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the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear.
myasthenia <unk> with shortness of breath.
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. partially imaged cervical hardware is noted.
history: <unk>f with cp // eval for ptx
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mild bibasilar atelectasis without definite focal consolidation seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. no pulmonary edema is seen
history: <unk>m with pmh cad, nstemi, s/p <num> bare metal stents who presents with worsening doe concerning for unstable angina // eval for pneumonia, cardiomegaly
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the heart appears mildly enlarged. the lung volumes are low. mitral annular calcifications are unchanged. the mediastinal and hilar contours appear unchanged. there is similar slight blunting at each costophrenic sulcus. although these may reflect tiny pleural effusions, scarring may also explain the appearance. a mild background interstitial abnormality appears unchanged.
shortness of breath and hypoxemia.
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pa and lateral views of the chest. the lungs are clear. no evidence of pneumothorax or pleural effusion. the cardiac, mediastinal and hilar contours are normal.
<unk>-year-old male with chest pain.
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the endotracheal tube is <num> cm above the carina. an enteric tube courses into the stomach. a left subclavian catheter and is near the cavoatrial junction. a right-sided chest tube is satisfactory positioned and directed superiorly, terminating near the right lung apex. there has been re-expansion of the right middle and lower lobes. the right apical lung contusion is unchanged from yesterday morning. there is no pleural effusion, pneumothorax or new focus of airspace consolidation. heart is normal size. mediastinal and hilar structures are unremarkable.
status post head injury, evaluate for interval change.
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there has been interval placement of a right-sided chest tube with near resolution of the moderate right-sided pneumothorax and re-expansion of the right lung, with only a small residual pneumothorax at the apex. opacity is seen in the right lung, likely reflecting known postradiation changes. the left lung is well expanded and clear. there is no pleural effusion. the cardiomediastinal silhouette is unremarkable.
history: <unk>m with ptx // eval pigtail placement
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pa and lateral chest radiograph demonstrates clear lungs. heart size is top-normal. mediastinal and hilar contours are otherwise unremarkable. elevation and flattening of the left diaphragmatic pleural surface, is due to pleural scarring, reflected in blunting of the pleural sulcus and calcification.
<unk>-year-old male with new seizure and cough.
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pa and lateral views of the chest provided. surgical clips are noted in the right chest wall. the lungs appear clear. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>m with right pleuritic chest/upper abd pain, metastatic melanoma
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the lungs are clear of focal consolidation. blunting of the posterior costophrenic angles may be due to small effusions. the cardiac silhouette is enlarged, some of which is due to prominent mediastinal fat seen on prior ct scan. no acute osseous abnormalities identified. degenerative changes noted at the shoulders and hypertrophic changes noted in the spine.
<unk>m with seizure // ?infection
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the lungs are well expanded and clear without lobar consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits.
<unk>m with hiv, kidney transplant with intolerance to pos x <num> days
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there has been interval progression of airspace opacity in the left lung from <unk>. there is no large pleural effusion, or pneumothorax. the cardiac silhouette remains normal in size, and mediastinal contours demonstrate calcification of the aortic knob, and tortuosity of the thoracic aorta. median sternotomy wires remain in place. a right chest <unk>-<unk> tip terminates in the lower svc.
<unk>-year-old male with persistent cough and known bronchoalveolar recurrence status post right lower lobectomy.
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the right-sided central catheter is seen with tip in the mid svc unchanged in position from prior exam. the cardiomediastinal and hilar contours are normal. the lungs are clear without focal consolidation. there is no effusion or pneumothorax. there is no evidence of pulmonary vascular congestion.
patient with all. pain in neck. check line placement.
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the heart size is normal. hilar and mediastinal contours are normal. the lungs are clear without evidence of focal consolidation concerning for pneumonia. there is no pleural effusion or pneumothorax. visualized bones are normal.
history of hemoptysis, please evaluate for pulmonary pathology.
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portable ap upright chest radiograph <unk> at <time> is submitted.
<unk> year old woman s/p mv repair // eval for pneumothorax s/p chest tube removal eval for pneumothorax s/p chest tube removal
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the cardiac silhouette is moderately enlarged with vascular congestion and mild pulmonary edema. no focal consolidation worrisome for pneumonia. no large pleural effusion or pneumothorax. the visualized osseous structures are grossly unremarkable.
cough.
