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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 pleural effusion or pneumothorax. the visualized osseous structures are unremarkable. scoliosis
history of chest pain, please evaluate for pneumonia or pneumothorax.
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there is no focal consolidation, pleural effusion or pneumothorax. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities are detected.
history: <unk>f with subj fevers x<num> week, p/w pleuritic cp vs msk pain <unk> cough. // ?pna
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the heart size is at the upper limits of normal or slightly enlarged. the hilar and mediastinal contours are within notmal limits. the soft tissue border of the neck on the left is not well visualized, though the left clavicular companion shadow is visualized. no chf, focal consolidations concerning for pneumonia, pleural effusion or pneumothorax is detected. mnimal tspine degeenrative change is suggsted.
history of chest pain. please evaluate for acute process.
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frontal and lateral views of the chest. the lungs remain clear without consolidation, effusion or pulmonary vascular congestion. cardiomediastinal silhouette is within normal limits. atherosclerotic calcifications noted at the aortic arch. no acute osseous abnormality is identified.
<unk>-year-old female with palpitations.
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cardiac, mediastinal and hilar contours are normal. lungs are clear. no pleural effusion or pneumothorax is present. no acute osseous abnormalities are detected.
history of pulmonary embolism, shortness of breath and tachycardia.
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the lungs are clear. the hilar and cardiomediastinal contours are normal. there is no pneumothorax or pneumomediastinum. there is no pleural effusion. pulmonary vascularity is normal.
<unk> year old man with several episodes of hematemesis and hemoptysis. rule out esophageal tear, lung mass, infiltrate.
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there relatively low lung volumes. left mid lung opacity persists in is stable, likely representing atelectasis. right base opacity persists, also likely representing atelectasis. previously seen tiny right apical pneumothorax is no longer appreciated. cardiac and mediastinal silhouettes are stable.
<unk> year old woman s/p cabg/ mvr/tvr // eval for ptx
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single frontal chest radiograph demonstrates a right subclavian cvl tip within the right atrium, unchanged from previous examination. the lungs are well-expanded and clear. no pleural effusion or pneumothorax. heart size, mediastinal contour and hila are unremarkable. no focal opacity. limited assessment of the upper abdomen is unremarkable and visualized osseous structures are within normal limits. no subcutaneous emphysema.
history: <unk>f s/p fall; prior lightheadedness, concern for infx etiology of near syncope. assess for consolidation.
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the lungs are well inflated and clear. no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable.
<unk>m with dyspnea. assess for acute process.
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single portable view of the chest. when compared to prior, there has been no significant interval change. linear opacity again seen in the right midlung compatible the right upper lobe volume loss. there is no new focal consolidation. chronic pulmonary vascular congestion is again noted as well as enlargement of the cardiac silhouette and suggestion of underlying mediastinal adenopathy as previously detailed. the hila remain enlarged. no acute osseous abnormality is seen noting widening of the acromioclavicular joints bilaterally, unchanged.
<unk>-year-old male with temperature to <num>.
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ap and lateral views of the chest were obtained. lungs are well expanded bilaterally. mild enlargement of the cardiac silhouette may be related to the technique. there is mild basilar atelectasis without definite focal consolidation. no pleural effusion, or pneumothorax is seen. surgical clips are noted over the left axilla. there is no pneumothorax.
<unk>-year-old female with lightheadedness, nausea, chills, evaluate for pneumonia.
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there appears to be interval improvement of the moderate right-sided pleural effusion. there is also evidence of a right-sided fissural loculation of pleural fluid. there is also improvement of the left-sided atelectasis. no new focal consolidations are noted. again seen is the large pleural calcification which obscures the upper right lung. there is no pneumothorax. the dobbhoff tube terminates below the diaphragm in the upper stomach. mild cardiomegaly is stable. the hilar and mediastinal contours are unchanged.
<unk>-year-old male with a history of right pleural effusion who presents for followup evaluation.
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the chest tube overlies the right hemi thorax. no large pneumothorax is identified. opacity at the base of the right lung persists. minimal opacity at the base of the left lung may represent atelectasis.
history: <unk>m stabbing // evaluate chest tube placement
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endotracheal tube remains in unchanged position. the enteric tube tip terminates at the level of the gastroesophageal junction, unchanged, and should be advanced by approximately <num> cm such that the side port is within the stomach. there is interval improvement in aeration of the right upper lobe with continued atelectasis noted. patchy left upper lobe and bibasilar airspace opacities otherwise appear grossly unchanged, concerning for aspiration. no pleural effusion or pneumothorax is present. the cardiac and mediastinal contours are relatively unchanged.
history: <unk>m with cardiac arrest, new hypoxia.
