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frontal and lateral chest radiograph demonstrates low lung volumes lungs with bilateral lower lobe atelectasis and crowding of vasculature. no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable.
fever cough. assess for pneumonia.
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lungs are clear. there is no pleural effusion or pneumothorax. the heart is normal in size. normal cardiomediastinal silhouette.
persistent cough, assess for pneumonia.
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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. streaky opacity at the left lung base suggests minor atelectasis.
fever and cough. question pneumonia.
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the inspiratory lung volumes are decreased from the most recent prior study. no focal consolidation concerning for pneumonia, pleural effusion, or pneumothorax is detected. the pulmonary vasculature is not engorged. the cardiac silhouette is top normal in size but stable. the mediastinal and hilar contours are within normal limits. the trachea is midline.
cough and dyspnea with wheezing, here to evaluate for pneumonia.
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right central venous catheter seen with tip at the ra/svc junction. there is no pneumothorax. the cardiomediastinal silhouette is within normal limits. atherosclerotic calcifications noted at the aortic arch. no acute osseous abnormalities. no free intraperitoneal air.
<unk>m with epigastric pain // pna? chf?
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portable semi upright frontal view of the chest. cephalization of the pulmonary vasculature with no overt pulmonary edema appears relatively unchanged compared to the prior chest radiograph. bilateral lower lobes opacity likely represent atelectasis and due to overlying soft tissues. there is no pleural effusion or pneumothorax. no osseous abnormality is seen.
diastolic congestive heart failure of medication. now with shortness of breath and chest pain.
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lung volumes are low. there are bibasilar opacities likely due to atelectasis. no pneumothorax. heart size is top normal, unchanged from prior. multiple mediastinal clips and sternotomy wires from prior cabg. unchanged position of transvenous pacemaker.
<unk>f with alzheimer's s/p fall with right impacted femoralneck fracture. s/p crpp right hip, with new o<num> requirement // r/o pna
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
<unk>m with altered mental status, referral from infectious disease clinic with concern for neurosyphilis. evaluate for infiltrate
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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 similar study of <unk>. as before, there is status post sternotomy. heart size has not changed. a previously existing left-sided picc line has been removed. no pneumothorax is present in the apical area. left-sided blunting of lateral pleural sinus and moderate elevation of diaphragmatic contours exists as before. pleural scar formations in this area have increased in thickness, but there is no evidence of free fluid remaining, or any cavitation noted. no new pulmonary abnormalities. the right-sided pleural densities remain rather unchanged and the same holds for thickening of the interlobar fissure in its dorsal superior extension, simulating the appearance of an atelectasis. no new pulmonary parenchymal abnormalities are seen and the thickening of the pleural space in the right-sided apical area is stable. no evidence of pneumothorax.
<unk>-year-old male patient with left-sided empyema, status post left vats, intrapleural pneumolysis and decortication on <unk>. evaluate.
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lung volumes are low which accentuates the size of the cardiac silhouette which appears mildly enlarged. aorta is unfolded. the mediastinal and hilar contours are otherwise unremarkable. pulmonary vasculature is not engorged. attenuation of pulmonary vascular markings towards the apices suggests underlying emphysema. no focal consolidation, pleural effusion or pneumothorax is present. degenerative changes are present within both glenohumeral joints with marked narrowing of the right acromiohumeral interval suggestive of rotator cuff disease.
history: <unk>m with cough and confusion
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. there is eventration of the right hemidiaphragm. left-sided aicd is seen with leads extending to the expected positions of the right atrium and right ventricle. there also appear to be abandoned leads. no pulmonary edema is seen. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with influenza-like illness, fevers and cough. // r/o pna
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there is a new left ij line with tip in the superior vena cava. there bilateral alveolar infiltrates that have increased compared to that prior study. the right hemidiaphragm is mildly elevated. there is no pneumothorax.
new left ij.
