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no definite focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac silhouette is top-normal to mildly enlarged. mediastinal contours are unremarkable.
history: <unk>f with ams*** warning *** multiple patients with same last name! // acute process
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the lungs are clear. the cardiac silhouette is moderately enlarged. no acute osseous abnormalities identified.
<unk>m with esrd, fluid overload // renal failure, r/o pulmonary edema
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single portable view of the chest. comparison to chest ct from <unk>. the lungs are clear of focal consolidation or pneumothorax. there is increased soft tissue density in the lower right paratracheal stripe in the region of the azygos vein. cardiomediastinal silhouette is otherwise unremarkable. osseous and soft tissue structures are unremarkable.
<unk>-year-old male with chest pain.
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the cardiac silhouette size is normal. mediastinal and hilar contours are unchanged. pulmonary vascularity is normal. no focal consolidation, pleural effusion or pneumothorax is identified. minimal atelectasis is seen in both lung bases. no pulmonary edema is seen. there are no acute osseous abnormalities.
altered mental status.
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as compared to prior chest radiograph from <unk>, there has been interval improvement of the right sided effusion. some residual fluid is still noted in the right. the left lung is clear. there is no pneumothorax. cardiomegaly is unchanged. the left sided pacemaker leads terminate in the right atrium and right ventricle, expected location.
<unk> year old male patient status post right sided thoracentesis. study requested for evaluation of pneumothorax.
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frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette. there is unchanged subtle chronic scarring of the lungs, which are otherwise clear without focal consolidation or pulmonary edema. there is no pleural effusion or pneumothorax.
shortness of breath and fatigue.
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heart size is mildly enlarged. the mediastinal and hilar contours are within normal limits. the pulmonary vasculature is not engorged. lungs are clear. no pleural effusion or pneumothorax is present. s-shaped scoliosis of the thoracic spine is present.
history: <unk>m with sickle cell disease, fever, chest pain
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<num> views were obtained of the chest. the lungs are somewhat low in volume with right lower lung opacity, slightly less conspicuous than the prior study. there is no pleural effusion or pneumothorax. the heart and mediastinal contours are unchanged with multiple coronary stents noted.
weakness and hypotension, assess for pneumonia.
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the lungs are normally expanded and clear. the cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. there is no pleural effusion or pneumothorax.
history of asthma, presenting with three days of dry cough. rule out pneumonia.
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heart size is at the upper limits of normal or slightly enlarged. mediastinal and hilar silhouettes are otherwise within normal limits. no chf, focal infiltrate, effusion, or pneumothorax is detected. no free air seen beneath the diaphragms. no displaced rib fractures detected on these lung technique films. assessment of bony detail in the thoracic spine is quite limited due to lung technique and overlying soft tissues.
history: <unk>f with r back pain // r/o pna
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single upright view of the chest provided. small to moderate pleural effusions are greater on the left. diffusely increased interstitial markings are slightly improved from <unk>. there is no focal consolidation or pneumothorax. cardiomegaly is increased since <unk>. healed posterior right fourth rib fracture is unchanged. no free air below the right hemidiaphragm is seen.
<unk>f with hx of pneumonia. here w/ hypothermia
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frontal and lateral radiographs of the chest demonstrate a stable moderately enlarged heart. the cardiomediastinal silhouette and hilar contours are unchanged with a tortuous calcified aorta and calcification of the mitral annulus. the lungs are clear. no pleural effusion or pneumothorax. no displaced rib fracture identified.
history of osteoarthritis, osteopenia status post fall complaining of mid thoracic back pain and left axillary rib pain. question fracture.
