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the lungs are well-expanded and clear. no focal consolidation, edema, effusion, or pneumothorax. the heart is normal in size. the hila are unremarkable. no acute osseous abnormality.
<unk>-year-old woman presenting with chest pain.
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frontal and lateral views of the chest demonstrate low lung volumes. port-a-cath tip projects over right atrium. moderate bilateral pleural effusions are present. bibasilar opacities are noted. no pneumothorax. hilar and mediastinal silhouettes are unremarkable. heart size is normal. no pulmonary edema. partially imaged upper abdomen is unremarkable.
patient with history of all and new cough.
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in comparison to the chest radiographs obtained <unk>, no significant changes are appreciated. lungs are fully expanded and clear without consolidations or suspicious pulmonary nodules. no pleural abnormalities. heart size is normal. cardiomediastinal and hilar silhouettes are normal.
<unk> year old man with recurrent cough. copd // r/o pna
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numerous bilateral pulmonary nodules are again identified, better evaluated on recent ct. hyper expansion of the left upper lobe is again noted. no pleural abnormalities. heart size is normal. cardiomediastinal and hilar silhouettes are unchanged. dual chamber cardiac pacemaker leads are unchanged in position with leads terminating in the right atrium and right ventricle. dense aortic arch calcifications are again noted. known rib lesions are seen to better detail on recent ct.
<unk> year old woman with pacemaker for mri // patient has cied please evaluate for mri.
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right-sided ecmo cannula tip projects over the space between the eleventh and twelfth ribs and is likely in the ivc. et tube tip is approximately <num> cm above the carina. og tube extends into the stomach and the tip is not included in this film. lung volumes remain low. previously seen global parenchymal opacities have improved mildly. heart size is normal. the mediastinal and hilar contours are normal. moderate left-sided pleural effusion is mildly improved. no pneumothorax.
<unk> year old woman with ecmo vv // eval line/effusions
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the large left pleural effusion has improved significantly compared to yesterday's radiograph. however, it now appears to be loculated. the left pigtail catheter is unchanged in position. the right lung is essentially clear without evidence of pneumonia, pleural effusion or pneumothorax. heart size is within the upper limits of normal. no acute osseous abnormalities.
<unk> year old woman with large l pleural effusion // pleural effusion
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mediastinal contour is normal. enlargement of the cardiac silhouette likely secondary to ap technique. there is no evidence of pneumothorax. the lungs are clear. no acute osseous abnormality is seen.
<unk>f with trauma, evaluate for pneumothorax.
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a single frontal chest radiograph was obtained. the lung volumes are low. fibrotic changes at both lung bases are similar. the left costophrenic angle is blunted. elevation of the bilateral hemidiaphragms is similar. there are no new abnormal cardiac or mediastinal contours. calcifications of the aortic arch are unchanged.
shortness of breath.
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the cardiac, mediastinal and hilar contours appear unchanged, including calcification of the aortic arch and slightly prominent heart size, although probably overall within normal limits, but with a left ventricular configuration. there is no clear evidence for pleural effusion or pneumothorax. there are patchy opacities in the left lower lobe, not present on earlier radiographs from <unk> and increased from <unk>, superimposed on streaky lingular atelectasis. however, there are no findings suggestive of pulmonary edema.
non-st elevation myocardial infarction. question pulmonary edema.
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pa and lateral views of the chest provided. left chest wall pacer device is seen with single lead extending into the right heart. lungs are hyperinflated. 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 sob // eval acute process
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the cardiomediastinal and hilar contours are stable. there is no pleural effusion or pneumothorax. the lungs are well expanded and clear. there is an acute, minimally-displaced left tenth rib fracture without bridging callous. an old eighth rib fracture is seen.
traumatic fall.
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portable ap chest radiograph demonstrates severe cardiomegaly, both interstitial and alveolar edema as well as small bilateral pleural effusions. a more confluent opacity is seen in the right middle lobe. there is no pneumothorax. atherosclerotic calcifications are noted in the aortic arch.
respiratory distress.
