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Opacities at the left lower lobe and lingula, correspond with the findings on the recent ct, and is concerning for pneumonia. Mild fullness of the left hilum may be secondary to reactive lymphadenopathy. The heart size is normal. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.
history: <unk>m with multifocal pna seen on ct scan of abd // eval pna, upper lobe invovlmeent
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There is no focal consolidation, pneumothorax, or pulmonary edema. Blunting of the left costophrenic angle may represent focal atelectasis versus trace fusion. The cardiomediastinal contours are within normal limits.
history: <unk>f with cough, sob // eval pna
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In comparison with the study of earlier in this date, there is little overall change. Dobbhoff tube is visualized only to the lower esophagus, where it crosses the lower margin of the image. A view of the abdomen would be necessary to determine the precise location of the tube tip.
dobbhoff placement.
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There are low lung volumes accentuating the cardiac contour. Bibasilar lung opacities are likely atelectasis. No large pleural effusion or pneumothorax. No evidence pneumonia.
<unk> year old woman with met breast ca // preop surg: <unk> (orif right humerus)
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Bilateral hilar prominence is accompanied by mild thickening of the right peritracheal is stripe and azygos contour, as well as loss of the normal concavity in the aortic pulmonary window. Heart size is normal, and lungs and pleural surfaces are clear.
<unk> year old <unk> is supposed to be screened every <unk> years with a routine cxr per <unk> // please evaluate any suspiscious lesions
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The lungs are clear. The heart is top-normal in size. The hilar and cardiomediastinal contours are normal. There is some calcification of the aortic arch. There is no pneumothorax. There is blunting of the left costophrenic angle consistent with a trace left pleural effusion. Pulmonary vascularity is normal.
<unk> year old man with <num> days of chest pain and new onset afibeval for effusion, <unk>-year-old man with <num> days of chest pain and new onset atrial fibrillation. evaluate for pleural effusion.
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The lungs are clear. Cardiac silhouette is normal. There is no pleural effusion or pneumothorax.
chest pain.
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The lungs are clear. The hila and pulmonary vasculature are normal. No pleural effusion or pneumothorax. The cardiomediastinal silhouette is unchanged. No obvious osseous abnormalities.
<unk> year old woman with chough and mid scapular back pain in the setting of known aortic aneurysm // please evaluate for pulmo etiology and also for mediastinal widening
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In comparison with the study of <unk>, there is mild enlargement of the left pleural effusion with compressive atelectasis at the base. Otherwise, little change and no acute abnormality.
lymphoma and effusion.
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There is been interval removal of the right internal jugular approach central venous catheter. The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Lungs are well-expanded and clear without focal consolidation concerning for pneumonia. Previously seen bilateral pleural effusions and atelectasis are resolved. Enteric contrast is again seen within the partially imaged colon. Median sternotomy wires are present.
<unk>f with dka, s/p nissen fundoplication recently d/c // evaluate for pneumonia =
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Ap view of the chest provided. Left-sided chest tubes and left subclavian line have been removed. There is now near complete homogeneous opacification of the left hemithorax, associated with rightward mediastinal shift, concerning for reaccumulation of fluid. Right lung is essentially clear. Right sided subclavian line terminates in the cavoatrial junction.
<unk> year old man s/p pull of chest tube, bleeding, evaluation for intra-thoracic bleeding
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The lungs are symmetrically well expanded and well aerated. No significant pleural effusion, pneumothorax, or focal consolidation is present. An <unk> x <num> mm calcified granuloma is noted in the left lingula, which is similar in appearance to the most recent prior study. Mild increased opacity in the infrahilar region on the lateral radiograph likely reflects atelectasis. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits. The descending thoracic aorta is mildly tortuous. The pulmonary vasculature is not engorged. The visualized upper abdomen is unremarkable.
diagnosis of ascariasis with chronic cough, here to evaluate for acute pulmonary process.
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As compared to the prior study, there is slight increase in interstitial markings bilaterally which is nonspecific, but atypical infection is not excluded. No large pleural effusion is seen. There is no pneumothorax. The aorta is tortuous. The cardiac silhouette is top normal. No lobar consolidation is seen on the frontal view. On the lateral view, there may be posterior basilar opacity and a small focal consolidation is not excluded.