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rotated positioning. portable semi-upright radiograph of the chest demonstrates interval placement of the endotracheal tube, with its tip terminating <num> cm above the carina. a transesophageal tube is also seen, the tip of which is not visible. the cardiac silhouette is unremarkable. there is no pleural effusion or pneumothorax. faint patchy opacity at the left-greater-than-right bases. no definite focal consolidation is identified.
history: <unk>m with intubation // ett placement
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worsening interstitial opacities are demonstrated likely reflecting superimposed mild pulmonary edema on a background of lymphangitic carcinomatosis. small right pleural effusion has increased in size compared to the previous exam, with the left small pleural effusion remaining unchanged. the cardiac, mediastinal and hilar contours are stable. there is no pneumothorax. more focal opacities within the lung bases bilaterally likely reflect known lung masses as seen on the prior ct from <unk>.
history of renal cancer, atrial fibrillation, recent pericardial window with shortness of breath.
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no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. there has been interval removal of a right-sided port-a-cath.
shortness of breath on exertion.
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biapical scarring is re- demonstrated, similar in appearance. no new focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are stable. hilar contours are stable.
history: <unk>m with shortness of breath and right sided crackles // eval for pneumonia
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ap portable upright view of the chest. cardiomegaly is again noted with diffuse ground-glass opacities within the lungs concerning for pulmonary edema. small bilateral pleural effusions are likely present. dual lead pacer is unchanged with leads extending to the region of the right atrium and right ventricle. a right shoulder arthroplasty is noted. degenerative changes are notable at the left shoulder.
<unk>f with weakness, fever // acute cardiopulm dsiease
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portable semi supine chest radiograph <unk> at <time> is submitted.
<unk> year old woman with respiratory distress // interval changes interval changes
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ap portable upright view of the chest. there is no focal consolidation, effusion, or pneumothorax. <num> discrete nodular opacities are seen projecting over the left mid lung adjacent to the left heart border likely representing prominent costochondral calcification. however, pulmonary nodules difficult to exclude. the cardiomediastinal silhouette is normal. imaged osseous structures are intact.
<unk> year old man with sob, cp
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right lower lobe opacity persists, although may be minimally less dense compared to the prior study. please note that radiographic resolution is not yet expected as the prior radiograph was performed only <num> days earlier. no new consolidation. there is no pulmonary edema, pleural effusion or pneumothorax. cardiomediastinal contours are normal. no acute osseous abnormalities.
history: <unk>m with persistent cough after previous pneumonia // rule out progression of pneumonia
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the lungs are clear without focal consolidation, effusion, or pneumothorax. calcific density projecting over the right upper lung may be related to first rib costochondral junction, unchanged from prior. cardiomediastinal silhouette is within normal limits. hypertrophic changes are noted in the spine. degenerative changes also noted at the ac joints.
<unk>m with unhelmeted bike vs mvc, l sided neck pain, r chest pain (<unk> ribs anterior axillary <unk>), r hip pain, s/p r total hip in <unk> // ? intracranial bleed, c-spine fx, rib fx, hip fx or hardware damage
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the heart size is normal. the hilar and mediastinal contours are normal. the lungs are clear without evidence of focal consolidations concerning for pneumonia. there is no pneumothorax or pleural effusion.
history of longstanding ms and four months progressive shortness of breath. please evaluate.
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a left-sided pacemaker is new with leads in the expected position of the right atrium and right ventricle. no focal consolidation, pleural effusion or pneumothorax is present. normal heart size, mediastinal and hilar contours. no evidence of pulmonary vascular congestion.
status post pacemaker placement.