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the heart is enlarged and stable since prior. there is mild enlargement of the mediastinal silhouette, likely secondary to a tortuous and dilated thoracic aorta, stable since prior. there is also enlargement of the main pulmonary artery which could reflect underlying pulmonary hypertension. there are tiny stable bilateral pleural effusions. increased density at the upper lobes bilaterally and right lower lobe is felt to reflect scarring and fibrosis as was seen on prior chest ct. no definite new focal consolidation identified.
fever from nh. rule out pneumonia.
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similar to multiple prior examinations, the exam is limited due to patient positioning. given that, lung volumes are persistently low. bilateral opacities are again demonstrated and may be increased from the prior examination raising the possibility of infection or aspiration. cardiomediastinal contours cannot be evaluated due to patient positioning. .
<unk> year old man with new o<num> requirement // eval for aspiration/pna
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. there are vascular calcifications of the aortic arch. the cardiomediastinal silhouette is normal. imaged osseous structures are unremarkable. no free air below the right hemidiaphragm is seen.
<unk>f with retrosternal chest pressure, cough and uri sx // eval for acute process, pna
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the patient has been extubated and a right internal jugular catheter and orogastric tube removed. the cardiac, mediastinal and hilar contours appear stable. the chest is hyperinflated. there is no pleural effusion or pneumothorax. in the right lower lung, there is persistent predominantly streaky opacification, but very similar to the prior study. in the left lower lung, there is an apparent increased opacity, although a confounding factor is that there does seem to be background opacity in the area, but the increase is worrisome for developing pneumonia.
shortness of breath. history of asthma and hiv.
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the cardiac silhouette is normal in size. the hilar and mediastinal contours are within normal limits. lungs are well expanded and clear. there is no focal consolidation, pleural effusion or pneumothorax.
history: <unk>m with ili // acut eprocess
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prominent bilateral interstitial markings most notably at the lung bases are unchanged since the study of <num> days ago, and are likely due to emphysema which was partially imaged on the recent cervical spine ct. there is no new consolidation, pleural effusion or pneumothorax. the heart and mediastinum are within normal limits. regional bones and soft tissues are unremarkable.
<unk>-year-old male with oxygen desaturations and dyspnea on exertion; evaluate for copd.
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the lungs are hyper inflated. no focal consolidation is identified. slightly increased markings are noted as before. there remains biapical pleural thickening, unchanged. there is no pleural effusion. the mediastinum is normal. the heart size is normal. the osseous structures are normal for age.
<unk> year old woman with cough. // any evidence for pulmonary pathology?
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no evidence of pneumothorax. multiple left-sided rib fractures are again seen. the area of linear opacity adjacent to the left chest wall in the left mid lung, corresponding to the original pigtail catheter site, appears unchanged. left basilar atelectasis is increased over the interval, as has a left-sided pleural effusion, which is now small to moderate size. cardiac silhouette is unchanged.
<unk> year old woman multitrauma, w l side pneumothorax, self d/c pitail tube, w l anterior <unk> ribs fxs, l post <unk> fx // eval inter change
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patient is status post median sternotomy and cabg. left-sided aicd device is re- demonstrated with leads in unchanged positions. heart size is mildly enlarged. mediastinal and hilar contours are unremarkable. lung volumes are low. pulmonary vasculature is not engorged. patchy opacities are demonstrated in the lung bases. no pleural effusion or pneumothorax is present. degenerative changes are noted throughout the imaged thoracic spine as well as within the imaged shoulders.
history: <unk>m with recent trauma, negative ct chest at the time now with reports of low sats and lethargy.
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frontal and lateral views of the chest demonstrate low lung volumes without pleural effusion, focal consolidation or pneumothorax. hilar and mediastinal silhouettes are unremarkable. heart size is normal. there is no pulmonary edema.
patient with bipolar disorder and anxiety, who now presents with cough. assess for pneumonia.
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the lungs are essentially clear besides streaky left basilar opacity which is likely atelectasis. there is no effusion or edema. mild cardiomegaly is noted. sternal wires are again noted. no acute osseous abnormalities.
<unk>m with fever/weakness // ?pna
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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 dated <unk>. the heart size is normal and unchanged. as before, mild mediastinal shift towards the left side is present but appears stable. mild volume reduction of the left hemithorax related to previously performed left upper lobectomy. new surgical clips in hilar region can be seen. the postoperative changes of the vasculature with reduction of hilar contours are unchanged. mild elevation of left diaphragm as before. no evidence of pneumothorax or new parenchymal abnormalities. no pulmonary vascular congestion.
