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the lungs are clear. the heart size is normal. the mediastinal contours are normal. there are no pleural effusions. no pneumothorax is seen.
chest pain. evaluate for infiltrate.
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right-sided port-a-cath tip terminates in the mid/lower svc. heart size is normal. mediastinal and hilar contours are within normal limits. pulmonary vasculature is normal. there is minimal atelectasis in the left lung base. no focal consolidation, pleural effusion or pneumothorax is present. lytic lesions within the right-sided ribs are unchanged.
history: <unk>m with fever of unknown origin, lymphoma
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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. bony structures are unremarkable.
syncope and abnormal ekg.
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allowing for the ap technique, cardiomediastinal silhouette is within normal limits. redemonstrated are bilateral interstitial opacities with lower lobe predominance that are grossly unchanged compared to the prior radiograph, thought to represent nsip on the most recent ct. there is no consolidation or pleural effusion. no pneumothorax.
<unk>f with cough
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there is slight improvement in the left lower lobe retrocardiac opacity with residual opacity and cystic lucencies persisting. there is no new focal consolidation. no pleural effusion or pneumothorax is present. the cardiomediastinal silhouette is unchanged. there is no evidence of pulmonary vascular congestion.
thrombocytosis and abnormal findings on cta chest from <unk>. evaluate for acute change, evaluate 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 stable and unremarkable. no pulmonary edema is seen. no acute fracture is seen. there is stable appearance of the left <unk> and <num>th ribs, stable since at least <unk>.
chest pain.
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.
history: <unk>m with dizziness // pna?
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the lungs remain well inflated. there is no consolidation, effusion or pneumothorax. blunting of the right costophrenic angle is unchanged. multiple healed rib fractures are also stable. there are no new contour abnormalities of the heart or mediastinum.
<unk>-year-old man status post bronchoscopy and endobronchial ultrasound.
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lung volumes of substantially improved since the prior exam. the lungs are well-expanded and clear. no focal consolidation, edema, effusion, or pneumothorax. the heart remains moderately enlarged. the mediastinum is not widened. hilar contours are within normal limits. no acute osseous abnormality. surgical clips projecting over the upper abdomen.
<unk>-year-old woman with chest pain. evaluate for consolidation.
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there has been interval decrease in right-sided pleural effusion which is now minimal. no evidence of pneumothorax is seen. the appearance of the right apex is stable, better assessed on recent prior pet-ct. again, the patient is status post median sternotomy.
<unk> year old man with r pleural effusion s/p r thoracentesis // ptx
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mediastinal widening on <unk> was due to mediastinal venous engorgement, rather than hemorrhage. it has subsequently improved. in addition, there is less in the way of posterior pulmonary consolidation which was either atelectasis or hemorrhage. there has been no increase in any pulmonary bleeding. et tube is in standard placement. upper enteric drainage tube passes in the stomach and out of view. mild cardiac enlargement is stable. there is no substantial pleural fluid. detection of subtle chest wall trauma is better determined by ct scanning.
<unk>-year-old man had a <unk>-foot fall. evaluate pulmonary contusion.
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moderate cardiomegaly has increased in size compared to the prior exam from <unk>, and may be secondary to pericardial effusion. there is moderate pulmonary vascular congestion with mild-to-moderate pulmonary edema. no focal consolidations concerning for pneumonia are identified. there is no pleural effusion or pneumothorax. the visualized osseous structures are unremarkable.
history of chest pain. please evaluate for acute process.
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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 // r/o acute process
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heart size is top normal. mediastinal and hilar contours are unremarkable. the pulmonary vasculature is normal. streaky opacity in the left lung base may reflect atelectasis. subsegmental atelectasis is also noted in the right lung base. no focal consolidation, pleural effusion or pneumothorax is seen. no acute osseous abnormalities identified. multiple clips are seen within the right axilla compatible prior lymph node dissection.
history: <unk>f with severe abdominal pain, vomiting x <num> hours.
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pa and lateral chest radiographs again demonstrate severe hyperinflation and diffuse bronchiectasis. there is no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is stable.
increased cough and history of right middle lobe bronchiectasis and recurrent pneumonia.