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there is no consolidation, pleural effusion, or pneumothorax. cardiomediastinal and hilar silhouettes are normal size. lap band is in appropriate position in the left lower upper quadrant, unchanged compared to <unk>.
history: <unk>f with left sided abdominal pain and chest pain for <num> weeks. // ?changes related to bariatric surgery
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an endotracheal tube is in appropriate position with the tip terminating <num> mm above the carina. a left-sided picc line is unchanged in position with the tip projecting over the cavoatrial junction. a right internal jugular large-bore central catheter is unchanged in position with the tip terminating in the right atrium. an og tube is in appropriate position. bilateral pleural pigtail catheters are unchanged in position in the lower lobes. increased opacification in the left lower lobe could be a combination of left-sided pleural effusion with associated atelectasis or in the appropriate clinical setting, focal consolidation. a small right-sided pleural effusion is stable with persistent opacity in the peripheral right lower lobe most likely atelectasis. the patient is status post median sternotomy with an atrial valve prosthesis consistent with bentall procedure. the mediastinal contours are stable. the cardiac silhouette is severely enlarged with an apparent gradual increase in size from prior studies which is concerning for pericardial effusion.
<unk>-year-old female status post bentall and mitral valve vegetation removal, here to re-evaluate for pleural effusions.
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there is no confluent consolidation. degree of pulmonary vascular congestion and appears slightly worse. cardiac silhouette is enlarged but similar compared to prior. blunting of the posterior costophrenic angles suggests tiny bilateral pleural effusions. median sternotomy wires and mediastinal clips are again seen
<unk>f with anemia, dyspnea // r/o acute process
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in comparison to the prior study, lung volumes are slightly lower. cardiomediastinal silhouette is stable. there is no focal consolidation, large effusion, or pneumothorax. no pulmonary edema.
<unk> year old man s/p gastrectomy now with tachycardia // fluid overlaoad
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the lungs are well inflated and clear. no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable. a right porta cath tip is in the low svc. visualized osseous structures are notable for chronic healed left fifth and seventh rib fractures.
<unk> year old woman with mm and severe hiccups. assess for pneumonia.
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ap portable upright view of the chest. tracheostomy tube projects over the superior mediastinum. a right upper extremity access picc line terminates in the lower svc. patient is rotated to the left. there are small bilateral pleural effusions. there is left basal opacity as seen previously which may reflect atelectasis versus pneumonia. the upper lungs appear well aerated. cardiomediastinal silhouette is unchanged. no acute osseous abnormalities.
<unk>m with sob // eval chf vs pneumonia and picc line placement
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interval increase in right infrahilar opacity as well as retrocardiac opacity may reflect right lower lobe bronchopneumonia. bilateral lower lobe atelectasis is moderate. no pleural effusion. the heart is moderately enlarged, unchanged. there is central pulmonary vascular congestion. surgical clips project over the anterior abdomen on the lateral view.
history: <unk>m with pain, increased confusion. evaluate for pneumonia.
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the lungs are hyperexpanded consistent with chronic pulmonary disease. compared to the prior chest radiograph of <unk>, there is a new left lower lobe opacity. mild cardiomegaly and aortic calcifications persist. the right lung is clear. there is no pleural effusion or pneumothorax.
<unk> year old woman with cough and crackles and diminished bs b/l // eval for pna vs chf
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there is no consolidation, pleural effusion, or pneumothorax. cardiomediastinal and hilar silhouettes are normal size.
<unk> year old woman with chronic cough // r/o ca, infiltrate
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a single portable semi-erect chest radiograph was obtained. pulmonary aeration has decreased. moderate to large layering right pleural effusion has increased. loculated intra-abdominal air projects over the right lung base. central pulmonary vascular congestion is similar. cardiomegaly is unchanged. an endotracheal tube ends <num> cm above the carina. an enteric tube passes inferiorly below the film. a right subclavian catheter terminates at the cavoatrial junction.
<unk> year old man with trauma.
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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 palpitations // eval for ptx
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no radiopaque foreign body is seen within the esophagus and imaged portion of the stomach. the lungs are clear. the hilar and cardiomediastinal contours are normal. there is no pneumothorax. there is no pleural effusion. pulmonary vascularity is normal.
<unk>-year-old woman who reports swallowing a razor. evaluate for foreign body.
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heart size is normal. mediastinal and hilar contours are unremarkable. the pulmonary vascularity is normal the lungs are clear. no pleural effusion or focal consolidation is seen. there is no pneumothorax. no acute osseous abnormalities identified.
recent malaise, dyspnea and palpitations.