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cardiac, mediastinal and hilar contours are normal. lungs are clear. pulmonary vasculature is normal. no focal consolidation, pleural effusion or pneumothorax is detected. no acute osseous abnormalities are visualized.
history: <unk>f with chronic anemia, vb, sob, prior mi, renal transplant <unk> years ago
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the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with n/v, esrd // ? infectious process
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normal heart size with stable mediastinal and hilar contours. the lungs remain hyperinflated suggestive of copd. no focal consolidation, pleural effusion or pneumothorax. no displaced rib fracture.
history: <unk>m with back tenderness, after fall*** warning *** multiple patients with same last name! // eval for rib fracture
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single portable view of the chest. low inspiratory effort is seen with secondary crowding of the bronchovascular markings. cardiac silhouette is likely accentuated due to technique and poor inspiratory effort and is likely within normal limits. no acute osseous abnormality is detected.
<unk>-year-old female with seizures.
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the patient's prior extensive multifocal pneumonia appears to have somewhat improved since the most recent prior studies. no new opacities are seen. the heart size is within normal limits. the aorta is tortuous. there is no pleural effusion or pneumothorax identified.
dyspnea, mechanical fall, question pneumonia.
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pa and lateral chest radiographs demonstrate no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal.
chest pain.
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the cardiomediastinal and hilar contours are within normal limits. there is no focal consolidation, pleural effusion or pneumothorax.
chest pain. question pneumonia.
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pa and lateral chest radiograph demonstrates clear lungs bilaterally, though lung volumes are low. a left chest port is identified, its tip terminating in the distal superior vena cava. cardiomediastinal and hilar contours are within normal limits. heart is top normal in size. there is no pleural effusion or pneumothorax. an enteric tube traverses the thorax in an uncomplicated course its tip terminating in the right upper quadrant, most compatible with a post pyloric position. no air under the right hemidiaphragm is seen.
<unk>m with njt displacement, tachycardia
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pa and lateral chest radiographs were obtained. a left-sided internal jugular catheter tip remains in the low svc. the lungs are well inflated and clear. no focal consolidation, effusion, or pneumothorax is present.
<unk>-year-old man with aml in remission, screening for core transplant.
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there is no consolidation, pleural effusion, or pneumothorax. cardiac silhouette is mildly enlarged. no change compared to prior.
history: <unk>f with ams // pna?
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frontal and lateral radiographs of the chest demonstrate low lung volumes resulting bronchovascular crowding. severe cardiomegaly is again demonstrated. left-sided dual lead pacemaker is in unchanged position. there is a small right sided pleural effusion with adjacent atelectasis. there is no pneumothorax.
dyspnea. evaluate for pleural effusion.
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the left costophrenic angle with not fully included on the image. the patient is rotated to the right. given the above, no focal consolidation, pleural effusion, for evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. the mediastinum is not widened. no overt pulmonary edema is seen. no displaced fracture seen. no evidence of free air is seen beneath the diaphragms.
abdominal pain, hemodynamically unstable.
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an opacity in the cardiac space is seen. no pleural effusion or pulmonary edema is seen, and the cardiac and mediastinal contours are normal.
<unk>-year-old male with hypoxia, evaluate for acute process.
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the lungs are clear. there is no consolidation or effusion. the cardiomediastinal silhouette is stable. no acute osseous abnormalities identified.
<unk>m with chest pain x <num> day sob, doe. no // r/o pna vs pleural effusion
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lung volumes are low with unchanged bronchovascular crowding. small bilateral pleural effusions with associated bibasilar subsegmental atelectasis are unchanged. there is no pneumothorax. the heart and mediastinum cannot be accurately assessed. the bones are diffusely osteopenic.
<unk> year old man w/ copd/asbestosis with persistent/new o<num> requirement // edema?
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there are increased interstitial markings with associated hilar fullness, consistent with mild-to-moderate pulmonary edema. increased opacification at the medial right base and in the retrocardiac space is most likely due to edema, though an underlying consolidation is difficult to exclude. there are small bilateral pleural effusions. there is no pneumothorax. the mediastinal contours are normal. the heart is moderately enlarged.
hypoxia. evaluate for congestive heart failure.
