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As compared to the chest x-ray of the same day at <time>, there has been interval increase in opacification of the right lower lobe, compatible with a combination of increased atelectasis and pleural effusion, suspicious for pneumonia. Right upper lobe and left lung are still clear. Heart size is still moderately enlarged, with aorta mildly elongated. There is no left pleural effusion or pneumothorax.
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Previously seen right lower lobe pneumonia has essentially resolved in the interval. No focal consolidation is seen currently. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
history: <unk>f with cough and wheezing // eval for pneumonia
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In comparison with the earlier study of this date, the tip of the endotracheal tube measures approximately <num> cm above the carina. Continued low lung volumes with probable small effusions and compressive atelectasis at the bases. Nasogastric tube extends at least to the lower body of the stomach.
et placement.
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A right ij central venous catheter terminates at the level of the superior cavoatrial junction, and may just into the right atrium. The layering right pleural effusion with associated right basilar airspace opacity are not appreciably changed. There is new left lung base subsegmental atelectasis. The apparent change in the mediastinal contour is likely due to rotation. There are no new focal consolidations or pneumothorax.
<unk> year old woman with pneumonia, pleural effusion, now increasing <unk> requirement. please evaluate for interval change
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. Hypertrophic changes are noted in the spine.
<unk>m with leukocytosis, cough // presence of infiltrate
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Right-sided port-a-cath tip terminates in the low svc. Heart size is normal. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. Lung volumes remain low. Small bilateral pleural effusions appear unchanged. Patchy atelectasis is noted in the lung bases, similar to the prior study. No new focal consolidation or pneumothorax is present. Small nodules concerning for metastases are better assessed on the prior ct of the abdomen and pelvis. Moderate multilevel degenerative changes are noted in the thoracic spine. Percutaneous catheter within the upper abdomen is incompletely imaged.
history: <unk>m with pancreatic cancer, failure to thrive, subjective fever // evaluate for evidence of pneumonia
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Pa and lateral chest radiographs are obtained. Cardiomediastinal silhouette is unchanged compared to the prior study. Again, multiple bilateral calcified hilar nodes are seen. Lungs are relatively unchanged. Again, bilateral pleural effusions are noted which are not significantly different compared to the previous study. No pneumothorax is appreciated.
<unk>-year-old man with right pneumothorax, status post pleurodesis and pleurx catheter, now with increased shortness of breath since catheter taken out on <unk>, assess for recurrent effusion or pneumothorax.
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Frontal and lateral views of the chest were obtained. The heart is of normal size with normal cardiomediastinal contours. Minimal biapical opacities are compatible with pleural parenchymal scarring. The lungs are otherwise clear without focal consolidation, pneumothorax, or pleural effusion. No radiopaque foreign body. There are mild calcifications of the aortic arch. The osseous structures are unremarkable.
shortness of breath.
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Moderate to large left-sided pleural effusion with left upper lobe mass and coarse reticular opacities throughout the left lung are known lung cancer and likely lymphangitic carcinomatosis. Right lower lobe coarse reticular opacities. No pneumothorax.
<unk> year old woman with pleural effusion // eval
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Pa and lateral chest radiographs demonstrate the right picc terminating in the low svc. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal also is normal. Orthopedic screws in the right humerus are partially imaged.
neutropenic fever. evaluation for infectious process.
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Frontal radiographs of the chest demonstrate normal heart size. There is stable appearance of widened mediastinum secondary to unfolded thoracic aorta. The lungs are hyperinflated but clear. No pleural effusion or pneumothorax. No displaced rib fracture identified. No evidence of pulmonary vascular congestion
end-stage renal disease and abdominal pain / tenderness and diarrhea and hypotension. evaluate fluid status.
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The swan-ganz catheter is been removed. The right ij cordis is in place. The heart size is mildly enlarged. There is retrocardiac opacity and right lower lobe alveolar infiltrate. Is unclear if these are due to fluid overload versus infectious infiltrates. There small bilateral effusions. Overall the appearance of the lungs especially in the lower lobes is worsened
<unk> year old woman with chf exacerbation // volume overload?
