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an endotracheal tube terminates <num> cm above the carina. a nasoenteric tube courses below the left hemidiaphragm another view. small biapical pneumothoraces and layering left pleural effusion. subtle left perihilar haziness corresponds to a a region of apparent aspiration on outside ct. severe widening of the paraspinal lines bilaterally, which correlates with extensive mediastinal hematoma seen on the outside hospital ct chest from earlier on the same date. spinal fracture and left rib fractures are seen to better detail on outside ct.
<unk>m found down on the street. evaluate for fractures or dislocation.
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the lungs are hyperexpanded clear with flattening of the diaphragms consistent with copd. the cardiomediastinal silhouette and hilar contours are normal. the pleural surfaces are normal without effusion or pneumothorax.
history of cough.
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cardiac, mediastinal and hilar contours are normal. pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is present. clips are noted in the right axilla. no acute osseous abnormality is detected.
history: <unk>f with chest pain
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lung volumes are low leading to crowding of the bronchovascular structures. there is moderate cardiomegaly with possible mild central pulmonary vascular congestion. no definitive pleural effusion, lobar consolidation, or pneumothorax identified.
history: <unk>m with fall, neck pain, shoulder pain, wrist deformity // s/p fall, neck pain, shoulder pain, wrist deformity
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ap chest radiograph demonstrates pulmonary vascular engorgement, mild interstitial opacities, and cardiomegaly consistent with cardiac decompensation. there are probably small bilateral pleural effusions. there is no pneumothorax.
dyspnea.
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pa and lateral views of the chest were provided. the lungs are clear bilaterally without focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. the imaged bony structures are intact. no free air is seen below the right hemidiaphragm.
<unk>m with cough.
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large loculated left pleural effusion has slightly increased in size since yesterday's exam. there is now an increased component layering laterally. there is significant hazy opacity over the aerated left upper lobe. mild pulmonary vascular congestion is unchanged. a right internal jugular catheter remains in the low svc. cardiomegaly is unchanged. a left pigtail catheter is in stable position.
<unk>-year-old woman with chronic likely malignant pleural effusion.
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heart size is normal with mild tortuosity of the thoracic aorta. there is mild prominence of the central pulmonary vasculature without frank interstitial edema. elevation of the left hemidiaphragm is unchanged since at least <unk>. bibasilar atelectasis is mild. diffuse areas of increased bilateral parenchymal opacity likely corresponds to numerous areas of ground-glass opacities seen on recent chest ct.
cough, shortness of breath, hypoxia.
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moderate to severe cardiomegaly is re- demonstrated. the aortic knob is calcified. mild pulmonary edema is noted along with small bilateral pleural effusions. prominence of the main pulmonary artery is unchanged and suggestive of underlying pulmonary arterial hypertension. bibasilar atelectasis is present. there is no pneumothorax. no acute osseous abnormalities detected.
history: <unk>f with dyspnea on exertion
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ng tube is seen with tip in the fundus of the stomach and side port at the level of the ge junction. et tube is in appropriate position with tip <num> cm above the level of the carina. the lungs are well expanded. linear opacity in the left lower lobe likely represents atelectasis, however, may represent aspiration pneumonia in the appropriate clinical setting. the right pleural surface is clear. the left costophrenic angle is not fully imaged; however, no large pleural effusion seen. no pneumothorax. mildly enlarged heart is likely attributed to ap technique and supine positioning. mediastinal contour and hila are normal. medialization of aortic arch calcifications without irregularity of the aortic knob contour or apical cap is of unclear significance.
status post intubation. assess tube placement.
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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 pa and lateral chest examination of <unk>. heart size is within normal limits. no configurational abnormalities are identified. thoracic aorta of ordinary <unk> but with some calcium deposits in the wall at the level of the arch. no local contour abnormalities are identified. the pulmonary vasculature is not congested. there is some evidence of increased basal translucency at the lung fields suggestive of copd. this appears in conjunction with some low positioned diaphragms, but there is no evidence of any local parenchymal new infiltrate and the lateral and posterior pleural sinuses are free from any fluid accumulation. no pneumothorax is seen in the apical area. when comparison is made with the previous examination, at that time appreciated borderline heart size has now normalized.
