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As compared to the previous radiograph, the monitoring and support devices, including the left-sided chest tube, are in unchanged position. On the left, adjacent to the lateral component of the pleural effusion, a millimetric hyperlucent line has newly appeared, likely reflecting a millimetric post-procedural pneumotho...
malignant effusion, evaluation.
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Heart size is moderately enlarged with a large hiatal hernia noted, increased in size compared to the previous study. The mediastinal and hilar contours are otherwise unchanged. There is mild pulmonary vascular congestion. Atelectasis is seen in the left lung base. No pleural effusion, focal consolidation or pneumothor...
<unk>f altered mental status
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The cardiomediastinal silhouette and pulmonary vasculature are normal. The lungs are clear. There is no pneumothorax or pleural effusion. There is levoscoliosis of the thoracic spine.
<unk>m with back pain, difficulty with deep breath // eval for ptx
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Again seen is calcified granuloma in the right upper lobe not significantly changed. Otherwise, the lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
<unk> year old man with cough, shortness of breath, o<num> sat <unk>% // pneumonia/infiltrate
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Pa and lateral views of the chest provided. Effacement of the right and left heart border likely secondary to epicardial fat pads. 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 se...
<unk>f with acute mental status changes.
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On the frontal view, the cardiomediastinal silhouette is similar to the prior study. The heart is not enlarged. The aorta is calcified and unfolded. Mild prominence of the right hilum, with a tapered appearance, raises the question of pulmonary hypertension, unchanged. Of note, on the lateral view, the ap diameter of t...
history: <unk>f with chest pain // pneumonia?
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As compared to the previous radiograph, the pre-existing bilateral parenchymal opacities have minimally decreased in extent. No new opacities. No larger pleural effusions. Unchanged borderline size of the cardiac silhouette without pulmonary edema and mild tortuosity of the thoracic aorta.
rheumatologic disease, questionable pulmonary edema. evaluation for interval change.
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Frontal and lateral views of the chest were obtained. The cardiac silhouette is enlarged. Mediastinal and hilar contours are stable. No pleural effusion is seen. There is no focal consolidation. There is minimal prominence of the interstitial markings, grossly stable compared to the prior study. There is sclerosis of a...
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Pa and lateral views of the chest provided. Suture material is seen in the right mid and lower lung compatible with prior resection. Patient is known to have small scattered pulmonary nodules which are poorly visualized on radiograph. No large effusion or pneumothorax. No signs of pneumonia or edema. Cardiomediastinal ...
<unk>m with gi bleed // evidence of pneumonia or bleed
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There is no significant interval change compared to the prior cxr performed yesterday morning. A spinal fusion device is noted in the cervical cord. The support lines and devices are unchanged in position. There is questionable patchy opacification of the left mid-lung zone, which may represent aspiration in the approp...
<unk> year old woman with spinal cord infarct s/p decompression. volume overloaded, diuresing. intubated. // ett placement, interval change
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Cardiac silhouette size remains mildly enlarged. The mediastinal and hilar contours are unchanged. Lung volumes are low causing crowding of bronchovascular structures with possible mild pulmonary vascular engorgement but without overt pulmonary edema. Patchy opacities in lung bases may reflect areas of atelectasis in t...
history: <unk>m with breakthrough seizures
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Frontal and lateral views of the chest were obtained. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. There is minimal biapical pleural thickening.
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Ap chest radiograph again demonstrates moderate right pneumothorax, slightly larger from <time> a.m.. Increasing subcutaneous emphysema is seen tracking up the right hemithorax into the supraclavicular fossa. Supraclavicular approach right subclavian line is in stable position as is the et tube and ng tube. Bibasilar o...
right-sided pneumothorax and bibasilar pneumonia. evaluation for interval change.
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Multiple whispy nodular opacities throughout the bilateral lung fields correlate with the known nodules identified on the prior ct. There is no focal airspace opacity. There is no pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal.
fever and hypotension.
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As compared to the previous radiograph, there is substantially improved radial lucency of the lungs. Minimal atelectasis at the right lung bases. Signs of fluid overload persists. Known azygous lobe as anatomic variant. Status post multiple healed bilateral rib fractures. Status post bilateral shoulder surgery. The hea...
new fever, hypertension, rule out acute process.