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Minimal left basilar atelectasis, improved since prior. Right lung is clear. Normal heart size, pulmonary vascularity. No effusion
<unk> year old woman with acute hepatic encephalopathy. xray to r/o pna. // r/o pna
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The left costophrenic angle is excluded from the study. Interval development of a large right pleural effusion with adjacent atelectasis. Left-sided pleural effusion is small, also with adjacent atelectasis. Pulmonary vascular congestion is accompanied by asymmetrical right perihilar haziness. Heart is top-normal in size. No pneumothorax.
history: <unk>m with ams, known cirrhosis. // pneumonia?
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Dual lead defibrillator in good position. Interval improvement of the interstitial pulmonary edema. Persistent moderate pleural effusions with basal opacities have also slightly improved. No pneumothorax. The cardiac silhouette remains mildly enlarged. .
<unk> year old woman with severe as and heart failure // eval l lung base opacity
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A single portable ap chest radiograph was obtained. A moderate right pleural effusion has substantially decreased in size status post thoracentesis. There is no pneumothorax. The left lung volume is low but the lung appears clear. There are no new abnormal cardiac or mediastinal contours. A right chest port-a-cath is in stable position.
right pleural effusion status post thoracentesis.
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Lung volumes are low. This limits assessment of the lung bases where there are patchy ill-defined opacities noted, possibly reflecting atelectasis but infection or aspiration cannot be excluded. Crowding of the bronchovascular structures is present, but no overt pulmonary edema is identified. Mild enlargement of the cardiac silhouette is accentuated by the low lung volumes. Mediastinal and hilar contours are unremarkable. No pneumothorax or pleural effusion is present. There are no acute osseous abnormalities.
altered mental status.
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Shallow inspiration. Patient's chin overlies upper right chest. Mildly improved right basilar opacity since prior. Mildly worsened left basilar opacity, with nodular prominence, may represent pneumonia or aspiration. Stable consolidation in bilateral lower lobes medially. There is small right pleural effusion, similar. Benign calcified granuloma left lung. No pneumothorax. Shallow inspiration accentuates heart size, pulmonary vascularity.
<unk> year old man admitted for sepsis <unk> pna, now desat to <unk>% on <unk>% fio<num> face mask, also in afib s/p ivf resuscitation for hypernatremia still hypoxic, more somnolent. // aspiration vs mucus plug vs pulmonary edema
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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>m with hand abscess. pre-op cxr. // pre-op
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear.
intermittent chest pain and shortness of breath.
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Increased interstitial markings are seen and there is some fluid in the fissure on the right. The heart is rather substantially enlarged for a patient of this age. Although this may represent myocardial enlargement pericardial effusion cannot be excluded. Monitor leads overly the chest.
dyspnea question pulmonary edema, hypertension.
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As compared to the previous radiograph, today's image shows bilateral basal parenchymal opacities. Whereas the left opacities are linear in shape and could represent areas of atelectasis, the right basal opacities are more widespread and show air bronchograms, which makes them suspicious for an acute pneumonia. Otherwise, there is no relevant change, no pleural effusions. No pneumothorax. No hilar or mediastinal contour abnormalities. Unchanged size and shape of the cardiac silhouette. At the time of dictation and observation, <time> a.m., on <unk>, the referring physician, <unk>. <unk>, was paged for notification.
chest pain with inspiration, evaluation for acute process.
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Compared to study from six hours prior, there has been interval improvement in interstitial edema. Otherwise, there is no significant change with persistently low lung volumes, bilateral left greater than right effusions, bibasilar atelectasis with unchanged wide mediastinal contour from known thyroid carcinoma, and unchanged positioning of endotracheal tube.
large mediastinal mass from known thyroid carcinoma with nasal intubation.