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cardiomediastinal contours are normal. the lungs are clear. there is no pneumothorax or pleural effusion. the osseous structures are unremarkable
<unk> year old man with chronic left sided chest pain with minimal relief. // rule out pathology that may be leading to chronic left chest wall pain.
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pa and lateral chest radiographs were obtained. pulmonary hyperinflation and flattened diaphragms suggest emphysema. blunting of the left posterior costophrenic angle may be due to trace effusion or atelectasis. no focal consolidation, large effusion or pneumothorax is present. the heart size is normal. the aorta is tortuous and ectatic.
<unk>-year-old man with suicidal ideation.
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the lungs are clear. there is no focal airspace opacity, pulmonary edema, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal.
cough, sputum production, and wheezing.
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lung volumes are markedly low, which accentuates bronchovascular markings and enlarges the cardiac silhouette. given that, the heart is enlarged. the course of the aorta is irregular consistent with a known large thoracic aortic dissection. calcification along the thoracic aorta is demonstrated. subtle basal opacities likely represent atelectasis. no overt pulmonary edema. of note, soft tissue density overlying the left apex is most likely related to overlying soft tissue.
<unk>m w/ other requirement, unable to wean to room air pod<unk> s/p afrenalectomy // r/o acute process
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the lungs are well-expanded and overall hyperlucent, similar to the prior exam suggesting chronic pulmonary disease. compared to <unk>, right infrahilar opacity with slight blurring of the right heart border more conspicuous, which could be compatible with aspiration given the provided clinical history. pulmonary vascular redistribution is grossly unchanged. no edema. mild-to-moderate cardiomegaly is new. the mediastinum is not widened. no pneumothorax, <unk> pulmonary edema.
<unk> year old woman with hr, <unk> to <unk>% ra // r/o evidence of aspiration/ consolidation
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single portable view of the chest. relatively low lung volumes are noted with secondary to the crowding of the bronchovascular markings. the patient is rotated to the left. within this limitation, there is no change to the cardiomediastinal silhouette, which is within normal limits. blunting of the lateral left costophrenic angle may be due to atelectasis.
<unk>-year-old male with fever and vomiting.
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as compared to <unk>, interval decrease in lung volumes with increasing bibasilar opacities. these basilar opacities are likely atelectasis, however in the absence of a lateral view underlying infection cannot be excluded. no pulmonary edema. no substantial effusions. heart size is normal. no pneumothorax.
<unk> year old woman with hsv encephalitis // infection
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the patient has been extubated. interval removal of right chest tube, left chest tube, and enteric tube. the right ij central venous catheter in cavoatrial junction, unchanged. the sternotomy wires are intact without evidence of dehiscence. right apical pneumothorax is small. the lung volume is small compared to prior. new bilateral lower lobe atelectasis, more on the right. bilateral pleural effusion is small and unchanged. the cardiomediastinal silhouette is approximately unchanged.
<unk> year old man s/p cabg and ct removal // r/o ptx
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left sided dual-chamber pacemaker is noted with leads terminating in the right atrium and right ventricle, unchanged. the heart size is normal. the mediastinal and hilar contours are unchanged with mild tortuosity of the thoracic aorta noted. the pulmonary vascularity is normal. no focal consolidation, definite pleural effusion or pneumothorax is noted. mild interstitial opacity is re- demonstrated within the right lung base particularly laterally, which could reflect a chronic process. mild degenerative changes are noted in the thoracic spine.
chest pain.
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the patient is status post recent cabg with stable postoperative appearance of the mediastinum. again appreciated is the significant cardiomegaly especially of the left ventricular contour with tortuous aorta. bibasilar lung opacities are improved. there is a persistent small to moderate left pleural effusion. a right internal jugular central venous catheter is unchanged in position with the tip projecting over the mid svc. there is no pneumothorax.
status post cabg. followup left effusion.
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frontal and lateral views of the chest. as on prior, there are small-to-moderate effusions, not significantly changed. degree of cardiomegaly is unchanged with possible underlying effusion not excluded. prominence of interstitial markings is again seen but slightly improved compared to prior exam. no acute osseous abnormality is identified.
<unk>-year-old female with chest pain and prior fluid overload. evaluate volume status.
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pa and lateral chest views were obtained with patient in upright position. the heart size is within normal limits. no typical configurational abnormality is seen. the thoracic aorta is of ordinary dimension but shows diffuse elongation with relative prominence of ascending aorta contour to the right. the pulmonary vasculature is not congested. no signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. no evidence of pneumothorax in the apical area. skeletal structures of the thorax grossly unremarkable. our records do not include a previous chest examination available for comparison.