<unk>-year-old male patient status post left vats for left chest wall fluid collection. evaluate.
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ap and lateral views of the chest demonstrate low lung volumes. bibasilar consolidations and small pleural effusions are not significantly changed since prior. perihilar vascular congestion is again noted. there is no pneumothorax. aortic arch calcifications are present. the heart size is normal. partially imaged upper abdomen is unremarkable.
patient with community-acquired pneumonia, now with fever. assess for worsening infection.
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enlargement of the cardiac silhouette is grossly unchanged. appearance of the mediastinum and hilum is stable. the lungs are hyperinflated. there is no pulmonary edema. there is no pneumothorax. moderate bilateral effusions right greater than left are associated with adjacent atelectasis. sternal wires are aligned. patient is status post cabg. there are mild degenerative changes in the thoracic spine.
<unk> year old man with constrictive pericarditis, pleural effusions, on exam the right side is dull <unk> way up // assess pleural effusions
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the lungs are mildly hypoinflated and clear. no pleural effusion or pneumothorax. heart is top-normal in size, likely accentuated due to low lung volumes. mediastinal contour and hila are unremarkable.
<unk>f with hypoglycemia and cough. assess for pneumonia.
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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 man with chest pain.
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single portable view of the chest is compared to previous exam from <unk>. as on prior, low lung volumes are seen. within this limitation, the lungs are grossly clear. linear opacity at the right lung base is suggestive of subsegmental atelectasis. cardiomediastinal silhouette is stable. dual-lead pacing device is again seen. degenerative changes seen at the right glenohumeral joint. surgical clips seen in the right upper quadrant.
<unk>-year-old female with fever and cough, change in mental status.
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large pulmonary mass is seen in the left upper lobe measuring <num> mm in the craniocaudal plane. associated left hilar adenopathy. the heart size is normal. mild unfolding of the thoracic aorta. no new areas of airspace consolidation. no pneumothorax. no pleural effusion. spondylotic changes of the thoracic spine.
<unk> year old man with multiple known cns metastases of squamous cell cancer. he is s/p surgical resection <unk> and <unk>. now with new hemorrhagic conversion of his brain mets. also with cough // r/o pneumonia
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. apart from minimal subsegmental atelectasis in the left lung base, the lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
history: <unk>m with meningitic symptoms + chest tightness
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multiple rounded opacities seen within the hilum are consistent with known metastatic lymphadenopathy. mild asymmetric pulmonary edema within the right lung. no pleural effusion or pneumothorax. no new focal opacity. upper airway is not well visualized. new left main bronchus compression. right port tip within the lower svc. visualized upper abdomen is unremarkable.
<unk>f previously on hospice, known lung metastases, acute sob. assess for acute process.
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the right-sided ij appears to terminate in the mid svc. the lung volumes are lower compared to the prior exam resulting in crowding of the central hilar structures; however, the hilar and mediastinal contours are unremarkable. the heart size is normal. mild bibasilar atelectasis has increased compared to the prior exam due to lower lung volumes. no focal consolidations concerning for pneumonia are identified. there is no pleural effusion or pneumothorax. the visualized osseous structures are unremarkable.
history of central line placement. please evaluate.
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is identified.
<unk>m with cough, fever/chills // 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. the lungs appear clear. bony structures are unremarkable.
chest pain.
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there has been interval recurrence of a previously drained moderate right pleural effusion, elevating the right lung base and causing some atelectasis at the right lung base. no pneumothorax is seen. the heart is mildly enlarged, unchanged compared to prior study. focal opacity overlying the fourth through sixth ribs of the left lateral chest likely represents osteochondroma or post traumatic osseous lesion.
<unk> year old woman with acute onset fevers, abdominal pain // please evaluate for any pneumonia
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the heart size is top normal. the mediastinal and hilar contours are unremarkable. the pulmonary vascularity is normal. no focal consolidation, pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
hypotension and ventricular tachycardia during egd.
