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the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>f with cough // pneumonia?
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single frontal view of the chest demonstrates multiple ekg leads projecting over the chest. surgical <unk> project over the right base of neck. the heart is normal in size. the mediastinal and hilar contours are within normal limits. there is arch calcification in the aorta. there is increased consolidation of the left lower lobe with airbronchograms, with obliteration of the left hemidiaphragm, concerning for pneumonia. left costophrenic angle is blunted, suggestive of a small effusion.
<unk>-year-old male with carotid endarterectomy and now hypoxia. question acute process.
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patient is status post esophagectomy with gastric pull-through. high density material at the right lung base from prior barium aspiration is again seen. there is subtle retrocardiac opacity which may have correlate over the spine on the lateral view. the lungs are hyperinflated but otherwise clear. cardiomediastinal silhouette is otherwise unremarkable. chronic changes of the right ribs are again noted.
<unk>m with recent treatment for pna with dyspnea // ? pneumonia or signs of aspiration
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heart size is normal. mediastinal and hilar contours are unremarkable. lungs are clear. no focal consolidation, pleural effusion or pneumothorax is seen. elevation of the right hemidiaphragm is redemonstrated. pulmonary vasculature is normal. vascular stent projecting over the left axillary region is unchanged. no acute osseous abnormality detected.
intermittent hypoxia
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there is mild cardiomegaly, emphysema and mild interstitial edema. there is no pneumothorax. retrocardiac opacities are a combination of effusion and atelectasis
<unk> year old woman with mmp known hemorrhagic pleural effusion with acute dyspnea // worse effusion vs volume overload vs pna
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left-sided pacer device is noted with leads terminate in the right atrium right ventricle. mild cardiomegaly is again noted. the aorta is mildly tortuous and with atherosclerotic calcifications noted at the arch. there is mild interstitial pulmonary edema. small bilateral pleural effusions are present larger on the right. no focal consolidation or pneumothorax is identified. mild degenerative changes are noted in the thoracic spine.
history: <unk>f with shortness of breath
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a single supine radiograph shows no evidence of consolidation, edema, or pulmonary nodules. the vascular interstitial markings are mildly prominent. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. an endotracheal tube is present and is approximately <num> cm from the carina in appropriate position. an ng tube is seen coursing below the diaphragm with the tip coiled in the fundus of the stomach.
intubated at an outside hospital after seizure. known brain mass. confirm endotracheal tube placement.
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pa and lateral views of the chest. increased interstitial markings seen throughout the lungs. there are small bilateral pleural effusions. cardiac silhouette is mildly enlarged. no acute osseous abnormality is identified.
<unk>-year-old female with shortness of breath and palpitations.
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the patient is significantly rotated. the lung volume is small. no consolidation. no pulmonary edema. mild pleural effusion on the right is unchanged. no pneumothorax. the cardiomediastinal silhouette is unchanged. the left hemidiaphragm is elevated with early dilated colon underneath.
<unk> year old woman with crackles in r base and ble // chf
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ap portable upright view of the chest. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact.
<unk>f with cp, sob, malaise
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patient is status post median sternotomy and cabg. dual lead left-sided pacer device is stable in position. cardiac and mediastinal silhouettes are stable. no focal consolidation is seen. there is no pleural effusion or pneumothorax.
history: <unk>m with new onset ha and l hand numbness // cardiac etiology
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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. no pulmonary edema is seen. patient is status post median sternotomy.
history: <unk>m with aortic stenosis with mv presented with l sided weakness and vision changes // ro other etiology for sxs
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under esophageal probe terminates in mid esophagus. a transesophageal tube can be traced to the level of distal esophagus but is not visualized below. et tube terminates <num> cm above the carina. lung volume is low. there is no consolidation, pneumothorax, or large pleural effusion. cardiomediastinal silhouette is exaggerated by low lung volumes.