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there are relatively low lung volumes and bibasilar atelectasis. there has been interval decrease in left mid lung consolidation as compared to the prior study. no large pleural effusion is seen. there is no evidence of pneumothorax. the cardiac and mediastinal silhouettes are stable, as are the hilar contours.
history: <unk>m with fall and ams, pls eval for acute injury <unk> fall // history: <unk>m with fall and ams, pls eval for acute injury <unk> fall
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low lung volumes, clear lungs. no pleural effusion or pneumothorax. there is marked cardiomegaly as before. postsurgical changes in the form of surgical sutures and sternotomy wires project over the mediastinum as before. no interval change in bony thorax.
<unk> year old man with schf with sob and run of vtach // pulm edema
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there are low lung volumes with bibasilar atelectasis. the right hemidiaphragm is elevated with gaseous distension of bowel beneath. no large pleural effusion is seen. subtle posterior basilar opacity seen on the lateral view may represent atelectasis but consolidation is not excluded the appropriate clinical setting. cardiac silhouette is enlarged. superior mediastinum appears somewhat prominent, which may relate to low lung volumes. if clinical concern for acute mediastinal process, consider chest cta.
history: <unk>m with weakness, abnormal ekg // evaluate for cardiomegaly, acs, pneumonia
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interval removal of the right internal jugular approach dialysis catheter. the cardiomediastinal and hilar contours are stable with moderate cardiomegaly. a small right pleural effusion is worsened compared to the prior study. the lungs are well expanded with atelectasis at the right lung base. previously seen left retrocardiac opacity is improved. there is no focal consolidation concerning for pneumonia. cephalization of vessels with increased prominence of the azygos vein indicate mild volume overload.
<unk>f with doe, orthopnea, substernal cp // eval for pulm edema
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interval removal of the right chest tube with the development of a small lateral pneumothorax and moderate subcutaneous emphysema in the lower right chest wall. no evidence of tension. slight interval improvement in lung expansion. stable scattered ground-glass opacities and discrete linear opacities bilaterally, consistent with interstitial lung disease. stable probable left basilar atelectasis. no pleural effusion or focal consolidation to suggest pneumonia. stable mild tortuosity or dilatation of the descending aorta. stable prominent cardiomegaly. stable mediastinal contours.
<unk>-year-old man with interstitial lung disease, status-post vats wedge biopsy. evaluate for pneumothorax.
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the cardiomediastinal and hilar contours are normal. the lungs are clear. there is no pleural effusion or pneumothorax.
<unk>-year-old female with cough.
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there is mild cardiomegaly. the hilar and mediastinal contours are otherwise unremarkable. the aorta is mildly tortuous. no focal consolidations concerning for pneumonia are identified. there is mild bibasilar atelectasis. there is no large pleural effusion or pneumothorax. the visualized osseous structures are unremarkable.
history of fall, head strike. please evaluate for pneumonia.
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>m with seizure, looking for infectious cause // pna?
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the heart size is normal. the hilar and mediastinal contours are unremarkable. the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the visualized osseous structures are unremarkable.
<unk>-year-old female with history of fevers and chills, who presents for evaluation.
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lung volumes are low. there is mild vascular congestion with peribronchiolar wall thickening. no obvious pleural effusion. no pneumothorax. the heart is probably mildly enlarged despite low lung volumes and ap projection. the patient is status post median sternotomy. surgical clips project over the mediastinum. no acute osseous abnormality.
<unk>-year-old man presenting with acute confusion. evaluate for pneumonia.
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ap upright and lateral views of the chest provided. mild elevation of the left hemidiaphragm is noted. there is no focal consolidation, effusion, or pneumothorax. no convincing signs of edema. the cardiomediastinal silhouette is stable with top-normal heart size. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>f with weakness, found down // eval for pna, rib fx
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per the radiology technologist, the patient was unable to move left arm out of the way on the lateral view because of shoulder pain, thus making the evaluation of the lateral view is suboptimal. given this, no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no displaced fracture is seen in the chest.
left shoulder pain.
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen.
<unk>f with cough // ? pna
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there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no evidence of free air below the diaphragm.