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Frontal and lateral views of the chest. When compared to prior, there has been interval progression of the opacity in the right lung, which had been previously resolving pneumonia. There are now increased parenchymal opacities on the left as well. Small bilateral pleural effusions are identified, some of which appears ...
<unk>-year-old male with shortness of breath. question pneumonia.
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Heart size is normal. Mediastinal and hilar contours are normal. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. Rounded opacity projecting over the superior mediastinum appears to reflect a prominent sternum, and appears grossly unchanged ...
history: <unk>f with no past medical history comes in for fever and lower back pain. // ? pneumonia
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Heart is normal size and cardiomediastinal silhouette is within normal limits. Extensive atherosclerotic calcifications are present in the aortic arch and along the descending thoracic aorta. Symmetrically expanded lungs are hyperinflated suggestive of underlying emphysema. Upper lobe opacities with volume loss and par...
<unk>f with hypoxia, sob // eval for pna
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The lungs are normally expanded. <num> mm right upper lobe nodule has been previously reported. There is no pleural effusion or pneumothorax. The heart is top normal. The mediastinal and hilar contours are normal.
history: <unk>m with hx mi and presumed pe presenting with l-sided chest pain // eval for cardiopulmonary process
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As compared to the previous radiograph, the endotracheal tube has been minimally pulled back. The left chest tube is in situ. A millimetric pneumothorax is seen at the left lung apex. No change in appearance of the right lung and of the cardiac silhouette. Swan-ganz catheter and nasogastric tube are in constant positio...
chest tube to waterseal. evaluation for pneumothorax.
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Pa and lateral views of the chest are compared to previous exam from <unk>. The lungs are clear. There is no consolidation, effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with chest pain. question cardiomegaly.
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Endotracheal tube is now seen with tip <num> cm from the carina. Right midlung opacity is compatible with known contusion. Known tiny right-sided pneumothorax is not clearly delineated. Acute anterior right fifth rib fracture is visualized. Additional right rib fractures are not clearly delineated. Chronic posterior le...
<unk>m with s/p intubation // ? tube placement.
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Single portable view of the chest is compared to previous exam from <unk>. The lungs are clear of confluent consolidation. There is indistinctness of the pulmonary vascular markings suggestive of vascular congestion. There is no large confluent consolidation nor pneumothorax. Cardiomediastinal silhouette is unchanged. ...
<unk>-year-old female with chest pain.
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The cardiac silhouette size is normal. The aorta is mildly tortuous. Mediastinal and hilar contours are otherwise normal. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is seen. No acute osseous abnormalities identified.
history: <unk>m with chest pain // eval for cardiopulmonary process
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Cardiomediastinal contours are stable in appearance. Bilateral perihilar and lower lung opacities have slightly improved. Moderate bilateral pleural effusions also appear slightly smaller, but positional differences could potentially contribute to this apparent change. Bilateral retrocardiac opacities are unchanged. No...
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Compared with the immediate prior study, a left base pleural drain has been removed. A small to moderate left pleural effusion has reaccumulated with mild associated atelectasis. Previously seen atelectasis at the right lung base has improved. Right-sided effusion is small, if present at all.there is no focal consolida...
<unk> year old woman with recent pna/pleural effusion // has fluid on left re-accumulated?
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Cardiac silhouette size is mildly enlarged but unchanged. The mediastinal and hilar contours are similar with a right-sided aortic arch again demonstrated. Pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. There are no acute osseous abnormaliti...
history: <unk>f with chest pain and shortness of breath, sudden lightheadedness
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An orogastric tube has been advanced further into the stomach where it makes a half coil. Otherwise, there has been no definite change.
orogastric tube placement.
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Left-sided pacemaker device with leads terminating in the right atrium and right ventricle is re- demonstrated. The heart size is normal. Aorta remains tortuous. The mediastinal and hilar contours are within normal limits. No pulmonary edema, focal consolidation or pneumothorax is seen. There is no pleural effusion. No...
confusion.
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The left pectoral aicd device is unchanged in position, with the electrodes terminating in the right atrium and right ventricle. The lvad is redemonstrated. Median sternotomy wires are intact. The lungs are free of focal consolidations, pleural effusions or pneumothorax. There is no pulmonary edema. Cardiomediastinal s...