<unk>-year-old female patient with arthritis. evaluate for possible hilar lymphadenopathy or infiltrates.
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cardiac silhouette size is normal. the mediastinal and hilar contours are within normal limits. the pulmonary vasculature is not engorged. no focal consolidation, pleural effusion or pneumothorax is present. mild degenerative spurring is noted within the thoracic spine.
history: <unk>f with hip pain. now pre-op workup.
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emphysematous changes are seen with biapical predominance. calcified nodules project over the right lung suggestive of granulomas. the lungs are otherwise clear without consolidation or effusion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.
<unk>f with brain mass // eval infiltrate, cardiomegaly
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a frontal supine view of the chest was obtained portably. the endotracheal tube ends <num> cm above the carina and could be advanced for better seating. the left subclavian line ends in the upper svc. an upper enteric tube ends in the stomach. lung volumes are slightly lower than on the prior study. the right basilar opacity is unchanged. new left basilar opacity is likely atelectasis given the lower lung volumes. hyperlucency at the left lung base is likely due to confluence of shadows, unchanged since <unk> and unlikely to be a pneumothorax. there is no substantial pleural effusion. cardiac and mediastinal silhouettes are stable.
aspiration. evaluate for interval change.
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heart size is normal. cardiomediastinal silhouette and hilar contours are normal. lung volumes are low. platelike atelectasis at the left base is moderate. left hemidiaphragm is indistinct on lateral view with suggestion of haziness. right lung is clear. no effusion or pneumothorax.
left-sided flank pain, malaise and cough.
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pa and lateral views of the chest are compared to previous exam from <unk> and <unk>. compared to prior, there has been no significant interval change. again seen are increased interstitial markings throughout the lungs. there is no focal consolidation or effusion. the cardiac silhouette is enlarged but stable. osseous structures are unremarkable.
<unk>-year-old female with chest pain.
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there is no consolidation, pleural effusion, or pneumothorax. cardiomediastinal and hilar silhouettes are normal size.
history: <unk>f with palpitations // ? acute cardiouplm process
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there is no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal. osseous structures are intact.
evaluate for pneumonia. patient with cough, fever and chills.
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lung volumes are low. no pneumothorax. normal post operative appearance with left perihilar opacity suggesting resolving hemorrhage. the left hemidiaphragm is elevated with adjacent atelectasis and possible trace left pleural effusion. the mediastinum and cardiac borders are normal.
<unk> year old woman w/ <num>mm lll nodule along w/ multiple pulm nodules s/p vats lll wedge resection. dc chest tube //?pneumo
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supine portable view of the chest demonstrates endotracheal tube tip projecting approximately <num> cm above the carina. nasogastric tube terminates at the gastroesophageal junction with side port within the esophagus. lung volumes are low, which accentuate bronchovascular markings. no pleural effusion or focal consolidation. heart remains moderately enlarged. remote right-sided rib injuries are again noted.
patient status post intubation, assess for et and og tube placement.
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the patient is rotated to the left. the et tube terminates approximately <num> cm above the carina. there is no pneumothorax. an ng tube courses below the diaphragm and terminates outside the field of view. the left picc terminates in the low svc. differences in the the left pleural effusion and associated atelectasis are difficult to ascertain due to patient positioning. there may be volume loss at the left lung base, which would be reflect worsening left lower lobe atelectasis.
elective intubation. evaluation of placement.
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the cardiomediastinal and hilar contours are within normal limits. the aorta is unremarkable and there is no distention of the azygos vein. the lungs are clear. there are no focal consolidations, pleural effusions, pulmonary edema or pneumothorax.
<unk>-year-old male patient with history of rcc. study requested for evaluation of abnormalities.
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the tip of the endotracheal tube is situated <num> cm above the carina. the tip of the enteric tube is not clearly identified. a right ij central venous catheter is likely in the lower ij but unchanged. a left ij central venous catheter terminates at the right brachiocephalic vein, as before. lung volumes are extremely low. pulmonary edema is mild to moderate, and increased since the prior study. moderate right pleural effusion is unchanged. there is no pneumothorax.
<unk> year old man with pmhx cirrhosis, now intubated in septic shock, evaluate for pulmonary edema, pneumonia, ett placement
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prominence of the pulmonary vasculature and increased interstitial markings likely represent mild to moderate pulmonary edema. there are likely small bilateral pleural effusions. bibasilar opacities likely reflect dependent pulmonary edema. the heart remains enlarged.
history: <unk>f with respiratory distress // ? acute process
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ap and lateral views of the chest. the lungs are well expanded and clear of focal consolidation. there is no effusion or overt pulmonary edema. cardiac silhouette is enlarged but stable in configuration. no acute osseous abnormality is identified.