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endotracheal tube tip is low lying and terminates approximately <num> cm from the carina. a nasogastric tube tip appears to be within the stomach. a catheter likely reflecting a chest tube is seen entering via a right basilar approach, with tip terminating adjacent to the right hilum. lung volumes are low. the heart size is normal. the aorta remains tortuous and diffusely calcified. there is no pulmonary vascular congestion. previously noted small right pleural effusion appears slightly decreased in the interval. the right costophrenic angle however is excluded from the field of view. blunting of left costophrenic angle is unchanged compared to the prior study, and is likely reflective of a small left pleural effusion. retrocardiac opacification appears progressed when compared to the prior study, and could reflect infection, atelectasis, or aspiration. expansile metastatic lesion involving the left <unk> and <num>rd ribs with osseous destruction is again noted as well as a metastatic lesion involving the right <num>th rib. there is no definite pneumothorax.
history of pleural effusion.
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a single portable ap upright view of the chest was obtained. heart is normal size, and cardiomediastinal contour is notable for dense calcifications in the aortic arch. lungs are hyperinflated. there is parenchymal scarring without focal consolidation, pleural effusion, or pneumothorax. pulmonary vasculature is within normal limits.
<unk>-year-old woman with shortness of breath.
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pa and lateral views of the chest. again seen are bilateral calcified pleural plaques. this somewhat obscures regions of the underlying parenchyma, that said there is no definite consolidation. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities detected.
<unk>-year-old male with cough on chemotherapy.
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there has been interval removal of chest tubes with no observed pneumothorax. right ij catheter sheath is seen in unchanged position terminating within the upper svc. there has been interval increase in the amount of bilateral pleural effusion, pulmonary edema, and basilar atelectasis with no observed change in the cardiomediastinal silhouette. there are no areas of focal consolidation concerning for infection. pleural surfaces are unremarkable.
<unk>-year-old male status post chest tube removal.
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heart is top normal size. widening of the mediastinum is consistent with mediastinal and hilar lymphadenopathy as seen on ct scan. lung volumes are low with atelectasis seen in both bases. there is an opacity projecting over the mid right lung likely corresponding to the site of intervention possibly reflecting hemorrhage in that region. neighboring hilar region also appears to have increased in size, likely secondary to the same process. left lung is clear. no significant pleural effusions, and no pneumothorax.
<unk>-year-old man with mediastinal and hilar adenopathy, status post transbronchial biopsy on the right, rule out pneumothorax.
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the lungs are mildly hyperinflated compatible with emphysema. there are persistent multifocal airspace opacifications involving the left upper and both lower lobes as well as the lingula. compared to the radiograph obtained a day ago, there is no significant change. cardiomediastinal silhouette is normal. small left pleural effusion. no pneumothorax. enteric tube traverses below the diaphragm, tip not visualized. ekg leads overlie the chest wall. there is diffuse demineralization. there has been interval removal of the left sided central venous catheter.
<unk> year old man with pneumonia s/p extubation. // ?interval change
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left-sided pacemaker device is noted with leads terminating in the right atrium and right ventricle. the heart size is mildly enlarged. the mediastinal contours are unremarkable. patchy ill-defined opacities are noted within the upper lobes, right more so than left, which are nonspecific but may reflect areas of infection. mild perihilar haziness as well as small bilateral pleural effusions is compatible with mild pulmonary vascular engorgement. no pneumothorax is seen. there are no acute osseous abnormalities.
shortness of breath.
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the cardiomediastinal and hilar contours are normal. previously noted hilar fullness in the radiograph of <unk> is no longer visualized. right basilar opacities and pulmonary edema have improved. a moderate-sized left pleural effusion with compressive left basilar atelectasis has slightly worsened since the prior study. there is improved pulmonary edema.
<unk>-year-old man with hilar adenopathy seen in the prior film, to assess interval change.
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bibasilar streaky atelectasis is noted. the upper lung fields are well-aerated. there is no large pleural effusion or pneumothorax. the heart is moderately enlarged. aortic calcifications are noted. the cardiomediastinal silhouette is otherwise within normal limits.
history: <unk>f with fall, face pain // evaluate for pneumonia, trauma
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there is no focal consolidation, pleural effusion, or pneumothorax. the heart size is normal. the cardiac, hilar, and mediastinal contours are within normal limits. surgical clips are noted in the right upper quadrant of the abdomen.
cough, chills, and back pain.