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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 dizziness and psychiatric decompensation
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Cardiac silhouette size is normal. The aorta remains tortuous. Enlargement of the pulmonary arteries is again noted, unchanged. Pulmonary vasculature is not engorged. Elevation of the right hemidiaphragm is chronic with associated a right basilar atelectasis. Minimal streaky opacity in the left lung base also is compatible atelectasis. No focal consolidation, pleural effusion, or pneumothorax is present. Several anterior compression deformities within the thoracic spine appear unchanged.
history: <unk>m with fever, back pain, evaluation for source of infection
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Single ap portable radiograph of the chest demonstrates the nasogastric tube curled in the stomach. The right internal jugular catheter is unchanged in position. The endotracheal tube is also unchanged in position. The bilateral asymmetric opacities are seen, worse on the right, which likely represent pulmonary edema. The left lung appears to have increased in opacity compared to the prior radiograph. Marked cardiomegaly is noted. No pneumothorax is identified.
nasogastric tube was moved. please assess location.
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Right port-a-cath terminates in the right atrium. There is no consolidation, pleural effusion, or pneumothorax. Trachea is midline. Cardiomediastinal silhouette is within normal size.
<unk> year old woman with metastatic breast cancer with indwelling poc // no blood return poc, please assess catheter placement. due for chemotherapy today, please <unk> <unk> #<unk> with wet read
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In comparison with study of <unk>, the opaque portion of the distal dobbhoff tube lies just beyond the esophagogastric junction. The tube should be pushed forward if possible. Central lines remain in position. Opacifications at the right base most likely represent atelectatic change, though in the appropriate clinical setting, superimposed pneumonia would have to be considered. The cardiac silhouette remains at the upper limits of normal or slightly enlarged. Mild indistinctness of pulmonary vessels could reflect some elevated pulmonary venous pressure.
dobbhoff tube placement.
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The diffuse interstitial opacities, reflecting a combination of edema and potential infectious process, appear improved from the radiograph from earlier today, though remains slightly worsened from <unk>. Cardiac atelectasis is unchanged. No large pleural effusions are identified. Left picc is not well assessed on this radiograph.
<unk>-year-old man with worsening interstitial infiltrates/pulmonary edema, assess for interval change.
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A left pectoral pacemaker is unchanged with dual leads terminating in the right atrium and right ventricle as before. The patient is status post median sternotomy. The cardiac silhouette is enlarged but stable. The mediastinal contours remain prominent with tortuosity of the thoracic aorta and calcification of the aortic knob, which is stable. Reticular nodular opacities predominantly in the lower lobes on the right greater than the left likely reflect chronic interstitial changes. There is no focal consolidation concerning for pneumonia, pleural effusion or pneumothorax on this single frontal view. No overt pulmonary edema is seen.
chest pain, here to evaluate for cardiomegaly or pneumothorax.
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Compared with <unk>, the left pleural effusion is markedly smaller, with some probable pleural fluid along the medial aspect of the lower left lung. A chest tube is in place at the left lung base. There is a probable tiny left apical pneumothorax. Again seen is a spiculated opacity in the left suprahilar region, with surrounding hazy opacity in the left upper zone, consistent with known mass. The right lung is grossly clear, without chf, infiltrate, effusion, or pneumothorax. The mediastinum remains midline.
<unk> year old man with left loculated pleural effusion and spiculated lung mass now s/p diagnostic thoracentesis and chest tube. please assess for pneumothorax // assess for pneumothorax
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Heart size is normal. The aorta remains tortuous. Mediastinal contours are otherwise unremarkable. There is mild pulmonary vascular congestion. Minimal bibasilar streaky opacities could reflect atelectasis. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities are visualized.
recent renal transplant with abdominal pain primarily at graft site.
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There is no significant change in previously seen left lower lobe atelectasis. Otherwise, the lungs are clear. Heart size is mildly enlarged.mediastinal and hilar contours are unchanged from <unk>, though significantly decreased since <unk>. There is no evidence for pulmonary edema, pleural effusion, or pneumothorax. There is persistent elevation of the left diaphragm with left lung volume loss. There has been interval removal of the right-sided picc.