<unk> year old man with s/p arrest // ? ptx, 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.
history: <unk>f with doe and cough, n/v, abdominal pain and diarrhea. // please assess for pna
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mild enlargement of cardiac silhouette is unchanged. the mediastinal and hilar contours are stable. there is diffuse atherosclerotic calcification of the thoracic aorta. the pulmonary vasculature is normal. lungs remain hyperinflated with diffuse increased interstitial markings, similar to the previous exam, suggestive of a mild chronic interstitial lung disease. no new focal consolidation ,left-sided pleural effusion, or pneumothorax is present. blunting of the right costophrenic angle on the lateral view may suggest the presence of a trace pleural effusion. there is diffuse demineralization of the osseous structures. compression deformity of a mid thoracic vertebral body appears new when compared to the previous exam. an inferior vena cava filter is partially imaged within the upper abdomen. there are clips noted within the left axilla and postoperative changes in the left breast.
syncope.
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the lungs are well-expanded. slight increased opacity in the right infrahilar region seen only on the frontal view does not have a definite correlate on the lateral view, possibly reflecting atelectasis versus an early bronchopneumonia in the appropriate clinical situation. no edema, effusion, or pneumothorax. mild cardiomegaly is unchanged. the mediastinum is not widened. left lower lung opacity is probably atelectasis, overall similar to <unk>. no acute osseous abnormality. fiducial markers projecting over the right upper quadrant are unchanged.
<unk>-year-old man presenting with weakness. evaluate for pneumonia.
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ap upright and lateral views of the chest provided. lung volumes are low with mild basal atelectasis noted. the heart is mildly enlarged as on prior. hilar and mediastinal contour is unchanged. no pneumothorax or large effusion. bony structures appear intact. no free air below the right hemidiaphragm.
<unk>m with concern for medullary ich, request from <unk>
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the heart size is within normal limits for size. the hilar and mediastinal contours are unremarkable. no focal airspace consolidation is seen to suggest pneumonia. there is no evidence of pleural effusion, pulmonary edema or pneumothorax. no free air.
history: <unk>f with epigastric pain. r/o chf, pneumonia, perforation.
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pa and lateral views of the chest. the left pleural effusion has significantly decreased with a possible small residual left pleural effusion and adjacent atelectasis. left lateral pleural nodularity is seen. calcified plaque projects over the right upper hemithorax. no pneumothorax. the cardiomediastinal hilar contours are stable.
effusion status post thoracentesis was <num> cc of out. evaluate for pneumothorax.
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frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and hyperexpanded lungs which are clear. there is no focal consolidation or radiograph evidence of pulmonary fibrosis. no pleural effusion or pneumothorax is identified. the visualized upper abdomen is unremarkable.
evaluate for fibrosis in a patient on amiodarone.
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no significant change from the prior chest radiograph. the ground-glass opacities described on recent chest ct are not clearly demonstrated on chest radiograph today. no pulmonary edema, pleural effusion, or pneumothorax. stable appearance of the cardiomediastinal silhouette and hila. stable moderate tortuosity or dilatation of the descending and ascending aorta. median sternotomy wires appear intact and unchanged in position. degenerative changes in the bilateral ac joints.
<unk> year old man with history of hemoptysis // chest ct <unk> for hemoptysis "ground glass rul c/w hemoptysis; f/u eval. on warfarin for avr
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compared to <unk>, i doubt significant interval change. there is a small left pleural effusion which could be slightly more pronounced on today's examination and which is new compared with <unk>. again seen is background copd and cardiomegaly. mild background parenchymal scarring is likely present. no chf, focal infiltrate or right pleural effusion. old healed right-sided rib fractures noted.
history: <unk>m with ams // presence of infiltrate
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when compared to prior there has been no significant interval change. there is no large confluent consolidation within the confines of a portable film with lordotic positioning. possible pulmonary vascular congestion is unchanged. cardiomediastinal silhouette is stable. chronic deformity of the left humeral head is again noted.
<unk>f with tachycardia // infiltrate?
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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.
cough and chest pain.