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portable upright chest radiograph <unk> at <time> is submitted.
<unk> year old woman with right pneumothorax, chest tube. // please assess for pneumo. please assess for pneumo.
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a portable frontal chest radiograph again demonstrates a lobulated mass in the inferior right perihilar region, which is unchanged. increased opacity in the lateral right mid lung is new and concerning for pneumonia. a retrocardiac opacity, likely atelectasis, is unchanged. multiple lung nodules seen on recent ct chest are not clearly seen on today's study. there is no pleural effusion or pneumothorax.
t-cell lymphoma, now with atll, with acute mental status change. evaluate for pneumonia.
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pa and lateral chest radiographs. no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal.
nausea, vomiting and lightheadedness.
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the lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. cardiac and mediastinal silhouettes are normal. no acute fractures are identified.
shortness of breath.
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the heart is of normal size with normal cardiomediastinal contours. the lungs are clear without focal or diffuse abnormality. no pleural effusion or pneumothorax. osseous structures are unremarkable without fracture visualized. no radiopaque foreign body.
motor vehicle collision. evaluate for fracture.
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heart size is normal. mediastinal and hilar contours are unremarkable. there is no pulmonary edema. minimal atelectasis is seen in the lung bases. no focal consolidation, pleural effusion or pneumothorax is identified. there are no acute osseous abnormalities. degenerative changes of the right acromioclavicular joint are noted with a well corticated ossific density superior to the joint seen.
weakness.
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there is an opacity overlying the right third anterior rib space, though difficult to localize.heart size is within normal limits.again seen is a mildly enlarged mediastinal contour, likely due to dilated ascending aorta which was previously seen on cta from <unk>, though stability is difficult to assess due to differences in technique. no a valvular calcifications are seen. there is no evidence for pulmonary edema, pulmonary consolidation, pleural effusion, or pneumothorax.
<unk> year old woman with dyspnea on exertion. evaluate for a pulmonary edema versus pneumonia.
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frontal and lateral radiographs of the chest demonstrate normal heart size. the cardiomediastinal silhouette and hilar contours are normal. the lungs are clear. no pleural effusion or pneumothorax.
seasonal allergies, question asthma presenting with productive cough and worsening dyspnea on exertion
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>m with constipation, unsteady gait, weakness // eval for pna; eval for obstruction
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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.
history: <unk>f with fatigue. // pna?
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compared to the study from <unk> ct, there is a focal opacity obscuring the left heart border which likely represents a pneumonia. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
<unk> year old woman with right lower lobe pneumonia diagnosed on <unk> at <unk> er. pt was tx'd with levofloxacin <num> mg x <num> days, but without any improvement in her sx. continues with cough, low grade fever, sob, wheezing, and fatigue. // eval
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an endotracheal tube terminates <num> mm above the carina. a right internal jugular catheter terminates in the mid svc as before. an enteric tube terminates within the stomach. a dense retrocardiac opacity persists which could reflect atelectasis or consolidation.
<unk> year old woman ngt placement // ngt placement
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pa and lateral chest radiographs demonstrate median sternotomy wires, the most superior appears to be broken. there is mild cardiomegaly without pulmonary vascular congestion, pleural effusion, or interstital edema. the lungs are clear. the cardiac contours are within normal limits.
end-stage renal disease. preoperative evaluation for transplant.
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severe cardiomegaly is stable. new large opacity in the right mid and lower lung is a combination of large effusion and atelectasis. new retrocardiac opacity is also due to atelectasis. there is no pneumothorax. sternal wires are aligned. patient is status post cabg. there is no pulmonary edema
<unk> year old man with chf, hypoxemia // eval for chf
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frontal and lateral views of the chest were obtained. the heart size and cardiomediastinal contours are normal. the lungs are hyperinflated with flattened diaphragms, suggestive of copd. no focal consolidation, pleural effusion, or pneumothorax. multilevel thoracic spine degenerative changes are present. no radiopaque foreign body.