<unk> year old woman with neutropenia and laryngitis. evaluate for pneumonia.
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A dual lead pacemaker/icd device appears unchanged with leads terminating in the right atrium and ventricle, respectively. The cardiac, mediastinal, and hilar contours appear stable. The extreme right costophrenic sulcus is partly excluded, but there is no evidence for pleural effusion or pneumothorax. Streaky opacity in the left lower lung suggests minor atelectasis, probably unchanged. Otherwise, the lungs appear clear.
altered mental status and lethargy. question pneumonia.
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Ap and lateral radiographs of the chest. Compared to the prior study, there is decrease in the lung volumes, exaggerating the cardiac contours and pulmonary vasculature. Otherwise, the lungs are clear with no focal consolidation. No pleural abnormality is detected.
delirium. evaluate for pneumonia.
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Frontal and lateral views of the chest. Heart size and cardiomediastinal contours are normal. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax.
chest pain.
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No previous images. There is substantial enlargement of the cardiac silhouette with diffuse bilateral pulmonary opacifications presenting the bat-wing pattern of severe pulmonary edema. Bibasilar atelectatic changes are seen. In the appropriate clinical setting, supervening pneumonia would have to be considered.
pulmonary edema.
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No recent examination is available from the outside hospital. No convincing evidence of acute pneumonia at this time. No vascular congestion or pleural effusion.
follow up pneumonia.
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The patient is status post sternotomy and cabg, with sternotomy wires that appear intact and appropriately aligned. There is a new rounded opacity projecting over the right mid lung, localized to the the right upper lobe on the lateral view. The moderate sized right pleural effusion is unchanged. There is a new small left pleural effusion. Heart size is stable. The mediastinal and hilar contours are stable. The pulmonary vasculature is normal. No pneumothorax is seen. There is heavy calcification of the mitral annulus. There are no acute osseous abnormalities.
<unk> year old man with s/p kidney transplant. low grade temperature and cough // r/o pneumonia
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Interval removal of the right-sided chest tube with development of a new small right apical pneumothorax. No evidence of tension. Improved aeration bilaterally compared to the prior exam. No focal consolidation, overt pulmonary edema, or pleural effusion. The heart is top-normal in size, unchanged. The mediastinal contours and hila are within normal limits. The left sided port-a-cath appears intact and unchanged in position.
<unk>-year-old woman status post right vats lymph node biopsy; evaluate for pneumothorax after removal of a chest tube.
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Right basilar opacity is noted silhouetting the medial hemidiaphragm, potentially atelectasis or focal consolidation. Elsewhere lungs are notable for moderate edema. There is no large pleural effusion. Cardiac enlargement is similar compared to prior.
<unk>f with chf and copd with acute pulm edema // eval pulm edema
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In comparison with the study of <unk>, there is little overall change. Substantial scoliosis convex to the right is again seen. Enlargement of the cardiac silhouette without evidence of acute focal pneumonia. Blunting of the costophrenic angles persists. Atelectatic changes are seen at the bases, though no definite acute pneumonia. Ventriculoperitoneal shunt is again seen on the right.
cough with crackles, to assess for pneumonia.
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Pa and lateral views of the chest are compared to previous exam from <unk>. Lungs are clear. Cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable, noting surgical clips in the right upper quadrant suggesting prior cholecystectomy.
<unk>-year-old female with chest pain.
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Pa and lateral views of the chest were provided. Midline sternotomy wires and mediastinal clips are again noted. Gas previously seen below the right hemidiaphragm is conspicuous and likely reflects the presence of a dialysis catheter. There is mild pulmonary interstitial edema with small left pleural effusion. Cardiomediastinal silhouette appears grossly stable. No pneumothorax. No acute osseous injury.
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The lungs are clear without focal consolidation, pleural effusion or pneumothorax. There is no pulmonary edema. The heart is normal in size, and the mediastinal contours are normal.
<unk> year old female with tachycardia, palpitations and history of upper respiratory infection. please evaluate for pneumonia or effusion.