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redemonstrated is a chest tube is seen terminating in the right middle lung field. there has been a slight interval increase in the degree of subcutaneous emphysema seen in the soft tissues of the right chest wall. the entire right lung is now reexpanded, and there is no residual pneumothorax identified. patchy and streaky opacities within the right lower and middle lobes are are now more prominant, and may represent aspiration. the left lung is grossly clear. there is no evidence of pleural effusion or frank pulmonary edema. the cardiomediastinal silhouette is stable. redemonstrated are endotracheal and nasogastric tubes and unchanged locations.
recent pneumothorax status post chest tube placement. evaluate interval change.
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endotracheal tube terminates <num> cm above the carina, likely related to changes in chin positioning. right ij venous catheter and enteric tube are in unchanged position. lower lung volumes accentuate the bronchovascular structures. there is mild vascular engorgement and early pulmonary edema. no definite pneumonia or pleural effusions identified. an ossific density is again seen over the right acromion and distal right clavicle.
<unk>-year-old woman with history of chronic hyponatremia, asthma/copd, ethanol abuse, presenting with unresponsiveness and profound hyponatremia. study requested for evaluation of interval change.
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lung volumes are low, resulting in bronchovascular crowding. cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation.
history: <unk>m with chest pain, dyspnea // ? pneumonia
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there is a small right pleural effusion.the lungs are clear without focal consolidation. no pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
shortness of breath
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the heart size is normal. the mediastinal and hilar contours are unremarkable. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormality is seen. there is minimal degenerative changes within the lower thoracic spine.
chest pain.
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lung volumes are normal. no focal consolidation, pleural effusion or pneumothorax. cardiomediastinal contours are normal. no acute osseous abnormalities identified. there is no subdiaphragmatic free air.
<unk>-year-old male with chest pain
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compared with the prior film, there is new worsening pulmonary edema, right greater than left, evidenced by alveolar opacities and indistinctness of the pulmonary vessels. patient is slightly rotated to the left. no effusions are seen. stable enlargement of the cardiac silhouette with intact median sternotomy wires and mediastinal clips. scoliosis of the thoracolumbar spine again seen.
<unk> year old woman with chf exacerbation, intermittent bipap. pulmonary edema, pleural effusion, interval change?
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the heart is at the upper limits of normal size. the aortic arch is calcified. the mediastinal and hilar contours are unremarkable. the lungs appear clear. there are no pleural effusions or pneumothorax. bony structures are unremarkable aside from slight mid thoracic degenerative changes.
asymptomatic hypotension. question infectious process.
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a picc line terminates at the confluence of the brachiocephalic veins of the superior vena cava, and the patient is again status post tracheostomy. the heart appears enlarged. the mediastinal and hilar contours appear unchanged. there is a diffuse mild vascular prominence with indistinct vascular and interstitial markings suggesting mild congestion. patchy retrocardiac opacity is minor and probably attributable to atelectasis. there is no definite pleural effusion although noting that the left costophrenic sulcus is partly excluded. there is no pneumothorax.
tracheostomy after motor vehicle collision, now presenting with increased confusion and thickened sputum.
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a right-sided port-a-cath is seen terminating at the cavoatrial junction/ right atrium. no focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac silhouette is top-normal. mediastinal and hilar contours are unremarkable.
history: <unk>m with weakness // eval for pna
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. cardiac silhouette is top-normal.
history: <unk>f with c/o prod cough and thoracic pain with fever/chills // ? pna
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the lateral view is limited by motion artifact. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. the imaged upper abdomen is unremarkable. the bones are intact.
history: <unk>f with syncope // pna?
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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. there are coarse interstitial lung markings which are unchanged. the lungs are hyperexpanded. the broken ivc filter is seen, as was seen on prior ct from <unk>.
hypercalcemia, copd and interstitial lung disease, evaluate for mass or malignancy.
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cardiomediastinal silhouette is within normal limits. increased opacity over the spine on the lateral view may represent pneumonia in the appropriate clinical context. there is no pleural effusion or pneumothorax.
history: <unk>m with crackles on lung exam // eval for pna
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right pectoral infusion port terminates in mid svc. et tube terminates <num> cm above the carina. transesophageal tube terminates in the stomach. lung volume is low. left perihilar opacity is slightly increased. right lung base opacity is slightly increased. there is no large pleural effusion. cardiomediastinal silhouette is unchanged. diffuse sclerotic changes of the bones are again noted.