<unk>-year-old male patient with myeloma and ongoing fatigue of unknown origin. assess for infection.
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evaluation of the lung fields is limited due to poor patient positioning and low inspiratory lung volumes. within these limitations, there is mild opacification at the bilateral bases which may represent atelectasis in the setting of such low lung volumes; however, superimposed infection cannot be excluded in the appropriate clinical context. no large pleural effusion or pneumothorax is detected. there is no pulmonary edema. a right picc is in place with the tip terminating in the low svc. a left pectoral pacemaker is unchanged in appearance with two leads terminating in the right atrium and right ventricle. the cardiac silhouette is mildly enlarged but stable. the mediastinal and hilar contours are within normal limits and unchanged from <unk>.
new fever, here to 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. there are no acute osseous abnormalities.
history: <unk>f with productive cough and fever
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a pacemaker and its wires are in proper position with the leads in the right atrium and right ventricle. stable moderate enlargement of the cardiac silhouette is unchanged. small new bilateral pleural effusions are present. there is mild engorgement of the pulmonary vasculature, but no definite interstitial edema. there is no consolidation or pneumothorax. a healed rib fracture is present in the right posterior seventh rib.
new shortness of breath. evaluate for chf.
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pa and lateral chest radiographs were obtained. the lungs are well expanded and clear. there is no focal nodule, consolidation, effusion, or pneumothorax. cardiac and mediastinal contours are normal.
left-sided chest pain.
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interval removal of right chest tubes. there is moderate right pleural effusion, mildly increased since <unk>. mild anterior hydro pneumothorax seen on the lateral radiograph, has increased since <unk> ct exam. right basilar opacity, similar, likely atelectasis. . left lung lower lobe mild atelectasis, improved since <unk>. left lung otherwise clear. shallow inspiration.
<unk> year old man // assessment for pneumothorax s/p chest tube removal, please perform at <unk> pm, thank you
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pa and lateral views of the chest. no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are normal.
recent hospitalization for dvt, cough and wheezing. history of copd.
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there are patchy bibasilar opacities. prominent interstitial markings are likely related to age related changes. no pulmonary edema, pleural effusion or pneumothorax identified. the cardiac and mediastinal contours are normal.
history: <unk>f with dyspnea // eval pulm edema, effusion
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the lungs are well expanded without focal opacities. the heart appears mildly enlarged but the cardiomediastinal and hilar contours are otherwise normal. there is no pleural effusion or pneumothorax.
<unk>-year-old female with chest pain. evaluate for pneumonia or pneumothorax.
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tips the amount of subcutaneous air on the right has slightly increased. there is a probable small right apical pneumothorax. right-sided chest tubes again visualized. there is volume loss at both bases and small bilateral effusions.
<unk> year old woman s/p tracheoplasty via thoracotomy right on <unk> // interval changes
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the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. patchy left basilar retrocardiac opacity appears unchanged and is more suggestive of patchy atelectasis or scarring than pneumonia.
low-grade fever and altered mental status.
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cardiac and mediastinal contours are normal. hilar contours are unchanged with fullness of the right hilum compatible with underlying lymphadenopathy as seen on the recent ct. pulmonary vasculature is not engorged. diffuse bronchiectasis with bronchial wall thickening and small nodular opacities throughout both lungs are minimally improved compared to the prior radiograph compatible with history of cystic fibrosis. more focal opacity is noted in the left lower lobe, not substantially changed in the interval, compatible with an area of pneumonia. no pleural effusion or pneumothorax is demonstrated. no acute osseous abnormality is detected.
history: <unk>m with cystic fibrosis status post exacerbation
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surgical clips are seen within the left axilla. there is stable scarring at the left apex. lungs are hyperinflated. there is vascular engorgement and moderate interstitial pulmonary edema, which is new. probable small bilateral pleural effusions. stable cardiomegaly. no pneumothorax. there are no acute osseous abnormalities.
history: <unk>f with sob, cough // eval for pna
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a tracheostomy is in place. a left picc tip terminates in the mid svc. the heart size is within normal limits. mediastinal contours are as expected for patient rotated to the right. the lungs demonstrate mild atelectasis in the left base with small amount of pleural effusion there. there is no pneumothorax.