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patient is rotated somewhat to the right. there are low lung volumes. there may be mild pulmonary vascular congestion. no definite focal consolidation is seen. there is no pleural effusion or pneumothorax. the patient is status post median sternotomy. the cardiac and mediastinal silhouettes are grossly stable. chronic deformities of the shoulders are again seen.
history: <unk>f with ams // rule out infiltrate. rule out acute intracranial abnormalities
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the patient is rotated to the right. the patient's chin overlies the right lung apex, making its evaluation suboptimal. there are low lung volumes, which accentuate the bronchovascular markings. evidence of mild interstitial edema is seen. on the lateral view, there is patchy opacity projecting over posterior lung base, possibly on the right, consolidation at that location due to infection or aspiration not excluded. the cardiac silhouette is not enlarged. prominence of the hila may relate to pulmonary vascular engorgement.
altered mental status with new osseous requirement.
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pa and lateral views of the chest show no consolidation, pulmonary edema, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal.
chest pain. evaluate for pneumonia.
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mild basilar atelectasis is seen. there is no focal consolidation. there may be an azygos lobe. the cardiac silhouette is top-normal. the aortic knob calcified.
history: <unk>f with leukocytosis and legion in spine. infectious wrkup. // ?pneumonia?
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the heart size is normal. the aorta is mildly tortuous. the hilar and mediastinal contours are otherwise normal. there is no pleural effusion or pneumothorax. no focal consolidations are seen. the visualized osseous structures are unremarkable. again seen is a right apical pulmonary nodule, likely a benign calcified granuloma, unchanged in size since <unk>. no new pulmonary nodules are seen.
<unk>-year-old man with a cough x<num> week who presents for evaluation.
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ap upright and lateral views of the chest provided. there is a vagal stimulator projecting over left chest with catheter extending to the left neck. lung volumes are low. allowing for this, 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 seizure // eval for pneumonia
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the tip of the endotracheal tube projects over the mid thoracic trachea. the right picc line, left internal jugular central venous catheter and gastric tube are unchanged. there is unchanged mild pulmonary edema as well as bibasilar atelectasis and small suspected layering effusions. no pneumothorax identified. the size the cardiac silhouette is enlarged but unchanged.
<unk> year old man with pea now s/p removal of temp pacing wire. // pulm edema, infiltrates, wires, tubes
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pa and lateral views of the chest. there is no focal consolidation, pleural effusion or pneumothorax. cardiomediastinal and hilar contours are normal.
chest pain.
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in comparison to the chest radiograph obtained <num> days prior, there has been interval advancement of the dobhoff tube into the small bowel and outside the field of view. a moderate, right pleural effusion has increased with substantial, adjacent, right middle and lower lobe compressive atelectasis. previously noted right upper lobe consolidation has completely resolved. left pleural effusion small, if any. lungs otherwise well expanded and clear without focal consolidation.
<unk> year old man with new encephalopathy and leukocytosis. // evaluate for consolidation concerning for aspiration or pneumonia.
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in comparison to the study from <unk>, lung volumes are low. cardiomediastinal silhouette appears widened attributable to the limitations of a portable study and patient positioning. an enteric tube terminates in the stomach with side port beyond the ge junction. an endotracheal tube is in standard position. no evidence of pneumothorax. no other changes.
<unk> year old man with ett, copd // et tube place, evaluate lung fields h/o copd
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the lungs are well inflated and clear. there is unchanged moderate cardiomegaly. mild pulmonary vascular congestion is noted. a left chest biventricular aicd and leads are in unchanged positions. there is no pleural effusion or pneumothorax.
<unk> year old man with dyspnea, rule out chf.
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left picc tip terminates in the upper svc. large right pleural effusion appears slightly increased in size compared to the previous exam with associated right basilar atelectasis. the cardiac, mediastinal and hilar contours appear grossly unchanged. patchy opacity within the left mid lung field appears new and is concerning for an area of developing infection. there is no left-sided pleural effusion or pneumothorax. no acute osseous abnormalities are demonstrated.
left picc placement and shortness of breath.