<unk>m with left-sided chest/arm pain
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pa and lateral views of the chest. in the left lower lobe, there is an opacity that obscures the diaphragm consistent with pneumonia. there is likely a small left pleural effusion. the right lung is clear and there is no pleural effusion on the right. the cardiomediastinal silhouette is normal. there is no pneumothorax.
fever and pleuritic chest pain, evaluate for pneumonia or pneumothorax.
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pa and lateral views of the chest demonstrate clear lungs. cardiac silhouette and hilar contours are unremarkable. no pleural effusion or pneumothorax.
hypotension.
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allowing for differences in rotation, the cardiac, mediastinal and hilar contours appear unchanged. the lungs remain clear. there is no pleural effusion or pneumothorax.
returned right-sided numbness.
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pa and lateral views of the chest. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are normal.
slurred speech.
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the lungs are clear. cardiac silhouette is normal in size. peribronchial cuffing seen best in the right hilar is present. there is no pleural effusion, pneumothorax or pulmonary edema. hilar contours are normal.
asthma exacerbation with productive cough.
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pa and lateral views of the chest. in the left costophrenic angle is a new opacity peripherally. no other consolidations are seen. the cardiomediastinal and hilar contours are normal.
history of pe, chronic thromboembolic pulmonary hypertension, pre-vq scan radiograph.
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pa and lateral views of the chest provided. evaluation somewhat limited through the lower lungs due to under penetrated technique. allowing for this, there is no focal consolidation, a effusion or pneumothorax. no convincing signs of pulmonary edema. mild congestion difficult to exclude in the correct clinical setting. the bony structures appear intact.
<unk>f with sob // eval for pna
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frontal and lateral radiographs of the chest show a rectangular and linear opacification projecting over the right lower lung zone which most likely represents atelectasis, but a developing pneumonia cannot be excluded in the correct clinical context. atelectasis of the left lung base is also noted. the lungs are otherwise well aerated. no pleural effusion or pneumothorax is present. the pulmonary vasculature is not engorged. the cardiac silhouette is normal in size. the mediastinal and hilar contours are within normal limits. a wedge compression fracture deformity is noted in the lower thoracic spine on the lateral radiograph which is of indeterminate chronicity.
<unk>-year-old male with worsening leukocytosis, on antibiotic therapy, here to evaluate for pneumonia or other acute process.
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assessment is limited by patient rotation. heart size appears mildly enlarged. the mediastinal and hilar contours are grossly unremarkable with atherosclerotic calcifications noted diffusely in the aorta. there is mild pulmonary edema with bibasilar patchy airspace opacities, potentially atelectasis. small to moderate size bilateral pleural effusions are noted, larger on the right. no large pneumothorax is identified. no displaced fractures are seen. marked degenerative changes are noted involving both glenohumeral joints.
history: <unk>m with altered mental status, hypoxia
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no focal consolidation, pleural effusion or pneumothorax identified. the size of the cardiac silhouette is within normal limits.
<unk> year old man with seizure d/o to undergo ltm eeg // evaluate for abnormalities in setting of seizure d/o
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there is interval mild decreased consolidation in the left axillary region. a right jugular line has been removed. there is mild persistent pulmonary vascular redistribution. mild bibasilar opacities are unchanged. no pneumothorax. the remainder of the study is unchanged.
<unk>f s/p <unk>adj lap band (dr. <unk>), osa on home bipap, aspiration pna <unk>, transferred from <unk> with chief complaint of aspiration pna // evaluate for pneumonia
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there has been interval placement of a left axillary stent. lung volumes are low, and the cardiac silhouette is enlarged. there is mild central vascular congestion, and small pleural effusions are noted. no focal consolidation or pneumothorax is seen.
<unk>-year-old female with generalized weakness. evaluate for infection.
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patchy right base opacity is worrisome for pneumonia. no pleural effusion or pneumothorax is seen. the cardiac silhouette is mildly enlarged. the aorta is calcified.
history: <unk>f with productive ocugh // ? pna
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heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. increased interstitial markings with likely bronchiectasis are most pronounced within the left lung base, progressed when compared to the prior chest radiograph, but seen on the prior ct. no focal consolidation, pleural effusion or pneumothorax is otherwise demonstrated. no acute osseous abnormalities detected. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.
history: <unk>f with cough.