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pa and lateral chest radiographs were obtained. the lungs are well inflated. linear retrocardiac density most likely represents atelectasis. no focal consolidation, nodule, effusion, or pneumothorax is present. the heart and mediastinal contours are normal.
<unk>-year-old male with hypertension and low-grade temperature, evaluate for acute process.
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cardiac silhouette size is top normal in size. mediastinal and hilar contours are within normal limits. pulmonary vasculature is normal. no focal consolidation, pleural effusion or pneumothorax is identified. no acute osseous abnormalities detected.
history: <unk>f with fever to <num> and cough
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frontal and lateral radiographs of the chest demonstrate normal heart size. the cardiomediastinal silhouette and hilar contours are normal. clear lungs. no pleural effusion or pneumothorax.
hematemesis. evaluate for <unk>-<unk> tear or acute cardiopulmonary disease
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a single portable chest radiograph was obtained. the lungs are well expanded and clear. there is no focal consolidation, effusion, or pneumothorax. moderate cardiomegaly is accentuated by portable technique.
seizure.
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the lungs are clear. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>f with back pain, sob since recent flight // eval for ptx
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patient is status post median sternotomy and cabg. cardiac silhouette size remains moderately enlarged but unchanged. the aorta remains tortuous. pulmonary vasculature is mildly engorged. linear and patchy bibasilar opacities likely reflect areas of atelectasis. small left pleural effusion appears relatively unchanged compared to the previous study. no pneumothorax is identified. there are no acute osseous abnormalities. degenerative changes are seen within the thoracic spine.
history: <unk>m with weakness, fatigue
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the patient has been extubated and a left subclavian central venous catheter and oropharyngeal tube have been removed. the patient is status post incompletely characterized lower anterior cervical fusion. the heart is again mild-to-moderately enlarged. similar to prior findings, there is a small-to-moderate right-sided pleural effusion with associated opacification, probably due to atelectasis without substantial change. particularly well visualized on lateral view is patchy parenchymal opacification in the vicinity probably due to atelectasis.
confusion.
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moderate cardiomegaly is stable. pacer lead tip is in the right ventricle. right central catheter tip is in the lower svc. there is no pneumothorax. left lower lobe opacity is a combination of small effusion and adjacent atelectasis. mild vascular congestion is new
mr. <unk> is a <unk>-year-old man with history of dmii, ckd, atrial fibrillation, cad s/p cabg, schf (ef <unk>%), dvt s/p ivc filter placement, and pvd who presented with worsening left foot gangrene and right heel infection, now s/p surgical and debridement and antibiotics, now with acute on chronic kidney injury found to be somnelent this am // ?acute intrapulmonary process
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evaluation is limited by patient's body habitus. the cardiomediastinal and hilar contours are stable. there is no definite pulmonary vascular congestion. there is no pneumothorax or definite pleural effusion. a prominent pericardial fat pad is present.
worsening dyspnea on exertion. rule out presence of pulmonary edema.
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right basal atelectasis with volume loss and elevated right hemidiaphragm. the cardiomediastinal silhouette, hilar, and pleural surfaces are normal. there is no pneumothorax nor effusions seen. there are no acute bony abnormalities. median sternotomy wires are intact and aligned. mediastinal surgical clips are seen.
<unk> year old man with sob // r/o acute cp process
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the heart is moderately enlarged, and is slightly larger compared to prior. there is low lung volumes with volume loss at the bases. however the amount of opacity at the bases is worrisome for infiltrates there is mild pulmonary vascular redistribution
<unk> year old woman s/p lap ccy pod<num> w leukocytosis and mild confusion // r/o pna
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left upper lobe opacity has improved consistent with continued improving pneumonia. there are no new lung abnormalities. minimal atelectasis in the left base have improved. there is no pneumothorax or pleural effusion. cardiomediastinal contours are unchanged
<unk> year old man with hypotension // any evidence of pneumonia?