<unk>-year-old female with intractable epilepsy and fluid overload.
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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 chest appears hyperinflated. the lungs appear clear. bony structures are unremarkable.
palpitations.
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the lungs are grossly clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.
<unk>m with sob, tachy rle swelling // pe?
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the cardiac silhouette size is mildly enlarged. thoracic aorta is diffusely calcified. there are likely small bilateral pleural effusions with streaky opacities in the lung bases likely reflective of atelectasis. elevation of the left hemidiaphragm is chronic. no overt pulmonary edema is present although crowding of the bronchovascular structures is noted due to low lung volumes. there is no pneumothorax. degenerative changes are noted in both acromioclavicular joints.
fevers.
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borderline enlargement of the cardiac silhouette is unchanged. the aorta is mildly tortuous and demonstrates atherosclerotic calcifications at the knob. the mediastinal and hilar contours are unremarkable. the pulmonary vasculature appears normal. apart from subsegmental atelectasis in the left lung base, the lungs are clear. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
history: <unk>m with fevers, chest pain
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normal cardiomediastinal and hilar contours. stable, mildly hyperinflated, clear lungs. no pneumothorax or pleural effusion.
<unk>-year-old woman with <num> weeks of cough and rhonchi in the left upper lobe. evaluate for pneumonia.
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upright ap and lateral views of the chest provided. midline sternotomy wires and mediastinal clips are again noted. lung volumes are low. bilateral lower lung opacities likely reflect the presence of atelectasis and pleural effusions, likely small to moderate in size. mild pulmonary edema persists. a band of atelectasis in the left mid lung is noted. no pneumothorax is present. mediastinal contour is stable. bony structures are intact.
<unk> year old woman s/p cabg,avr
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frontal and lateral views of the chest. heart size and cardiomediastinal contours are normal. lungs are clear without focal consolidation, pleural effusion, or pneumothorax.
shortness of breath.
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there is interval increase of a now moderate-sized right-sided pleural effusion. there is probable associated atelectasis. the left lung is clear. evaluation of the cardiac silhouette is limited by pleural effusion. there is no pneumothorax.
shortness of breath. effusion.
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pa and lateral views of the chest provided. lung volumes are somewhat low though allowing for this, no convincing signs of pneumonia, edema, effusion or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>m with fever, crohn's flare
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the cardiomediastinal and hilar contours are within normal limits. the lungs are clear without focal consolidation, pleural effusion or pneumothorax.
history: <unk>f with chest pain cough // eval for pna
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moderate cardiac enlargement is re- demonstrated. the aorta is mildly tortuous. the mediastinal and hilar contours appear similar. focal consolidative opacity within the posterior aspect of the right upper lobe is concerning for pneumonia. patchy atelectasis also noted in the lung bases. no pleural effusion or pneumothorax is present. the pulmonary vasculature is not engorged. there are moderate degenerative changes noted in the thoracic spine.
history: <unk>f with cough, immunosuppressed
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no focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with fever // pna?
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two views were obtained of the chest. the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the heart is normal in size with normal cardiomediastinal contours.
<unk>-year-old with chest pain.
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there is an placement of a right hd dialysis catheter since the prior chest radiograph of <unk>. the cardiac silhouette is top normal in size. the mediastinal contours are within normal limits. there is minimal calcification of the aortic knob. a small amount of right pleural fluid is again seen. no left pleural effusion is seen. there is mild interstitial pulmonary edema and prominence of the pulmonary vasculature. no pneumothorax is seen.
<unk>-year-old man did not finish dialysis today, here to evaluate for fluid overload.
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slightly prominent left infrahilar region with preservation of air bronchograms, which appears more prominent compared to the exam earlier today. otherwise, the lungs are clear. no pneumothorax or pleural effusion. the cardiomediastinal silhouette, hila, and pleura are normal and unchanged from the prior exam. no acute osseous abnormality. incidental interposition of the right colon between the right diaphragm and liver. no intra-abdominal sub-diaphragmatic free air.
<unk> year old man with ams, sob, stridor; evaluate for opacity, obstruction.