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the lungs are symmetrically well expanded and well aerated without focal consolidation, pleural effusion or pneumothorax. an oblique density projecting over the left lateral lung base likely reflects plate-like atelectasis in the lingula, unchanged. the pulmonary vasculature is not engorged. the cardiomediastinal and hilar contours are within normal limits. there is a hiatal hernia.
dka with unknown precipitant and weakness, here to evaluate for pneumonia.
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frontal and lateral views of the chest. the lungs are clear without consolidation, or overt pulmonary edema. there is no large effusion. the cardiac silhouette is enlarged but stable. tortuous descending thoracic aorta is again seen. surgical clips seen in the upper abdomen. no acute osseous abnormality is identified.
<unk>-year-old female with productive cough.
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normal heart size, mediastinal and hilar contours. clear lungs. no pleural effusion.
<unk> year old man with etoh cirrhosis,ascites, edema, copd, cad with stent in place since <unk>. // new liver transplant evaluation, assess for cardiopulmonary abnormalities.
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there is mild prominence of pulmonary vasculature and development of bilateral linear interstitial opacities consistent with <unk> b-lines, new as compared to <unk>. there is no focal consolidation. heart size is within normal limits. there is no pneumothorax. there is multilevel mild loss of vertebral body height in the upper thoracic spine, unchanged.
<unk>f w/pulm htn, rll crackles, presenting with abdominal pain, please r/o pna, also potential pre-op xray for gallstones *** warning *** multiple patients with same last name! // <unk>f w/pulm htn, rll crackles, presenting with abdominal pain, please r/o pna, also potential pre-op xray for gallstones
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cardiomegaly is a stable. pacer leads are in standard position. bibasilar opacities are grossly unchanged: a combination of effusion and atelectasis, superimposed infection could be present in the appropriate clinical setting. there is no pneumothorax. there are low lung volumes. . mild vascular congestion has improved.
<unk> year old man with cva and severe aspiration risk // worsening aspiration/atelectasis vs new pna?
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the lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
history: <unk>f with fever, cough. evaluate for pneumonia
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no focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac silhouette is top-normal to mildly enlarged. no overt pulmonary edema is seen.
history: <unk>m with dizziness // evaluate for cardiomegaly, pulmonary congestion
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pa and lateral chest views were obtained with patient in upright position. the heart size is within normal limits. no configurational abnormality is identified. thoracic aorta unremarkable. the pulmonary vasculature is not congested. lateral and posterior pleural sinuses are free from any fluid accumulation. there is a mild elevation of a left-sided hemidiaphragm apparently related to a rather gas distended colon. no significant skeletal abnormality are identified within the chest area. there exists no prior chest examination or records available for comparison.
<unk>-year-old male patient with malignancy of liver, assess for pleural effusion in the chest.
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compared to prior, there is free air under the right hemidiaphragm, also present in retrospect on <unk>. the lung volumes are similar. pulmonary edema appears improved from prior. mild left lower lobe atelectasis is likely. minimal right pneumothorax is seen. the heart and the mediastinum are mildly enlarged, slightly increased in size compared to prior, which may be due to patient positioning. there has been interval removal of chest tubes and pulmonary artery catheter. right-sided introducer is in place and terminates in mid svc.
<unk> year old man with s/p avr, mvr, cts d/c'd.
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no focal consolidation, pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with fever // please evaluate for pneumonia or evidence of other infectious process
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the heart is normal in size. the mediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. the lungs appear clear. bony structures are unremarkable.
syncope.
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a new nasogastric tube tip terminates within the stomach. re-demonstrated is a moderate-to-large left pleural effusion. left basilar opacification likely reflecting compressive atelectasis is again seen, though infection or aspiration is not excluded. right lung is grossly clear. there are low lung volumes. no pneumothorax is identified, and there is no right-sided pleural effusion.
nasogastric tube placement.
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pa and lateral views the chest provided. suture material again noted along the right mid lung reflect prior resection. lungs well expanded and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable. s shaped scoliosis is again noted. surgical clips are noted projecting over the right mid lung laterally.