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heart size is borderline. 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. calcifications are seen of the aortic knob.
history: <unk>f with chest pain // eval chest pain
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redemonstrated is a right-sided port-a-cath with the tip terminating in the mid svc. as compared to the prior examination, lung volumes have decreased and there is crowding of the bronchovascular structures. bilateral hilar opacities are unchanged, correlating with radiation fibrosis as seen on recent chest ct. there is no new lobar consolidation, pleural effusion, pneumothorax, or pulmonary edema. mild cardiomegaly is unchanged.
<unk> year old woman with dyspnea // dyspnea
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. no focal consolidation, pleural effusion, or pneumothorax.
<unk> year old woman with fever post op tkr
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the lungs are clear. there is no effusion, consolidation, or edema. cardiomediastinal silhouette is within normal limits. tortuosity of the thoracic aorta is noted. there is compression deformity of a lower thoracic/ upper lumbar vertebral body age indeterminate but chronic in appearance.
<unk>f with recent thyroidectomy p/w right sided paresthesias // eval for ich, pneumonia
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the cardiac silhouette is mildly enlarged. lung volumes are low. the pulmonary vasculature is unremarkable. there is no pleural effusion or pneumothorax. a possible retrocardiac opacity is noted, which in the appropriate clinical context, may represent pneumonia.
history: <unk>m with weakness // eval for consolidation
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the heart appears borderline in size. the aorta is mildly tortuous. the lungs appear clear. there are no pleural effusions or pneumothorax. surgical clips project over the left axilla.
preoperative. large deep vein thrombosis.
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the new right internal jugular central venous line tip projets over the lower svc. the endotracheal tube tip is positioned a <num> cm above the carina and should be advanced approximately <num> cm. the enteric tube tip projects over the upper thorax. right basilar and right upper lung consolidations are again seen. large circumscribed the elongated opacification overlying the left upper lung may be due to an underlying mass or aortic abnormality. the lungs are clear without focal consolidation, pleural effusion, or pneumothorax.
<unk>m with cvl in r ij. evaluate line placement.
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frontal and lateral radiographs of the chest demonstrate well-expanded lungs. again seen is a focal opacity at the right lower lobe, which represents a combination of a moderate-sized pleural effusion and adjacent atelectasis, and is slightly improved from the prior study dated <unk>. there is persistent atelectasis of the right middle lobe, which is seen as far back as <unk>. the aorta is tortuous. there is a small left-sided pleural effusion. the cardiomediastinal and hilar contours are unchanged.
<unk>-year-old female with nephrotic syndrome and anasarca with decreased breath sounds at right base. evaluate for interval change.
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ap portable upright view of the chest. left chest wall tripolar pacer is again seen with leads extending into the region the right atrium, right ventricle and coronaries sinus. there is a right chest wall port-a-cath with catheter tip in the region of the mid svc. surgical anchors project over the right humeral head. cervical fusion hardware partially visualized projecting over the lower neck. the lungs appear grossly clear. no large effusion or pneumothorax. cardiomediastinal silhouette is unchanged. no acute osseous abnormality.
<unk>m with chest pain, sob // eval for infiltrates
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ap portable upright view of the chest. lung volumes are markedly low limiting evaluation. there is chronic elevation of the right hemidiaphragm. left mid to lower lung opacity could reflect the presence of pneumonia or aspiration. there is pulmonary vascular congestion with at least mild pulmonary edema. pleural effusions are likely present. heart size cannot be assessed. no pneumothorax. bony structures appear grossly intact.
<unk>f with fluid overload
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the lungs are clear without focal consolidation, effusion or pneumothorax. the cardiomediastinal silhouette is normal. there is no evidence of congestive heart failure. dish is seen along the thoracic spine, unchanged from prior exam.
abdominal pain, evaluate for infiltrate.
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patient is status post coronary artery bypass graft surgery. the cardiac, mediastinal and hilar contours appear stable. projecting over the lateral mid to lower right lung is a focal opacity suggesting pneumonia. a separate smaller focus projects over the right upper lung. lateral view shows opacities localizing at least largely largely to the right middle lobe. there is no pleural effusion or pneumothorax.
multifocal hepatocellular carcinoma status post tace and rfa therapies presenting with cough.
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the lungs are clear without consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. no acute osseous abnormalities identified.
<unk>m with chest pain // ? pna
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pulmonary vasculature and aorta are within normal limits. mild cardiomegaly is unchanged. there is no consolidation or pleural effusion. there is no pneumothorax. osseous structures are unremarkable.