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the heart is not enlarged. aorta is calcified and unfolded. right paratracheal soft tissues likely represent vascular structures in someone of this age. the lungs are hyperinflated, suggesting background copd. no chf, consolidation, pleural effusion or pneumothorax detected. no subdiaphragmatic free air detected. linear densities projecting over lower right chest likely represent surgical clips. multilevel degenerative changes are noted throughout the thoracic spine. mild anterior wedging of several mid thoracic vertebral bodies is noted, but does not appear acute.
history: <unk>f with altered ms // pna
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frontal and lateral views of the chest demonstrate moderate cardiomegaly with a tortuous aorta with dense mural calcifications. patient is status post aortic valve replacement with intact median sternotomy wires. the lungs are clear. there is no pulmonary edema, pleural effusion, or pneumothorax. there is diffuse osteopenia and multilevel compression, age indeterminate. moderate right acromioclavicular osteoarthritis is present.
<unk>-year-old female with epigastric pain and possible pneumonia.
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single lateral and two ap views of the chest were viewed. the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. the lungs are well expanded and clear. pulmonary vasculature is within normal limits.
shortness of breath.
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the patient is rotated to the right. previously seen endotracheal tube is no longer seen. an enteric tube is also not seen. there are low lung volumes. bilateral, right greater than left pulmonary opacities are re- demonstrated. there is persistent prominence of the hila.
<unk> year old woman with cap on bipap // interval change in consolidation
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the cardiac, mediastinal and hilar contours appear unchanged. there is an unchanged persistent diffuse interstitial abnormality. although vascular congestion may mimic this appearance, the lack of change suggests that this is probably primarily due and perhaps solely due to emphysema and mild interstitial lung disease of long chronicity. there is no pleural effusion or pneumothorax. there has been no definite change.
increasing shortness of breath and weight gain.
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since prior, there has been interval placement of a right ij central venous catheter ending in the high svc. a nasoenteric tube tip is in the stomach. median sternotomy wires are intact. unchanged right port-a-cath ending in the low svc. unchanged cardiomediastinal silhouette. lungs are clear.
<unk> year old woman with kidney/pancreas transplant, evaluate for central venous line and nasoenteric tube placement.
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low lung volumes are present which accentuates the size of the cardiac silhouette which is moderate to severely enlarged. the aorta is diffusely calcified and tortuous. left-sided dialysis catheter tip terminates at the svc/right atrial junction. there is no pulmonary vascular congestion. no focal consolidation is noted. no pleural effusion is present. calcification of the right diaphragmatic pleura is re- demonstrated. calcified left hilar and mediastinal lymph nodes and calcified nodule in the left mid lung field are unchanged, compatible with prior granulomatous disease. clips are again seen in the superior mediastinum, to the left of the trachea.
hypotension.
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the dobbhoff tube is in the esophagus in the neck just above the level of the tracheostomy. tracheostomy tube is in place. left-sided picc line tip is in the right atrium. right-sided picc line tip is in the svc. there bilateral lower lobe infiltrates right greater than left and bilateral pleural effusions
<unk> year old woman with dobhoff placed. please confirm location in esophagus // location of distal tip of dobhoff.
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calcified breast implant overlies the right lower hemi thorax. no focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.
history: <unk>f with sob, hx chf // ? effusion, infectious process
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left chest wall port catheter tip is in the right atrium, as on prior. pulmonary vascular congestion and edema are mild. there are moderate bilateral effusions and lower lung volume loss. there is no pneumothorax. cardiomegaly is severe.
<unk> year old man with poems admitted for chf exacerbation // evaluate for effusions, any progression or interval change from last cxr
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pa and lateral views the chest provided demonstrate clear well expanded lungs without focal consolidation, large effusion or pneumothorax. heart and mediastinal contours are stable. bony structures are intact. no free air below the right hemidiaphragm.
<unk>-year-old woman with asthma and cough.
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the lungs are clear. there is no consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. compression deformities of lower thoracic and upper lumbar vertebral bodies are grossly unchanged.
<unk>f with confusion // evaluate for pneumonia
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mild cardiomegaly and mediastinal contours are stable. minimal blunting of the posterior costophrenic angles is consistent with trace pleural effusions. there is slight interstitial prominence consistent with mild pulmonary edema, but no focal consolidation or pneumothorax. a vascular stent is present in the upper abdomen.