<unk>f with cough, sob, fever // presence of infiltrate
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heart size is normal. prominent epicardial fat pad is seen at the right cardiophrenic angle. the aorta is mildly tortuous. remainder the mediastinal and hilar contours are within normal limits. pulmonary vasculature is not engorged. no focal consolidation, pleural effusion or pneumothorax is identified. a <num> mm nodular opacity projects over the left lung base, but is not well localized on the lateral view. no acute osseous abnormality is identified.
history: <unk>f with cough
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pa and lateral views of the chest. borderline cardiomegaly is stable. previously seen mild pulmonary vascular congestion and pulmonary edema has decreased. no evidence of pneumonia. no pleural effusion or pneumothorax. normal mediastinal and hilar contours. sternotomy wires are in appropriate positions. aortic valve replacement and tricuspid valvuloplasty are in appropriate position.
cough and mild chest discomfort, history of cad, concern for acs, fluid overload, or pneumonia.
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there is no interval change in the appearance of the chest since the earlier study from today. again seen is a pacemaker in the left chest wall with a single lead terminating in the region of the right ventricle. there are bibasilar opacities, right greater than left, representing layering pleural fluid and/or atelectasis. the heart remains markedly enlarged. the mediastinal and hilar contours are unchanged. no pneumothorax is seen. the bilateral humeral heads are high-riding, and there are degenerative changes of the bilateral glenohumeral and acromioclavicular joints. surgical clips project over the left upper abdomen.
<unk> year old man s/p pea arrest, decreased lung sounds and sob // concern for pneumothorax
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ap view of the chest provided. right sided picc terminates in the mid-low svc. otherwise, no relevant changes compared to prior study.
<unk> year old woman with new picc
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the cardiac and mediastinal contours are normal. the pulmonary vasculature is normal. the lungs are clear. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.
light headedness
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the lung volumes are low but stable. bronchial wall thickening projecting over the apex of the heart is worsened. stable eventration of the right hemidiaphragm. no focal consolidations. the cardiomediastinal and hilar contours are stable. the pleural surfaces are normal.
<unk> year old woman with breast cancer // persistent cough, compare to <unk> cxr. any changes?
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there lungs are well-expanded and clear of focal consolidation, effusion, or vascular congestion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.
<unk>m with af p/w dyspnea, orthostatic hypotension // ?acute process, infection
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the et tube terminates <num> cm above the carina. ng tube courses below the diaphragm and terminates outside the field of view. moderate cardiomegaly and interstitial opacities are consistent with pulmonary edema. there is no large pleural effusion or pneumothorax.
intubation after code. evaluation of et tube placement.
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the endotracheal tube and right central venous line have been removed. very low lung volumes and bilateral lower lobe atelectasis have progressed since <unk>. there is new right middle lobe atelectasis. a small left pleural effusion has slightly increased. the cardiac and mediastinal contours are stable. vascular coils project over the abdomen.
<unk> year old man with recent pneumonia, still having fevers and shortness of breath. please evaluate. // ?infection, worsened consolidations
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as compared to serial exams dating between <unk> and <unk>, a large conglomerate area by opacification in the left upper hemi thorax has worsened in demonstrates relatively round borders inferiorly. this is most likely predominantly intraparenchymal with adjacent potential loculated fluid component. remainder of the lungs are grossly clear. cardiomediastinal contours are stable. small pleural effusions are again demonstrated bilaterally.
<unk> year old man s/p cabg // eval left effusion
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frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. hilar and mediastinal silhouettes are unremarkable. slight tortuosity of the descending aorta is noted. heart is normal in size. there is no pulmonary edema. partial image of upper abdomen is unremarkable.
intractable hiccups for one week.
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there are low lung volumes. there is persistent elevation of the right hemidiaphragm and overlying right base atelectasis. lingular atelectasis is also seen. there is blunting of the posterior left costophrenic angle suggesting a small pleural effusion. there is mild diffuse increase in interstitial markings suggesting mild interstitial pulmonary edema. the cardiac and mediastinal silhouettes are stable.
dizziness.