<unk> year old woman with persistent fatigue post viral uri. eval for pna // <unk> year old woman with persistent fatigue post viral uri. eval for pna <unk> year old woman with persistent fatigue post viral uri. e
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frontal and lateral views of the chest. when compared to yesterday's exam, there has been interval progression of the right lung base consolidation which is now more confluent. there is also patchy opacity at the left lung base as well. increased interstitial markings are seen throughout the lungs. the cardiomediastinal silhouette is unchanged. no acute osseous abnormality is identified. lower lumbar posterior fixation hardware is only partially visualized.
<unk>-year-old female with fevers and cough.
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lungs are fully expanded and clear. there is no focal consolidation, effusion, or pneumothorax. cardiomediastinal and hilar silhouettes and pleural surfaces are normal.
<unk> year old woman with cough, sob x <unk> mos // r/o pna
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portable ap chest radiograph. the ett terminates least <num> cm above the carina. the ng tube tip and sidehole are below the diaphragm. the lungs are clear and there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.
seizure and intubation. evaluation of line position.
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left-sided port-a-cath again seen, terminating in the low svc a/cavoatrial junction. the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.
history: <unk>m with pa cancer, sob // acute pulm process
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areas of patchy opacity are seen projecting over the right mid to lower lung, concerning for pneumonia. more subtle left basilar opacity is also seen. there is no pleural effusion or pneumothorax. the cardiac silhouette is top-normal. the aorta is calcified and tortuous.
history: <unk>m with cough and fever // eval for pneumonia
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. there are no pleural effusions or pneumothorax. bony structures are unremarkable.
epigastric pain and chest discomfort radiating to the right shoulder.
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right apical pneumothorax is seen with no sign of tension. right chest tube is unchanged in position from previous radiograph. the lung volumes are decreased in size with bilateral atelectatic changes, unable to rule out right middle lobe collapse. the cardiac silhouette is increased in size likely secondary to poor inspiration. since the prior radiograph, the et tube and nasogastric line has been removed. left-sided picc line with tip is unchanged in position in the midline.
<unk>-year-old male with respiratory failure, extubated. evaluate interval change.
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. the lungs are hyperinflated suggesting emphysema. no pleural effusion or pneumothorax is seen.
<unk>m with sob // sob
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an et tube is present, tip lying approximately <num> cm above the carina. an ng tube is present, tip extending beneath diaphragm, off film. a right-sided chest tube is present. compared with <num> day earlier, hazy opacity at the right base is unchanged and likely represents a combination of pleural fluid and collapse/consolidation. patchy opacity at the left base is slightly improved. the cardiomediastinal silhouette is grossly unchanged. no pneumothorax is detected. known rib fractures are not not well depicted radiographically, may correspond to slight irregularity of the right posterior ninth rib left glenohumeral joint osteoarthritis again noted, incompletely evaluated.
<unk> year old man with right hemothorax // assess hemothorax and ct placement
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the cardiomediastinal and hilar contours are stable with moderate cardiomegaly. there is no pleural effusion or pneumothorax. bibasilar interstitial changes are stable. there is no focal consolidation concerning for pneumonia.
cough for <num> hours.
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frontal and lateral views of the chest were obtained. the heart is of normal size with normal cardiomediastinal contours. lungs are clear without focal or diffuse abnormality. the pulmonary vasculature is unremarkable. no pleural effusion or pneumothorax. osseous structures are unremarkable. no radiopaque foreign bodies.
<unk>-year-old female with substernal chest pain. rule out infiltrate.
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an ng tube is seen transversing past the diaphragm, but the tip is not within the field of view. a right-sided port-a-cath is present with the tip terminating in the low svc. the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. there is mild hyperexpansion of the lungs which is unchanges from the prior exam. the cardiomediastinal silhouette is normal.
nausea, vomiting. evaluate ng tube.
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the lungs are hyperinflated with flattening of the hemidiaphragms, most consistent with emphysema. basilar linear opacities are not significantly changed from the prior exam, likely representing chronic atelectasis. there is no new consolidation, pulmonary edema, pleural effusion, or pneumothorax. there is pleural thickening at the bases and apices. the cardiomediastinal silhouette is unchanged. again, the aorta is tortuous and diffusely calcified. the heart is minimally enlarged.
shortness of breath and dyspnea on exertion for one week.
