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Cardiomediastinal contours are normal. Heterogeneous opacities in the mid and lower lungs show mixed interval response, with interval improvement in the lower lungs, but slight worsening in the left mid lung region. Peripheral consolidation in right upper lobe adjacent to minor fissure has also slightly improved. No de...
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with cough // cough
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Pa and lateral views of the chest provided demonstrate no focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm.
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Pa and lateral views of the chest were obtained. There is a stable appearance of the chest with no focal consolidation, effusion, pneumothorax. Subtle reticular opacity in the periphery of the right ling is is stable and likely correspond with subpleural scarring seen on the prior ct. Cardiomediastinal silhouette is no...
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Endotracheal tube, enteric tube, and right picc line are in satisfactory position. Heart size is stable and left lower lobe atelectasis is unchanged. Bilateral pleural effusions right greater than left appear larger, however this may be secondary to patient positioning. No pulmonary edema.
<unk> y/o m with small bowel obstruction status post exploratory laparotomy, lysis of adhesion, and failed postoperative extubation due to airway swelling. evaluate.
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Left chest wall pacemaker and dual-chamber leads are in unchanged position. Heart size is mildly enlarged, stable. There is no evidence of pneumonia, pleural effusion, or pneumothorax. Osseous structures are demineralized but intact.
<unk>f with weakness // eval for pna
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Frontal and lateral views of the chest were obtained. Lung volumes are low, exaggerating heart size, which is top normal. Cephalization of pulmonary vessels is consistent with pulmonary venous hypertension. The cardiomediastinal contours are normal. The lungs are clear. No focal consolidation, pleural effusion, or pneu...
<unk>-year-old female with renal failure and <unk> lb weight gain. rule out effusion.
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As compared to the previous radiograph, there is no relevant change. Known paracardiac lucency on the left. Unchanged position of the left chest tube. Unchanged relatively homogeneous left lung opacity. Moderate cardiomegaly, unchanged appearance of the right lung. Unchanged course of the right picc line.
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Frontal and lateral chest radiographs demonstrate improvement but not resolution of a right lower lobe opacity, which could represent residual disease. A left lower lobe opacity is not well seen today, and could represent resolution of a focus of multifocal pneumonia or atelectasis versus obscure a shin of a prominent ...
assess for interval resolution of the right lower lobe pneumonia seen in <unk>.
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The right subclavian picc line extends to the mid portion of the svc. In comparison with the study of <unk>, there has been substantial improvement in the bilateral opacifications. Some residual opacification in the retrocardiac region is consistent with volume loss in the left lower lobe and probable pleural effusion.
picc placement.
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Thin right-sided chest tube is again seen entering the lower right hemi thorax and extending medially to the mid to upper right chest. Patient is rotated to the right. Tracheostomy tube is seen. The right lung apex is not well assessed due to overlying structures. Enlargement of the cardiomediastinal silhouette persist...
history: <unk>m with acute process // evaluate for pneumonia,
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There are relatively low lung volumes without definite focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with cirrhosis, weakness // eval for pneumonia
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Ap and lateral views of the chest: the lungs are clear. There is no pleural effusion, pneumothorax or focal airspace consolidation to suggest pneumonia. The heart size is normal. The mediastinal contours are unremarkable. Calcification of the anterior longitudinal ligament is noted.
fevers, rule out acute process.
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The previously documented left middle zone and left basilar opacities demonstrate interval improvement. These findings likely represent improving pneumonia or aspiration pneumonitis. Right lower lobe atelectasis is essentially unchanged. A chest tube is seen within the right hemithorax with no pneumothorax. Small bilat...
<unk>-year-old male status post minimal invasive esophagectomy with bilateral pneumonia.
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As compared to the previous radiograph, there is unchanged appearance of an obviously malpositioned left internal jugular vein catheter. As noted in the previous report, catheter that needs to be removed and repositioned. No evidence of complications, notably no pneumothorax. Unchanged correctly positioned right picc l...
evaluation of central venous line placement.