<unk>f with ab pain. h/o sbos // rule out acute process
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there are bilateral pleural effusions, right significantly greater than left. there appears to be a slight improvement in the layering portion of this effusion that this may be partially due to positioning of the patient. mild pulmonary edema, improved from prior. no pneumothorax. cardiomediastinal silhouette is stable. enteric tube is seen in the stomach, but the tip extends beyond the inferior margin of the image. right picc line is unchanged in position and terminates at the distal svc. median sternotomy wires are unchanged in appearance. no acute osseous abnormalities.
<unk> year old man s/p avr // follow up effusion
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the heart is again mild-to-moderately enlarged. there is similar tortuosity of the aorta. the main pulmonary artery contour is again prominent. the lungs appear clear. there are no pleural effusions or pneumothorax.
chest pain.
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the lungs are well inflated and clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax. visualized upper abdomen is unremarkable. osseous structures are grossly intact.
cough, tachycardia, evaluate for acute process.
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pa and lateral views of the chest. the lungs are clear. cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is identified.
<unk>-year-old male with fever and cough, sore throat.
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heart size is normal. mediastinal and hilar contours are within limits. pulmonary vasculature is normal. no focal consolidation, pleural effusion, or pneumothorax is present. no acute osseous abnormality is detected.
history: <unk>m with chest pain
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frontal and lateral views of the chest were obtained. the heart size and cardiomediastinal contours are normal. the lungs are clear without focal consolidation, pleural effusion, or pneumothorax. no acute displaced rib fracture is visualized.
<unk>-year-old female status post motor vehicle collision, now with left-sided chest pain.
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the cardiac silhouette is stable and unremarkable. again noted is a left perihilar opacity, very slightly decreased since the prior examination. there is no pleural effusion or pneumothorax.
<unk> year old woman with severe productive cough, not improving despite abx // eval for progression of pna
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. median sternotomy wires and mediastinal clips are stable in position.
<unk> year old woman with fever. // ?pna
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frontal radiograph of the chest demonstrates a right internal jugular central venous catheter in the low svc. the patient has been extubated and the ng tube, left chest tube and mediastinal drains have been removed. lung volumes are lower with increased retrocardiac atelectasis and a small left pleural effusion. a small left apical pneumothorax present. no right pleural effusion or pneumothorax.
cabg, rule out pneumothorax status post chest tube removal.
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the heart, mediastinum, hila, and pleural surfaces are normal. lungs are clear without focal consolidation or effusion. of note, indentation at the subglottic trachea/lower larynx is new. surgical clips are present and unchanged in the overlying soft tissues in the right neck. spina bifida of the lower cervical spine is unchanged.
<unk> year old woman with cough x <num>- <num> wks, now increase the chest tightness, sob, diffuse wheezes, rhonchi, hx pna. rule out pneumonia.
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ap portable upright view of the chest. partially imaged fusion hardware is seen in the upper abdomen. a loculated left pleural effusion is unchanged. there is likely compressive lower lobe atelectasis on the left. since the prior exam, there is increased conspicuity of the interstitial markings which could reflect a component of mild pulmonary edema.
<unk>m with dyspnea worsening, metastatic lung cancer, primary left lower lobe mass.
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portable chest radiograph demonstrates unremarkable mediastinal, hilar and cardiac contours. lungs are clear. density noted at the cardiac apex is present across multiple prior studies and corresponds with prominent pericardial fat pad noted on the <unk> chest cta. no osseous abnormality identified.
two days of intermittent chest pain.
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the patient is now intubated, with the endotracheal tube terminating <num> cm above the carina. an enteric tube ends near the pylorus. a right upper extremity picc courses into the low svc. surgical drains are within the upper abdomen but incompletely evaluated. the lung volumes are low. w idespread airspace and interstitial opacification is new from <unk>. pleural effusions are presumed. no strong evidence for cardiogenic pulmonary edema. heart is normal size and there is no pneumothorax.
necrotizing pancreatitis and small bowel obstruction now status post exploratory laparotomy. patient is in septic shock requiring pressors.
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heart size is top normal. cardiomediastinal silhouette and hilar contours are stable with a tortuous aorta. there is minimal bibasilar linear scarring unchanged from <unk>. lungs are otherwise clear. there is no pleural effusion or pneumothorax.
cll presenting with prolonged cough.