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the lungs are well inflated. interstitial opacities are in the peripheral right lower lung are not clearly localized on the lateral projection. no focal consolidation, effusion, or pneumothorax is present. cardiac and mediastinal contours are normal. there is minimal blunting of bilateral costophrenic angles.
<unk>-year-old woman with connective tissue disorder, rule out interstitial lung disease.
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et tube terminates <num> mm above the carina. right subclavian central venous catheter terminates in mid svc. lung volumes remain low. there is moderate right pleural effusion and small to moderate left pleural effusion, similar as before. left lower lobe collapse is new since <unk> and worse compared to <unk>. right lower lobe collapse is stable. there is no new consolidation. there is no pneumothorax. cardiac silhouette is exaggerated by low lung volumes.
<unk> year old man with massive upper gi bleed now intubated // assess for interval change
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.
history: <unk>f with persisent respiratory symptoms, recent influenza a // eval for infiltrate or change
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lung volumes are low. mild cardiomegaly is re- demonstrated. the mediastinal and hilar contours appear unchanged. pulmonary vasculature is not engorged. streaky opacities in the lung bases are compatible with areas of atelectasis. no focal consolidation, large pleural effusion or pneumothorax is identified, however the left costophrenic angle is excluded from the field of view. a tips catheter is seen within the right upper abdomen as well as biliary stents. embolization material is seen within the left upper abdomen. no acute osseous abnormalities are detected.
history: <unk>m with hiv, cirrhosis, cad s/p <num> mi now w/ sscp, ekg changes // eval ? edema, cardiomegaly, infiltrate
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the cardiac, mediastinal and hilar contours are normal. the lungs are clear. pulmonary vascularity is normal. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
history of tobacco use with cough and yellow sputum.
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compared to the prior study there is no significant interval change.
<unk> year old man with cirrhosis, new o<num> requirement // eval for aspiration event, pulm edema
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the heart appears borderline in size. the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. lungs appear clear.
shortness of breath.
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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 hypertension who presents with acute chest pain
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right-sided port-a-cath terminates in the right atrium without evidence of pneumothorax. mild basilar atelectasis is seen without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac silhouette is top-normal to mildly enlarged. mediastinal contours are unremarkable. no pulmonary edema is seen.
history: <unk>m with gall bladder cancer, fever <num> w/ shortness of breath. no cough. // pneumonia
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pa and lateral views of the chest provided. right upper extremity picc line is new in the interval with its tip in the mid svc region. right shoulder arthroplasty is again noted. the lungs are clear. cardiomediastinal silhouette is stable with an unfolded thoracic aorta. no acute osseous abnormality.
<unk>m with chest pain // eval for pneumonia
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right upper lobe lesion is seen again and unchanged. no consolidation, pleural effusion or pulmonary edema is seen, and the cardiac and mediastinal contours are normal. right chest tube ends in the medial mid lung, unchanged in position. no pneumothorax or pneumomediastinum is seen following procedure. asymmetrical left lower basal opacity is seen.
<unk>-year-old woman status post mediastinoscopy, evaluate for postop change.
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left-sided aicd/ pacemaker device is noted with leads terminating in the region of the right atrium and right right ventricle, unchanged. mild to moderate cardiomegaly is re- demonstrated. there is moderate pulmonary edema, not substantially changed in the interval. the mediastinal contours are similar. no focal consolidation, pleural effusion or pneumothorax is visualized. no acute osseous abnormality is identified.
<unk> year old man with shortness of breath
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left-sided dual-chamber pacemaker device is noted with leads terminating in the right atrium and right ventricle. cardiac silhouette size is mildly unchanged. the aorta remains tortuous. mediastinal and hilar contours are similar. there is mild pulmonary vascular congestion. patchy opacities in the lung bases may reflect areas of atelectasis with minimal blunting of the left costophrenic angle on the lateral view suggestive of a trace pleural effusion. no pneumothorax is present. deformity of the right fourth rib posteriorly is unchanged and may reflect a remote fracture.
history: <unk>f with episode agitation
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the heart is normal in size. there is prominence of the right hilus, stable from <unk>. there is no pneumothorax or pleural effusion. increased retrocardiac opacity, best appreciated on the lateral view is concerning for a focal area of infection.
history: <unk>f p/w diffuse body aches after cruise, fevers, nasal congestion // eval for infection
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frontal and <num> lateral chest radiographs were obtained. right basilar atelectasis is minimal. right basilar scarring is similar. cardiomegaly is unchanged. there is no consolidation effusion or pneumothorax.
left chest pain.