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Interval removal of the right chest tube with associated atelectasis in the region surrounding the prior chest tube site in the right upper thorax. No pneumothorax. Slight interval improvement in the left and right lower lobe atelectasis. No pleural effusion. Stable mediastinal contours. Stable elevation of the left he...
<unk>-year-old man with interstitial lung disease, status-post right vats wedge biopsies, and now chest tube removal.
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Left chest tube remains in place, with a very small left apical pneumothorax, which is similar compared to the previous radiograph. Cardiomediastinal contours are normal. Slight improvement in patchy and linear bibasilar areas of atelectasis. Apparent decrease in extent of free intraperitoneal air in this patient statu...
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Ap and lateral views of the chest are compared to previous exam from <unk>. Faint opacities project over the lung bases bilaterally likely related to anterior right fifth and sixth and left fifth rib fractures with callus formation. Elsewhere, the lungs are clear. There is no effusion. The cardiomediastinal silhouette ...
<unk>-year-old female with chest pain.
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A right-sided picc terminates in the mid svc. The trachea is central. The cardiomediastinal contour demonstrates moderate cardiomegaly with prominence of the bilateral hila and haziness of the pulmonary vasculature. There is prominence of the interstitial markings bilaterally, overall the appearances are consistent wit...
<unk> year old woman with sob // eval for pulmonary edema
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Pa and lateral views of the chest provided. Right ij access dialysis catheter is seen with its tip likely residing in the low svc. The heart is moderately enlarged. Elevated right hemidiaphragm is again noted. Lungs appear grossly clear. Azygous fissure incidentally noted. No large effusion or pneumothorax is seen. Bon...
<unk>m with no dialysis since <unk>, clotted av fistula, temporary line in place.
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There is marked s-shaped scoliosis centered on the upper thoracic spine, as on prior exams. The cardiomediastinal silhouettes are normal. There is a calcified aortic arch. The bilateral hila are unremarkable. The lungs are clear. There is no pulmonary vascular congestion. There is no pleural effusion or pneumothorax.
an <unk>-year-old woman with dyspnea on exertion and upper abdominal pain, evaluate for pneumonia or cardiomegaly.
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The cardiomediastinal and hilar contours are within normal limits. The lungs are clear without focal consolidation, pleural effusion or pneumothorax.
history: <unk>m with chest pain s/p mvc // ? ptx, effusion
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Multiple patchy opacities at the lung bases are stable since the prior study, likely reflecting areas of atelectasis. There is no pleural effusion or pneumothorax. The heart size is mildly enlarged. Aorta is noted to be extremely tortuous.
<unk>f with hypertensive urgency and crackles in r base // ?pulmonary edema
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The lungs are well expanded. Bibasilar atelectasis is unchanged. There is no focal consolidation, effusion or pneumothorax. Prior ct confirms that the mediastinal contour is widened by large mediastinal fat pad. Sternal wires are intact.
hypoxia.
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Frontal and lateral radiographs of the chest demonstrate interval resolution of right apical pneumothorax. The right chest tube is unchanged. Small right pleural effusion is also unchanged. The left lung is clear. No acute consolidation is identified. The cardiac and mediastinal contours are normal and unchanged.
right rib fractures and pneumothorax.
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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 other...
<unk>-year-old male with worsening leukocytosis, on antibiotic therapy, here to evaluate for pneumonia or other acute process.
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The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
<unk>f with hyperglycemia and cough // ?pna
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In comparison with the study of <unk>, there are lower lung volumes. Cardiac silhouette remains enlarged without definite vascular congestion or pleural effusion. Opacification at the left base is consistent with some volume loss in the lower lobe. No definite acute pneumonia, though the area behind the heart is diffic...
cervical fracture, to assess for aspiration pneumonia.
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The heart size is enlarged, but similar to prior study. Mediastinal and hilar contours are within normal limits. The lungs are clear. There is no pleural effusion or pneumothorax. Incidental note is made of calcified atherosclerotic disease along the coronary arteries. Sclerotic endplate changes are compatible with a h...