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left apical granulomas appear unchanged since at least <unk>. no focal consolidation, pleural effusion, or pneumothorax is seen. mild emphysematous changes are seen. elevation of the left hemidiaphragm appears unchanged since <unk>. heart size is top normal. the aorta is calcified and tortuous.
<unk>-year-old male with cough.
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there has been interval removal of the right pigtail catheter. the right pleural effusion has increased in size now moderate with associated atelectasis. an underlying infection cannot be excluded. there is a small left pleural effusion. the right middle lobe <num> cm mass is best seen on the lateral view corresponding to the mass seen on the ct. multiple smaller bilateral nodules are not as well visualized on the chest radiograph. stable cardiomediastinal contours.
<unk> year old man with chest pain // acute cardiopulm disease, effusion, pna
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the lungs are clear without consolidation, effusion, or edema. there is no pneumothorax. the cardiomediastinal silhouette is within normal limits. median sternotomy wires and mediastinal clips are noted. no acute osseous abnormalities.
<unk>f with doe <num> weeks s/p sternotomy // assess for pna, ptx
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heart size is normal. the mediastinal and hilar contours are unchanged with mild unfolding of the thoracic aorta noted. the pulmonary vascularity is normal. minimal subsegmental retrocardiac atelectasis is noted. no focal consolidation, pleural effusion or pneumothorax is identified. no acute osseous abnormalities are visualized.
chest pain.
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heart size is top normal. cardiomediastinal silhouette and hilar contours are unremarkable. there are mild increased perihilar and basal opacities compatible with mild pulmonary edema. there is no focal consolidation. there is no pleural effusion or pneumothorax.
altered mental status.
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frontal and lateral views of the chest demonstrate normal lung volumes. small right pleural effusion persists and cardiac silhouette is larger. there is no left pleural effusion. right infrahilar peribronchial opacification is either early edema or mild pneumonia. hilar and mediastinal silhouettes are unremarkable. heart size is normal. imaged upper abdomen is unremarkable.
patient with fever and neutropenia. assess for pneumonia.
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a right central line terminates at the cavoatrial junction. there has been interval placement of an endogastric tube whose side port projects over the gastric bubble, well below the ge junction. the heart size is large, but stable compared to prior exams. the mediastinal and hilar contours are within normal limits. again are seen multiple air space opacities, upper and lower portions of the right lung, but worsening in the retrocardiac space. pulmonary edema has worsened. blunting of both costophrenic angles suggests bilateral pleural effusions, with portions of fluid tracking along the right lateral pleural space. assessment of pneumothorax is limited by the exclusion of the lung apices on this exam. a single distended loop of bowel is present below the diaphragm.
<unk>-year-old male with multifocal pneumonia with recent ng tube placement.
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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 fall, chest pain, eval rib fx
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frontal and lateral chest radiographs were obtained. a right-sided hickman catheter terminates in the lower svc. the lungs are fully expanded and clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are stable. there is no pleural effusion or pneumothorax.
patient with fever, rule out pneumonia.
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pa and lateral views of the chest. relatively low lung volumes are seen. there is no consolidation, effusion or pulmonary vascular congestion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities detected.
<unk>-year-old female with cough productive of yellow sputum.
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right pigtail catheter is in the right lower lobe with tip ending at the level of the right atrium. no bony abnormality. left lung is clear without pleural effusion. interval clearing of right upper lobe. no change in right lower lobe ill-defined opacity. multiple lung nodules noted and are better characterized on chest ct. no pleural effusion, pneumothorax or pulmonary edema. heart size, mediastinal contour and left hilum are normal. right hilum is obscured by the pleural parenchymal process.
male with new pleural collection in chest tubes. assess pleural collection.
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portable upright chest radiograph <unk> at <time> is submitted.
<unk> year old woman with urosepsis, intubated // ? ptx, effusion, consolidation ? ptx, effusion, consolidation
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ap portable upright view of the chest. port-a-cath resides over right chest wall with catheter tip extending into the svc. pulmonary edema is increased from prior, now severe. small bilateral pleural effusions are likely present. scarring is seen in the upper lungs. hilar congestion is notable. cardiomegaly is unchanged.