<unk> year old man with ischemic cardiomyopathy s/p lvad, now with atrial flutter on amiodarone // baseline for amiodarone treatment
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There has been interval development of air-fluid level within the right lower lobe, with large amount of pleural effusion since <unk>. No definite pneumothorax is seen <num> and linear configuration of the fluid is suspicious for a hydropneumothorax.the left lung is clear without focal consolidation. The cardiac and me...
<unk> year old man with dyspnea and elevated wbc. // recently hospitalized for pna. please evaluate for pna or other acute process.
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The cardiac, mediastinal and hilar contours are normal. Pulmonary vascularity is normal. Lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are detected.
cough and congestion. shortness of breath.
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There are relatively low lung volumes. Surgical clips and rounded calcification projecting over the left breast are again seen. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. Prominence of the right hilum is stable. The cardiac and mediastinal silhouettes are stable. There is lik...
<unk> year old woman with s/p fall yesterday, ct negative, now with new cp and sob // assess for infiltrate, edema.
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As compared to the previous radiograph, there is no evidence of pneumonia or other lung parenchymal process. Normal size of the cardiac silhouette. Normal hilar and mediastinal contours. No pleural effusions. No pulmonary edema.
evaluation of atelectasis or pneumonia.
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The patient is rotated to the left on the frontal view. There is some external artifact projecting over the patient on the lateral view. Mild increase in interstitial markings bilaterally may be due to mild interstitial edema. It is difficult to exclude a very trace left pleural effusion. The cardiac silhouette is mild...
fever.
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An et tube is present, the tip lies at the level of the mid clavicular heads, approximately <num> above the carina. An ng tube is present, tip extending and beneath diaphragm, off film. The sideport, if present, is not well visualized. A left picc line is present, tip over distal svc. No pneumothorax is detected. No ob...
<unk> year old man with <unk> <unk> syndrome // intrapulmonary process?
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Right internal jugular central venous catheter tip terminates in the region of the low svc. No pneumothorax is identified. There has been interval improvement in aeration of the lung bases with residual patchy bibasilar opacities, likely atelectasis. No large left pleural effusion is present. The right costophrenic ang...
history: <unk>m with central line placement
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An endotracheal tube is in-situ. The carina is difficult to visualize and the precise level of the endotracheal tube is therefore not clear. This is at approximately the level of the sternoclavicular joints however. A right internal jugular catheter terminates in the mid to distal svc. There is a moderately large left ...
<unk> year old woman with melena and hypotension s/p intubation // evaluation for ett placement
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There is asymmetry of the breast shadows, smaller on the right, with right axillary surgical clips, consistent with prior surgery. The lungs are hyperinflated, suggesting copd. Heart size is at the upper limits of normal or slightly enlarged. Aorta is minimally unfolded. Prominence of the right heart border and ascendi...
history: <unk>f with sob // edema or effusion? pe?
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As compared to the previous radiograph, the position and alignment of the <unk>, the position of the right internal jugular vein catheter are unchanged. There is paucity of lung parenchymal structures at the left lung apex, but no definitive pneumothorax is seen. Minimal left basal areas of atelectasis are unchanged as...
open thoracic aortic repair, evaluation.
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Cardiac silhouette size is normal. The aorta remains mildly tortuous with atherosclerotic calcifications noted at the knob. Mediastinal and hilar contours appear unchanged. Pulmonary vasculature is normal. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is present. There are mild degenerative ...
history: <unk>m with <unk> min episode dysarthria today // eval for acute process
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with panic attacks, chest pressure
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Endotracheal tube is seen again terminating <num> cm above the level of the carina. A nasogastric tube is seen coursing below the level of the diaphragm, inferior aspect not included on the image. There is a left subclavian central venous catheter terminating in the mid to lower svc. There are low lung volumes and biba...
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The chest tube has been removed. There is a <num> mm tiny right apical pneumothorax that has newly appeared. Right middle lung opacity with radiolucencies has improved since prior exam. It could be related to the laceration seen on ct torso <unk> mediastinal and cardiac contours are normal. There is no pleural effusion...
patient with removal of chest tube, rule out pneumothorax.