<unk>-year-old female with hypertensive urgency. question chf.
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endotracheal tube tip terminates <num> cm from the carina. orogastric tube tip is seen in coursing below the left hemidiaphragm, off the inferior borders of the film. lung volumes are low. heart size is mildly enlarged but unchanged. mediastinal and hilar contours are within normal limits. crowding of the bronchovascular structures is noted, but no overt pulmonary edema is seen. minimal streaky bibasilar airspace opacities likely reflect atelectasis. no pleural effusion or pneumothorax is identified on this supine exam. embolization coils are demonstrated within the left upper quadrant of the abdomen.
upper gi bleed.
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the lungs are clear with no evidence of consolidation, effusion, or pneumothorax. cardiomediastinal silhouette is normal. no acute fractures are identified. an enteric tube is visualized traversing through the stomach. m ultiple dilated air-filled loops of bowel are noted in the upper abdomen and are suspicious for small bowel obstruction.
evaluation of the patient with abdominal pain with distension.
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examination somewhat limited due to the patient's chin overlying the left upper lung, in the patient is somewhat rotated in position. given this, there appears be left basilar atelectasis. projecting over the medial right lung base, is a <num> x <num> cm structure with peripheral density and central lucency, unclear whether external to the patient versus possibly a pulmonary lesion. no pleural effusion or obvious pneumothorax is seen although the left lung apex is obscured by the patient's overlying chin. the aortic arch is calcified. the cardiac silhouette is not enlarged. mitral annulus calcification is noted. no pulmonary edema.
history: <unk>f with sob, febrile*** warning *** multiple patients with same last name! // ?pna
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three ap images through the chest were provided. the lungs are clear bilaterally. the cardiomediastinal and hilar contours are within normal limits. there is no pleural effusion. no evidence of pneumothorax. pulmonary vasculature is within normal limits. osseous structures are without acute abnormality.
<unk>-year-old male with chest pain.
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comparison is somewhat difficult due to differences in technique. there is interval increase in bilateral pleural effusions. the left pleural effusion is moderate to large in size. the left heart border is largely obliterated. there is evidence of underlying atelectasis or consolidation. this is probably greater on the left but obscured by pleural fluid. mediastinal structures appear stable. the bony thorax is grossly intact.
pneumonia and fluid status
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no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. heart and mediastinal contours are within normal limits.
<unk>-year-old male with history of renal transplant, now with dyspnea.
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a right upper extremity picc has been pulled back, now terminating in the upper svc. a gastrostomy tube is partially imaged. the lung volumes are low, resulting in crowding of bronchovascular structures. there is no pulmonary edema. no pleural effusion, pneumothorax or focal airspace consolidation. heart size and mediastinal contours are unremarkable.
tachypneic during transfusion, evaluate for pulmonary edema.
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there is new pacemaker with leads terminating in the right atrium and right ventricle. cardiomediastinum and hilar silhouettes are stable. the lungs are well expanded and clear with the exception of a small granuloma in the left lung which is stable compared to prior. there is no pulmonary edema, pleural effusion or pneumothorax.
<unk>-year-old with new pacemaker placement.
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frontal and lateral chest radiographs demonstrate clear lungs without pleural effusion or pneumothorax. the cardiac and mediastinal contours are normal. a right upper extremity picc tip is unchanged in position in the mid svc. the pulmonary vasculature is normal.
<unk>-year-old male postop day <num> status post i&d for brain abscess with fevers, question source of fever.
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single ap view of the chest provided. an ij line terminating at the distal svc is seen. there has been interval placement of a nasogastric tube. surgical <unk> are noted in the midabdomen. mild cardiomegaly is stable. bilateral atelectasis at both lung bases is noted. a moderate, stable pleural effusion is noted on the left. a right pleural effusion is small, if any is present. imaged osseous structures are intact.
<unk> year old woman sp partial gastrectomy for perforated ulcer on <unk> // nasogastric tube placement
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there is subcutaneous gas overlying the right chest wall. there is a small right apical pneumothorax identified. multiple right-sided rib fractures are seen, specifically involving the posterior right seventh, eighth and potentially ninth ribs. increased hazy opacity projecting over the right lung base could represent an effusion or hemothorax. the left lung is clear. the cardiomediastinal silhouette is within normal limits.