<unk>m with severe dyspnea // ? acute cardiopulm process
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lateral view shows a nondisplaced fracture of the mid portion of the sternal body, with a modest amount of presternal and retrosternal bleeding. no displaced rib fracture is seen, but since the conventional chest radiograph is not sensitive in detecting subtle chest cage trauma, the subsequent chest ct scan should be consulted. sternal fracture is associated with hemopericardium and cardiac trauma and should be evaluated clinically and with appropriate imaging. severe bullous emphysema is chronic. bands of atelectasis or scarring involving several bulla also are stable dating back to <unk>. lower lung volumes are probably a reflection of splinting and would explain the relative increase in <unk> in both lower lung zones compared to <unk>. this includes partial obliteration of the left cardiac border, but there is the possibility of some a lung contusion particularly in the lingula, and a smaller region in the axillary sub segments of the right upper lobe projecting over the third anterior interspace, also best evaluated on the chest ct. there is no pleural effusion or pneumothorax
<unk>m with chest pain after mva evaluate for rib fracture. .
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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. a lap band is noted in the upper abdomen.
<unk>f with sob // fluid or consolidation?
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supine portable chest radiograph demonstrate low lung volumes. an endotracheal tube is present and terminates approximately <num> cm above the level of the carina in appropriate position. an enteric tube descends the thorax in uncomplicated course, its tip projecting below the left hemidiaphragm. there is no large pleural effusion or pneumothorax. bibasilar patchy opacities likely reflects atelectasis.
history: <unk>f with intubation // ett placement
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mild enlargement of the cardiac silhouette is noted, unchanged. mediastinal and hilar contours similar. pulmonary vasculature is normal. lungs are clear. no focal consolidation, pleural effusion or pneumothorax is seen. mild multilevel degenerative changes are noted in the thoracic spine. there is a mildly elevated right hemidiaphragm, unchanged. prior right mastectomy is again seen.
history: <unk>f with cough, dyspnea
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pa and lateral chest radiographs provided. mild pulmonary edema has improved since the prior exam. bilateral pleural effusions have resolved on the left and nearly resolved on the right with a small residual pleural effusion. the heart remains mildly enlarged. there is no focal consolidation or pneumothorax.
history of smoking, pre-hbo treatment, copd.
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pa and lateral chest radiographs demonstrate no focal consolidation, pulmonary vascular congestion, or pneumothorax. small right pleural effusion and mild bibasilar atelectasis are unchanged. aside from tortuous aorta, the cardiomediastinal silhouette is unremarkable.
fever.
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subtle right middle lobe patchy opacity obscures the right heart border on the frontal view and projects over the cardiac silhouette on the lateral view. given this was not present <num> days prior, is felt to more likely represent pneumonia although underlying neoplastic process is not excluded. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable and stable. no evidence of free air is seen beneath the diaphragms.
history: <unk>m with metastatic colon cancer, now with abdominal pain, n/v, diarrhea // evaluate for free air
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pa and lateral chest radiographs were provided. there is mild prominence of pulmonary vasculature consistent with pulmonary edema. there is no focal consolidation or pleural effusion. there is some linear atelectasis at the left lung base. cardiomediastinal silhouette is unremarkable. note is made of cervical spine fusion hardware.
<unk>-year-old woman with lower extremity edema, evaluate for evidence of failure.
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the patient is status post mitral valve replacement. the patient is also status post coronary artery bypass graft surgery, noting surgical clips along the anterior mediastinum to the left of midline. two surgical clips also project over the left mid hemithorax. the heart is mild-to-moderately enlarged. there is no pleural effusion or pneumothorax. no free air is seen. the lungs appear clear. small anterior osteophytes are present along the thoracic spine.
pleuritic chest pain and dyspnea on exertion.
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a portable supine frontal chest radiograph demonstrates an endotracheal tube with the tip terminating in the mid thoracic trachea very low lung volumes exaggerate heart size, which is probably normal, and crowd the vasculature. no large consolidation, pleural effusion, or pneumothorax is identified. the visualized upper abdomen is unremarkable.
status post intubation.
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in comparison with chest radiograph from <unk>, there is new central congestion with mild interstitial pulmonary edema. mild overinflation is unchanged. unchanged moderate cardiomegaly with elongation of the descending aorta. left pectoral pacemaker is in stable position.