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Right picc tip terminates in the mid svc. Lung volumes remain low. The heart size is normal. The aorta remains tortuous. Pulmonary vasculature is not engorged. Patchy opacities are noted in the lung bases, slightly improved compared to the previous examination, and may reflect atelectasis however recurrent aspiration or infection cannot be completely excluded. No pneumothorax is detected. There is blunting of the right costophrenic angle which may be due to pleural thickening or a trace right pleural effusion. A balloon projects over the left upper quadrant of the abdomen, possibly from a percutaneous gastrostomy catheter. Spinal fusion hardware in the lumbar spine is incompletely assessed.
history: <unk>m with fever, cough
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Since prior, there has been interval improvement of a left pneumothorax. Small apical and lateral components remain with multiple small fluid components. Subcutaneous air in the left lateral soft tissues also decreased. Right lung is grossly clear with the exception of minimal linear atelectasis. Cardiomediastinal silhouette is unchanged.
<unk> year old woman status post left lower lobectomy, evaluate for interval change.
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In comparison with the study of <unk>, there is little overall change. The port-a-cath remains in place with the tip in the lower portion of the svc or cavoatrial junction. Prominence of the ap window again is seen, which could reflect an enlarged pulmonary artery. There is some indistinctness of prominent pulmonary vessels, suggesting some elevation of pulmonary venous pressure.
<unk>-<unk> disease.
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Frontal and lateral radiographs of the chest demonstrate low lung volumes which results in bronchovascular crowding. There is mild interstitial abnormality with bronchial cuffing, concerning for diffuse bronchial inflammation. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.
history: <unk>m with cough, fever // r/o pna
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Lung volumes are low leading to crowding of the bronchovascular structures. A subtle right middle lobe opacity is best seen on the lateral view, new from the prior examination. There is no pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is unchanged from the prior examination.
history: <unk>m with hiv c/o cough past <num> days // pneumonia
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In comparison with study of <unk>, the swan-ganz catheter has been removed. A right ij sheath is in place. Port-a-cath is unchanged. The overall appearance of the heart and lungs is unchanged.
evaluate catheter.
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The overall appearance is similar to the prior film, particularly with regard to the opacities in the right lung. Slight interval improvement in retrocardiac opacity. Possible new faint hazy opacity in the left cardiophrenic region. No gross left effusion. The left upper and mid lung is grossly clear, without focal infiltrate or evidence of chf. Minimal scarring/bullous change at the left lung apex is again noted.
<unk> year old woman with metastatic lung adenocarcinoma, malignant pleural effusion, s/p thoracentesis <unk>. // evaluate for interval change
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Pa and lateral chest radiograph demonstrates mild interstitial markings diffusely, likely not clinically significant. No focal opacity is seen. There is no pleural effusion identified. The heart is mildly enlarged. No pulmonary edema is seen. The hilar contour is within normal limits. No acute osseous abnormality is seen.
<unk>-year-old female with hyponatremia
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There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.
<unk>m with dyspnea, evaluate for pneumonia.
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Comparison is made to previous study from <unk>. There is worsening of the airspace opacities in the left lung. The left base appears more consolidated. There are air bronchograms <unk> the left mid-to-upper lung fields. There is also a right perihilar opacity extending into the right upper lobe which has worsened. Bilateral pleural effusions are identified. There is a right picc line with distal lead tip at the cavoatrial junction. Left-sided pacemaker is unchanged. Calcifications in the thoracic aorta is also seen. There are no pneumothoraces. There is a left basilar catheter which is also stable.
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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 cough and fever to <num> // assess for infiltrate
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Cardiac silhouette size is top normal. Mediastinal and hilar contours are within normal limits. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities identified.
history: <unk>m with cognitive impairment, chest pain and dry cough // eval for pna
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There is continued obscuration of the right heart border consistent with right middle lobe atelectasis. <unk> in appearance when compared to <unk> is likely due to diffence in lung volumes. Biventricular pacer leads are in standard position. Median sternotomy wires are noted. There is no pleural effusion or pneumothorax. The borders of the cardiomediastinal silhouette are not well visualized.
persistent cough and sputum. possible right middle lobe atelectasis or pneumonia identified on prior chest radiograph. evaluation for evolution of pneumonia.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is seen.