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frontal and lateral radiographs of the chest demonstrate prominence of the central pulmonary vasculature without evidence of pulmonary edema. there is mild right basilar atelectasis. the cardiac silhouette is unchanged. note is made of calcified right hilar and mediastinal lymphadenopathy. the aorta is tortuous. there is no pneumothorax, pleural effusion, or consolidation.
history: <unk>f with dyspnea // eval for pna or chf
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pa and lateral views of the chest. there is blunting of the left lateral costophrenic angle as on prior likely due to scarring. posterior costophrenic angles are sharp without effusion. the lungs are otherwise clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities detected. surgical clips seen in the upper quadrant.
<unk>-year-old female with cough and altered mental status.
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there has been an increase in the bilateral pulmonary edema status post extubation as evidenced by increased dense opacification, which is now nearly confluent consistent with severe pulmonary edema. the cardiomediastinal silhouette is difficult to evaluate given intervening pulmonary edema opacity, however appears unchanged. there is no pneumothorax. there has been complete obscuration of the costophrenic angles suggestive of bilateral pleural effusions. right ij catheter is unchanged in position and ends in the upper svc. sternotomy wires are unchanged in position, aligned along the midline with no evidence of sternal dehiscence.
<unk>-year-old male, history of chf and pneumonia, recently extubated, now desating.
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the lungs demonstrate bilateral perihilar bronhcial cuffing, consistent with mild pulmonary edema. there is no evidence of pleural effusion, or pneumothorax. the cardiac size is normal. aortic arch calcifications are again seen. no evidence of pneumonia is present.
<unk>-year-old female with epigastric pain. evaluation for hernia or free air.
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heart is top-normal in size. mediastinal contours normal. there is no pleural effusion or pneumothorax. lung volumes are low. there is basilar opacity on the lateral view raising the concern for consolidation, possibly on the right. the left lung is grossly clear. no acute osseous abnormality seen.
<unk>m with chest pain, fever and cough.
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frontal and lateral chest radiographs demonstrate well-expanded lungs. heart is normal in size, and cardiomediastinal contour is unremarkable. lungs are clear. there is no pleural effusion and no pneumothorax. the distal aspect of the right clavicle is excluded from the image. no definite fracture is identified.
restrained driver in a motor vehicle accident, evaluate for fracture.
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the lungs are well inflated. subsegmental atelectasis in the right lung base is noted. there is also a small nodule in the right mid lung that was also present in prior study. no other focal opacities are noted. cardiomediastinal and hilar contours are unremarkable. there is a right-sided picc that ends in the lower svc. there is no pleural effusion or pneumothorax.
<unk>-year-old female with history of intra-abdominal abscesses, now with productive cough. evaluate for evidence of pneumonia.
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right internal jugular central venous catheter tip terminates in the upper svc. no pneumothorax is clearly visualized. the endotracheal and enteric tubes remain in unchanged positions. lucency about the mediastinum is concerning for pneumomediastinum cardiac silhouette size is not enlarged. worsening diffuse alveolar opacities are present with bilateral pleural effusions. no acute osseous abnormalities detected.
history: <unk>m with intubation, right internal jugular central line placement
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ap portable upright view of the chest. suture material again noted in the left suprahilar region. the left chest tube tip projects near the left pulmonary hilum. there is interval re-expansion of the left lung without discernible pneumothorax. right lung remains clear. subcutaneous emphysema noted along the left chest wall and in the low left supraclavicular region.
<unk> year old woman s/p lul // ptx with ct on waterseal, please check portable film with ct on suction
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single portable view of the chest. there is increased hazy opacity overlying the right hemithorax, with blunting of the lateral costophrenic angle. there is also mild blunting of the left costophrenic angle as well. the left lung is otherwise grossly clear. the cardiomediastinal silhouette is within normal limits for technique. no acute osseous abnormality is identified.
<unk>-year-old male with hypotension.
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ap upright and lateral views of the chest provided. lung volumes are low limiting assessment. there is mild basilar platelike atelectasis. no convincing signs of pneumonia or edema. no large effusion or pneumothorax. cardiomediastinal silhouette is stable. bony structures are intact. no free air below the right hemidiaphragm.