<unk> year old man with hemoptysis and fatigue, hx of aspiration pna with hemoptysis last <unk>, h/o throat cancer s/p xrt // r/o pna or abnormality
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there is minimal bilateral lower lung atelectasis as well as mild interstitial pulmonary edema. mild-to-moderate cardiomegaly is not significantly changed, allowing for differences in technique. the mediastinal contours are normal. there are no pleural effusions. no pneumothorax is seen. widespread vertebral body endplate sclerosis is suggestive of a metabolic abnormality, statistically renal osteodystrophy. cholecystectomy clips are noted.
fever and malaise. assess for pneumonia.
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the cardiac and mediastinal silhouettes are stable. there is persistent mild deviation of the mediastinum to the right, unchanged. no focal consolidation is seen. the slight blunting of the right costophrenic angle on the frontal view is not substantiated on the lateral view and there is no large pleural effusion. no evidence of pneumothorax. the hilar contours are stable.
cough.
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portable semi-erect chest radiograph <unk> <time> is submitted.
<unk> year old woman s/p cabg // eval for pneumothorax s/p chest tube removal eval for pneumothorax s/p chest tube removal
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portable upright chest radiograph was obtained. nasogastric tube courses through the esophagus and into the stomach with tip in the distal body of the stomach. left port-a-cath terminates at the cavoatrial junction. the lungs are well expanded and clear without pleural effusion or pneumothorax. the heart is normal in size with normal cardiomediastinal contours. contrast is seen opacifying dilated loops of small bowel, incompletely assessed at the inferior aspect of the image.
ng tube not effective, assess placement.
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there is no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is unremarkable. again seen is a small nodule overlying the thoracic vertebral body which is stable since <unk>. the osseous structures are otherwise unremarkable.
<unk>-year-old woman with bladder cancer, rule out mets.
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ap upright and lateral views of the chest provided. lower lung opacities, right greater than left, are concerning for pneumonia. no large effusion or pneumothorax. cardiomediastinal silhouette appears normal. bony structures are intact.
<unk>m with cough // pna
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frontal and lateral chest radiographs demonstrate clear lungs with decreased expansion compared with prior, which accentuate the pulmonary vasculature. there is no focal consolidation, pleural effusion or pneumothorax. the cardiac silhouette and mediastinal contours are unchanged, the aorta appears tortuous.
<unk>-year-old male with cough and fever, question pneumonia.
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a right-sided port-a-cath terminates in the upper svc as before. the cardiomediastinal and hilar contours are within normal limits. there is a small right pleural effusion. there is no evidence of pulmonary vascular congestion, focal consolidation or pneumothorax. no frank pulmonary edema. no acute osseous abnormalities. nodular opacity at the right base is thought to represent a nipple shadow.
history: <unk>m with worsening edema // evaluate for pulmonary edema
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the cardiomediastinal and hilar contours are within normal limits. the lungs are well-expanded and clear. there is no focal consolidation, pleural effusion or pneumothorax.
midsternal sharp chest pain. rule out pneumonia and/or esophageal mass.
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ap upright semi-portable views of the chest were obtained. heart is normal in size and cardiomediastinal contour is stable. increased bilateral opacities likely relate to accentuated pulmonary vasculature due to low lung volumes. there is no focal consolidation. there is central venous engorgement, but no pulmonary edema. there is no pleural effusion or pneumothorax.
<unk>-year-old man with cirrhosis, altered mental status, cough and crackles on exam, evaluate for pneumonia or chf.
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frontal and lateral views of the chest demonstrate low lung volumes, which accentuate bronchovascular markings. there is no focal consolidation. no large pleural effusion is seen. there is no pneumothorax. hilar and mediastinal silhouettes are unremarkable. the ascending aorta appears tortuous. aortic arch calcifications are seen. heart size is normal. there is no pulmonary edema.
cough. assess for pneumonia.
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the patient is status post median sternotomy, and multiple surgical clips likely reflect prior bypass surgery. there is mild pulmonary vascular congestion and interstitial edema, slightly improved from prior exam. the right lung base opacity is again noted which could reflect asymmetric edema or pneumonia. the heart is top-normal in size, and calcifications of the aortic arch are again seen. no pneumothorax is seen, and there are small bilateral pleural effusions, smaller since prior.
