxygen requirements.
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cardiac, mediastinal and hilar contours are unchanged, with the heart size appearing borderline enlarged. the lungs are clear and the pulmonary vascularity is normal. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities are detected.
left arm numbness and facial numbness.
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the lungs are clear without any focal opacities, pleural effusion, pulmonary edema or pneumothorax. the heart and mediastinal contours are normal. no rib fractures are seen.
chest pain, status post mvc. dyspnea with inspiration, evaluate for rib fracture or acute cardiopulmonary process.
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no focal consolidation, pleural effusion, or pneumothorax is seen. heart size is within normal limits. the aorta is tortuous. linear density projecting over the left lower lung field likely represents plate-like atelectasis.
<unk>-year-old male with seizure.
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compared to the prior radiograph performed yesterday morning, the pulmonary edema has slightly improved from severe to moderate/severe. there is better aeration of the lungs particularly in the upper lobes. no pneumothorax. moderate calcification of the aortic arch. patient is status post tavr. stable cardiomegaly. no acute osseous abnormalities demonstrated on this radiograph. enteric tube extends into the stomach.
<unk> year old man with as s/p tavr, chf and history of aspiration recovering from respiratory distress. // pulm edema?
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frontal and lateral views of the chest were obtained. the heart size and cardiomediastinal contours are normal. cephalization of vessels is consistent with pulmonary vascular congestion. no focal consolidation, pleural effusion, or pneumothorax. catheter of the right chest wall port terminates in the lower svc. a fiducial marker overlies the left mid lung.
<unk>-year-old female with altered mental status.
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the nasogastric tube passes through the esophagus and terminates in the proximal stomach. a left picc line terminates in the low svc. a right port catheter terminates in the mid svc. a right pleural drainage tube is in place. right pleural effusion is slightly improved from <unk>. retrocardiac atelectasis on the left is new. no focal consolidation or pneumothorax. no pulmonary edema.
new dobhoff // eval tube placement
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cardiomediastinal contours are normal. the lungs are hyper expanded and clear. there is no pneumothorax or pleural effusion. the osseous structures are unremarkable
<unk> year old man with new onset of digital clubbing. // any intra-thoracic pathology?
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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. no pleural effusion.
<unk> year old man with pancreatitis, etoh, productive cough. // please evaluate for pna.
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frontal and lateral views of the chest were obtained. the heart is of normal size with normal cardiomediastinal contours. a right lung base granuloma is calcified. the lungs are otherwise clear without focal or diffuse abnormality. no pleural effusion or pneumothorax. pulmonary vasculature is unremarkable. osseous structures are unremarkable. no radiopaque foreign body.
nausea and tachypnea. rule out pneumonia.
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pa and lateral views of the chest are compared to previous exam from <unk>. subtle opacity is noted at the left lung base which may represent atelectasis versus early pneumonia. posterior costophrenic angles are sharp. elsewhere, the lungs are clear noting minimal biapical scarring. the cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable.
<unk>-year-old woman with shortness of breath. question pneumonia versus chf.
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frontal and lateral views of the chest were obtained. the lungs are clear. no focal consolidation, pleural effusion, or pneumothorax. the heart size and cardiomediastinal contours are normal. no radiopaque foreign body.
<unk>-year-old female with shortness of breath and left chest wall pain. evaluate for pleural effusion.
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pa and lateral chest views were obtained with patient in upright position. analysis is performed in direct comparison with the next preceding portable chest examination of <unk>. there is marked improvement of lung ventilation with now much improved aeration of the basal segments of the lung. the heart size can now be seen to be well within normal limits and no configurational abnormality is identified. the degree of mild elongation and widening of the thoracic aorta in this elderly male patient is not excessive and no local abnormal aortic bulges can be identified. the pulmonary vasculature is not congested. the left lung base is free with well-delineated diaphragmatic contours and absence of any acute infiltrates. on the right base, there is still a pleural density obscuring partially the diaphragmatic contour and blunting the lateral and posterior pleural sinus. a linear atelectasis is present on the right base, but again the findings are much improved. the previously existing pigtail and pleural drainage tube has been removed, a biliary drainage tube remains unchanged. on the frontal view, there is no evidence of any pneumothorax in the apical area.
an <unk>-year-old male patient with history of hypertension and prostate carcinoma who presented with cholangitis and right-sided empyema - biliothorax. status post chest tube drainage and percutaneous biliary drain, reevaluation after recent right empyema. evaluate for improvement.