<unk> with ptx // eval ptx
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the patient is rotated. lung volumes remain low. bilateral right greater left pleural effusions persist and may be slightly increased on the right from the prior exam. no significant change in small left pleural effusion if not minimally decreased. mild cardiomegaly is overall unchanged. no pneumothorax. no frank pulmonary edema. bilateral consolidations are overall unchanged.
<unk> year old woman s/p ex-lap, sbr, now w. increasing b/l pleural effusions. evaluate interval change.
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cardiac silhouette size is normal. the aortic knob is calcified and the aorta is mildly tortuous, as seen previously. mediastinal and hilar contours are unchanged. pulmonary vasculature is not engorged. patchy opacities are noted in both lung bases, which may reflect atelectasis, but infection is not excluded. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
history: <unk>f with cough, subjective fevers // evaluate for pneumonia
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ap portable upright view of the chest. right ij central venous catheter is again seen with its tip in the region of the low svc. lungs are clear. multiple old rib cage deformities as well as deformities of both clavicles again noted. no pleural effusion or pneumothorax. cardiomediastinal silhouette stable.
<unk>m with new line // eval central line
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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>. the moderate degree of heart size enlargement appears stable and no significant interval change can be identified. same holds for the moderately widened and elongated thoracic aorta with calcium deposits in the wall mostly at the level of the arch. mild degree of pulmonary congestive pattern in the form of perivascular haze appears unchanged. no new evidence of pleural effusions as the lateral and posterior pleural sinuses remain free. apparently chronic changes in the form of linear densities at the bases representing the known thickened walls of peribronchiectatic airways appear unchanged but may have increased slightly in the area of the lingula and the right middle lobe. they assume the appearance similar to what was encountered on an older chest examination of <unk>. no new discrete coherent areas of pneumonia can be seen. no pneumothorax identified in the apical area. skeletal structures of the thorax again show a moderately accentuated kyphotic curvature and somewhat osteopenic vertebral body structures, but no new vertebral body fracture can be identified.
<unk>-year-old female patient with history of mycobacterium avium- intracellulare infection. now with increasing fatigue and shortness of breath, scant rales at bases, assess for any interval change.
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there is no focal consolidation, pleural effusion or pneumothorax. cardiomediastinal silhouette is within normal limits. no subdiaphragmatic free air is seen. no acute osseous abnormalities.
<unk>f with pmh of stemi presents with chest pain
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endotracheal tube, enteric tube, and right picc line are in satisfactory position. left lower lobe collapse persists. heterogeneous opacification of the right lung base has improved since the prior study, which may reflect redistribution of right pleural effusion secondary to upright position. the underlying heterogeneous parenchymal abnormality remains and is persistently concerning for pneumonia.
<unk> year old woman with endotracheal tube, questionable pneumonia, and collapsed left lower lobe. evaluate interval change.
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in comparison to <unk> study there is diffuse pulmonary opacities seen, with progression in the right upper and right middle lobes as well as new opacities in upper lung. again given the setting setting of hemoptysis pulmonary hemorrhage cannot be excluded as well as pulmonary edema and aspiration. given the rapidity of the progression pneumonia is less likely. again seen is a right jugular central venous catheter which terminates in the right atrium. the cardiomediastinal silhouette appears stable when compared to previous studies.
<unk> year old woman with hemoptysis, hypoxia // evaluate for worsening extent of opacities/possible pulmonary hemorrhage
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the heart size is mildly enlarged but unchanged. the mediastinal and hilar contours are unremarkable. pulmonary vascularity is normal. linear bibasilar airspace opacities are compatible with subsegmental atelectasis. there is no focal consolidation, pleural effusion or pneumothorax. no acute osseous abnormalities are visualized.
cough and altered mental status.
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heart size and cardiomediastinal contours are stable. substantial left lower pleural abnormality is not significantly changed compared to <unk>. diffuse interstitial lung abnormality is similar to prior and there is persistent confluent scarring of left upper lobe with retraction of the pulmonary artery. no new consolidation or pleural effusion. no pneumothorax.
history: <unk>f with fever recent bopsy // ? pna
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subtle opacity projecting over the left lung base on the frontal view, not substantiated on the lateral view, most likely represents atelectasis, early infection is not excluded in the appropriate clinical setting. the right lung is clear. no pleural effusion or pneumothorax is seen. cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with sob // eval for infection, acute process
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no definite compression fracture within the imaged thoracic spine. no free air below the right hemidiaphragm is seen. mild elevation of the right hemidiaphragm is stable.