<unk>-year-old man with acute nontraumatic left elbow pain for <num> hours. evaluate for acute process or edema.
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pa and lateral views of the chest provided. lung volumes are low limiting assessment. subtle increased opacity abuts the left heart border which likely reflects crowding of bronchovascular markings in the setting of low lung volumes though an early pneumonia is difficult to exclude. right lung is clear. no large effusion or pneumothorax. no signs of congestion or edema. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>f with chest pain midsternal x<num> hours
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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 left chest wall pacer device lead tips are in the right atrium and right ventricle.
<unk> year old man with afib on amiodarone. annual amiodarone evaluation
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bedside ap radiograph of the chest demonstrates an interval increase in the small right and moderate left pleural effusions with superimposed progression of pulmonary edema. there is stable collapse of the left lower lobe. the heart is stably enlarged. the right pulmonary artery is now even larger than at baseline, suggesting further decompensation of left heart failure. the pneumomediastinum is also enlarged, likely resulting from a combination of lymphadenopathy and vascular engorgement. there is no pneumothorax. a biventricular pacer is once again seen, with leads in unchanged and appropriate position. a left internal jugular catheter terminates in the mid svc. intact sternal cerclage wires, as well as mediastinal surgical clips are redemonstrated. surgical clips in the upper abdomen are also noted.
shortness of breath and hypervolemia in patient with congestive heart failure and renal failure necessitating cvvh. the patient also has newly diagnosed undifferentiated adenocarcinoma.
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cardiomediastinal silhouette and hilar contours are normal. lungs are clear. there is no pleural effusion or pneumothorax. no expansile bony lesions are identified.
melanoma.
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compared to the prior study there is no significant interval change.
<unk> year old man intubated // interval change?
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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 mediastinum is not widened. the descending thoracic aorta is not tortuous. linear metallic densities projecting over the left lower hemi thorax appear to be in the chest wall/ soft tissue on the prior ct from <unk>. no evidence of fracture on this nondedicated exam.
<unk>-year-old woman presents after mvc with chest pain. vss. (also hx of bilateral breast reconstruction s/p mastectomy for breast ca.) evaluate for fracture, ptx, or widened mediastinum (but low suspicion for dissection, cardiac contusion).
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a portable frontal chest radiograph again demonstrates severe cardiomegaly and increased vascular congestion. asymmetrically increased opacity of the left mid lung is again noted, and may represent asymmetric pulmonary edema versus a consolidation concerning for pneumonia.
chf exacerbation, previously seen pneumonia. evaluate for pneumonia or chf.
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the lungs are clear. heart is normal in size. there is a <num> x <num>cm right mediastinal mass, which obliterates the paratracheal stripe and is bulging into the lung parenchyma that is not well seen on the lateral view and not present on the previous ct exam. the pleural surfaces are normal without effusion or pneumothorax.
right-sided pleuritic chest pain and chest wall tenderness on the right.
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a frontal chest radiograph again demonstrates a small apical pneumothorax, which is unchanged. bilateral pleural effusions are slightly increased. left base atelectasis is unchanged. the lungs are otherwise clear without pulmonary edema or focal consolidation. the cardiomediastinal silhouette is unchanged.
left pneumothorax and left rib fractures status post skiing accident. evaluate for interval change.
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the cardiomediastinal and hilar contours are within normal limits. there is prominence of the hilar vasculature without pulmonary edema. patchy opacity at the right base likely reflect atelectasis, although infection/aspiration should also be considered. multiple nodular opacities are not well appreciated and are are better characterized on recent ct from <unk>. there is no evidence of pleural effusion or pneumothorax.
history: <unk>m with new onset ascites and sob // eval for pulm edema
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the left lower lobe consolidation has resolved. there is no new focal consolidation, pleural effusion, or pneumothorax. the heart size is normal. the cardiac and hilar contours are within normal limits. mediastinal fibrosis from prior radiation therapy is noted.
recent pneumonia as well as a history of hodgkin's.