<unk> year old woman with hypoxia // interval scan
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the lungs are clear. the cardiac and mediastinal contours are normal. there are no pleural abnormalities. thoracic spine posterior fusion hardware is not fully evaluated.
fevers, chills, and cough. evaluate for pneumonia.
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no significant change compared to the prior exam. the positions of the pulmonary artery catheter and cardiac device are unchanged. no significant change in the mild pulmonary edema, cardiomegaly, and bilateral reduced lung volumes. no focal consolidation, pneumothorax, pneumomediastinum, or pleural effusion.
<unk>-year-old man with systolic congestive heart failure who is undergoing tailored therapy via a swan/pa line. evaluate pa line and interval change.
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since <unk>, mild opacities in the lingula and middle lobe with suggestion of minimal atelectasis is most likely bronchitis related and less likely to be pneumonia. more over, discussion with the referring physician, <unk>. <unk>, <unk> the phone it was realized that the patient does not have consitutional symptoms like fever, making bronchitis more likely. the upper lungs are clear. the heart size, mediastinal and hilar contours are normal. there is no pleural abnormality.
to rule out pneumonia.
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the cardiac silhouette continues to be enlarged, but without gross change. again noted is a left-sided pacemaker type device with appropriate position of leads over the right atrium and right ventricle. there is moderate pulmonary edema, possibly slightly worse compared to the chest radiograph from <num> hours earlier. no gross effusions identified on this ap film. no pneumothoraces detected.
<unk>m with cardiogenic shock // eval for interval change from <unk> x-ray
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the lungs are clear without focal consolidation. the cardiomediastinal silhouette is normal. no acute osseous abnormalities identified.
<unk>f with cough // r/o pna
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single portable view of the chest. again seen are bibasilar opacities, more extensive on the left than on the right which silhouettes the left hemidiaphragm. these are likely in part due to effusions noting underlying consolidation/atelectasis are also possible. superiorly, the lungs are clear. the cardiomediastinal silhouette is stable noting unchanged cardiomegaly. no acute osseous abnormalities detected.
<unk>-year-old female with cough, altered mental status.
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pa and lateral views of the chest provided. there is a small left pleural effusion. there is no focal consolidation or pneumothorax. . the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>f with htn who presents with bilateral leg edema // evaluate for effusion, edema, pna
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the dobbhoff tube has been advanced but is still too high, the tip is above the ge junction still in the esophagus. the appearance of the lungs is unchanged. the right ij line is been removed. left-sided picc line tip is a in the right atrium just below the cavoatrial junction
<unk> year old woman with enterotomy and respiratory failure // dubb hoff insertion
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the cardiac, mediastinal and hilar contours appear unchanged. there are no pleural effusions or pneumothorax. the lungs appear clear.
dizziness.
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lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified. tubular lucencies in the right upper quadrant are compatible with pneumobilia within enlarged biliary radicles. two biliary stents are identified in the right upper quadrant. there is no free intraperitoneal air
<unk>m with fever // ?pna
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a portable frontal chest radiograph demonstrates an endotracheal tube terminate in the mid to low thoracic trachea and an enteric tube terminating in the stomach. cardiomediastinal silhouette is normal in the lungs are well-aerated, without focal consolidation, pleural effusion, or pneumothorax. the visualized upper abdomen is unremarkable.
evaluate for pneumonia in a patient with bulbar weakness and possible myasthenia <unk>.
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right-sided port-a-cath tip terminates in the proximal right atrium, unchanged. a moderate to large right pleural effusion has increased substantially in the interval. heart size is difficult to assess given the presence of the large right pleural effusion. there is associated right basilar atelectasis. small left pleural effusion is also demonstrated with left basilar opacity, also likely atelectasis. mediastinal contour is unchanged. diffuse interstitial opacities with a somewhat ill-defined nodular component is concerning for worsening lymphangitic spread of tumor with metastatic disease. a left basilar chest tube is re- demonstrated. no pneumothorax is present.
history: <unk>f with dyspnea
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there are linear areas of bibasilar atelectasis. the small bilateral pleural effusions are stable. no pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. median sternotomy wires are intact.