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no pulmonary edema is seen.
history: <unk>m with a-fib and chest congestion yesterday. in rvr. r/o infection*** warning *** multiple patients with same last name! // ?pneumonia
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dual lead left-sided pacer device is stable in position. the cardiac silhouette remains enlarged. there is mild to moderate pulmonary edema. bilateral pleural effusions are likely present. no pneumothorax is seen. mediastinal contours are stable.
history: <unk>f with sob // eval for pulm edema
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compared to previous radiograph, there is no significant change. right picc line ends in the mid svc. tracheostomy tube ends <num> cm above the carina. ng tube extends into the stomach and out of view. lung volumes are low. there is no evidence of pleural effusion, or pneumonia. cardiomediastinal borders and hilar structures are normal.
<unk> year old woman with right mca infarct, now s/p trach on collar, persistently febrile. assess for pneumonia.
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frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. the lungs are clear. there is no pneumothorax, vascular congestion, or pleural effusion.
<unk>-year-old male with chest pain. question acute process.
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heart size, mediastinal, and hilar contours are unremarkable. lungs are clear without focal consolidation, pneumothorax, or pleural effusion. streaky opacities in the bilateral lung bases are due to atelectasis. rounded opacity in the posterior left lung base corresponds to a fat containing bochdalek's hernia, seen on the prior radiograph.
<unk>f with l chest wall pain. eval for pneumothorax, structural process.
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the apical pleural drain remains in place, slightly different in configuration. a very tiny left apical pneumothorax is likely present. no gross left-sided effusion. minimal subcutaneous emphysema and <num> surgical clips again noted along the lower left chest. inspiratory volumes are slightly lower, with atelectasis now seen at right-greater-than-left bases. allowing for this, the cardiomediastinal silhouette is probably unchanged. no chf. no focal consolidation or gross effusion. again seen is the left subclavian indwelling catheter , with tip at distal most svc.
<unk> year old man pod<unk> s/p vats lul wedge resection // evaluate for interval change . review of prior imaging study yields a history of pancreatic cancer status post whipple.
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a newly placed endotracheal tube terminates at the level of the clavicles. a new og tube coils in the larynx but enters a large hiatal hernia. a right ij central venous catheter terminates in the low svc. lung volumes are low. left basilar airspace opacities are most likely due to atelectasis adjacent to the hiatal hernia. the followup radiograph performed shortly thereafter shows further advancement of the og tube into the intrathoracic stomach.
prostate ca s/p robotic prostatectomy now s/p repeat laparatomy for bleeding, still intubated and on neosynephrine for hypotension // ?acute change, et placement ; prostate ca s/p robotic prostatectomy now s/p repeat laparatomy for bleeding, still intubated now with og tube replacement // ogt placement
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ap single view of the chest has been obtained with patient in upright position. there is now status post thoracotomy with multiple c ircular surgical wires in the midline. heart size unchanged considering differences in technique in comparison with the previous pa and lateral examination <unk> <unk>. observed is a change in cardiac configuration resulting in a lesser prominence of the pulmonary artery segment on the frontal view. this can be explained by the thymoma extirpation has taken place. lungs remain normally ventilated. bilateral chest tubes are in place, advanced from below in the midline and reaching the lateral posterior pleural sinus, bilateral. no pleural effusion of any significant magnitude is present and no pneumothorax is identified in the apical area.
<unk>-year-old female patient status post median sternotomy, thymoma excision, evaluate for pneumothorax.