<unk>-year-old female with shortness of breath and productive cough.
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Pa and lateral radiographs of the chest were obtained. Again seen is a left chest port catheter with the tip in the distal svc/cavoatrial junction. There is no focal consolidation, edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is top normal in size, but unchanged from prior exam. No free ai...
history of sickle cell anemia, presenting with chest and back pain. evaluate for an acute process.
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Since <unk>, small pleural effusion is unchanged. The cardiomediastinal silhouette and hilar contours are normal. A feeding tube is seen in the stomach and continues out of view. A right picc line tip terminates in the lower svc. No pneumothorax.
<unk> year old man with pleural effusion // eval
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There is a new left lung base opacity, obscuring the hemidiaphragm posteriorly. A spiration or pneumonia cannot be excluded in the appropriate clinical setting. The right lung is essentially clear. No pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. An enteric tube ter...
<unk>f w/ stage iv endometriosis c/b recurrent sbo, now with sbo s/p ex lap, loa, ileocecectomy // atelectasis vs. pna
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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. There has been interval removal of a right internal jugular central venous line and enteric tube.
<unk>-year-old female with epigastric pain and complicated hepatobiliary history.
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Single portable view of the chest compared to previous exam from <unk>. The lungs are clear, where not obscured by overlying cardiac leads. Cardiomediastinal silhouette is within normal limits. There is no obvious pneumothorax or large effusion. No displaced fractures are identified.
<unk>-year-old male status post assault with abdominal pain.
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The heart is enlarged, and there is moderate pulmonary edema. There is a moderate right and small left pleural effusion. A right port-a-cath terminates in the proximal right atrium.
<unk>-year-old male with shortness of breath. evaluate for possible pleural effusion.
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Lungs are fully expanded and clear. No pleural abnormalities. Heart size is normal. Cardiomediastinal and hilar silhouettes are normal.
<unk>f with fever, cough, and costovertebral and pain.
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As compared to the prior study, there has been interval increase in interstitial markings, somewhat similar to that seen on <unk>, which could represent mild interstitial edema versus atypical infection. No lobar consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes...
history: <unk>m with neutropenic fever? // acute process?
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As compared to the previous radiograph, there is no relevant change. Low lung volumes, no evidence of pneumonia. No pulmonary edema. Borderline size of the cardiac silhouette. No pleural effusions. Sternal post-surgical fixation.
hepatitis c, cirrhosis, fever, altered mental status.
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Pa and lateral views of the chest are obtained. The lungs are clear and well expanded, without focal consolidation, effusion, or pneumothorax. Previously noted calcified plaque at the right lung base is unchanged. There is no sign of chf. Cardiomediastinal silhouette appears normal. Bony structures are intact. Clips ar...
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Interval placement of intra-aortic balloon pump, with the tip terminating approximately <num> cm below the superior aspect of the aortic knob. Cardiac silhouette remains enlarged. Bilateral predominantly perihilar airspace disease has minimally improved, and may reflect pulmonary edema. Curvilinear interface in the rig...
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Tracheostomy tube is in stable position. The lungs are clear without focal consolidation, effusion, or edema. Cardiomediastinal silhouette is within normal limits. Upper mediastinal and right neck vascular stents are identified. Stents are also identified in the left mainstem bronchus. Surgical clips project over the r...
<unk>m with dyspnea, cough // eval heart and lungs
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Right-sided ij central venous catheter terminates in the low svc/ cavoatrial junction. Enteric tube courses below the level the diaphragm, out of the field of view peer would appears to be a temperature probe overlies the chest to the left of midline terminating distal the level the diaphragm. The endotracheal tube is ...
history: <unk>f with cardiac arrest // eval ett
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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 chest pain.