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Lung volumes are normal. Normal size of the cardiac silhouette. Normal transparency and structure of the lung parenchyma. No pleural effusions. No pulmonary edema. No lung nodules or masses.
chronic non-productive cough and weight loss, evaluation for lesions.
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Ap upright and lateral views of the chest were provided. As better assessed on the dedicated left shoulder radiograph, there is an acute fracture involving the neck of the left humerus. No definite displaced left rib fractures are seen. Leftward rotation does limit the evaluation through the chest, though there is no l...
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Left-sided aicd/pacemaker device is noted with leads terminating in the right atrium and right ventricle. The heart size is top normal. The mediastinal contour is unremarkable. Severe enlargement of the pulmonary arteries bilaterally is compatible with pulmonary arterial hypertension. Lungs are hyperinflated with mild ...
mild hypotension.
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Enteric tube tip is below diaphragm. Right port-a-cath in place tip in the low svc. Left suprahilar band of atelectasis. Normal heart size, pulmonary vascularity. Chronic right rib fractures are stable. No pleural effusion. No consolidations. Postoperative changes abdomen.
<unk> year old woman s/p whipple with vasc recon, rij harvest // postop
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A right picc terminates at the cavoatrial junction. Nasogastric tube has been removed. Lung volumes remain low. There are small bilateral pleural effusions with associated overlying atelectasis, right greater than left. There is no pulmonary edema, pneumonia or pneumothorax. Cardiomediastinal silhouette is unchanged. M...
history of acute pancreatitis, rising wbc and shortness of breath. evaluate for pneumonia or edema.
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Pa and lateral chest radiographs. The lungs are clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
epigastric pain.
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Ap portable supine view of the chest. Right ij central venous catheter has been placed in the interval with its tip in the region of the mid svc. There is no pneumothorax. Increased bilateral ground-glass opacities are concerning for edema. No large effusions are seen. The cardiomediastinal silhouette is unchanged. Hil...
<unk>f with r ij pacement, tachycardia
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Frontal and lateral views of the chest were obtained. Cardiac silhouette enlargement persists with somewhat globular configuration, could be due to pericardial effusion in addition to cardiomegaly/cardiomyopathy. As was also seen in the prior study, there is mildly asymmetric interstitial prominence, most noted in the ...
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There are low lung volumes. Bibasilar opacities are likely atelectasis, superimposed infection cannot be excluded. Bilateral effusions are small. Cardiomegaly is stable. Right central catheter tip is in the mid svc. There is no pneumothorax
<unk> year old man with aml on induction chemo, neutropenic, with cough, crackles and decreased breath sounds in right lung base on exam // please eval for pna
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Cardiac size is unchanged. The mediastinum is widened and appears unchanged from prior. There are large pleural effusions bilaterally with atelectasis at the lung bases. There is a consolidation in the left perihilar region which has markedly worsened when compared to prior examination and is likely due to worsening pn...
<unk>-year-old male patient with right-sided pneumonia, shock. study requested for evaluation of infiltrates.
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There is no consolidation, sizeable effusion or pneumothorax. Cardiomediastinal contours are normal. No acute osseous abnormalities are identified.
history: <unk>m with s/p <unk>ft fall, struck by <num>lbs carbon fiber wing // assess for traumatic injuries
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Pa and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding similar study of <unk>. On the present examination, the patient is mildly rotated to the left, which accounts for slightly asymmetric presentation of the frontal chest view. The heart size remains withi...
<unk>-year-old male patient with pneumothorax, status post pigtail placement, evaluate for interval change.
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Semi upright portable ap view the chest provided. Interval placement of a right ij central venous catheter with its tip in the region of the low svc. Endotracheal tube and orogastric tubes are unchanged. There is persistent consolidation in the left lung with air bronchograms consistent with pneumonia, not significantl...
right ij central line, assess position.
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The right costophrenic angle is not fully included on the image. Given this, no large pleural effusion is seen. There is no focal consolidation or evidence of pneumothorax. Eventration of the right hemidiaphragm is again seen. Right paratracheal opacity without indentation of the adjacent trachea is stable since scout ...
<unk>-year-old female with fever on chemo.