<unk>f with ams // any pneumonia
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cardiomediastinal contours are normal. the lungs are hyperinflated and clear. there is no pneumothorax or pleural effusion. there are mild degenerative changes in the thoracic spine. multiple calcified pleural plaques are again noted
<unk> year old man with chronic, cough, minimally productive. cig <num>-<num>/day. // lung disease?
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the heart is normal. the hilar and mediastinal contours are normal including a left-sided fat-containing bochdalek hernia. an eventration of the right hemidiaphragm is again noted and unchanged. bilateral pleural effusions remain unchanged. the lungs are otherwise well expanded and clear. there is no pneumothorax.
<unk>-year-old female patient with intermittent o<num> requirement. study requested for evaluation of lung processes and/or evolution of effusions seen on prior ct.
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single frontal upright view of the chest was obtained. mild pulmonary edema is new since <unk>. indistinct costophrenic angles may represent small pleural effusions. no pneumothorax. the cardiomediastinal silhouette is mildly enlarged, similar to prior. no radiopaque foreign body.
<unk>-year-old female with pyelonephritis, now with slight wheeze on exam. evaluate for fluid overload.
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the heart is at the upper limits of normal size, allowing for low lung volumes. there is patchy calcification along the aortic arch. the mediastinal and hilar contours appear unchanged allowing for leftward rotation. the lungs appear clear. there are no pleural effusions or pneumothorax. a compression deformity along the mid-to-lower thoracic spine is not well demonstrated due to overlapping soft tissue structures, but is likely unchanged.
altered mental status.
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pa and lateral views of the chest. mild cardiomegaly and tortuous aorta are stable. there is mild bibasilar atelectasis. there is no focal consolidation, pleural effusion, or pneumothorax.
<unk>-year-old male with cough, evaluate for pneumonia.
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again seen is marked enlargement of the central pulmonary arteries. a right central venous catheter terminates in the mid svc. there is no focal consolidation, pleural effusion, interstitial opacity, or pneumothorax. lateral view shows known right ventricular hypertrophy.
known history of primary pulmonary hypertension and on amiodarone. evaluation for signs of amiodarone toxicity.
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there is no airspace consolidation. mild pulmonary edema is unchanged from the prior. there is no pneumothorax or pleural effusion. cardiomediastinal contours are normal.
evaluate for interval changes in a patient status post cva treated with tpa with likely aspiration event on the morning of <unk>.
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pa and lateral chest radiographs. dual-chamber pacer leads and prosthetic mitral valve are in stable position. moderate right pleural effusion with layering along the costal pleura and within the major fissure are unchanged from multiple priors. there is no pleural effusion on the left. mild cardiomegaly is stable. there is no pneumothorax.
right-sided pleural effusion.
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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>m with chest pain // eval for acute process
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pulmonary vascular redistribution with mild congestion, slightly increased since the prior. moderate cardiomegaly. no pleural effusions or pneumothorax. no focal consolidation. prior median sternotomy and cabg. increased kyphosis of the thoracic spine and irregularity of left humerus.
<unk> year old woman with worsening doe, edema. h/o cad, chf // chf
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single supine portable view of the chest. there has been interval placement of an endotracheal tube whose tip is approximately <num> cm from the carina. enteric tube seen with tip in the gastric body, side port past the ge junction. additional tubing along the right neck and chest and abdomen suggestive of vp shunt. filter projects in the region of the ivc. lungs are extremely low with secondary crowding of the bronchovascular markings. the cardiomediastinal silhouette is grossly within normal limits.
<unk>-year-old female with intubation.
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the lung volumes are low. there are bibasilar linear opacities, atelectasis and/ or consolidation. diffuse vascular prominence and cardiomegaly noted. no pleural effusion or pneumothorax present. ekg leads overlie the anterior chest. bony thorax is stable.
<unk> year old woman with hep c cirrhosis, with acute decompensation, s/p <num> teeth extractions, now with fever and oxygen requirement. // evidence of infiltrate? evidence of fluid overload?
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there is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits.
history: <unk>f with cough and chills*** warning *** multiple patients with same last name! // ?pna
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there is no focal consolidation, pleural effusion or pneumothorax. cardiomediastinal silhouette is normal. no acute skeletal abnormalities.
<unk>-year-old woman with cough, pneumonia.