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Tip of feeding tube terminates in the mid thoracic esophagus, as communicated by phone to dr. <unk> at <time> a.m. On <unk>, at time of discovery. Position of left picc at junction of left axillary and subclavian vein was also discussed at that time. A swan-ganz catheter remains in place, terminating at junction of mai...
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The lung volumes are normal. No evidence of fibrosis, no infection, normal appearance of the lung parenchyma. No pulmonary edema. Normal appearance of the hilar and mediastinal structures. Moderate dextroscoliosis.
monoarthritis, baseline radiograph.
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Pa and lateral views of the chest. The lungs are clear. Cardiomediastinal silhouette is normal. No acute osseous abnormality is seen. No free air below the diaphragm.
<unk>-year-old female with persistent vomiting.
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Pa and lateral views of the chest provided. Mild left basal atelectasis noted. Otherwise the lungs are 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>f with palpitiations // acute process
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There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is normal. Osseous structures are intact. There may be mild anterior wedging of a midthoracic vertebral body.
breast cancer, nausea, question acute cardiopulmonary process.
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In comparison with study of <unk>, there are continued low lung volumes. Opacification at the bases is increasing, consistent with worsening volume loss associated with small pleural effusions.
als with worsening hypoxia.
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An et tube ends <num> cm above the carina. Otherwise, no significant change in widespread pulmonary opacification, severe cardiomegaly and venous engorgement likely due to cardiac decompensation. The trachea is chronically deviated to the right by a large mass at the thoracic inlet.
afib with rvr and tachypnea and status post intubation. evaluate et tube placement.
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The ett is in standard placement. The enteric tube traverses the diaphragm into the left upper quadrant and its tip is not seen. The right internal jugular venous catheter ends in the mid to low svc, unchanged. Lung volumes remain low lung, overall similar to the prior exam. Day to day changes in bilateral interstitial...
<unk> year old man with liver disease, ain with renal failure on hd, intubated for hypoxemic respiratory distress, increased secretions overnight after acute ventilator dyssynchrony earlier in the day, ? aspiration pna or other new pna // please evaluate for interval change
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Pa and lateral chest radiograph demonstrate clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion or pneumothorax. No evidence of pulmonary edema. No air under the right hemidiaphragm is seen.
<unk> year old woman with asthma // pneumonia?
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Ap view of the chest. Again demonstrated is a rounded opacity in the left aortopulmonary window, compatible with patient's known pseudoaneurysm, unchanged. Minimal right basilar atelectasis is unchanged. No pneumothorax. Mild cardiomegaly is unchanged. Again seen is surgical removal of right proximal humerus including ...
shortness of breath, evaluate for interval change.
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Slight blunting of the right costophrenic angle may be due to a trace pleural effusion versus pleural thickening. Mild right base atelectasis is seen. There is no focal consolidation. No evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. There is no pulmonary edema. Chronic appe...
history: <unk>m with asthma/copd and worsening cough/cp // r/o acute process
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No previous images. Scattered radiation related to the size of the patient somewhat obscures fine detail. However, there is no evidence of post-procedure pneumothorax. The lower cervical trachea appears to be somewhat narrower than usually expected. No evidence of pneumonia or vascular congestion.
balloon dilatation for subglottic stenosis, to assess for pneumothorax.
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The lateral views are suboptimal due to the patient's overlying arm. Per the radiology technologist, the patient is unable to move arm prior study the field of view. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. There is slight tenting of the left hemidiaphragm suggesting mild volume lo...
fall.
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Heart size is normal. The aorta is tortuous. The mediastinal and hilar contours are otherwise unchanged. Pulmonary vasculature is not engorged. Patchy opacities in the lung bases likely reflect atelectasis. No pleural effusion or pneumothorax is seen. There is no focal consolidation. No acute osseous abnormality is det...
history: <unk>m with shortness of breath and weakness
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Frontal and lateral views of the chest are compared to previous exam from <unk>. Improved aerations seen in the lungs on the current exam. The lungs are clear of focal consolidation or effusion. The cardiomediastinal silhouette is within normal limits. Descending thoracic aorta is slightly tortuous. No acute osseous ab...