<unk>f with left lower back pain // ptx, pna
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the right picc line is unchanged in position. the lung volumes are extremely low. there is mild pulmonary vascular congestion. additionally, there is worsening opacity in the left lung base that may represent pleural effusion vs. atelectasis vs. pneumonia. there is no pneumothorax. no acute osseous abnormalities.
<unk> year old man with liver abscess drainage <unk>, now with sob // eval for partial pneumothorax, or other acute pulmonary pathology
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there has been interval placement of an endogastric tube which is coiled in the mid esophagus and travels back up. a rectangular electronic device projects over the left chest and is unchanged in position compared to <unk>. clips in the lower mediastinum/epigastrium are unchanged. the heart size is stably enlarged, particularly a double contour over the right heart is suggestive of a large left atrium. the mediastinal and hilar contours are unchanged. the lungs continue to demonstrate a nodular opacity in the right base for which reimaging with nipple markers may be considered. a nodular opacity in the left lower lateral lung is unchanged and could represent a nipple shadow.
<unk>-year-old male, status post ng tube placement.
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pa and lateral views of the chest provided. left chest wall port-a-cath is again noted with catheter tip extending into the upper svc as on prior. there is a tripolar pacer again noted implanted in the right chest wall with leads extending into the right atrium, right ventricle and region of the coronaries sinus. the heart size is normal. there is no focal consolidation, large effusion or pneumothorax. there may be mild hilar congestion though there is no frank pulmonary edema. imaged bony structures appear intact.
<unk>f with c/o sob and cp and hx biv icd placed <unk> // ? pna vs chf
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the previous seen right upper lobe opacity has resolved. the lungs are clear. the hila and pulmonary vascular are normal. no pleural effusions or pneumothorax. the cardiomediastinal silhouette is normal. no obvious osseous abnormalities.
<unk> yo f pt with - an apparent opacity in the right upper lobe was not seen on the prior studies and may reflect calcification of the costal cartilage. recommend continued attention on followup with departmental pa and lateral chest radiographs when the patient's clinical condition improves. // eval for opacity seen on cxr from <unk>
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chest pa and lateral radiographs demonstrate unremarkable cardiomediastinal and hilar contours. lungs are clear. no pleural effusion or pneumothorax evident. minimal apical thickening noted bilaterally, unchanged compared to prior. no osseous abnormality evident.
<unk>-year-old male with abdominal pain and acute renal failure, rhonchi on exam. please assess for pneumonia or acute process.
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lung volumes are low. heart size remains moderately enlarged. mediastinal and hilar contours are unremarkable. crowding of bronchovascular structures is present without overt pulmonary edema. patchy opacities are seen in the lung bases likely reflective of atelectasis. no definite focal consolidation, pleural effusion or pneumothorax is present. marked degenerative changes with diffuse idiopathic skeletal hyperostosis is noted in the imaged thoracolumbar spine. additionally diffuse increased sclerosis of the vertebral bodies is unchanged compared to the prior ct.
history: <unk>f with lethargy, headache. fall <num> week ago with head strike
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since the prior cxr performed yesterday morning, has been interval removal of the endotracheal tube and enteric tube. there are new diffuse alveolar opacities, most likely pulmonary edema. engorgement of the azygous vein also confirms fluid overload. no large pleural effusions or pneumothorax. heart size is top normal.
<unk> year old man with roc s/p vf, intubated // ? pulm edema / lines
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lungs are fully expanded and clear without consolidations or suspicious pulmonary nodules. a very intense, round opacity projecting over the posterior third rib is likely a bone island. heart size is normal. cardiomediastinal and hilar silhouettes are normal. no pleural abnormalities.
<unk> year old man with new onset muscle weakness // assess for lung mass
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
history: <unk>m with hiv and hcv with cough, malaise
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mild enlargement of the cardiac silhouette is unchanged. mediastinal and hilar contours are normal. lungs are clear. no focal consolidation, pleural effusion or pneumothorax is seen. no acute osseous abnormality is detected.
history: <unk>m with difficulty breathing, change in mental status // please eval for infectious process
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the moderate to large left pleural effusion has increased compared with <unk>, with left-sided atelectasis or collapse. increased opacity in the left upper lobe is suspicious for pneumonia, though asymmetric edema is a possibility. new interstitial markings at the right base are compatible with increasing pulmonary vascular congestion and mild to moderate pulmonary edema. there is no pneumothorax.
<unk> year old man with worsening hypoxia and secretions // ? atelectasis / pneumonia
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since the prior ct, there is increased opacification in the right lower lobe, concerning for pneumonia, likely aspiration related. additionally, there is an opacity in the left lower lobe, which is similar to the prior ct and chest radiograph, which could be related to findings of chronic aspiration, though a component of active infection cannot be completely excluded. there is no pulmonary edema, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal. the osseous structures are unremarkable.
chest congestion and shortness of breath. evaluate for acute process.