<unk>-year-old female with palpitations.
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ap portable upright view of the chest. low lung volumes. overlying ekg leads are present. streaky lower lung and perihilar opacities may represent atelectasis. mild elevation of the right hemidiaphragm is unchanged. difficult to exclude a pneumonia in the lower lungs. the upper lungs are well aerated. no pneumothorax or large effusion. cardiomediastinal silhouette is unchanged. bony structures appear intact. there is an old right clavicular deformity.
<unk>m with difficult swallowing, cp w/ swallowing
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the cardiac silhouette size is normal. the aorta is mildly tortuous. the mediastinal and hilar contours otherwise are within normal limits. the pulmonary vascularity is normal. the lungs are clear. no pleural effusion or pneumothorax is present. no acute osseous abnormalities are present.
chest pain.
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interval progression of left basilar opacity, compatible with increased size of pleural effusion and progressive compressive atelectasis. a right pleural effusion is small, but also increased over the interval. a heterogeneous opacity is seen in the right base. the cardiac silhouette remains enlarged. no pneumothorax.
history: <unk>f with hypoxia, chest pain // evaluate for pulmonary edema
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the lungs are mildly hyperinflated, as seen previously. no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. linear density projecting over the right mid lung field appears unchanged and likely represents scarring or atelectasis in the right middle lobe. heart and mediastinal contours are within normal limits.
<unk>-year-old male with dyspnea.
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portable semi-upright radiograph of the chest demonstrates well expanded lungs with minimal bibasilar atelectasis, left greater than right. cardiomediastinal and hilar contours are unremarkable. tracheostomy tube ends <num> cm above the carina. a right-sided supraclavicular subclavian line ends at the mid svc. there is no pneumothorax or pleural effusion.
<unk>-year-old female in status epilepticus. evaluate for pneumonia.
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a tracheostomy tube is in place. a right-sided picc line terminates in the low svc. there is no pneumothorax. the cardiomediastinal silhouette is not enlarged. bilateral interstitial opacities are unchanged. small layering pleural effusions are also stable.
<unk> year old man with ? asp pna // ? new aspiration, infiltrate
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the cardiomediastinal and hilar contours are within normal limits. lungs are well expanded and clear. there is no focal consolidation, pleural effusion or pneumothorax.
history: <unk>f with cough // cough cough
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no evidence of a focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unchanged. left pectoral pacemaker with leads terminating in the right atrium and right ventricle are again noted. fracture of the inferior most sternotomy wire again noted.
<unk> year old man with lll pna // follow-up
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the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the heart is top normal in size with normal cardiomediastinal contours.
atrial flutter and left arm pain.
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frontal and lateral views of the chest are compared to previous exam from <unk>. the lungs remain clear of consolidation or effusion. cardiomediastinal silhouette is within normal limits. median sternotomy wires are again noted. osseous and soft tissue structures are unremarkable.
<unk>-year-old male with dyspnea.
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compared to the prior film, the opacity at the right lung base laterally has progressed slightly. otherwise, i doubt significant interval change. again seen is the ng tube extending beneath the diaphragm, off the film. also again seen is a left ij central line, tip over the right atrium, unchanged -- as before, consider retraction by approximately <num> cm to position at in the lower svc. suspect background copd. there is cardiomegaly with upper zone redistribution and mild diffuse vascular blurring, consistent with chf. no gross effusion. densities overlying the lower thoracic spine are consistent with prior kypho- or vertebroplasty.
<unk> year old woman with h/o copd breast ca, here with respiratory failure and ongoing hypoxia // infiltrate? edema?
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residual extravasated contrast seen posterior to the distal aspect of the esophageal stent. <num> right-sided chest drain in situ. <num> chest drain has been removed. the left hilar pneumothorax is slightly increased in size compared to prior. left lower lobe pathology persists. right-sided picc line in situ with the tip in the proximal right atrium. the right lung is clear.
<unk> year old woman with esoph leak post esopg divertic resection // check interval change post <num> ct removal
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heart size is normal. mediastinal and hilar contours are normal. lungs are clear and the pulmonary vascularity is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormality seen.