history: <unk>m with mvc right sided chest pain // ?traumatic injury
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Ap single view of the chest has been obtained with patient in semi-supine position. Analysis is performed in direct comparison with the next preceding portable chest examination of <unk>. Cardiac enlargement, widening of thoracic aorta, and significant right-sided convex scoliosis of the thoracic spine are as before. On the present examination, a permanent pacer capsule is identified in left anterior axillary position seen to be connected to a single intracavitary electrode with termination point compatible with right ventricular apical position. The pulmonary vasculature has not undergone any change, and there is no evidence of pneumothorax on either right or left side. No new infiltrates are seen.
<unk>-year-old female patient, status post pacemaker placement via left subclavian advance. evaluate for pneumothorax.
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Comparison is made to previous study from <unk>. There is a marked cardiomegaly. There are bilateral pleural effusions. There is a mild-to-moderate pulmonary edema. No pneumothoraces are seen. Overall, these findings are stable. There is a reverse right total shoulder and hardware within the lower cervical spine. There is also a right ij central line with the distal lead tip in the mid svc, unchanged.
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Heart size is top normal with a mildly tortuous aorta that is large but not focally aneurysmal. Hilar contours are normal. Lungs are clear. There is no pleural effusion or pneumothorax.
history of copd, productive cough for six weeks and scattered wheeze on exam.
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Pa and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar study of <unk>. There is marked improvement of the previously existing bilateral pleural effusions that blunted the diaphragmatic contours completely and extended into the posterior dependent pleural sinuses bilaterally. Diaphragmatic contours are now well demonstrated both in frontal and lateral views, thus there is no remaining evidence of pleural effusions. Comparison is extended to the preoperative chest examination of <unk>, revealing that the patient had already evidence of advanced coronary calcifications and apparent stent placement in the right coronary artery. Comparison demonstrates a mild postoperative increase of the heart size, but there is no evidence of remaining increased pulmonary congestion. The patient had already on previous examinations evidence of chronic interstitial lung disease which apparently remains unchanged.
<unk>-year-old female patient, status post bypass surgery on <unk>. patient complains of rib pain when she breathes in. evaluate for pleural effusion.
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A right internal jugular central venous catheter is noted with the catheter tip in the proximal right atrium. Lung volumes are low. Bilateral small pleural effusions with adjacent atelectasis have increased. Mild vascular congestion has also increased. Cardiac and mediastinal silhouettes are otherwise stable with atherosclerotic calcifications noted at the aortic arch.
non-small cell lung cancer with known metastatic disease to brain, now with hemoperitoneum.
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Compared to the study from <num> hr previous there is increase in the alveolar infiltrate on the left with increased indistinctness of the pulmonary vasculature. Although it is atypical for pulmonary edema to be left-sided greater than right-sided, this may be secondary to the patient's positioning. A superimposed infectious infiltrate can't be excluded the et tube, ng tube, and left ij line are unchanged
<unk> year old woman with respiratory failure // is there interval change?
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The lungs are well inflated and clear. There is mild pulmonary vascular congestion. Stable cardiomegaly is noted. There is no pleural effusion or pneumothorax. Cervical fusion hardware is again noted.
<unk>-year-old woman with cough, evaluate for pneumonia.
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A right pleurx catheter is present with its tip directed inferomedially. The right subpulmonic pneumothorax and pleural effsuion are unchanged allowing for differences in inspiration. A small pleural effusion remains. Extensive subcutaneous air along the right chest and airspace opacities within the right lung are postoperative. The known right lung mass is unchanged. The left lung is clear. The cardiomediastinal contours are unremarkable. A calcified tortuous aorta is again noted.
status post pleurx catheter placement.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with asthma hx, no wheezes, tachypneic/dyspneic
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The lungs are clear without focal consolidation, effusion, or edema. There is moderate enlargement of the cardiac silhouette. No acute osseous abnormalities.