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Since the prior study, there has been removal of a tracheal bronchial stent. There is no evidence of pneumothorax. A right chest wall port catheter terminates at the superior cavoatrial junction. The lungs are otherwise clear. Heart size is normal.
<unk> year old woman with tbm s/p stent removal // s/p stent removal
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Pa and lateral views of the chest provided. Aicd is unchanged with lead extending into the region of the right ventricle. There is persistent right hilar opacity with increasing right upper lobe consolidation concerning for pneumonia. Increasing opacity is present in the left lower lobe concerning for multifocal pneumonia. No large effusion or pneumothorax. Heart size remains unchanged. Bony structures are intact.
<unk>m with c/o fever/chills with cough // ? pna
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Ap portable upright chest radiograph was provided. As seen previously, there are bilateral pleural effusions slightly increased on the left and stable on the right. The subjacent opacities in the lower lungs could represent atelectasis versus pneumonia. The upper lungs are well aerated. The cardiomediastinal silhouette is stable. Bony structures are intact. Tips partially imaged in the right upper quadrant.
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Small right pneumothorax has not appreciably increased in size and is probably a similar to the prior exam. No evidence of tension. The right hemidiaphragm remains elevated, compatible with severe volume loss, overall unchanged. Focal opacity in the region of the fiducial in the right perihilar region this slightly decreased in size and less conspicuous compared the most recent exam. Moderate right basal atelectasis has increased. No pleural effusion or pulmonary edema. The heart size is normal. The mediastinum is not widened.
<unk>f w/ small r ptx s/p fiducial re-placement with interval increase in size // interval changes.
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There is a new left ij line with tip at the cavoatrial junction. The et tube. Is unchanged. Ng tube tip is off the film. It is difficult to assess for the esophageal balloon placement since it is unclear where exactly the balloon is expected to be in this particular case. The appearance of the lungs with diffuse disease, right pleural effusion, and distended bowel are unchanged.
<unk> year old woman with ahrf with balloon pump placed. // esophageal balloon placement
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The cardiomediastinal silhouette is normal. The hila are normal. The lungs are well expanded and clear. No mass or nodules. No pleural abnormalities. No pneumothorax. No fractures.
<unk> year old woman with stage iiia melanoma <unk> years ago // rule out metastatic disease
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Heart size is borderline enlarged. The mediastinal and hilar contours are normal. There is no pulmonary edema. Minimal patchy left basilar opacity likely reflects atelectasis. No focal consolidation, pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Partially imaged is a right shoulder arthroplasty.
three episodes of pre syncope.
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Lung volumes are low. There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
history: <unk>m with chest pain/dyspnea // evaluate for acute process
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A right internal jugular catheter terminates in the mid to distal svc. The cardiomediastinal contour is unchanged. Median sternotomy sutures are also unchanged. Bibasilar atelectasis with a right basal effusion, similar to slightly decreased in size when compared to the prior study. No new areas of consolidation seen. No pneumothorax.
<unk> year old man pod<num> cabg // effusion/atelectasis
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Cardiac, mediastinal and hilar contours are normal. Lung volumes are low. Minimal atelectasis is seen in the lung bases without focal consolidation. Pulmonary vasculature is not engorged. Assessment of the lung apices is obscured by the patient's neck and chin projecting over these regions. No large pleural effusion or pneumothorax is visualized. No acute osseous abnormalities detected.
history: <unk>m with <unk> <unk>, prior strokes, aphasic at baseline, presenting with fevers, chills, cough
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Cardiac silhouette size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is visualized.
history: <unk>f with new rash and fever
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Two upright ap views of the chest were reviewed. The cardiomediastinal and hilar contours are normal. Elevated right hemidiaphragm is chronic. There is no substantial pleural effusion or pneumothorax. There is no focal consolidation concerning for pneumonia. Mild vascular engorgement without frank pulmonary edema is noted. There is no pneumoperitoneum.
epigastric pain.