<num> week history of worsening cough.
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the known moderate empyema and right lung volume loss are unchanged. mild left pulmonary edema is unchanged. there is no pneumothorax. the feeding tube has been advanced into the stomach. the heart and mediastinum cannot be accurately assessed on this projection.
<unk> year old man with cirrhosis and empyema s/p chest tube placement; interval change in empyema
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patient is status post median sternotomy, cabg, and placement of several epicardial leads. left-sided aicd device is noted with single lead terminating in the right ventricle. dual lumen right subclavian central venous catheter tip terminates in the lower svc. heart size remains mild to moderately enlarged. mediastinal and hilar contours are unremarkable. there is mild pulmonary vascular congestion without overt pulmonary edema. small bilateral pleural effusions are unchanged from the previous radiograph. there is no focal consolidation or pneumothorax. minimal atelectasis is noted in the lung bases.
history: <unk>m with hypotension
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ap view of the chest provided. again seen is a small-moderate size left apical pneumothorax, not significantly changed since study from <num> hours ago. there is no mediastinal shift. similar atelectatic changes are seen in the left lung base. chest tube is in unchanged position.
<unk> year old man with spontaneous left pneumothorax, recurrence on clamp chest tube trial, evaluate for pneumothorax
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single portable view of the chest is compared to previous exam from <unk>. the lungs are clear of consolidation or large effusion. there is prominence of the interstitial markings within the infrahilar region on the left which have remained stable dating back to <unk> and may be due to scarring. cardiomediastinal silhouette is normal. osseous and soft tissue structures are unremarkable. tips is partially identified in the right upper quadrant.
<unk>-year-old male with hypotension and etoh abuse. question infection.
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evaluation is limited due to patient position. the lungs are clear of focal consolidation, pleural effusion or pneumothorax. the heart is normal in size. the upper mediastinum is wide with enlargement of the aortic knob also noted. there is no pulmonary edema.
<unk>-year-old male with chest pain. evaluate for pneumonia.
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portable for single frontal view of the chest with the patient in supine position. lung volumes are low. again seen is a large right pleural effusion with associated atelectasis. there is moderate cardiomegaly with bilateral pulmonary edema, unchanged from prior exam. there is no pneumothorax. a left picc line terminates in the cavoatrial junction.
patient with history of cirrhosis and ascites with chronic right pleural effusion. eval pleural effusion.
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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. there is no evidence for radiodense foreign body.
dysphagia. question foreign body.
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patient is status post median sternotomy and mitral valve replacement. right-sided pacemaker device with leads terminating in right atrium right ventricle are in unchanged positions. heart size remains mildly enlarged. mediastinal and hilar contours are normal. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormality is detected.
history: <unk>f with congenital heart disease status post repair, valve replacement and pacemaker placement presenting with chest pain
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mild pulmonary edema has improved since <unk>, but moderate cardiomegaly is stable. small pleural effusions are presumed. mediastinal and hilar contours are normal. transvenous atrioventricular pacer leads follow their expected courses.
<unk> year old woman with chf exacerbation, not improving // interval changes
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the lungs remain hyperinflated and unchanged in appearance. no focal consolidation, large pleural effusion, or evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
copd, rales, rhonchi.
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mild cardiomegaly has been stable compared to exams dated back to at least <unk>. there is mild pulmonary vascular congestion; otherwise, the hilar and mediastinal contours are normal. right-sided pic line terminates in the low svc. there is mild bibasilar atelectasis as well as small bilateral pleural effusions. there is no evidence of pneumothorax.
history of right-sided pic line. please evaluate pic line placement.