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a single portable ap radiograph through the chest demonstrates an endotracheal tube terminating <num> cm above the level of the carina. there is no pneumothorax. an enteric tube is identified traveling along the expected location of the esophagus and terminating in the left upper quadrant in the expected location of the stomach. bilateral diffuse patchy opacities are noted with prominent interstitial markings compatible with pulmonary edema. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion.
<unk>-year-old male with history of hypertension now with large subarachnoid hemorrhage and new endotracheal tube.
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interval placement of right-sided central venous catheter terminating at the cavoatrial junction. no pneumothorax or pleural effusion present. slightly decreased lung volumes compared to prior examination. otherwise, lungs are clear. cardiomediastinal and hilar borders are unremarkable.
right ij. evaluate for line placement.
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ap portable semi upright view of the chest. lung volumes are low. subtle retrocardiac opacity may represent mild atelectasis versus subtle aspiration. right lung is clear. no definite signs of effusion or pneumothorax. cardiomediastinal silhouette appears within normal limits. no acute bony abnormalities.
<unk>m with status epilepticus
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the cardiomediastinal silhouette is normal. the hila are normal. the bilateral pulmonary vasculatures are normal. the lungs are well expanded and clear. no pleural abnormalities. no pneumothorax. no fractures.
<unk> year old man with <num> episodes of sudden on set chest pressure and shortness of breath lasting <unk> min a piece // please rule out pneumothorax or other causes
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lung volumes are slightly low. this accentuates the size of the cardiac silhouette which appears mild to moderately enlarged. the mediastinal and hilar contours are unchanged with atherosclerotic calcifications again noted at the aortic knob. pulmonary vasculature is normal. calcified granulomas are seen within both upper lobes. linear opacity in the left lung base likely reflects atelectasis. no focal consolidation, pleural effusion or pneumothorax is present. degenerative changes are seen within the upper lumbar spine. cholecystectomy clips are demonstrated in the right upper quadrant of the abdomen.
history: <unk>f with altered mental status
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there are small bilateral pleural effusions. left perihilar opacity is most concerning for consolidation possibly from pneumonia, underlying pulmonary lesion not excluded. the cardiac silhouette is top-normal to mildly enlarged. the aorta is tortuous.
history: <unk>m with no pmhx fever of unknown origin // fever of unknown origin
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frontal and lateral chest radiographs demonstrate low lung volumes. no appreciable pleural effusion is identified on the right. a small pleural effusion is identified on the left with an adjacent new developing consolidation which may represent atelectasis or pneumonia. there is no overt pulmonary edema. heart size is enlarged but stable when compared to prior examination. a right internal jugular line tip is seen terminating at the level of the low superior vena cava. no pneumothorax is identified. sternotomy wires are intact.
<unk>-year-old female status post cabg. evaluate for pleural effusions.
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there are decreased lung volumes noted. there is no typical appearing lobar pneumonia identified. however, there is a vague area of increased density identified within the right lower lobe, correlating with a similar region of density seen on the lateral projection, which may represent a small consolidation. there is no pleural effusion, pneumothorax, or overt pulmonary edema identified. the heart size is normal. mediastinal contours are normal.
psychosis with leukocytosis, evaluate for pneumonia.
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the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. specifically, there is no evidence of mediastinal widening. there is no pleural effusion or pneumothorax.
<unk>-year-old man with chest pain radiating to the neck. evaluate for widening of the mediastinum.
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the lungs are well expanded and clear. there is a small left pleural effusion, new from prior exam. there is no right pleural effusion. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable.
history: <unk>f with fever // ? pna
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the endotracheal tube projects <num> cm above the carina. right internal jugular line is in the mid svc. the cardiomediastinal silhouette is stable. there is persistent right lower lobe collapse, and moderate left effusion and left lower lobe atelectasis. pulmonary vascular engorgement is unchanged. no pneumothorax.
<unk> year old woman intubated with septic shock. // ? interval change in infiltrates
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right internal jugular vascular catheter terminates in the proximal right atrium. stable enlargement of cardiac silhouette. improving bibasilar opacities as well as slight decrease in small pleural effusions.