<unk>f with ruq mass and pain presenting with inability to walk and dizziness // cardiopulmonary process
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Again seen is cardiomegaly and evidence of background copd. There is upper zone redistribution, vascular plethora and mild vascular blurring, consistent with chf. More focal opacities are seen at both lung bases and could represent either atelectasis or infectious/inflammatory opacities. Allowing for technical differences, these are similar to the prior film. Blunting of the costophrenic angles raises the possibility of small left-greater-than-right pleural effusions versus pleural thickening. Rectangular density superimposed over the lower thoracic spine likely reflects methylmethacrylate (segment) related to prior kyphoplasty or vertebroplasty. Curvilinear density superimposed over mid thoracic vertebral body may also represent methylmethacrylate. Curvilinear vascular calcification is considered less likely. Carotid artery calcification also noted.
<unk> year old woman with copd p/w stroke and copd exacerbation // interval change
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Frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. Widened mediastinum is consistent with patient's known type a aortic dissection. The heart is mildly enlarged. Status post median sternotomy. Metallic clips project over the right apex and axilla. There is no pneumothorax, pleural effusion, or consolidation.
history: <unk>m with dizziness, code stroke // intrapulm process
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Ap and lateral views of the chest were provided. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. There are no displaced fractures.
history of chest pain, question acute cardiopulmonary process.
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Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal lung consolidation.
<unk>-year-old woman with chest pain evaluate for pneumonia.
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There are opacities in the right lower lobe and lingula. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
<unk>m with cough and flu like illness for over a week. // ? acute cardiopulmonary process
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No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Chronic deformity at the distal right clavicle is re- demonstrated.
history: <unk>m with <unk> disease with recent bizarre behavior and hypertension //
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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> hours substernal chest pain, brief shortness of breath
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In comparison with the study of <unk>, there is again enlargement of the cardiac silhouette. Mild indistinctness of pulmonary vessels is consistent with some elevation of pulmonary venous pressure. No evidence of acute focal pneumonia.
decompensated cirrhosis with chf and copd.
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Portable ap upright radiograph is obtained. Multiple pulmonary nodules are better assessed on previously obtained chest ct. The patient is status post transbronchial biopsy of one of these nodules without pneumothorax. No focal consolidation or pleural effusion. The heart is top normal in size with post-surgical changes and coronary bypass graft. Dual-lead pacer is in unchanged position. Extensive degenerative changes are seen at the shoulders as before.
<unk>-year-old woman with lung nodule status post transbronchial biopsy, assess for pneumothorax.
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Surgical clips are seen within the left axilla. There is stable scarring at the left apex. Lungs are hyperinflated. There is vascular engorgement and moderate interstitial pulmonary edema, which is new. Probable small bilateral pleural effusions. Stable cardiomegaly. No pneumothorax. There are no acute osseous abnormalities.
history: <unk>f with sob, cough // eval for pna
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Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is seen.
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There is no pleural effusion, pneumothorax or focal airspace consolidation. The cardiac and mediastinal contours are unchanged. The hilar structures are unremarkable. Old right rib fractures are again noted.
syncope.
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Cardiac size is normal. The aorta is tortuous. Minimal interstitial reticular abnormality in the lower lobes bilaterally is unchanged, better characterized in prior ct. There is no pneumothorax or pleural effusion. There are mild degenerative changes in the thoracic spine. There is s-shaped scoliosis
<unk> year old woman with arthrlagias // ? hilar <unk> or infiltrate
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The heart size is normal. The mediastinal and hilar contours are unremarkable. The pulmonary vascularity is not engorged. Consolidative opacity in the left upper lobe is highly concerning for pneumonia. The right lung is clear. No pleural effusion or pneumothorax is visualized. There are multilevel degenerative changes seen within the thoracic spine as well as within the imaged right acromioclavicular joint.
cough.
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Unremarkable mediastinal, hilar and cardiac contours are noted and stable. Mild bibasilar atelectasis is seen. No focal opacification concerning for pneumonia present. Minimal blunting of the costophrenic angles are likely related to pleural thickening. No definite pleural effusion identified. No pneumothorax present.
cough, shortness of breath, evaluate for pneumonia.