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patient is status post median sternotomy and cabg. mild enlargement of the cardiac silhouette is unchanged. the aortic knob is calcified. mediastinal and hilar contours are similar. pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is present. moderate degenerative changes are seen within the thoracic spine peer
history: <unk>m with cough
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the cardiac, mediastinal and hilar contours are normal. pulmonary vascularity is not engorged. the lungs remain hyperinflated. no focal consolidation, pleural effusion or pneumothorax is identified. scattered ill-defined focal opacities within both lungs are new or worse when compared to the prior exams. for instance an ill-defined nodular opacity projecting within the right lung base measures approximately <num> centimeters. these are concerning for progression of pulmonary metastases. diffuse osseous sclerotic lesions have also progressed when compared to the prior exam, and are seen involving the ribs bilaterally as well as the thoracic spine.
liver transplant, prostate cancer, altered mental status.
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endotracheal tube terminates approximately <num> cm from the carina, in standard position. nasogastric tube tip is within the stomach, as is the side port. cardiac, mediastinal and hilar contours are normal. lungs are clear and the pulmonary vascularity is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormalities are seen.
intubated for overdose.
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the heart is normal in size. the mediastinal and hilar contours appear within normal limits. each hilum is mildly prominent, probably suggesting mild prominence of central pulmonary vessels, but there is no frank congestive heart failure. no focal opacification is seen aside from streaky left lower lung opacity suggesting minor atelectasis. there is no pleural effusion or pneumothorax. bony structures are unremarkable.
fever and cough.
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an opacity is again noted overlying the left lower lung on the ap view only and most likely representative of a nipple shadow. otherwise, the lungs are clear with no evidence of a consolidation, effusion or pneumothorax. cardiomediastinal silhouette is normal. no acute fractures are identified.
cough and fever.
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frontal and lateral radiographs of the chest. normal heart size and mediastinal contours. mild pulmonary vascular congestion and fullness of the left hilus. no pleural effusion or pneumothorax. clear lungs.
chest pain question pneumonia.
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patient is status post cabg, with intact median sternotomy wires.the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. heart size is top-normal.
history: <unk>m with infectious work-up // eval pna
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the lung volumes are normal and the lungs are clear. there is no pleural effusion, pneumothorax or focal airspace consolidation. the heart is normal size. the mediastinal and hilar contours are unremarkable. cholecystectomy clips are noted.
chest pain.
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mild cardiomegaly and cardiomediastinal contours are stable. the course of the descending thoracic aorta is noted to be tortuous, as before. the lungs are hyperinflated with flattened diaphragms, consistent with copd. mild atelectasis in the posterior left lung is similar to prior. lungs are otherwise clear without focal consolidation, pleural effusion, or pneumothorax.
history: <unk>f with weakness and night sweats // eval for pna
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there has been interval repositioning of a left-sided chest tube with the tip terminating near the left lower lung. re-expansion of the left lung persists with only a tiny amount of pneumothorax seen in the apex. there is a new enlarging consolidation in the left lower lobe. the right lung is clear. there is no pulmonary vascular congestion. the cardiomediastinal silhouette is normal. visualized osseous structures are unremarkable.
<unk>-year-old male patient with left spontaneous pneumothorax status post repositioning of left pigtail. study requested for evaluation of interval change.
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the exam is suboptimal due to overlying soft tissue and the chest is relatively underpenetrated. given this, the cardiac and mediastinal silhouettes are grossly stable. prominence of the hila is re- demonstrated, with prominence of the pulmonary vasculature. no large pleural effusion is seen. no definite focal consolidation is seen although this would be difficult to exclude particularly at the lung bases and the hilar regions. no evidence of pneumothorax.
history: <unk>f with chf/asthma with increased shortnes sof breath x <num> week*** warning *** multiple patients with same last name! // r/o cario/pulm process
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single frontal view of the chest demonstrates cardiomegaly and bilateral interstitial edema. a tracheostomy is seen. there is no pneumothorax or pleural effusion seen.
hypoxia, evaluate for infiltrate.
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portable semi-erect chest <unk> at <time> is submitted.
<unk> year old woman with respiratory failure. // please eval og tube placement. please eval og tube placement.