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mild to moderate cardiomegaly is unchanged. the mediastinal contours are unremarkable. mild pulmonary edema appears slightly worse in the interval. there is no focal consolidation, pleural effusion or pneumothorax is identified. no acute osseous abnormalities demonstrated.
fever, cough, shortness of breath.
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the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.
<unk>m with cough and subjective fever // eval for pneumonia
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frontal and lateral chest radiographs were obtained. the right pleurx catheter is seen at the bases with the tip located inferolaterally. the right pleural effusion has increased in size and is now loculated. again seen are right mid and lower lung opacity as well as known lung mass. the right apical and lateral pleural thickening is unchanged. the left lung is essentially clear but hyperinflated. the heart size is unchanged. calcifications are present in the aorta. there are degenerative changes of the right ac joint.
patient with malignant pleural effusion, eval change.
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frontal and lateral chest radiographs demonstrate interval improvement in right lower lobe airspace opacity. there is no significant effusion. a granuloma is unchanged in appearance in the right upper quadrant. the heart size is mildly enlarged. the mediastinal contours are normal. there has been prior median sternotomy, with surgical clips seen in the mediastinum. retrosternal thickening is unchanged from <unk>. there is no pneumothorax. the pulmonary vasculature is normal.
<unk>-year-old male with diabetes and coronary artery disease with a right lower lobe pneumonia one month ago, with continued cough and night sweats.
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there is no evidence of pneumonia. cardiac size is normal. aortic tortuosity along with calcification is again noted. no pleural effusion or pneumothorax. no edema.
<unk>-year-old female with lightheadedness
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ap and lateral views of the chest. improved inspiratory effort seen on the current exam. although, on the lateral view, lung volumes are slightly low and there is an opacity projecting in the region of the costophrenic sulcus posteriorly. there is decrease in findings suggesting pulmonary edema compared to prior. there is no effusion or consolidation. moderate cardiomegaly is seen. left chest wall pacing device is again seen with leads in unchanged position. no acute osseous abnormality is identified.
<unk>-year-old male with altered mental status.
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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 severe dyspnea // eval for pneumothroax
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the cardiomediastinal and hilar contours are within normal limits. the lung fields are clear. a subtle transverse lucency through the superior sternum is suspicious for a nondisplaced sternal fracture. there is no pneumothorax, fracture or dislocation. limited assessment of the abdomen is unremarkable.
history: <unk>f with sternal bruise // r/o rib fx, ptx
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the heart is moderately enlarged with mild pulmonary vascular prominence, similar to prior studies. the lungs are relatively well-expanded and clear. there is no pleural effusion, overt pulmonary edema, pneumothorax, or focal consolidation concerning for pneumonia.
history: <unk>f with cardiomyopathy presenting with cough and pre-syncope // eval pneumonia, other acute process
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there is increased opacity at bilateral lateral lung bases and left mid lung laterally, consistent with pneumonia, possibly from aspiration. there is no pleural effusion or pneumothorax. cardiomediastinal silhouette is normal size.
<unk> year old woman with dementia, presenting with ams, fevers, desats, ? pneumonia // opacities, infiltrates
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pa and lateral views of the chest demonstrate the lungs are well expanded and clear. the cardiomediastinal silhouette is unremarkable. the hilar and pleural contours are normal with no evidence of pleural effusion. there is no pneumothorax or pulmonary edema. no focal consolidation is identified within the lungs.
<unk>-year-old female with increasing weakness and light-headedness.
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the lungs are clear of focal consolidation, pleural effusion or pneumothorax. the heart size is normal. the mediastinal contours are normal. degenerative changes of the thoracic spine are noted, and no acute osseous abnormality is seen.
<unk>-year-old male with subdural hematoma. please obtain preoperative chest radiograph.
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there has been placement of a tracheal tube just above the level of the clavicles. the tip is not well seen. there is no pneumothorax or pneumomediastinum. there is linear atelectasis at the left lung base with a small left-sided pleural effusion. the cardiomediastinal and hilar silhouettes are unremarkable.