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Pa and lateral views of the chest provided. Left chest wall port-a-cath is seen with its tip in the upper svc. Lungs are clear though volumes are low. No pleural effusion or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with l- chest pain, pancreatic cancer, r chest lesion // evaluate for acute process
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A right pleural effusion has increased in size and is now associated with a small apical pneumothorax component and moderate loculated posterior hydro pneumothorax. A component of the fluid is loculated within the right major fissure. A left pleural effusion has nearly resolved in the interval. Cardiomediastinal contou...
<unk> year old woman with hx of multi focal pna // ? improving pna
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The cardiomediastinal and hilar contours are stable. There is a left subclavian port with tip in the mid-to-lower svc, in unchanged position. There is no pleural effusion or pneumothorax. Scattered reticular and small nodular opacities are present in the left upper lobe and both lower lobes. Pulmonary vasculature is wi...
multiple myeloma, undergoing autologous stem cell transplant, now with febrile neutropenia, query pneumonia.
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The tip of the endotracheal tube is <num> cm above the carina. Left ij line tip is unchanged in the lower svc. Nodular opacities over the right lower lung have someone improved, but there is residual diffuse right lung opacity, concerning for persistent pneumonia. The presence of small pleural effusions is assumed. No ...
<unk> year old woman with pneumonia. eval pneumonia.
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Comparison is made to prior study from <unk>. There has been improvement of the low lung volumes since the previous study. There remains some atelectasis at the lung bases, left greater than right. There are no consolidations or pleural effusions. No pneumothoraces are seen.
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The previously visualized left upper lobe opacity has now resolved. The lung is free of consolidations, pleural effusions or pneumothorax. No pulmonary edema. Stable cardiomegaly. Mediastinum and hilar within normal limits. No acute osseous abnormalities.
<unk> year old man with sever ai // opacity in the left upper lobe
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Pa and lateral radiographs of the chest demonstrate hyperexpanded lungs with some cephalization of pulmonary vasculature and haziness about the hilum, consistent with mild pulmonary vascular engorgement. There is mild cardiomegaly. There are small bilateral pleural effusions. The aorta is somewhat tortuous. There is no...
end-stage renal disease with graft failure. evaluate for pulmonary edema.
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Endotracheal tube tip is slightly low-lying, terminating approximately <num> cm from the carina. Lung volumes are low. This accentuates the size of the cardiac silhouette which is borderline enlarged. Crowding of the bronchovascular structures is present without overt pulmonary edema. Lungs are clear. No pleural effusi...
history: <unk>m with epidural hematoma, status post intubation
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Subtle patchy left base opacity is seen, which may be due to atelectasis, but but an early/mild pneumonia is not excluded in the appropriate clinical setting. No pneumothorax is seen. There is no large pleural effusion. Cardiac and mediastinal silhouettes are stable and unremarkable.
history: <unk>f with cp, sob // eval for ptx
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A single-lead pacemaker/icd device terminates in the right ventricle. The cardiac, mediastinal and hilar contours appear stable including a left ventricular configuration to the heart. The lung volumes are low. Minor streaky opacities at the lung bases suggest minor associated atelectasis, but otherwise the lungs appea...
altered mental status. question pneumonia.
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As compared to the previous radiograph, there is a newly appeared parenchymal opacity in the retrocardiac lung, located on the lateral radiograph at the bases of the left lower lobe. The opacity is inhomogeneous and relatively ill-defined. Air bronchograms could be present. The pneumonia also shows a small component of...
cough, hypoxemia, leukocytosis, evaluation for pneumonia.
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A left internal jugular central line ends in the upper svc and is unchanged. A tracheostomy tube is present. Sternal wires are intact. Bilateral pleural effusions and mild pulmonary edema are unchanged. There is no consolidation or pneumothorax. The postoperative appearance of the cardiomediastinal silhouette is unchan...
status post avr, mv repair, and cabg.
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Tip of endotracheal tube terminates about <num> cm above the carina with the neck in a flex position. Other indwelling devices are unchanged in position. Diffuse bilateral pulmonary opacities with relative sparing of the lung apices have slightly worsened in the interval and likely represent a combination of pulmonary ...