<unk> year old woman with s/p asd repair // eval postop changes
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left chest wall dual lead pacing device is noted. the lungs are clear without consolidation, effusion, or pneumothorax. cardiomediastinal silhouette is normal. no acute osseous abnormalities identified.
<unk>m with syncope // infiltrate?
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as compared to chest radiograph from the same day, right-sided picc, right ij catheter and left-sided defibrillator remain in standard position. slight improvement of the pulmonary vascular congestion and mild pulmonary edema. mild cardiomegaly also slightly improved. no pleural effusions or pneumothorax. no lobar consolidation.
<unk> year old man with heart failure, worsening tachypnea // interval change
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the cardiomediastinal contours are within normal limits. the bilateral hila are unremarkable. the lungs are clear without focal consolidation. there is no evidence of pulmonary vascular congestion. there is no pneumothorax or pleural effusion.
<unk>f with cough, sob, asthma, evaluate for pneumonia.
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there are diffusely increased interstitial markings with peribronchial coughing, suggestive of atypical pneumonia. a more focal area of heterogeneous opacity is present in the left mid lung. no pneumothorax or pleural effusion. heart size and cardiomediastinal contours are normal.
history: <unk>f with cough fever // ? pneumonia
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the patient is status post prior median sternotomy and tavr. the size the cardiac silhouette is enlarged. hilar prominence may reflect enlarged pulmonary arteries. bilateral mid lung zone opacities are present likely reflecting atelectasis. no pleural effusion or pneumothorax identified.
<unk> year old woman with chest pressure // evaluate for pneumonia
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the heart is normal in size. the mediastinal and hilar contours appear with unchanged. there is no pleural effusion or pneumothorax. the lungs appear clear.
increased seizure activity.
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unable to assess erosions of the sternum <unk> malignancy <unk> costochondritis in current radiographs. patient has multiple chronic pulmonary abnormalities that have since progressed. in the lower lungs, there is interstitial infiltration described as mild traction bronchiectasis and cortical reticulation on recent ct in <unk>. there also irregular areas of consolidation with bronchiectasis in the right upper and left upper lobe which have been noted to evolve from interstitial infiltration noted previously on recent ct. no pleural effusion <unk> pneumothorax is seen. the cardiac and mediastinal silhouettes are unchanged. calcified aortic knob again noted.
<unk> year old woman with <unk> prominence on left sternum--<unk> <unk> syndrome // evaluate <unk> prominence on left sternum; evaluate for any erosions suggestive of malignacy
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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 cough, ili // eval for pneumonia
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there is no significant change from chest radiograph from <num> hr prior. the appearance of the lungs is stable. the cardiac and mediastinal silhouettes are stable. no large pleural effusion or pneumothorax. no evidence of free air beneath the diaphragm.
history: <unk>m with intermittent cp, abd pain, bilious emesis now w/ episode of hr <num>s*** warning *** multiple patients with same last name! // eval ? acute process, free air, mediastinal abnormalities
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following right-sided thoracocentesis, mild-to-moderate right pleural effusion has decreased and mild residual fluid persists. opacity at the right lung base reflects right basal atelectasis. left lung is normal. there is no left-sided effusion. there is no evidence of pneumothorax.
to look for pneumothorax or residual effusion. recent thoracocentesis.
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compared to the prior chest radiograph of <unk> the previously identified bilateral lower lobe opacities. effusions are no longer clearly identified. there is no new focal opacity. no pulmonary edema or pneumothorax. the cardiac and mediastinal contours are stable.
<unk>m with bilateral ronchi. evaluate for pneumonia
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single ap portable radiograph of the chest was obtained. there is opacity at the left lung base obscuring the left heart <unk>, <unk> represent pneumonia or aspiration. thre are also scattered rounded opacities, most apparent in the right lung base measuring <num>cm. additional smaller nodular opacities are seen in the left upper <unk>. heart size cannot be assessed. hilar and mediastinal contours are normal. old bilateral rib fractures are healing with callus formation.
desaturation. evaluate for pneumonia.