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Worsening right basilar atelectasis, new right and persistent small left pleural effusions are present. Minimal left basilar opacity is unchanged. The lungs are otherwise clear. The pulmonary vasculature remains normal. The cardiac silhouette is markedly enlarged, the mediastinal contours are widened. Median sternotomy wires remain intact. A right ij sheath, endotracheal tube, and ng tube have been removed in the interim.
<unk>-year-old male with ascending aortic repair. evaluate for interval change.
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Frontal and lateral views of the chest. The lungs are hyperinflated. There are regions of consolidation at the left lung base confirmed on the lateral, localizing to the lingula. More peripheral opacities are likley in part due to callous formation from healing left posterior seventh and eighth rib fractures. Elsewhere, the lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified. Healing left are identified.
<unk>-year-old male with copd and recurrent pneumonia with fever and cough.
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The lung volumes are normal. Normal size of cardiac silhouette. No pneumonia, pleural effusions or pneumothorax. Normal hilar and mediastinal contours.
<unk> year old woman with occass sharp, momentary chest pains and some cough. // ? pulm infiltrate
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Pa and lateral views of the chest provided. There is mild left basal atelectasis. Otherwise the lungs are clear. No large effusion, pneumothorax, edema or congestion. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with pancreatitis.
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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 etoh abuse, afib p/w ongoing sob
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Since the prior chest radiograph performed on <unk>, there has been no significant interval change in right basilar pneumothorax. Severe upper lobe predominant emphysema. Bibasilar interstitial abnormalities are similar. Remainder of the lungs are otherwise clear. No pneumothorax on the left. No pleural effusion. Cardiomediastinal contours are normal.
<unk> year old man with right ptx and pneumostat in place // check interval change
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Cardiomediastinal and hilar contours are stable with stable tortuosity of the descending aorta. The right pleural effusion has completely resolved, and there is no left pleural effusion. There is biapical scarring, but no pneumothorax. There is no focal consolidation concerning for pneumonia. Pulmonary vasculature is within normal limits.
cough, dyspnea, prior pneumonia.
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Compared to <unk>, again seen is a small right upper zone pneumothorax --<unk> may be very slightly smaller. The right-sided chest tubes also again seen. The configuration of the tube is somewhat different --<unk> possible it this is accounted for by differences in patient positioning. Otherwise, the overall appearance is similar. There has been slight interval improvement in the previously seen retrocardiac opacity. Faint opacity at the right lung base, with obscuration of the right hemidiaphragm, question atelectasis, may be slightly worse.
<unk> year old woman with pneumothorax s/p chest tube // monitor for improvement
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Scattered areas of linear atelectasis/ scarring are seen, particularly in the left mid to lower lung and right lung base. No definite focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
history: <unk>m with dyspnea // eval for infiltrates
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There has been previous median sternotomy. Cardiac silhouette is enlarged but stable in size. Aorta is diffusely tortuous and both the ascending and descending regions. Enlargement of central pulmonary vasculature suggestive of pulmonary arterial hypertension. In addition to these vascular findings, cardiomediastinal widening is in part due to excessive mediastinal fat deposition, mediastinal lipomatosis. Apparent sub cm nodular opacity is present in the right upper lung at the intersection of the right third anterior and seventh posterior ribs. Of note, a smaller nodule was present in this region on older chest cta of <unk>. Lungs are hyperexpanded but grossly clear except for linear scarring at the bases. Bones are diffusely demineralized. Healed right rib fractures are again demonstrated.
<unk> year old man with wheeze, h/o chf copd // r/o infiltrate/vol overload
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A left picc continues to coil within the left subclavian vein. The endotracheal tube and nasogastric tube are in stable position, and cervical spinal hardware is partially visualized. The lungs are essentially clear without focal consolidation or pleural effusion. The heart size is normal.
<unk> year old man with cervical spine injury status post decompression, intubated as of morning of <unk> // interval change?
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The heart is mildly enlarged. The mediastinal and hilar contours appear unchanged. Each hilum shows an engorged appearance with upper zone redistribution of pulmonary vascularity and a central interstitial abnormality, worse than on the prior study and suggestive of mild-to-moderate vascular congestion. The lateral view shows a small pleural effusion on the right and also patchy posterior opacification in the left lower lobe, probably due to a combination of parenchymal opacity and pleural effusion. This appearance is accompanied by increased volume loss with new elevation of the left hemidiaphragm, which may imply atelectasis. The bones appear demineralized. Mild-to-moderate degenerative changes are similar along the thoracic spine.
persistent nausea, vomiting and headache.