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heart size is normal. mediastinal and hilar contours are normal. lungs are clear. no pleural effusion or pneumothorax is present. no acute osseous abnormalities are identified.
<num> weeks of pleuritic chest pain.
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frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. the cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation. hypertrophic changes are again noted in the spine.
history: <unk>f with chest pain, headache // please eval for pna
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the cardiomediastinal silhouette is normal. the hila are normal. the bilateral diffuse ill-defined interstitial opacities have improved. no evidence of new pneumonia. the left costophrenic angle is better appreciated compared to prior. no pleural effusion. no pneumothorax. no fractures.
<unk> year old man with with history of pneumonia, also needs to rule out tb // n/a
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heart size is normal. mediastinal and hilar contours are unchanged. pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is present. calcified granuloma in the left upper lobe is unchanged. no acute osseous abnormalities seen.
history: <unk>m with chest pain
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portable ap upright chest <unk> at <time> is submitted.
<unk> year old woman with pna s/p extubation, cirrhosis c/b ascites // effusion, edema, interval changes in pna effusion, edema, interval changes in pna
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the lungs are clear. there is no focal consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. atherosclerotic calcifications are noted in the aorta. anterior cervicothoracic fixation hardware is partially visualized.
<unk>f with sob // eval for pna
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faint right basilar opacity is seen. the lungs are otherwise clear of focal consolidation or effusion. the cardiac silhouette and there is mild <unk> enlarged similar to prior. no acute osseous abnormalities.
<unk>m with cough, hemoptysis // pna, mass
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again noted is elevation of the right hemidiaphragm. the cardiac silhouette is unremarkable. minimal atelectasis and scarring is noted at the left lung base. right infrahilar opacity, is more pronounced than on prior examinations, which in the appropriate clinical context, could represent pneumonia. no pneumothorax or pleural effusion.
history: <unk>m with cp // evidence of pneumonia
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since the most recent prior radiographs, there has been no significant change. no focal consolidation, pleural effusion, or pneumothorax. there is marked cardiac enlargement, unchanged. there is prominence of the mediastinum, particularly on the right side, which is unchanged from prior radiographs and probably related to a distended innominate artery. compared to the most recent prior radiograph, upper zone redistribution of pulmonary vasculature has resolved. there is dextroscoliosis of the spine with moderate-to-severe degenerative changes of the thoracic spine.
<unk>-year-old woman with myeloma, evaluate for infiltrate.
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the lungs are clear. the cardiomediastinal silhouette and hilar contours are normal. the pleural surfaces are clear without effusion or pneumothorax.
history of pneumonia.
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the lungs are clear. there is no pneumothorax or pleural effusion. the heart and mediastinum are within normal limits. a loop of colon is interposed under the left hemidiaphragm. bones are unremarkable.
<unk> year old woman with pain in upper chest aggravated by movements, also breathing and coughing; rule out effusion.
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frontal and lateral views of the chest. the lungs are clear despite low lung volumes. there is no effusion or consolidation. note is made of an azygos fissure. the cardiomediastinal silhouette is within normal limits. there is a sliver of air underneath the left hemidiaphragm, adjacent to several loops of large bowel. it is unclear whether this is free air below the diaphragm or air within a loop. there is no free air below the right hemidiaphragm.
<unk>-year-old female with chest pain. known marginal ulcers on gastric bypass. question free air.
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lordotic positioning. there is background copd. there is moderate cardiomegaly, with sternotomy wires noted. no chf. there are small bilateral effusions, with bibasilar atelectasis. there is minimal patchy retrocardiac opacity. no pneumothorax. compared to <unk>, bibasilar atelectasis and previously seen retrocardiac opacity has improved.
history: <unk>m s/p cabg <unk> days ago presenting with doe // ?pulm edema/effusion
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upright portable radiograph of the chest demonstrates no evidence of pneumothorax or focal consolidation within the lungs. bibasilar atelectasis is present. there is mild widening of the mediastinum, within normal limits after recent cabg. there has been interval removal of endotracheal tube, pericardial drain, nasogastric tube since the prior study. a right internal jugular venous catheter terminates in the low svc.
<unk>-year-old man status post cabg. evaluation for pneumothorax.