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Pa and lateral views of the chest. There are new consolidations in the left lower lobe, lingula as well as a more patchy opacity seen in the right lung base on the frontal view that is either in right middle or right lower lobe. There is pulmonary vascular engorgement but no overt pulmonary edema. There is a probable small left pleural effusion. No pneumothorax is identified. The mediastinal contours are normal.
<unk>-year-old female with aches and cough for last four days, question acute cardiothoracic process.
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Ap upright 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. Mild dextroscoliosis of the t-spine noted. No free air below the right hemidiaphragm is seen.
<unk>m with r acetabular fx, preop // evidence of pneumonia, cardiomegaly
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Bilateral chest tubes remain in place, with no visible pneumothorax. Otherwise, the overall appearance of the chest is relatively similar to the previous study of the same date except for slight improvement in aeration at both lung bases.
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The cardiac silhouette size is normal. Mediastinal and hilar contours are unremarkable. The pulmonary vascularity is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. Dextroscoliosis of the thoracolumbar spine is re- demonstrated.
chest pain.
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The cardiomediastinal silhouettes are stable, with unchanged cardiomegaly. The bilateral hila are unremarkable. The lungs are clear without focal consolidation. There is no evidence of pulmonary vascular congestion or pulmonary edema. There is no pneumothorax or pleural effusion. There is no evidence of pneumomediastinum. Fractures of indeterminate age are seen involving several lower left lateral ribs, possibly present on priors but not as well-visualized.
<unk>m with esrd, hematemesis, evaluate for free air, pneumomediastinum.
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There is no pleural effusion or pulmonary edema. A vague, ellipsoid opacity is projects superior to the left hilum on both frontal and lateral views. This could be residual of pneumonia or a lung mass. The cardiac silhouette is within normal limits.
history: <unk>f with hoarseness, recent pna // eval for pna
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Indwelling support and monitoring devices are in standard position. Widespread airspace opacities have progressed in the interval, now involving the right lung diffusely as well as the left mid and lower lung regions with relative sparing of the left lung apex. Observed findings likely represent a progressive multifocal pneumonia, but a component of coexisting pulmonary edema is possible. Moderate right and small left pleural effusions have slightly increased in size in the interval. No visible pneumothorax.
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Frontal and lateral views of the chest were obtained. The heart is of normal size with normal cardiomediastinal contours. Pulmonary vasculature is unremarkable. Lungs are clear without focal or diffuse abnormality. No pleural effusion or pneumothorax. Osseous structures are unremarkable. No radiopaque foreign body.
<unk>-year-old female with cough. evaluate for infiltrate.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with elev wbc <unk> and cough, pls eval for pna // history: <unk>f with elev wbc <unk> and cough, pls eval for pna
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Comparison is made to prior study from <unk>. Endotracheal tube and central line are unchanged in position. There has been placement of a feeding tube with distal tip is below the field of view and is within the stomach. There is cardiomegaly. There is atelectasis at the lung bases. There is no overt pulmonary edema or pneumothoraces.
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Single ap radiograph of the chest demonstrates an intact median sternotomy wires. Mediastinal clips are seen overlying the left heart border. The lungs are clear with no focal opacity. Scarring at the left lung base. Cardiac, hilar, and mediastinal contours are normal. No pleural abnormality.
sudden onset weakness.
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Frontal and lateral chest radiographs were obtained. The lungs are fully expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax.
patient with dyspnea on exertion, rule out pneumonia, pcp.
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There is dense retrocardiac opacity with volume loss/infiltrate/effusion in the left lower lung. The left upper lung and right lung are clear. The large-bore central venous catheter has its tip in the right atrium.
status post cabg.
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Chest, portable semi-upright. Again, lung volumes are low. There is a dense opacity obscuring the left hemidiaphragm. On the right, there is lower lobe atelectasis and chronic pleural thickening. There is no pneumothorax. The heart is enlarged but the extent is unknown secondary to the opacity.