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Subtle airspace opacity in the medial right lung base, best seen on the lateral view may represent early consolidation or aspiration. There are trace bilateral pleural effusions. There is no pulmonary edema or pneumothorax. The cardiomediastinal silhouette is normal. A chronic appearing left distal third clavicular fracture is noted.
<unk>m with occasitional hypoxia with etoh, evaluate for aspiration.
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In comparison with the study of <unk>, there is little change and no evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion.
one month after discectomy with multiple neurologic symptoms, to assess for pneumonia.
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Pa and lateral views of the chest are compared to previous exam from <unk>. The lungs remain clear of focal consolidation, effusion, or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits, again noting a tortuous aorta. No acute osseous abnormality detected. Noting hypertrophic changes in the spine.
<unk>-year-old male with feeling unwell. question pneumonia.
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Lungs are clear. There is no pleural effusion, pneumothorax or focal airspace consolidation. The cardiac and mediastinal contours are normal. The hilar structures are unremarkable.
shortness of breath with wheezing. evaluate for pneumonia.
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The lungs are well inflated and clear. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. Limited assessment of upper abdomen is within normal limits.
<unk>m with chest pain, cocaine use. assess for cardiopulmonary process.
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Pa and lateral views of the chest. The lungs are clear. The cardiomediastinal silhouette is normal. There is no pneumothorax and no effusion. No displaced fractures identified.
<unk>-year-old male with chest pain.
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A right-sided picc is seen terminating in the low svc and is unchanged in position. Lung volumes are low. Multiple focal consolidations have increased from the prior examination. Pulmonary edema there has resolved. Moderate cardiomegaly is stable. There may be a small left pleural effusion. There is no pneumothorax.
<unk> year old woman with aml // please assess for interval change. please assess for consolidation, effusion, or edema.
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Lung volumes are within normal limits. The trachea is central. The cardiomediastinal contour is normal. The heart is not enlarged. No lobar consolidation seen, no pneumothorax or pleural effusion. Visualized bony structures are grossly normal.
<unk> year old woman with positive ppd. // evaluate for evidence of tuberculosis.
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Tenting of the right hemidiaphragm is postsurgical in nature. Unchanged right mediastinal surgical clips. Lungs are well-expanded, but there is a new left lower lobe opacity seen best on the pa film, concerning for pneumonia. No pneumothorax. The cardiomediastinal silhouette is stable.
<unk> year old man with heavy smoking history, s/p rul lobectomy for squamous cell lung ca, presenting with dyspnea, sputum production. ? copd exacerbation vs pneumonia. evidence of pneumonia.
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Metallic device overlying the chest obscures underlying heart and lungs. Given the limitations, small bilateral pleural effusions appear similar to <unk>. Prosthetic aortic valve is in unchanged position.
history: <unk>f with pleural effusions and increased sob // ? infection
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The heart size is mildly enlarged. Prominence of the right superior mediastinal contour likely reflects tortuous vessels and is unchanged. The hilar contours are normal, and the pulmonary vascularity is not engorged. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is identified. No acute osseous abnormalities seen.
chest pain.
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There is elevation of the right hemidiaphragm. The cardiomediastinal silhouettes are within normal limits. The bilateral hila are normal. There is a sub-optimal inspiratory effort, however, within this limitation the lungs are clear without focal consolidation. There is no pulmonary vascular congestion. There is no pneumothorax or effusion.
a <unk>-year-old woman with a <num> week history of flu-like symptoms and sinus tachycardia.
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Patchy opacities in the left upper lung and right mid to lower lung are worrisome for multifocal pneumonia. Possible component of overlying pulmonary vascular congestion. No pleural effusion is seen. There is no evidence of pneumothorax. The cardiac silhouette top-normal to mildly enlarged. Mediastinal contours are unremarkable.
history: <unk>f with dyspnea // eval for worsening pna
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In comparison with the study of <unk>, there is again increased opacification at the right base with poor definition of the heart border. Again this could be consistent with volume loss, though the possibility of supervening pneumonia can certainly not be excluded.
hypoxia, to assess for aspiration.