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Frontal and lateral chest radiograph demonstrates unremarkable cardiomediastinal and hilar contours. Lungs are clear. There is mild anterior wedging of a lower thoracic vertebral body of indeterminate age.
cough, recurrent seizures. evaluate for pneumonia.
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In comparison with the study of <unk>, the patient has taken a much better inspiration. Tracheostomy tube remains in good position and the right subclavian catheter tip is at the mid svc level. The lungs are clear without vascular congestion or pleural effusion.
on ventilator, to assess for change.
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Patient has known left lung mass, better assessed on prior ct. Small left pleural effusion is mildly improved and the left heart border is more distinct distinct. Opacities in the right mid lung and base have mildly improved. No evidence of pulmonary edema. Cardiomediastinal structures are midline.
<unk> year old man with concern for metastatic lung ca, now with persistent tachycardia <unk><num>. // pt presenting with persistent tachycardia, please eval for fluid re-accumulation vs. pe vs. expanding consolidation.
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Upper lobe predominant ground-glass and nodular opacities and heterogeneous consolidation have increased when compared to the prior examination. In the cardiac silhouette also remains enlarged with a abnormal left ventricular contour. No pleural effusions or pneumothorax.
<unk> year old man with recent multifocal pneumonia and <num> sub centimeter rounded opacities in the lml // please evaluate for resolution or evolution of the opacities.
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Pa and lateral views of the chest. The lungs are clear. There is no pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormalities detected.
<unk>-year-old male with chest pain.
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Pa and lateral views of the chest provided. Patient is slightly rotated to his left. Bilateral lower lobe airspace consolidation is concerning for pneumonia. No large effusion or pneumothorax. Cardiac silhouette appears mildly enlarged. Mediastinal contour is normal. Imaged osseous structures are intact. No free air be...
<unk>m with sob // pna?
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Subtle right infrahilar opacity is worrisome for pneumonia. Recommend followup to resolution. Slight prominence of the right hilum could relate to underlying associated mild lymphadenopathy. Linear opacity in the medial right mid lung suggests subsegmental atelectasis/scarring. The left lung is clear. No pleural effusi...
history: <unk>f with cough/fever for several days concern for <unk> bacterial infection // evaluation for pna
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Ap portable supine view of the chest. Evaluation is markedly limited due to patient's rightward rotation and low lung volumes. Allowing for these limitations, the lungs appear relatively clear. Cardiomediastinal silhouette difficult to assess. No acute osseous abnormality. Overlying ekg leads are also present.
<unk>f with ams // eval for pna
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Overall, there has been little change in the appearance of the chest since recent study, with persistent large left pleural effusion with adjacent atelectasis and/or consolidation in the left mid and lower lung region. Slight worsening opacity in right lung base most likely represents a combination of atelectasis and s...
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The lungs are clear without focal consolidation. Trace pleural fluid is difficult to exclude but no large pleural effusion is seen. No pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with cough productive of thick amber sputum // please eval for pna
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Pa and lateral views of the chest. The lungs, heart, mediastinum, and pleural surfaces are normal. There is no evidence of pneumonia. There is no pneumothorax or pleural effusion. There is no mediastinal widening.
chest pain, question pneumonia.
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The lungs are clear. There is no pulmonary edema. Patient with prior median sternotomy. Mediastinal and cardiac contours are within normal limits. There is no pneumothorax or pleural effusion.
patient with acute coronary syndrome, rule out pulmonary edema.
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The heart size is normal. Streaky right basilar atelectasis is identified. The lungs are hyperinflated, without signs of overt pulmonary hypertension. No superimposed focal consolidation, or pleural effusion.
<unk>f with dyspnea, chest tightness, cough hx of copd. evaluate for acute process.
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Pa and lateral views of the chest demonstrates stable cardiomegaly with median sternotomy wires and vascular clips overlying the left cardiomediastinal border. There has been interval removal of right internal jugular central venous catheter. The degree of pulmonary vascular congestion appears similar compared to prior...
<unk>-year-old male with cabg on <unk>, nonweightbearing and leg swelling and shortness of breath. evaluation for pulmonary edema.