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lung volumes are low, leading to crowding of the bronchovascular structures. no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. stable, moderate to severe cardiomegaly is noted. the aorta is tortuous and contains atherosclerotic calcifications. mediastinal contours are otherwise stable. redemonstrated is a metallic density seen projecting over the heart, which may relate to a prior cardiac surgery. a left ventriculoperitoneal shunt is noted.
delirium, evaluate for pneumonia.
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small left apical pneumothorax is slightly increased in size. there is no evidence of tension. subcutaneous emphysema is seen in the left lateral subcutaneous tissues. linear opacities in the left base are likely atelectasis. the right lung is clear. the cardiomediastinal silhouette is unremarkable.
<unk>-year-old woman status post left upper lobe wedge resection, chest tube out, evaluate for interval change, pneumothorax.
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>f with palpitations. // ?consolidation, edema, effusion
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cardiac, mediastinal and hilar contours are normal. pulmonary vasculature is normal. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is identified. no acute osseous abnormality is detected.
history: <unk>m with weakness, assymetric lung exam
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pa and lateral chest radiographs were obtained. the lungs are fully expanded and clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax.
chest pain x <num> days, evaluate for pneumothorax, cardiomegaly, or pnemonia.
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pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.
<unk>f with presyncopal event // r/o acute cardio/pulm process
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left-sided volume loss is compatible with patient's history of left lower lobe segmentectomy. there is subtle loss of the medial left hemidiaphragm. there is no focal consolidation on the lateral view. trace left pleural effusion is noted as suggested by blunting of the posterior costophrenic angle. the lungs are otherwise clear. the cardiomediastinal silhouette is within normal limits. degenerative changes noted in the lower thoracic spine.
<unk>f with dm ii and hyperglycemia. // please eval for infectious process additional history of left lower lobe basal segmentectomy.
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lungs are moderately well inflated. bilateral heterogeneous dense opacities are seen obscuring the right heart border and left hemidiaphragm. the heart is partially visualized due to overlying parenchymal abnormality and appears unremarkable. mediastinal contour and hila are unremarkable. a small left pleural effusion is noted. no right pleural effusion. no pneumothorax.
<unk>m with hiv c/o fever and cough. assess for pneumonia.
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lung volumes are lower in comparison to the prior radiograph. there is a small region of linear atelectasis at the right base. there is no consolidation, edema, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal. an ivc filter is seen in the mid abdomen and unchanged in position from the prior study.
altered mental status. evaluate for infectious process.
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cardiomediastinal and hilar contours are unremarkable. lungs are clear. no pleural effusion or pneumothorax evident. no osseous abnormality identified.
chest pain for <num> days after long travel, evaluate for acute infectious process.
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a left picc is unchanged in position with the tip terminating in the proximal svc. there is no significant interval change in the extent of pulmonary vascular congestion/interstitial edema from <unk>. opacification at the left lung base is unchanged, likely reflecting a small-to-moderate left pleural effusion and underlying atelectasis. there is improved aeration of the right lung base. there is no pneumothorax. the cardiac silhouette remains enlarged, but stable. the mediastinal contours are prominent, but unchanged. there is partial calcification of the aortic knob.
pulmonary edema, status post aggressive lasix diuresis.
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vascular stents are again seen and stable from <unk>. there is no focal opacity, pleural effusions or overt signs of pulmonary edema. the cardiac and mediastinal contours are stable. the bones are diffusely sclerotic, likely secondary to renal osteodystrophy.
tachycardiac, evaluate for acute cardiopulmonary process.