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et tube terminates approximately <num> cm above the carina. right-sided pic line terminates in the low svc. opacities at the lung bases bilaterally have increased compared to the prior exam. there is persistent mild pulmonary edema, overall unchanged compared to the prior exam. moderate cardiomegaly is stable compared to exams dated back to <unk>. there appears to be an increase in a small left pleural effusion. there is no evidence for pneumothorax. the visualized osseous structures are unremarkable.
history of pea arrest, status post intubation. please evaluate for interval change.
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there is stable mild elevation of the left hemidiaphragm. obscuration of the medial left hemidiaphragm is likely due to subsegmental atelectasis, which is unchanged from the prior exam. the remainder of the lungs are clear. there is no pneumothorax. the heart appears enlarged despite the projection. the regional bones are diffusely osteopenic.
<unk> year old woman with hx of copd and asthma s/p orif now with low o<num>sat // eval for hypoxia
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compared to the study from earlier the same day there is no significant interval change in the position of any of the support devices are tubes the lungs continue to have a diffuse alveolar infiltrate
<unk> year old man with s/p ecmo // eval cannulae position
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the cart silhouette is enlarged, and there is possible minimal pulmonary vascular congestion. there is no focal consolidation, pleural effusion or pneumothorax. minimal bibasilar atelectasis. there are surgical clips along the right upper abdomen.
<unk>-year-old female with peritoneal dialysis. the patient missed peritoneal dialysis for today. please assess for volume overload.
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. there is a retrocardiac opacity which obscures the left hemidiaphragm concerning for pneumonia. there is no evidence of pneumothorax. small left pleural effusion is noted. large <unk>.<num>-cm (craniocaudal) left-sided pleural based lateral opacity may represent a loculated pleural effusion.
history: <unk>m with fever and cough // pneumonia?
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pa and lateral views of the chest. again seen is opacification of the right hemithorax from prior right pneumonectomy. there is persistent shift of the mediastinum to the right with hyperexpansion of the left lung. the left lung is clear without evidence of focal consolidation, pleural effusion or pneumothorax.
shortness of breath.
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focal scarring and volume loss at right lung base is unchanged, consistent with sequela of previous surgery for lung cancer. no new opacity concerning for pneumonia is identified. there is right lateral costophrenic sulcus blunting, likely secondary to pleural thickening with possible small component of pleural fluid. cardiomediastinal and hilar silhouette are normal size.
r/o pna <unk> year old man with hx rt lung ca, resection, recnet pna <unk>, now with increased sputum, chills, sob. rhonchi, few crackles at left base, o/w fairly clear // r/o pna
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the lungs are well-aerated, and no focal consolidation, pleural effusion or pneumothorax is seen. there is no overt pulmonary edema. the cardiac silhouette is normal in size. the mediastinal and hilar contours are normal. mild degenerate changes are noted in the mid thoracic spine. there is irregularity along the left humerus greater tuberosity.
<unk>-year-old male with hiv status post fall onto his left side. evaluate for fracture.
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portable semi-upright radiograph of the chest demonstrates low lung volumes with resulting bronchovascular crowding. again seen is bibasilar atelectasis, left greater than right, which is not significantly changed from the prior study. the cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax. the left-sided picc line ends at the distal svc. the nasogastric tube is coiled in the stomach. there is persistent distension of multiple loops of bowel.
<unk>-year-old female with recent nasogastric tube advancement. evaluate for placement.
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the new endotracheal tube ends <num> cm from the carina. the right chest wall port-a-cath and the left ij central venous catheter end in the cavoatrial junction. when compared with the immediate prior study, the lung volumes are somewhat improved. there is a new moderate left pleural effusion. the left apical and right basilar opacities are unchanged and compatible with known metastatic disease. there is no focal consolidation, pneumothorax, or pulmonary edema. the heart is enlarged. incidental note is made of new spinal fusion rods and screws and midline <unk>.
<unk> year old woman s/p spine surgery, intubated // eval ett
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pa and lateral chest radiographs. diffuse interstitial opacities have increased since <unk>. consolidation at the lung bases may be partly due to atelectasis given low lung volumes. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is stable.
history of pulmonary alveolar hemorrhage, left ama <unk>.
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there is mild enlargement of cardiac silhouette which is unchanged. the mediastinal and hilar contours are stable. pulmonary vasculature is normal. patchy and linear opacities in the lung bases most likely reflect atelectasis. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
fever.
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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.
cough.