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Left basilar opacity silhouetting the hemidiaphragm is most suggestive of a layering effusion as on prior. Elsewhere, the lungs are clear. The cardiomediastinal silhouette is within normal limits for technique. Atherosclerotic calcifications are noted. Previously seen left central venous catheter is no longer visualize...
<unk>f with recent trach decannulation, concern for aspiration, tachypnea/hypoxia // eval pna
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The cardiac silhouette is mild to moderately enlarged. There is mild pulmonary vascular congestion. No focal consolidation is seen. There is no large pleural effusion or pneumothorax. No definite rib fracture identified.
history: <unk>f with msk chest pain // rib rx?
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Heart size is normal. Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.
etoh abuse presenting with cough.
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As compared to the previous image, the patient has received an upper tracheal stent. The stent appears to be in correct position. The post-surgical changes in the mediastinum and at the right hilus are constant. The previously placed endotracheal tube is now removed. No evidence of postoperative parenchymal changes, in...
tracheal stent.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>f with <num> day of sob and chest tightness, no fever
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Pa and lateral views of the chest demonstrate interval decreased degree of pulmonary venous congestion since the prior study from <unk>. Otherwise, there is no significant change. No focal consolidation or pneumothorax is present. Post-surgical appearance involving the right hemithorax is stable. There is no evidence o...
<unk>-year-old female with copd and right lower lobe resection with afib, now with tachypnea and elevated d-dimer. evaluation for pulmonary edema.
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The lung volumes are normal. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures. No lung parenchymal disease, no pleural effusions. No mediastinal abnormalities.
pleuritic chest pain, rule out disease.
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Ap upright and lateral views of the chest provided. Faint platelike left lower lung atelectasis. Otherwise lungs are 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 <unk> <unk> edema // ? pulm edema
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When compared to exams over the past few days, there has been interval improvement of the opacity at the right lung base. There is no effusion or pulmonary edema. Cardiac silhouette is mildly enlarged. No acute osseous abnormalities.
<unk> year old man with sickle cell crisis, rll pna vs chest syndrome // eval for infiltrate on am of <unk>
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Pa and lateral views of the chest demonstrate the lungs are well-expanded and clear. The cardiomediastinal silhouette is unremarkable. Mild right basilar linear atelectasis is noted. There is no pleural effusion, pulmonary edema, pneumothorax or focal consolidation concerning for pneumonia.
<unk>-year-old female with weakness. evaluation for pneumonia or chf.
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In comparison with the study of <unk>, there is little overall change. The monitoring and support devices remain in good position. Stable cardiac enlargement, probable small bibasilar effusions and atelectasis. There may be minimal elevation of pulmonary venous pressure.
cardiac surgery, to assess for pulmonary edema.
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Small right pleural effusion tracking along the right lateral chest wall has slightly improved since prior study. Atelectasis along the right mid lung has also improved. No left pleural effusion. No pneumothorax is seen. The heart size is top-normal. The hilar and mediastinal contours are unremarkable.
<unk> year old woman pod <unk> s/p tbp // evaluate for interval change
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The cardiomediastinal silhouette and pulmonary vasculature are unremarkable, and unchanged. Again seen are bibasilar opacities, mildly improved on the right since the most recent examination, concerning for aspiration. There are persistent pleural effusions. No pneumothorax identified. There is compression fracture of ...
<unk> y/o f with tacheobronchomalacia s/p tacheobrochplasty on <unk> who presents with acute on chronic dysphagia to solids and liquids with regurgitation with new wbc and productive cough // assess for pneumonia/ acute process.