<unk> year old man s/p avr // eval for pleural effusions
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heart size is normal and unchanged. 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. again seen are multiple prominent anterior bridging osteophytes with mild wedging of some midthoracic vertebral bodies.
history: <unk>m with intermittent subscapular chest pain for the past <num> week, vomiting, abd pain. evaluate for acute cardiopulmonary process, pneumomediastinum
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again seen is the right picc line with tip terminating in the upper svc near the junction with the right brachiocephalic vein. the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. the lungs are well expanded and clear.
picc line position.
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the cardiac, mediastinal and hilar contours are unchanged and within normal limits. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. no displaced fractures are visualized.
intoxicated, fall.
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with overdose, pls eval pna for medical clearance for psych // history: <unk>f with overdose, pls eval pna for medical clearance for psych
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there is a streaky left basilar opacity which is most likely due to atelectasis. known pulmonary nodules are not clearly delineated on this chest x-ray. the lungs otherwise are clear, there is no confluent consolidation or effusion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.
<unk>m with progressive dyspnea with pulmonary nodules on ct scan // dyspnea
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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.
history: <unk>f with cp and syncope // eval pneumothorax other acute proces
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the heart is at the upper limits of normal size. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. lung volumes are mildly low. there is no pleural effusion or pneumothorax. small anterior osteophytes are noted along the anterior aspect of the lower thoracic to mid thoracic spine. prior healed right posterior sixth, seventh and eighth rib fractures are noted.
worsening pedal edema.
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the heart size is normal. the hilar and mediastinal contours are normal. there appears to be slight interval increase in focal consolidation at the right middle lobe concerning for pneumonia. there is no pleural effusion or pneumothorax. the visualized osseous structures are unremarkable. could be edema at right lower lobe.
history of cough, please evaluate for pneumonia.
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the endotracheal tube terminates approximately <num> cm above the carina. an enteric tube extends to at least the gastroesophageal junction, but its tip extends beyond the inferior margin of the image. there are diffuse alveolar opacities bilaterally, suggestive of pulmonary edema. no large pleural effusions. no pneumothorax. heart size is top-normal. no acute osseous abnormalities.
history: <unk>f with intracranial hemorrhage, intubated // tube placement
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right internal jugular central venous catheter remains unchanged. new et tube terminates <num> cm in the carina. enteric tube courses into the stomach and beyond the field of view. lung volumes remain low. there are likely small bilateral pleural effusions. there are no developing opacities bilaterally, right greater than left. pulmonary edema.
history: <unk>m with hypoxia // ?cause hypoxia
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the lungs are mildly hyperinflated compatible with emphysema. no lobar consolidation or pulmonary edema. mild cardiomegaly. diffuse demineralization with old healed fracture of the distal end of the right clavicle. multilevel degenerative changes of the thoracic spine.
dizziness since several weeks
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the cardiomediastinal silhouette is stable and within normal limits. the hila are unremarkable. lower lung opacification seen only on lateral view is favored to represent atelectasis in the setting of a suboptimal inspiratory effort. there is no correlate on frontal view with a better inspiration. there is no pulmonary venous congestion or pulmonary edema. there is no pneumothorax or pleural effusion. there is no evidence of a displaced rib fracture.
<unk>-year-old man presenting after motor vehicle collision, evaluate for acute injury.
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cardiomediastinal and hilar contours are stable. again seen is a left port-a-cath with tip terminating in the mid svc. post radiation changes in the right lung are stable. there has been interval development of bilateral interstitial pulmonary edema.
history of non-small-cell lung cancer, query flash pulmonary edema.
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heart size is normal. mediastinal and hilar contours are normal. lungs are clear and the pulmonary vascularity is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormalities are visualized.
fever.
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the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. there is left hilar prominence, which can be a normal finding in a patient of this age. the cardiomediastinal silhouette is normal.
shortness of breath, dizziness, and feeling strange. the patient is five days status post left knee orthopedic procedure on prophylactic lovenox and coumadin.
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pa and lateral images of the chest. the lungs are hyperinflated and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable.
pancreatic cancer, now with fever and vomiting.
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the et tube terminates approximately <num> cm above the carina. there is an enteric tube which extends to the distal esophagus and must be advanced. there is mild bibasilar atelectasis. there may be a small left pleural effusion. no focal consolidations concerning for pneumonia identified. there is no pneumothorax. deformities of the clavicles bilaterally are likely secondary to old, healed clavicular fractures.
history of intracranial hemorrhage status post intubation. please evaluate for et tube placement.