<unk>-year-old post trach tube insertion.
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pa and lateral views of the chest were reviewed and compared to the prior studies. compared to the most recent prior study of <unk>, there has been interval resolution of the pulmonary edema. residual opacities in the right lower lung are most likley atelectasis, however, infection cannot be excluded. there is no pleural effusion or pneumothorax. medain sternotomy wires are aligned and intact. left pectoral pacer and defibrillator leads end in the expected locations of the right atrium, right ventricle, and left ventricular apex. right supraclavicular line ends in the right atrium. severe cardiomegaly and the mediastinal contours are unchanged.
cough in a patient status post antibiotics.
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left-sided volume loss related to left upper lobectomy is noted. there may be mild pleural thickening on the left. there is no pneumothorax, focal consolidation, definite pleural effusion, or pulmonary edema. the cardiomediastinal silhouette is within normal limits.
<unk>m with dyspnea and recent left lung tumor removal evaluate for acute process.
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the heart size is normal. enlargement of the right hilum is concerning for lymphadenopathy. mediastinal contours are unremarkable. there is no pneumothorax. blunting of the left costophrenic indicates a small left pleural effusion. lung volumes are low, but there is no focal consolidation concerning for pneumonia. air projecting in the left breast tissue is likely the sequela of recent partial mastectomy. a sclerotic focus projecting just superior to the distal right clavicle, likely located in the scapula, is noted.
<unk> year old woman with breast cancer, now with new fever // r/o pna
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the nasogastric tube has been removed. a small left apical pneumothorax has not progressed. aside from minimal bibasilar atelectasis, the lungs are clear. the heart and mediastinum are within normal limits.
<unk>-year-old male with pneumothorax seen on prior imaging. please evaluate interval change.
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there is pulmonary vascular congestion with mild interstitial pulmonary edema. heterogeneous opacity at the right lung base could be atelectasis or pneumonia. moderate cardiomegaly is slightly decreased compared to <unk>. the mediastinal contours are normal. aortic calcifications are noted. there are no definite pleural effusions. no pneumothorax is seen. carotid artery calcifications are noted.
shortness of breath with hypoxia, evaluate for chf.
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as compared to <unk>, the tube tip is visualized within the body of the stomach. the lung volumes are very low with basal atelectasis, slightly improved since the prior examination. no pulmonary edema, pleural effusions or pneumothorax.
<unk> year old woman with hx of rny. with sbo. ngt in place // ngt positioning
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heart size is normal with mild tortuosity of the thoracic aorta. hilar contours are unremarkable. lungs are clear. there is no pleural effusion or pneumothorax. the osseous structures appear globally demineralized. no radiopaque foreign body projects over the imaged chest or abdomen.
swallowed titanium screw. evaluation for possible aspiration.
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there is bibasilar atelectasis, and a left midlung linear opacity likely represents atelectasis versus scarring. there is a possible small left pleural effusion. there is no focal consolidation or overt pulmonary edema. the heart is mildly enlarged.
<unk> year old female with shortness of breath.
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a right internal jugular catheter terminates in the distal svc. there is no pneumothorax or pleural effusion. lung volumes are low but the lungs are clear. trace pleural effusions are difficult to exclude. heart is normal in size normal cardiomediastinal contours.
new right ij catheter assess for pneumothorax and line position.
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left heart and mediastinal contours are normal. right heart border and lower mediastinal contours are obscured by a large multi loculated pleural abnormality including fissural fluid loculation. moderate volume loss in the right hemithorax indicates that severe atelectasis in the right middle and lower lobes exceeds volume displacement by the pleural effusion. right hilus may be enlarged. two subcentimeter nodules are seen in the middle and upper left lung. left pleural effusion is tiny. the tip of a right central venous infusion port catheter is in the right atrium. no pneumothorax.
<unk> year old man with met. esophageal ca, is sob. recently had ablation of chest wall tumor at <unk>. // degree of pleural fluid? extent of masses?