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There relatively low lung volumes.subtle patchy lateral right base opacity is nonspecific and could be due to atelectasis or focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silh...
history: <unk>m with cough fever // eval for pna
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As compared to the previous radiograph, there is no relevant change. The patient shows bilateral relatively symmetrical predominantly basal opacities. The morphology of these opacities is rather suggestive of pulmonary edema than of pneumonia. Cardiomegaly persists. No larger pleural effusions. No new parenchymal opaci...
dyspnea on exertion, evaluation.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with polyneuropathy // eval for pna, ich
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A right pleural effusion is increased since the prior study, with associated blunting of the right costophrenic sulcus, and obscuration of the lateral right hemidiaphragm. Otherwise, the lungs are clear, with no focal consolidation or over pulmonary edema, or pneumothorax. The cardiomediastinal silhouette is stable, an...
<unk> year old woman with pleural effusion // eval
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In comparison with study of <unk>, there is an endotracheal tube in place with its tip about <num> cm above the carina. Nasogastric tube extends well into the stomach. There is increased opacification in the retrocardiac region, which most likely represents some atelectatic changes. In the appropriate clinical setting,...
spinal fusion, now with fever.
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Bilateral patchy opacities worse in the midlung zone. Lung based opacity are not significantly changed from <unk>, most confluent in the retrocardiac region. The cardiomediastinal silhouette is unchanged. No evidence of pneumothorax.
<unk>m with fever sob // eval for pna
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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 chest pain after mvc
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The left pleural effusion has increased significantly. Underlying consolidation due to atelectasis or possible pneumonia cannot be ruled out. Multiple left lung masses best seen on previous chest radiograph and ct are faintly visible, partially obscured by the pleural effusion, unchanged. The right hilar mass is unchan...
<unk> year old man with left pleural effusion // progression of disease
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Surgical clips are again seen overlying the right upper lung. The cardiomediastinal silhouettes are stable and within normal limits. The bilateral hila are unremarkable. The lungs are clear without focal consolidation. There is no pulmonary vascular congestion or pulmonary edema. There is no pneumothorax or pleural eff...
<unk>f with left chest pain x <num> weeks.
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Frontal and lateral views of the chest were obtained. There are left greater than right bibasilar opacities most consistent with atelectasis/scarring. There is slight increase in interstitial markings bilaterally, new since the prior study, which may be due to mild interstitial edema, although atypical infection is not...
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Low lung volumes are stable. The left-sided chest tube has been removed without appreciable pneumothorax. Right basilar atelectasis and small right pleural effusion are worse and left basilar atelectasis is improved from prior examination. Intact sternotomy wires and replaced mitral valve are unchanged in appearance.
<unk> year old woman s/p l vats wedge // r/o ptx post ct removal
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Two portable supine radiographs of the chest demonstrate the endotracheal tube terminates above the thoracic inlet, approximately <unk>.<num> cm above the level of the carina, and should be advanced approximately <num> cm. There has been interval placement of a nasoenteric tube, which terminates in the stomach, which i...
<unk>-year-old man with altered mental status. evaluation for endotracheal tube placement.
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Right-sided port-a-cath is in stable position. Persistent hyperinflation of the lungs is re- demonstrated. Left base opacity is persistent. Right mid to lower lung opacities may be minimally improved, but persist. There is slight blunting of the left costophrenic angle new since the prior study, which could be due to a...
<unk> year old woman with hx of bronchiectasis with hx of multifocal pneumonias // evaluation of left sided chest pain
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The et tube is in similar position compared to the study from the same day. Ng tube is unchanged. There continues to be volume loss in both lower lobes. There is increased pulmonary vascular re-distribution compatible with fluid overload.
evaluate et tube position.
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Moderate cardiomegaly, mediastinal silhouette and hilar contours are unchanged from prior exam. There is persistent mild pulmonary edema and in this setting is difficult to discretely identify pneumonia. Bibasilar patchy opacities are relatively unchanged compared to prior exam. There is no pleural effusion or pneumoth...
pneumonia follow up.
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Ap and lateral views of the chest are compared to previous exam from <unk>. As on prior, low lung volumes are seen. Linear bibasilar opacities are most suggestive of atelectasis. There is no large confluent consolidation or effusion. Cardiac silhouette is essentially stable as are the osseous and soft tissue structures...