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heart size is mildly enlarged. the mediastinal and hilar contours are unremarkable. the pulmonary vasculature is not engorged. minimal patchy opacities are seen within both lung bases likely reflective of atelectasis/ scarring. no focal consolidation, pleural effusion or pneumothorax is present. compression deformities of a couple of low thoracic vertebral bodies appear unchanged from prior ct. clips from prior cholecystectomy are noted in the right upper quadrant of the abdomen. there is chronic elevation of the right hemidiaphragm.
history: <unk>f with concern for stroke, and dyspnea
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the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. lungs are well-expanded without focal consolidation concerning for pneumonia. pulmonary vasculature is within normal limits. moderate degenerative changes are seen throughout the spine. the upper abdomen is unremarkable.
<unk>m with mechanical fall, r periorbital ecchymosis and r frontal hematoma. a
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the lung volumes are low. there is a subtle opacity in the left upper lung and right lung base. the cardiomediastinal silhouette and hilar contours are normal. the pleural surfaces are normal without effusion or pneumothorax. the pulmonary vasculature is normal.
shortness of breath.
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there is a small right pleural effusion. there is no left pleural effusion. there is no evidence of pneumothorax. the lungs are clear without a consolidation or edema. linear calcifications along the left mid lung zone and right base are most consistent with calcified pleural plaques. there is a minimally displaced lateral ninth rib fracture. the lower ribs are not included in the field of view.
hemothorax diagnosed at an outside hospital. please evaluate.
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surgical chain sutures with associated linear opacities are seen at the left lung base. there is no focal consolidation or effusion. cardiomediastinal silhouette is stable. abnormal soft tissue in the right paratracheal region with leftward deviation of the trachea was better characterized by recent ct scan. increased soft tissue in the subcarinal region was also previously characterized by ct. no acute osseous abnormalities. high density material in the colon is likely from prior enteric contrast administration.
<unk>f with sob // ?pneumonia
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there has been interval placement of an et tube ending <num> cm above the carina. an ng tube is seen extending below the diaphragm and out of view. lung volumes are slightly improved from prior. increased bilateral alveolar opacities. retrocardiac consolidation appears similar.
history: <unk>m with hypoxia // worsening findings?
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pa and lateral chest views were obtained with patient in upright position. the heart size is normal. no typical configuration abnormalities identified. thoracic aorta of ordinary <unk> and no significant calcium deposits are seen in the wall. the pulmonary vasculature is not congested. no evidence of acute parenchymal infiltrates are present. there is mild blunting of the right lateral pleural sinus, but as the posterior pleural sinuses are free, there is no evidence of free pleural effusion. no acute infiltrates can be identified. skeletal structures are well preserved, considering the patient's high age causing mild degree of vertebral body demyelinization is seen in the thoracic spine, which demonstrates a mildly accentuated kyphotic curvature. no evidence of vertebral body compression fractures is seen.
<unk>-year-old male patient with aortic stenosis, progression of dyspnea symptoms, status post cardiac catheterization today, plan for aortic valve replacement, pre-operative chest examination.
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a single frontal portable radiograph of the chest was acquired. there is a generalized increase in the interstitial markings, as seen on the prior radiograph from <unk>, likely mild interstitial edema. heterogeneous bibasilar opacities could be atelectasis or infection. moderate cardiomegaly is increased. the mediastinal contours are normal. small bilateral pleural effusions may be present. there is no pneumothorax.
atrial fibrillation with palpitations. assess for pneumonia.
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cardiac silhouette size is normal. the mediastinal and hilar contours are unremarkable. the pulmonary vasculature is not engorged. calcified pleural plaque partially obscures assessment of the left lung base. no focal consolidation, pleural effusion or pneumothorax is present. multilevel degenerative changes are seen in the thoracic spine. surgical anchors project over the right humeral head.
history: <unk>m with fall, pre op for trimalleolar fracture
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compared to the prior exam there has been dramatic decrease in the right pleural effusion which is now small. the port-a-cath is again visualized in similar position. there is a small left effusion. there is volume loss at both bases and however the aeration is improved compared to the prior exam. pleurx catheter is seen projecting over the right lower chest. calcified lymph nodes and intraparenchymal calcifications are again visualized.
pleurx catheter in place for malignant effusion.