<unk>-year-old man with history of pneumonia two weeks ago, now presenting with diffuse weakness. evaluate for recurrent pneumonia.
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Single portable view of the chest compared to previous exam from earlier same day at <time> p.m. There has been interval placement of a left-sided chest tube seen projecting over left lung base, side port within the thoracic cavity. Overlying subcutaneous gas is identified. Pneumothorax seen at the lower chest on prior has resolved. There is still subtle lucency adjacent to the ap window suggesting persistent pneumothorax, although no discrete pleural line is identified. Right lung remains clear. Cardiomediastinal silhouette is stable as are the osseous structures.
<unk>-year-old female with pneumothorax status post chest tube.
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Chest wall pacer-defibrillator has leads terminating in the right atrium and right ventricle. Median sternotomy wires appear grossly intact. The lung volumes are low. There are moderate bilateral pleural effusions. The heart is moderately enlarged, similar to prior studies. There is mild-to-moderate pulmonary edema. There is no pneumothorax. Inferior displacement of the minor fissure suggests some volume loss in the middle lobe.
cough, fever. evaluate for pneumonia.
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The endotracheal tube and nasogastric tube have been removed. Low lung volumes with interval improvement of the pulmonary vascular congestion. No acute focal consolidation. Minimal metallic punctate body at the left hilum is stable.
<unk> year old man on hd // ro tb due to hd tx
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Frontal and lateral views of the chest were obtained. Large bore left-sided central venous catheter is seen, terminating at the cavoatrial junction. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. There may be minimal pulmonary vascular congestion. The cardiac and mediastinal silhouettes are stable.
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The cardiomediastinal and hilar contours are within normal limits. There is mild tortuosity of the descending aorta. There is mild calcification of the aortic knob. The lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax. Note is made of fusion hardware along the lower thoracic spine.
dyspnea. rule out infection.
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Single ap view of the chest provided. Interval placement of a chest tube whose distal tip projects over the right costophrenic angle. Lung volumes are low. Mild bibasilar and retrocardiac atelectasis is improved. Moderate right pleural effusion is significantly improved. Moderate right pneumothorax. Cardiomediastinal contours are normal.
<unk> year old woman with right effusion s/p chest tube placement // ? ptx
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old female with chest pain. evaluate heart and lungs.
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Et tube tip lies approximately <num> cm above the carina. Ng tube extends beneath diaphragm, off film. There is upper zone redistribution with bilateral right greater left effusions and underlying collapse and/or consolidation. Cardiomegaly is again noted, probably similar prior. The extreme costophrenic angles are excluded from the film.
<unk> year old man s/p bronch with hemoptysis of unclear etiology. // ?interval cahnge
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The heart size is normal. The hilar and mediastinal contours are within normal limits. There is no pneumothorax, focal consolidation, or pleural effusion.
recent dobhoff tube replacement.
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The right lung is well expanded clear. Extensive opacification of the left lung obscures the left heart border and demonstrates air bronchograms with only mild ipsilateral shift of mediastinal structures. No pneumothorax or right pleural effusion.
<unk>f with hypoxia, tachypnea // eval pnas
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Ap and lateral views of the chest were obtained. The heart size is normal. The mediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. Previously seen streaky focal lucency in the right lower lobe is not seen on the current study. There is no consolidation concerning for pneumonia.
dizziness, angina, slight shortness of breath.
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The cardiac, mediastinal and hilar contours are unchanged, with the heart size within normal limits. Lungs are clear and the pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormality is visualized. No subdiaphragmatic free air is seen.
history: <unk>f with abdominal pain and right sided back pain
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Several views of the chest are provided. There is a right chest wall port with catheter extending via the right ij into the mid svc region. The lungs are clear and hyperinflated. No focal consolidation, effusion, or pneumothorax is seen. Cardiomediastinal silhouette is normal. The imaged osseous structures are intact.