<unk>-year-old male with fall and head strike.
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Lungs are clear without focal consolidation. The heart is mildly enlarged. There is no pleural effusion or pneumothorax. Visualized upper abdomen is unremarkable. Degenerative changes are seen throughout the thoracic spine.
chest pain, rule out pneumonia.
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New right jugular catheter has been positioned with tip ending in distal right atrium. Catheter should be pulled back of <num> cm. Lung volume is still low with opacification of the left lung base, probably for atelectasis. There are sign of mild central vein distention. There is no pneumothorax.
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Et tube terminates <num> cm from the carina. There are worsening bilateral upper lobe predominant opacities with indistinctness of the pulmonary vasculature compatible with pulmonary edema. The heart is top normal. The mediastinal and hilar contours are unremarkable. There is no large pleural effusion or pneumothorax.
intubated. evaluate for et tube position.
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Chest pa and lateral radiograph demonstrates right-sided tunneled hd line with distal port in the upper right atrium and the more proximal port in the distal svc. No pleural effusion or pneumothorax evident. Mediastinal and hilar contours are unremarkable. Heart size is top normal, though comparable to <unk> chest radi...
end-stage renal disease, new tunneled hd line; please evaluate for line placement.
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The heart size is normal. Mediastinal contours are unremarkable. There is mild pulmonary vascular congestion. Opacification in the left lung base is concerning for pneumonia. There is a small left pleural effusion. No pneumothorax is identified. No acute osseous abnormalities seen.
cough and altered mental status.
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The cardiomediastinal silhouette is stable, with a mildly tortuous thoracic aorta. New since prior radiograph from <unk> is hazy lower lobe airspace opacities likely affecting the right middle and left lower lobes, as well as the lingula. There is suggestion of mild pulmonary interstitial prominence with a central pred...
<unk>-year-old female with chest pain, dyspnea, cough, evaluate for pneumonia.
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Lung volumes are low, causing some vascular crowding. No focal opacity to suggest pneumonia is seen. No pleural effusion, pulmonary edema, or pneumothorax is present. The heart size is top normal. There is tortuosity of the aorta.
acute onset of nausea and lightheadedness.
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The lungs are clear. The cardiomediastinal silhouette, hilar contours, pleural surfaces are normal. The tip of the right port-a-cath is in the upper svc. No pneumothorax, pulmonary edema, pneumonia, or pleural effusions. Right tracheal deviation is due to enlargement of the left thyroid gland.
<unk> year old woman with lymphoma, no blood return from her port // port misplacement
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No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No evidence of free air is seen beneath the diaphragms.
history: <unk>f with dyspnea, luq abd pain*** warning *** multiple patients with same last name! // acute process
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Ng tube is coiled in the stomach. The heart is moderately enlarged. There is mild pulmonary vascular redistribution. There is ill definition of the right hemidiaphragm suggesting a small effusion. Compared to the prior exam, the fluid status is worse.
check ng tube placement.
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Compared with prior chest radiograph and chest cta, there is an apparent increase in opacification of the left lower lobe and associated small pleural effusion. The right basilar opacity is not significantly changed from prior and is known to represent metastatic disease. Cardiomediastinal and hilar contours are unrema...
<unk>-year-old male with fever and tachycardia and history of osteosarcoma. evaluate for infiltrate.
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The lung volumes are normal. Retrocardiac atelectasis, normal size of the cardiac silhouette. Chest x-ray shows no evidence of rib fractures. This is confirmed by an outside hospital chest ct from <unk>, <time>. No pneumothorax. No pleural effusions.
rib fractures, evaluation for pulmonary process.
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Moderate-to-large right pleural effusion accompanying lower lung atelectasis has increased since <unk>. Mediastinal shift to the left side is secondary to the moderate-to-large right pleural effusion. Left lung is clear. There is no pleural abnormality. There is no pneumothorax. Because of the large right pleural effus...
<unk>-year-old man with pleural effusion, for evaluation.