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ap and lateral views of the chest. lower inspiratory effort seen on the current exam. opacification the left lateral costophrenic angle is again seen may be due to atelectasis. there is no focal consolidation or effusion. the cardiomediastinal silhouette is unchanged. atherosclerotic calcifications seen at the aortic arch. mild height loss of a lower thoracic vertebral body is unchanged. no acute osseous abnormality.
<unk>-year-old male worsening mental status at rehab.
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single frontal view of the chest. new endotracheal tube terminates <num> cm above the carina. ng tube passes below the diaphragm and beyond the limits of the film. heart size and cardiomediastinal contours are stable. calcification of the aortic knob is unchanged. there is mild bibasilar atelectasis. lungs are otherwise clear without focal consolidation, pleural effusion, or pneumothorax.
status post intubation.
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cardiac, mediastinal and hilar contours are normal. the pulmonary vasculature is normal. mild peribronchial cuffing could suggest airway inflammation. no focal consolidation, pleural effusion or pneumothorax is seen.
asthma, shortness of breath, low-grade temperatures.
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ap upright and lateral views of the chest provided. left chest wall pacer device is seen with leads extending to the right atrium and right ventricle unchanged. small bilateral pleural effusions are noted with scarring in the left lower lobe which appears chronic. central hilar congestion with mild interstitial edema is noted. no pneumothorax. cardiomediastinal silhouette is stable. scoliotic curvature of the thoracic spine again noted.
<unk>f with shortness of breath // eval for ptx or pna
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pa and lateral views of the chest are compared to previous exam from <unk>. the lungs remain clear of focal consolidation or effusion. cardiomediastinal silhouette is unchanged, noting a tortuous aorta. osseous and soft tissue structures are unchanged and notable for old left lateral rib fracture.
<unk>-year-old male with gi bleed. question pneumonia.
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the heart is moderately enlarged, unchanged from <unk>. there is mild pulmonary edema. there are small bilateral pleural effusions with fluid tracking along the right costophrenic sulcus. bilateral basilar opacities are likely atelectasis. there is no pneumothorax. the mediastinal and hilar contours are unchanged. eventration of the right hemidiaphragm is less conspicuous on this study.
dyspnea. rule out pneumonia or cardiomegaly.
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endotracheal tube tip is <num> cm above the carina and an orogastric tube ends into the stomach while tip of right internal jugular line is at mid svc. right lower lung consolidation concerning for hemorrhage and/or pneumonia has further resolved. very mild and asymmetric pulmonary edema has significantly improved since yesterday. heart size is normal, mediastinal and hilar contours are unremarkable. pleural effusion if any is small on the right side and stable.
respiratory failure, intraparenchymal hemorrhage, and pneumonia. to assess for interval change.
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no effusion or pneumothorax is seen. no parenchymal consolidation is seen. cardiomediastinal silhouette is within normal limits except the left hilus appears prominent.
<unk> year old woman with joint swelling // ? hilar <unk> or infiltrate ? hilar <unk> or infiltrate
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the lungs are well inflated and clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are within normal limits. there is no pleural effusion or pneumothorax. left shoulder hardware is noted.
<unk>-year-old male with possible or, preop chest x-ray.
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there is moderate interstitial pulmonary edema. no focal consolidations. stable apical pleural thickening. stable appearance of the cardiomediastinal silhouette. no pleural effusion. no pneumothorax.
history: <unk>m with massive gib, hypotension, mild hypoxia; concern for evolving chf <unk> transfusion / fluid resuscitation // eval ? edema, infiltrate, abd free air
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there is no focal consolidation, pleural effusion or pneumothorax. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.
history: <unk>f with fever, sore throat, cough // evaluate for pneumonia, intrapulmonary process
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the cardiomediastinal and hilar contours are stable and within normal limits. pleural calcifications are again demonstrated suggesting prior asbestos exposure. there is no focal consolidation, pleural effusion or pneumothorax.
<unk> year old man with sebaceous carcinoma involving head and neck, receiving weekly chemotx and radiation to l side of his neck. reporting worsening cough productive of brown sputum. // assess for pneumonia