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severe cardiomegaly is stable. pacer lead tip is in the right ventricle. hd catheter is in standard position. there is no pneumothorax. small bilateral effusions with adjacent atelectasis and mild pulmonary edema has improved
<unk> year old woman with esrd d/t t<num>dm, afib, schf, with new diagnosis of colon cancer, with desaturation overnight // eval for edema, infiltrate, volume overloadplease do at <unk>
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the heart size remains mildly enlarged. the mediastinal and hilar contours are stable. pulmonary vasculature is normal. the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
shortness of breath, cough for <num> weeks, history of copd.
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the heart is normal in size. the mediastinal and hilar contours appear unchanged. the lungs appear clear. there are no pleural effusions or pneumothorax. there is no free air. mild degenerative changes are noted along the mid thoracic spine near the site of maximum mild-to-moderate rightward convex curvature.
right upper quadrant pain.
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midline sternotomy wires are noted, several fragmented as on prior. cardiomegaly is again noted with hilar congestion and mild pulmonary edema. right upper lobe rounded lesion is compatible with known malignancy. there is new subtle opacity in the right lower lung concerning for pneumonia. no large effusion. no pneumothorax. mediastinal contour is stable. bony structures are grossly intact.
<unk>f with sob, history of lung cancer // eval for pna, infiltrate
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patient is post right lower lobectomy with elevation of right hemidiaphragm. mild bibasilar opacities are consistent with atelectasis. there is no pneumothorax or pleural effusion. cardiomediastinal silhouette is unchanged. old healed fracture is noted in posterior right sixth rib.
<unk> year old man with hypoxemia // pre vq scan
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heart size is borderline enlarged. the aorta is tortuous. mediastinal and hilar contours are otherwise unremarkable. the pulmonary vasculature is not engorged. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is present. moderate degenerative changes are seen in the thoracic spine. surgical anchor is noted in the left humeral head.
history: <unk>f with chest pain // ? infectious process
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moderate cardiomegaly is present with left atrial prominence. mediastinal contour is unremarkable, and the pulmonary vasculature is not engorged. low lung volumes are present with minimal atelectasis in the lung bases, but no focal consolidation. no pleural effusion or pneumothorax is present. elevation of the right hemidiaphragm is of unknown chronicity. degenerative changes are noted involving both glenohumeral joints.
<unk> year old woman with afib presenting with cough, fatigue
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since <unk>, bilateral pleural effusions, moderate on the right and small on the left, are increased, mild pulmonary edema is unchanged, right hilar opacity is unchanged, and left retrocardiac opacities are not clearly seen on today's exam. lung volumes are low. the heart size is normal. no pneumothorax. mild tracheal deviation may be due to enlarged thyroid or vascular tortuosity.
<unk> year old woman with esrd and pna // ?pna progression, pulmonary edema
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there has been interval placement of an et tube with tip terminating in standard position approximately <num> cm above the carina. the cardiomediastinal and hilar contours remain stable with mild tortuosity of the descending aorta. there is no pleural effusion or pneumothorax. minimal atelectasis is present at the right lung base. no focal consolidation concerning for pneumonia is seen. pulmonary vasculature is unremarkable.
intubation.
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there are prominent interstitial markings at the lung bases bilaterally. this may represent developing infiltrate or possibly due to prior pulmonary fibrosis. the cardiomediastinal silhouette and hilar contours are normal. there is no pleural effusion or pneumothorax.
<unk>-year-old woman with shortness of breath. evaluate for chf.
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ap single view of the chest was obtained with patient in supine position. comparison is made with the next preceding similar study of <unk>. a previously identified right internal jugular approach central venous line remains in unchanged position. the patient was previously in semi-upright position, is now examined in supine position. no significant interval change with regard to pulmonary infiltrates can be identified.
<unk>-year-old male patient with fatigue, evaluate for pneumonia.
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upright frontal and lateral chest radiographs demonstrate hyperinflated lungs, without focal consolidation, pleural effusion or pneumothorax. the cardiac silhouette remains normal in size, the mediastinal contours are notable only for tortuosity of the thoracic aorta.
<unk>-year-old female with history of copd and asthma who presents with one week of productive cough, wheezing, and dyspnea, evaluate for pneumonia.
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. surgical clips in the right upper quadrant suggest prior cholecystectomy.
<unk>f with persistent cough // eval for pna
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no focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with tachycardia, cp // eval for cardiomegaly
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there is no focal consolidation, effusion, or pneumothorax. heart size is top normal. the mediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. biapical pleural thickening is noted. degenerative changes are seen in the spine.
history: <unk>f with rib pain // r/o rib fx
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the lungs are well inflated bilaterally. there are no areas of focal consolidation, masses, lesions, pleural effusion or pneumothorax. the cardiomediastinal silhouette is within normal limits. the pleural surfaces are unremarkable.
<unk>-year-old male with cll and hepatitis b now presents with cough x nine days.
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pa and lateral views of the chest. the lungs are clear. there is no effusion, consolidation, or pneumothorax. cardiomediastinal silhouette is within normal limits. no acute osseous abnormality detected.