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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.multiple old left-sided rib fractures are present.
history: <unk>m with chest pain and fevers // eval for pneumonia
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large-bore left-sided central venous catheter is grossly stable in position. the cardiac and mediastinal silhouettes are stable. coarse calcification is seen along the aorta. there is increased in the bibasilar opacities may be due to combination of pleural effusion and atelectasis low underlying consolidation is difficult to exclude. bilateral perihilar opacities in vascular prominence suggests pulmonary edema.
history: <unk>f with esrd with cp // eval chf or pna
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lung volumes are low with bronchovascular crowding. no evidence of focal pneumonia, edema, effusion, or pneumothorax. the heart is normal in size. the mediastinum is not widened.
<unk>-year-old woman with preoperative assessment. evaluate pneumonia.
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an azygos lobe is incidentally noted. there are low lung volumes. mild basilar atelectasis without definite focal consolidation. there is central pulmonary vascular engorgement without overt pulmonary edema. the cardiac mediastinal silhouettes are likely exaggerated by a supine, ap technique. thoracic spine fractures and sternal fracture better pain on subsequent ct.
trauma
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ap portable view of the chest demonstrates low lung volumes which accentuate bronchovascular markings. there is right lower lobe airspace opacity, which is new since <unk> exam. there is minimal blunting of the right costophrenic angle, suggestive of trace pleural effusion. there is no left pleural effusion. left lung is essentially clear. no pneumothorax. perihilar vascular congestion is noted. hilar and mediastinal silhouettes are unchanged. heart is mildly enlarged. partially imaged upper abdomen is unremarkable.
patient with antiphospholipid syndrome, now presenting with chest pain.
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the lungs are well expanded. multiple patchy opacities throughout the right lung are compatible with known pleural metastasis. chain sutures in the right upper lung are re-demonstrated, consistent with prior wedge resection. a focal nodularity seen in the left apex was compared with prior ct and corresponds to a focus of fibrosis/scarring. no focal opacities are seen in the right lung concerning for pneumonia. cardiac size is normal. there is a tortuous aorta with atherosclerotic calcifications of the aortic wall, unchanged. there is no pleural effusion or pneumothorax. an ivc filter is partially imaged.
<unk>-year-old female with lung cancer and respiratory distress. evaluate for pneumonia.
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left-sided port-a-cath tip terminates at the svc/right atrial junction. heart size is normal. the mediastinal and hilar contours are unchanged. there is mild upper zone vascular redistribution. patchy opacities in lung bases likely reflect areas of atelectasis. no focal consolidation, pleural effusion or pneumothorax is identified. clip is noted in the left upper quadrant of the abdomen.
history: <unk>m with history of new glioblastoma, on immunosuppression in ed with weakness, altered mental status// please evaluate for infectious process
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the patient is status post right lower lobectomy with surgical sutures in the right hilar region. heart size remains mild to moderately enlarged. the aorta is tortuous. the mediastinal and hilar contours are otherwise unchanged. pulmonary vasculature is normal. apart from minimal atelectasis in the right lung base, the lungs are clear. no pleural effusion, focal consolidation or pneumothorax is seen. no mass lesion is clearly identified. there are no acute osseous abnormalities.
report of a lung mass on outside hospital exam, rhonchi on exam.
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moderate size left apical pneumothorax is re- demonstrated. mild contralateral shift of the heart is present when compared to the previous radiograph. heart size is normal. the mediastinal and hilar contours are otherwise normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion is seen. there are no acute osseous abnormalities.
history: <unk>f with pneumothorax
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assessment is somewhat limited by kyphotic positioning. heart size remains mildly enlarged. the aorta is diffusely calcified and tortuous, as seen previously. mediastinal and hilar contours are otherwise unchanged. pulmonary vasculature is not engorged. lungs are hyperinflated with emphysematous changes again noted. lungs are otherwise clear. no pleural effusion or pneumothorax is present. multilevel moderate degenerative changes are again noted in the thoracic spine.
history: <unk>f with chest pain // ? pulmonary edema ?pneumonia
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there is mild cardiomegaly. low lung volumes exaggerate the hilar and mediastinal contours with crowding of the pulmonary vasculature. there may be a small left pleural effusion. there is no evidence of pneumothorax. note is made of an opacity of the left lung base and medial right lung base which may represent atelectasis, although aspiration or pneumonia should be considered. the visualized osseous structures are unremarkable.
history: <unk>m with hypoxia // ? pna
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the lungs are clear without consolidation or effusion. prominence of the interstitial markings is likely accentuated due overlying soft tissues. there is no overt edema or pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>f with sob, wheeze // pna?