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frontal and lateral views of the chest were obtained. the heart is of normal size with normal cardiomediastinal contours. the lungs are clear without focal or diffuse abnormality. no pleural effusion or pneumothorax. pulmonary vasculature is unremarkable. no radiopaque foreign body. osseous structures are unremarkable.
<unk>-year-old female with soreness and fatigue for one week. pyruvate-lactate of <num>. evaluate for pneumonia.
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a small linear opacity at the left base is more prominent than in the prior exam. there is no pulmonary edema, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal.
leucocytosis and hypoglycemia. evaluate for acute process.
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pa and lateral views of the chest provided. a new rounded consolidation is seen in the left mid lung concerning for pneumonia. given the rounded appearance followup to resolution advised. minimal scarring persists in the right upper lung at the site of prior pneumonic consolidation. there is a stable appearance of the subtle nodularity projecting over the right upper lung likely corresponding to the anterior right first rib on face. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. patient is status post left mastectomy.
<unk>f pmhx asthma with <num> week hx of wheezing/sob // eval for consolidation
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the cardiac, mediastinal and hilar contours appear stable. the chest is hyperinflated. there is no pleural effusion or pneumothorax. the lungs appear clear.
fever and altered mental status.
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the lungs are well expanded and clear without focal consolidation, pleural effusion, or pneumothorax. heart size is normal. mediastinal silhouette and hilar contours are normal. there is no free air under the diaphragm.
<unk>-year-old woman with chills and sputum.
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the heart size is normal. mediastinal contours are unremarkable. there is mild perihilar haziness and vascular indistinctness compatible with mild interstitial pulmonary edema. small bilateral pleural effusions persist. retrocardiac opacity likely reflects atelectasis. there is no pneumothorax. no acute osseous abnormalities are present.
shortness of breath and hypoxia.
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mild to moderate cardiomegaly and pulmonary vascular congestion are chronic. there is no good evidence for pulmonary edema left pleural thickening and associated lower lobe atelectasis are long-standing. small right pleural effusion has recurred. no pneumothorax.
history: <unk>m with sob // pneumonia
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stable bilateral low lung volumes with stable bibasilar and right upper lobe atelectasis. there has been an overall improvement in the pulmonary edema identified on the <unk> study. no pleural effusions definitively identified. cardiomediastinal contours are unchanged.
patient with mssa epidural abscess with worsening respiratory status, please assess for change in pulmonary edema.
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the heart size is within normal limits. the mediastinal and hilar contours are also unchanged and within normal limits. the lungs are clear with resolution of the previously described left basal opacity. there is no pleural effusion or pneumothorax.
<unk>-year-old male with productive cough and chest pain.
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lung volumes are low. heart size remains mildly enlarged. the mediastinal and hilar contours are within normal limits. pulmonary vasculature is normal. small left pleural effusion is demonstrated along with patchy opacities the lung bases. no pneumothorax is present. there are no acute osseous abnormalities.
history: <unk>m with post-op fever // pneumonia?
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there is been progression of the opacity of the left hemi thorax with minimal aerated lung seen at the apex. trachea if anything is deviated to the left suggesting component of volume loss on the left. stent is identified within the left mainstem bronchus. right-sided pulmonary nodules are compatible with known metastases. cardiac silhouette cannot be assessed. no acute osseous abnormalities.
<unk>f with sob, recent pna // r/o acute process
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allowing for decreased lung volumes compared with the immediate prior study, overall appearance is slightly improved. minimal asymmetric left lung opacification has improved compared with the prior study. there is no focal consolidation, pulmonary edema, or pneumothorax. small bilateral pleural effusions are present.
<unk>f with recent multifocal pneumonia/sepsis now with fever, evaluate for pneumonia.