<unk>-year-old male with left-sided chest pain.
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compared to the prior study, there are worsened areas of opacification in the bilateral lower lobes, which may represent infection, given the patient's clinical history. no pleural effusions or pneumothorax. nodular opacities in the bilateral upper lungs are again noted, similar in appearance in the left upper lung since the chest ct of <unk>. the nodular opacity in the right upper lung may reflect scarring. unchanged old healed right posterior rib fractures.
<unk>f with cough, dyspnea, hypoxia. history of abpa. evaluate for pneumonia.
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there is a small left pleural effusion. there is no focal consolidation, pulmonary edema or pneumothorax. the cardiomediastinal silhouette is normal.
<unk> year old male with alcoholic cirrhosis, right upper quadrant pain.
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lung volumes are diffusely low. chronic interstitial abnormality is noted diffusely, with increased haziness in the lungs bilaterally which could be due to atelectasis and low lung volumes, but slight worsening of the patient's known chronic interstitial lung disease is not excluded. no focal consolidation, pleural effusion or pneumothorax is clearly identified. moderate enlargement of the cardiac silhouette persists. the mediastinal and hilar contours are similar. wedge deformity of a vertebral body at the thoracolumbar junction is unchanged.
history: <unk>m with atrial fibrillation on coumadin status post fall, altered mental status
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patient is status post left pneumonectomy with complete opacification of the left hemi thorax and leftward shift of mediastinal structures. heart size is difficult to assess as a result of the mediastinal shift and complete left hemithorax opacification. right lung is hyperinflated but clear. no pulmonary edema, focal consolidation or pneumothorax is identified. no acutely displaced fractures are present.
history: <unk>f with history of lung cancer status post surgery, here for weakness and shortness of breath on exertion // evaluate for pneumonia, effusion, mass
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there is no evidence of focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. the cardiomediastinal silhouette is within normal limits. there is kyphosis of the thoracic spine with wedging of several mid thoracic vertebral bodies. there is osteopenia.
history: <unk>f with left lung crackles // eval for infiltrate
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port-a-cath is unchanged in position with its tip in the region of the mid svc. scattered airspace opacities most pronounced in the left mid to lower lung are new from prior and concerning for pneumonia. no large effusion or pneumothorax. cardiomediastinal silhouette is unchanged. bony structures are intact.
<unk>-year-old female with shortness of breath. assess for pneumonia.
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no pulmonary edema is seen.
history: <unk>f with chest pain x <num> days*** warning *** multiple patients with same last name! // ?pulm edema, cardiomegaly
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severe cardiomegaly with tortuous thoracic aorta is unchanged from prior examination. hilar contours are unremarkable. a left-sided dual-lead pacer remains in unchanged position. the lungs are clear. there is no pleural effusion or pneumothorax.
agitation.
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moderate cardiomegaly is a stable. pulmonary edema has almost completely resolved. small bilateral effusions larger on the left side have decreased in size. marked improved aeration of lower lobes. there is no pneumothorax. biapical asymmetric right greater than left pleuro parenchymal scarring is noted
<unk> year old woman with htn, hld, hospitalized for hypertensive emergency with flash pulmonary edema now s/p diuresis, continues to be wheezy // ?pna
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sternotomy wires are intact and aligned. mild pulmonary edema with moderate bilateral pleural effusions have slightly decreased on the right following chest tube drainage. there is no pneumothorax. the heart and mediastinum cannot be accurately assessed on this projection.
<unk> year old man with pleural effusion s/p chest tube // eval for ptx
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pa and lateral views of the chest. no prior. the lungs are clear. there is no effusion. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable.
<unk>-year-old female with fever and right groin pain.
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cardiomediastinal contours are stable. interval improved aeration at the lung bases with near resolution of a left retrocardiac opacity. small left pleural effusion has nearly resolved. post vertebroplasty changes are again demonstrated in the spine.
<unk> year old man h/o chf with crackles left base. cough, congestion // ? pneumonia ? chf
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et tube is <num> cm above the carina. the ng tube is in the stomach. a right ij line tip at the cavoatrial junction is again visualized. there is moderate cardiomegaly. there is mild pulmonary vascular redistribution and bilateral effusions and lower lobe volume loss similar compared to prior.
ett placement.
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lung volumes are low. there is dense consolidation of the right lung base, which may represent pneumonia if the patient has infectious symptoms. however, a lung malignancy could have a similar radiographic appearance, and correlation with clinical symptoms is advised. remainder of the lungs are clear. there is at least a small pleural effusion on the right. no pneumothorax. heart size is enlarged.
<unk> year old woman // right sided thoracic pain, r/o pneumonia, thanks you