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multiple lines and tubes are similar to the prior film. allowing for changes in the patient position, the left mediastinal border is better defined, but no definite change in the cardio mediastinal silhouette is identified. renewed visualization of left hemidiaphragm suggests an element of clearing at the left lung base. slight interval clearing of opacity in the upper zones may also have occurred. nonetheless, again seen is diffuse opacity in both lungs, compatible with pulmonary edema. no gross effusion is identified. residual consolidation in the left lower lobe is indicated by air bronchograms projecting over the retrocardiac region. no gross effusions identified. no pneumothorax detected.
<unk> year old woman intubated for septic shock with pulmonary edema // interval change
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the et tube is unchanged with tip ending at <num> cm from carina, it can be be positioned in more secure seating by pushing it down <num> mm. the ng tube has tip not clearly visible but apparently below the diaphragm. there are no interval changes since prior cxr, with persistent bibasilar atelectasis, especially on the right base, where pneumonia cannot be excluded. bilateral pleural effusion is mild. pulmonary edema is mild. heart size is stable and moderately enlarged. there is no pneumothorax.
<unk> years old man intubated, increasing oxygen requirement. pneumonia or ards?
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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.
<unk> year old woman with h/o + ppd // r/o tb
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the lungs are clear. there is no effusion or pneumothorax. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.
<unk>m with new right sided numbness // eval for pna
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pa and lateral radiographs of the chest demonstrate normal cardiomediastinal silhouette. there is no focal consolidation, pleural effusion, or pneumothorax. pulmonary vascularity is normal.
productive cough and expiratory wheezes on the right. evaluate for pneumonia.
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ap portable upright view of the chest. lung volumes are somewhat low. allowing for this, there is no focal consolidation, effusion, or pneumothorax. no pulmonary edema. the cardiomediastinal silhouette is normal. imaged osseous structures are intact.
<unk>f with chest 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. there are no acute osseous abnormalities. mild degenerative changes are seen in the thoracic spine.
history: <unk>m with chest pain
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frontal view of the chest was obtained. a right subclavian central catheter terminates in the lower svc. metallic clips overlie the right upper quadrant. the heart is of normal size with normal cardiomediastinal contours. vague bibasilar opacities are nonspecific but may represent infection. no pleural effusion or pneumothorax.
<unk>-year-old male with hiv with shaking chills and recent pneumonia. evaluate for pneumonia.
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left pectoral permanent pacer in place with leads unchanged in position. cardiomediastinal silhouette is normal. no evidence of pleural effusion or pneumothorax. no focal lung consolidation.
<unk>-year-old man with weakness, evaluate for pneumonia.
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cardiac, mediastinal and hilar contours are unremarkable, with the heart size within normal limits. the pulmonary vasculature is normal. apart from minimal atelectasis in the lung bases, the remainder of the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is present. no acute osseous abnormalities identified.
asthma, shortness of breath, cough and wheezing.
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the cardiomediastinal and hilar contours are within normal limits. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. no displaced rib fractures are identified.
history: <unk>m with fall down stairs, ich // eval for e/o trauma
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the cardiomediastinal shadow is unchanged. left-sided prepectoral port-a-cath in situ with the tip in the distal svc. right perihilar opacity is slightly more dense and shows a configuration change compared to prior imaging (it is not known of how much the decreased lung volumes contribute to this finding). interval increase in the right basilar opacity which may reflect atelectasis or consolidation. small associated pleural effusion. left basal atelectasis with small effusion unchanged. no pneumothorax.
<unk> year old woman with breast cancer poc in place // no blood return, check location of catheter tip
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there is unchanged position of the right port-a-cath. mild density is noted adjacent to the fiducial in the left mid-lung, likely reactive following recent bronchoscopy. the right lung is clear. heart size is unchanged. there is no pneumothorax.
<unk> year old man with left fiducial placement // r/o ptx
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compared with <unk>, there has been interval resolution of diffuse bilateral opacities. the cardiomediastinal and hilar contours are unremarkable with the exception of the tortuous aorta. there is no pleural effusion or pneumothorax. moderate-to-severe degenerative changes about the left shoulder are present.
<unk>-year-old female with acute change in mental status. please evaluate for evidence of cardiopulmonary process.