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the lungs are well expanded and clear. there is aortic annular calcification, and the aortic annulus measures approximately <num> cm. heart size is borderline. again visualized are multiple calcified mediastinal lymph nodes. the pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen.
<unk> year old woman with persistent severe cough // r/o pna
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pa and lateral chest radiographs were provided. no chf, focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. incidental note is made of a prominent fat pad in the anterior mediastinum inferiorly. no free air seen beneath the diaphragm. bones are grossly unremarkable.
<unk>-year-old male with left upper quadrant pain for two months reproducible on exam. question fracture.
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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. no displaced fractures are identified.
history: <unk>m with chest pain after motor vehicle collision
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a single frontal radiograph of the chest was acquired. there are heterogeneous opacities at both lung bases, left greater than right, possibly due to atelectasis, although an infectious process is possible. interstial opacification suggests mild pulmonary vascular congestion. the heart size is top normal, as before. there are no definite pleural effusions. no pneumothorax is seen.
respiratory distress. evaluate for acute intrathoracic process.
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ap chest radiograph shows pneumoperitoneum has largely resolved. tracheostomy tube and left picc are in stable position. bibasilar opacification, probably representing atelectasis is slightly worse on the left compared to <unk>. the cardiomediastinal silhouette is stable. there is no pneumothorax.
hypoxemia. stroke requiring tracheostomy and peg tube.
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lungs are well inflated and clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax. cholecystectomy clips are noted in the right upper quadrant.
<unk> year old woman with cough x <num> month, tobacco use. evaluate for pneumonia
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there is no significant interval change compared with prior chest radiograph from <unk>. lung volumes are low. the heart size is mildly enlarged but unchanged. the mediastinal contours are similar with tortuosity of the thoracic aorta and diffuse atherosclerotic calcifications again noted. there is no pulmonary edema. no focal consolidation, pleural effusion or pneumothorax is present. numerous remote fractures of the left-sided ribs and left distal third clavicle are re- demonstrated.
a <unk>-year-old female with generalized weakness and shortness of breath.
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frontal and lateral chest radiographdemonstrates well expanded and clear lungs.no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable. limited assessment of the upper abdomen is within normal limits. anterior cervical spinal fusion device seen.
shortness of breath, fever. assess for pneumonia.
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pa and lateral chest views were obtained with patient in upright position. comparison is made with the next preceding similar study of <unk>. previously described atelectatic appearance of right apical lung with centrally located translucencies is unchanged. the same holds for the previously described left subclavian central venous line seen to terminate in the mid portion of the svc. the left-sided hemithorax is carefully inspected and compared with the previous study. the frontal view, one observes a more crowded appearance of the pulmonary vasculature and slightly more marked pulmonary parenchymal density that obliterates the diaphragmatic contour medially on the left side. when comparison is extended to the lateral views, one observes likewise a slightly hazy density corresponding to the posterior segment of the left lung lobe. there is, however, no evidence of any new pleural effusion obliterating the pleural sinuses and no pneumothorax is seen in the apical area.
<unk>-year-old female patient with left-sided lung transplant, new cough, evaluate for pneumonia.
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the lungs are clear. there is no consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>m with chest pain // pna, volume overload?
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worsening hazy opacification involving the left mid and lower lung fields likely reflects an increasing layering pleural effusion which is at least moderate to large in size. there is continued mild to moderate pulmonary edema. small right pleural effusion persists. bibasilar airspace opacities may reflect compressive atelectasis. ill-defined focal nodular opacities within both lung apices are relatively unchanged. new ill-defined nodular opacities within the right upper lung field may reflect superimposed infection or aspiration. no acute osseous abnormality is identified.
altered mental status, shortness of breath and hypoxia.
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no change in the tracheostomy tube. left lower lobe collapse has been persistent. pleural effusions are small, if any. no pneumothorax. mediastinal drainage catheter is still in place. mild cardiomegaly is stable. right picc line ends outside the chest in the right axilla, unchanged. minimally displaced right rib fracture is also unchanged.
<unk> year old man with removed chest tube, new tracheostomy. evaluate for interval change.
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chest pa and lateral radiograph demonstrates unremarkable mediastinal, hilar and cardiac contours. the lungs are clear. no pleural effusion or pneumothorax evident.
fever, two days after acl repair, please evaluate for infection.
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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 tachypnea