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relatively low lung volumes are noted. streaky bibasilar opacities are likely secondary to atelectasis. the lungs are otherwise clear. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>m with altered mental status // eval for acute process
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the cardiac silhouette is unremarkable. emphysematous changes are seen throughout the lungs. reticular opacities are seen in the bilateral lower lung fields. somewhat increased opacity is noted in the right mid lung in comparison to the recent ct chest including a peripheral nodular opacity, not definitively seen on prior examination. no large pleural effusion or pneumothorax is present.
hypoxia. evaluate for pneumonia.
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen.
<unk> year old man with new dyspnea and edema likely related to salt and no cpap x few days. smoker. // r/o infiltrate, mass, pleural effusions
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frontal and lateral radiographs of the chest demonstrate low lung volumes results in bronchovascular crowding. there is a large amount of right basilar atelectasis, and more mild left basilar atelectasis. there are small bilateral pleural effusions. the cardiomediastinal contours are unchanged. there is no pneumothorax or consolidation.
<unk> year old woman with pod<unk> s/p exlap removal of infected mesh with desaturation to <num>s.
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pa and lateral views of the chest provided. lungs are hyperinflated with flattened diaphragms suggesting emphysema. 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 weakness
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ap and lateral views of the chest. there is probable background hyperinflation, sugesting copd. the heart is not enlarged. the aorta is calcified and unfolded. the mediastinal and hilar contours are otherwise unremarkable. bibasilar atelectasis. there is no chf or focal consolidation. there is no pleural effusion or pneumothorax.
hyperglycemia. evaluate for pneumonia.
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a double lumen catheter has been retracted mostly out of the chest. its tip now terminates over the right upper hemithorax, almost definitely extravascular and probably within overlying soft tissues rather than within the chest cavity. the cardiac, mediastinal and hilar contours appear stable. the lungs appear clear aside from minimal streaky left lower lung atelectasis with plate-like morphology. there is no pleural effusion or pneumothorax.
pulled hemodialysis line with the bleeding.
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a portable frontal chest radiograph again demonstrates intact sternal wires and a normal cardiomediastinal silhouette. lung volumes remain slightly low, with mild atelectasis in the bilateral lung bases. there is no focal consolidation or appreciable pleural effusion or pneumothorax. mild pulmonary edema is unchanged.
evaluate for infiltrate in a patient with hypoxia.
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the lungs are clear with no focal consolidation, effusion or pneumothorax. the cardiomediastinal silhouette is normal. multiple left rib fractures are noted, which likely are present on prior studies.
seizure, evaluate for infiltrate.
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the lungs are well expanded. in the lateral view, there is a linear opacity tracking parallel to the right hemidiaphragm, compatible with scarring or atelectasis. no other focal opacities are noted in the frontal or lateral view. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax.
<unk>-year-old male with hemoptysis.
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the cardiomediastinal contours are within normal limits. the bilateral hila are unremarkable. the lungs are clear without focal consolidation. there is no evidence of pulmonary vascular congestion. there is no pneumothorax or pleural effusion.
<unk> -year-old with chest pain, dyspnea, reported active flu-like symptoms, rule out infiltrate.
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lung volumes are relatively low, similar to prior. there mild pulmonary edema, slightly worse when compared to prior. left chest wall pacing device is again noted. degree of cardiac enlargement unchanged. there are trace bilateral pleural effusions.
<unk>m with sob // sob
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the lungs are clear without focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is unchanged.
history: <unk>f with pleuritic cp // pneumonia?
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frontal and lateral views of the chest demonstrate slightly hyperexpanded lungs. pulmonary edema seen on <unk> exam has resolved. minimal bibasilar opacities most likely represent atelectasis. the hilar and mediastinal silhouettes are unremarkable. the descending aorta appears tortuous. aortic arch calcifications are present. there is moderate cardiomegaly. there is mild blunting of the costophrenic angle, suggestive of trace bilateral pleural effusions. retrocardiac opacities are not seen on appreciated on the lateral view. the bones are diffusely demineralized. extensive degenerative joint changes of thoracic and bilateral shoulder joints are noted.
patient with history of stroke and aspiration. assess for pneumonia.