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The lungs are hyperinflated. Bibasilar airspace opacities are unchanged from prior examination and likely reflect atelectasis. No definitive lobar consolidation is identified. There is no large pleural effusion or pneumothorax. The descending thoracic aorta is tortuous. The cardiac size is within normal limits. Diffuse...
history: <unk>f with dyspnea // eval for pna
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There is subtle right middle lobe opacity which may be due to atelectasis although an early infectious process is not excluded in the appropriate clinical setting. The left lung is clear. The hilar contours are stable. The cardiac silhouette is not enlarged. The aorta is slightly tortuous.
dyspnea.
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The trachea slightly deviated towards the left, of unclear clinical significance. Lung volumes are normal. Lungs are free of consolidation, effusion or pneumothorax. Cardiomediastinal contours are normal. There is no subdiaphragmatic free air.
<unk> year old man with <num> week h/o cough // rule out pneumonia
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Re-positioning of right picc, now terminating in the mid superior vena cava. Other devices are unchanged in position, and cardiomediastinal contours are stable. Worsening heterogeneous opacity at right lung base with adjacent apparent bronchial wall thickening could reflect aspiration or developing infectious pneumonia...
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Compared to the previous radiograph, the lung volumes have increased, potentially reflecting improved ventilation. The bilateral, predominantly central parenchymal opacities, that are extensive and very severe, are unchanged. No larger pleural effusions are seen. Borderline size of the cardiac silhouette. Normal medias...
liver disease, pneumonia, pleural effusions, acute respiratory distress, evaluation.
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures are unremarkable.
chest wall pain after motor vehicle collision.
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Heart size is mildly enlarged but unchanged. Aorta remains tortuous. Mediastinal and hilar contours are otherwise unremarkable. Pulmonary vascularity is normal and the lungs are clear. No pleural effusion or pneumothorax is visualized. No acute osseous abnormalities are identified. Levoscoliosis of the thoracic spine i...
new atrial fibrillation.
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There is mild biapical scarring. The lungs are otherwise clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits.
<unk>f with shortness of breath // eval for acute process
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Sternotomy. Cardiac defibrillator. Increased heart size, similar. Small left pleural effusion is similar. Interstitial prominence has improved since prior. Borderline pulmonary vascularity. No right pleural effusion. No infiltrates. No pneumothorax.
<unk> year old woman with angioplasty sched for <unk> // preop xr surg: <unk> (angioplasty)
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Ap upright portable chest radiograph obtained. The heart is moderately enlarged. No pleural effusion or pneumothorax. No definite signs of pneumonia. No overt signs of chf. There is mild prominence of the aortic knob, but this is likely due to tortuosity with faint atherosclerotic calcifications noted. Bony structures ...
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Compared to earlier exam, there has been no significant interval change. Right basilar pigtail catheter with adjacent small pneumothorax is again noted. Right basilar opacities could represent persist atelectasis. Left lung is grossly clear noting that the somewhat nodular opacities at the apex are better seen on prior...
<unk> year old woman with meta breast ca s/p r ct for effusion and resp distress // eval ct placement, ptx, effusion
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Right chest wall port takes a <num> degree turn in the right brachiocephalic vein though, it terminates in the upper svc. There is no pleural effusion. The lungs appear clear without new consolidation. There is no pneumothorax. The cardiomediastinal silhouette within normal limits.
<unk> year old man with hx of lymphoma, please evaluate poc placement, ? movement
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Lower lung volumes seen on the current exam. There is blunting of left lateral and posterior costophrenic angles suggestive of a small effusion. Linear bibasilar opacities are most suggestive of atelectasis. Left apical <num> mm nodule is unchanged dating back to <unk>. The cardiomediastinal silhouette is unchanged tho...
<unk>m with chest pain // acute process?
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Upright portable ap view of the chest provided. There is suture material again seen traversing the right upper and mid lung. The heart is mildly enlarged. There is no frank consolidation, effusion, or pneumothorax. Mediastinal contour is normal. Bony structures are intact with stable irregularity of the right humeral h...
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An endotracheal tube terminates <num> cm above the carina. An enteric tube courses into the stomach and out of the field of view. A left subclavian catheter terminates in the right atrium and could be withdrawn <num>-<num> cm for positioning in the low svc, if desired. A right chest tube is unchanged in position and di...
right chest tube placed to water seal. evaluate for pneumothorax.