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Left chest wall pacing device is again seen with leads in unchanged positions, <num> at the right ventricular apex and <num> in the right atrium. The lungs are clear without consolidation, effusion, edema or pneumothorax. There is a nodular opacity seen in the retrocardiac region on the lateral view just anterior to the the midportion of a lower thoracic vertebral body. It measures approximately <num> cm and may localize to the left on the frontal view, abutting the cardiac margin. Cardiomediastinal silhouette is within normal limits. Coronary artery stent is noted. Hypertrophic changes are noted in the spine.
<unk>m with cp s/p pacemaker exchange // ptx?
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The cardiac silhouette is top-normal to mildly enlarged. There is pulmonary vascular congestion. No large pleural effusion is seen. Minimal left mid to lower lung lingular atelectasis/scarring is seen. There is no focal consolidation. No evidence of pneumothorax. Mediastinal contours are unremarkable.
history: <unk>f with chest pain, stemi // eval cardiomegaly
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The patient is rotated somewhat to the right. Enlarged cardiomediastinal silhouette is stable. No focal consolidation is seen. There is no pleural effusion. No pneumothorax is seen. The hilar contours are stable.
afib, absent presenting with wheezing, hypoxia.
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Cardiac size is normal. The lungs are hyper inflated. Bibasilar left greater than right opacities and nodular and peribronchial opacities in the upper lobes left greater than right have increased. There is no pneumothorax or pleural effusion
<unk> year old woman with mds sp <unk> mud <unk> <unk> admitted with ? colitis now with fever again. // please evalute for evidence of infection.
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The cardiomediastinal and hilar contours are within normal limits. The lung fields are clear. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable.
history: <unk>m with chest pain, sob, fever // pleural effusion? pna
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Ap view of the chest provided. Lung volumes are low. There is no pulmonary edema. Right-sided chest tube is seen in appropriate position. There is no pneumothorax. Surgical sutures chains are again seen in the right midlung, likely from prior wedge resection. Cardiomediastinal and hilar structures are otherwise normal. There is no pleural effusion. Large pneumoperitoneum is seen, not unexpected in the immediate postoperative setting.
<unk> year old man postop day <unk> s/p adrenalectomy for adrenal tumor, now with chest tube s/p thoracoabdominal incision/closure, evaluate for pneumothorax
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Enteric tube tip is in the proximal stomach. There are multiple dilated small bowel loops, mildly improved since prior. Very shallow inspiration. Bibasilar opacities are new, likely atelectasis. Pneumonitis cannot be excluded in the appropriate clinical setting. Shallow inspiration accentuates heart size, pulmonary vascularity. There may be tiny left pleural effusion. No pneumothorax.
<unk>f s/p ex lap, loa of sbo // ? ngt placement
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The lungs are well expanded and clear. Hila and cardiomediastinal contours and pleural surfaces are normal.
<unk>m w/atypical chest pain radiating to back, rt chest wall ttp // focal consolidation, rib fx, anatomic abnormalities
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There has been interval widening of the mediastinum compared to the study on <unk>, suggesting right heart failure or volume overload. There is also mild vascular congestion and bilateral pleural effusions. There is no pneumothorax.
preop cholecystectomy.
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Pa and lateral chest radiographs demonstrate a left chest port, a catheter tip which projects at or just below the anticipated location of the cavoatrial junction. Relative to prior radiograph, opacification of the right upper lung zone is unchanged. Hilar contours are stable. Patient is status post tumor treatment at the right hilus, better demonstrated on recent ct performed <unk>. Elevation of the right hemidiaphragm is stable. Obscuration of the left costophrenic angle may reflect a small pleural effusion. Linear opacity at the left lung base is likely sequela of atelectasis. No focal opacity convincing for pneumonia is identified. Cardiomediastinal and hilar contours are unchanged. Osseous structures and imaged upper abdomen or without an acute abnormality.
<unk>-year-old female with shortness of breath. evaluate for pneumonia.
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Frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. The hilar and mediastinal silhouettes are unremarkable. Heart size is normal.
patient with history of prostate cancer, status post robotic radical prostatectomy, who now presents with trouble swallowing. assess for air-fluid level in the esophagus.