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pa and lateral radiographs of the chest demonstrates clear lungs. the cardiac, hilar, and mediastinal contours are normal. no pleural abnormality is seen.
cough and hyperglycemia.
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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. the mediastinum is stable and not widened.
history: <unk>m with chest and back pain // ?mediastinal widening
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no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. heart and mediastinal contours are within normal limits.
<unk>-year-old female with chest pain and cough.
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the lungs are moderately well inflated with a reticular pattern predominately involving the lower lobes consistent with history of interstitial lung disease. heterogeneous pleural-based right upper lobe opacity with associated rounded lucency centrally is unchanged from <unk> with possible progression of its superior most component since <unk>. no new opacity.
<unk>m with dyspnea, working diagnosis of ild, hypoxia. assess for acute cardiopulmonary process, edema, effusion, infiltrate.
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in comparison to <unk>, lung volumes are lower. there is an opacity at the left lung base, which may represent atelectasis although underlying pneumonia would be difficult to exclude based on this single view portable radiograph. remainder of the lungs are otherwise clear. prominence of the pulmonary vasculature is suggestive of mild vascular congestion. no overt pulmonary edema. no pneumothorax. mild cardiomegaly is stable from at least <unk>.
history: <unk>f with shortness of breath, high grade fever // evaluate for pneumonia, effusion, volume status
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pa and lateral images of the chest demonstrate well-expanded lungs. left lower lobe opacity again seen, which is essentially unchanged from previous imaging. slight improvement of atelectasis at the left base is seen. there are no pleural effusions or pneumothorax. cardiomediastinal silhouette is unremarkable.
<unk>-year-old male with back pain and probable lung cancer, now with cough.
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a port-a-cath terminates in the mid superior vena cava. the cardiac, mediastinal and hilar contours appear stable. there is slight new blunting of the left lateral costophrenic sulcus, probably a trace pleural effusion, or perhaps atelectasis effacing the sulcus. there is no definite pleural effusion on the right. the lungs appear clear. a biliary stent is partly imaged in the right upper quadrant.
fever. history of cancer.
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there has been no significant interval change.no new focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable, with the cardiac silhouette enlarged and the aorta tortuous. pulmonary vascular congestion is stable. aortic core valve is re- demonstrated.
history: <unk>f with chest pain on palpation after fall, and increasing respiratory rate // r/o rib fracture, pulmonaryh contusion, hemo/pneumothorax
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a single portable ap supine view of the chest was obtained. moderate cardiomegaly is unchanged. diffuse bilateral opacities are most compatible with mild to moderate pulmonary edema. increased opacity in the lateral aspect of the right base may be related to asymmetric edema; however, it could also be concealing pneumonia. there is no pneumothorax.
<unk>-year-old man with dyspnea and questionable chf, evaluate for pulmonary edema.
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pa and lateral views of the chest. no prior. the lungs are clear. there is no pleural effusion or pneumothorax. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are grossly unremarkable noting laparoscopic band in the left upper quadrant.
<unk>-year-old female with cough and shortness of breath after laparoscopic band surgery three days ago.
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there is a new, moderate to large right pneumothorax. when compared to the prior chest radiograph, there is a small amount of mediastinal shift toward the left. overall pulmonary interstitial opacities are essentially unchanged, but accentuated on the right by the pneumothorax. heart size is normal. cardiomediastinal and hilar silhouettes are unremarkable. no pleural effusion. a right-sided port-a-cath terminates in the low svc. an endotracheal tube terminates <num> cm above the carina. bilateral pigtail pleural drains are noted.
<unk> year old man with recent chest tube placement // ? pneumo, interval change
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right greater than left basal opacities have increased. also linear opacity in the left lower lobe. no significant effusions. minimal fluid along the major fissure. mild biapical scarring. no pneumothorax. mild to moderate cardiomegaly. implantable altered device in the left anterior chest wall.
<unk> year old man with woresening sob/doe ? evidence for pul congestoin /chf ? h/o cad/arrhythmia,htn/chol,dm and ckd on pd // <unk> year old man with woresening sob/doe ? evidence for pul congestoin /chf ? h/o cad/arrhythmia,htn/chol,dm and ckd on pd