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severe cardiomegaly is chronic. a right pacemaker generator projects over the right chest wall contiguous with leads which are in unchanged position. lung volumes are low. there is mild bronchial cuffing consistent with mild edema. diffuse osteopenia and mild degenerative change of thoracic spine. there is no pneumothorax or pleural effusion.
history: <unk>m with chf, dyspnea, hypoxia, crackles r>l // eval ? volume overload, infiltrate
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frontal and lateral views of the chest. the lungs are clear. there is no effusion. cardiomediastinal silhouette is stable. no acute osseous abnormalities detected.
<unk>-year-old male with right shoulder pain and cough for <num> days.
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the lungs are clear without consolidation, effusion, or pneumothorax. and a calcific density projects over the left costophrenic angle, above the nipple shadow and is felt to be calcified, potentially a granuloma or within the overlying soft tissues. cardiomediastinal silhouette is within normal limits. dense mitral annular calcifications are noted. no displaced fractures.
<unk> year old woman with weakness over the past few days s/p fall // please evaluate for any evidence of pneumonia
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previously identified multifocal consolidations are no longer seen. the lungs are hyperinflated but clear. right chest wall port is again noted. lower thoracic compression deformity with acute kyphosis is similar to prior.
<unk>f with sob // eval for pna or ptx
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increased opacity in the right lower lobe persist, compatible with pneumonia. there is clearance of the left lower lobe atelectasis and pleural effusion. ng tube below the diaphragm..
<unk> year old woman with stroke // interval changes, pneumonia
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again seen is opacification of the posterior segments of the left lower lobe and the basilar segments of the left lower lobe compatible with known post-obstructive pneumonia. the right lung is clear. there may be a small left pleural effusion. there is no pneumothorax. a right port-a-cath catheter terminates in the svc. the cardiomediastinal silhouette is unchanged. the bones are intact.
<unk>-year-old male with recent left lower lobe post-obstructive pneumonia with increasing dyspnea question pneumonia. evaluate for interval change.
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a single portable radiograph of the chest was acquired. as before, there is a right tunneled internal jugular dialysis catheter, ending in the low right atrium. a right vascular stent projects over the right scapula/clavicle, not significantly changed. a small left pleural effusion may be slightly increased. a small right pleural effusion is not significantly changed. mild-to-moderate cardiomegaly persists. the mediastinal contours are normal. opacification at the right lung base is similar in appearance to prior radiographs and could be atelectasis and/or scarring. no focal consolidations are noted. there is fullness of the pulmonary vasculature without frank pulmonary edema. there is no pneumothorax.
obtunded. evaluate for infiltrate.
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cardiomediastinal silhouette is normal. no definite focal consolidation seen. streaky retrocardiac opacity, most compatible with atelectasis. no pleural effusion or pneumothorax. there is no acute osseous abnormality.
<unk> year old man with fever sob, evaluate for pneumonia.
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moderate enlargement of the cardiac silhouette is re- demonstrated. the aorta is markedly tortuous, and mediastinal and hilar contours are similar. pulmonary arteries remain enlarged suggestive of underlying pulmonary arterial hypertension. pulmonary vasculature is not engorged. lungs are hyperinflated with emphysema again noted, most pronounced in the upper lobes. prominence of the left superior mediastinum with mild rightward deviation of the trachea is compatible with known enlargement of the left thyroid lobe. patchy opacities are noted within both lung bases likely reflective of atelectasis. no focal consolidation, pleural effusion or pneumothorax is present. left-sided bochdalek's hernia is again unchanged.
history: <unk>m with weakness and confusion
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lung volumes somewhat low with bibasilar atelectasis noted. no convincing evidence for pneumonia or edema. no large effusion or pneumothorax. cardiomediastinal silhouette appears unchanged. bony structures intact. clips at the midline upper abdomen noted.
<unk> year old man with two weeks of dry cough. assess for acute process.
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the patient is rotated somewhat to the right. given this, the cardiac and mediastinal silhouettes are stable. mild biapical, right greater than left pleural thickening seen. no definite focal consolidation. no large pleural effusion or pneumothorax is seen. there is no pulmonary edema.
history: <unk>f with sob // pulm edema?
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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.
history: <unk>f with shortness of breath and cough. // ?pneumonia