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Frontal and lateral chest radiographs demonstrate persistently low lung volumes. Mild diffuse reticular abnormalities without focal consolidation are consistent with known interstitial lung disease. Mild cardiomegaly is unchanged and there is no pleural effusion or pneumothorax.
interstitial lung disease, with worsening fatigue, malaise, and new cough. evaluate for interval change or pneumonia.
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Again seen is a right pneumothorax, slightly increased in size compared to <unk>, which may be due to expiratory phase at which current study was taken. There is a small right pleural effusion, consistent with history of interval talc pleurodesis. Right-sided pigtail catheter is again seen, slightly superior in position compared to the prior exam.
<unk>f with hx of spontaneous pneumothorax p/w dyspnea on exertion and r lateral thoracic pain x <num> days, found to have large r pneumothorax on cxr at osh, s/p pig tail placement and talc. evaluate for pneumothorax.
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As compared to the previous radiograph, there is no relevant change. Extensive bilateral generalized right and basal left and perihilar opacities. The opacities have constant severity and distribution. No opacities have newly appeared. There is unchanged evidence of moderate cardiomegaly. Blunting of the left costophrenic sinus persists, so that a small pleural effusion in this location cannot be excluded. The course of the right internal jugular vein catheter is constant.
chronic heart failure, pneumonia, assessment for interval change.
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In comparison with the study of <unk>, there is little overall change. Again there is moderate enlargement of the cardiac silhouette with opacification at the left base consistent with volume loss in the left lower lobe and small effusion. No evidence of acute focal pneumonia or vascular congestion. Monitoring and support devices remain in place.
left lower lobe collapse related to aspiration.
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Postoperative appearance of the mediastinum is similar in this patient status post esophagectomy and pull-up procedure. Persistent moderate-sized right pleural effusion with loculated intrafissural component. Adjacent opacity at right lung base has slightly worsened in the interval. Left lung is grossly clear, and note is made of a small left pleural effusion.
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Lung volumes are slightly low. Heart size is mildly enlarged. The aorta is slightly tortuous. There is mild pulmonary edema with perihilar haziness and vascular indistinctness. No focal consolidation, large pleural effusion or pneumothorax is present. Assessment of the right apex is somewhat obscured by the patient's chin projecting over this area. No acute osseous abnormality is detected. There are degenerative changes noted involving both glenohumeral and acromioclavicular joints.
history: <unk>m with altered mental status
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No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. A few small calcified nodules in the right upper lung are most consistent with calcified granulomas. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with weakness // ? infectious process
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Minimally displaced fractures of the right posterior fifth and sixth ribs are noted along with a small-moderate right apical pneumothorax. Bibasilar opacities are noted. Otherwise, left hemithorax is normal. The cardiomediastinal silhouette is normal.
right-sided chest pain post trauma.
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As compared to the previous radiograph, the left chest tube has been removed. There is no pneumothorax. The lung volumes remain relatively low with areas of atelectatic opacities at the right lung base. Clips projecting over the mediastinum. Normal size of the cardiac silhouette.
status post vats left lung surgery.
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An endotracheal tube and right jugular catheter has been removed in the interim. The lung volumes. There is no pleural effusion, pneumothorax or focal airspace consolidation. There is no pulmonary edema. The left costophrenic angle is not fully imaged. The cardiac and mediastinal contours are unchanged.
status post laminectomy with fusion postoperative <num> now with increasing diaphoresis, hypertension and lethargy.
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Single frontal view of the chest. Endotracheal tube terminates <num> mm above the carina. Lung volumes are low. Heart size and cardiomediastinal contours are normal. The lungs are clear without focal consolidation, pleural effusion or pneumothorax.
status epilepticus requiring intubation.
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The cardiac silhouette is normal in size. Mediastinal and hilar contours are normal. Pulmonary vascularity is normal. Hyperinflation of the lungs with emphysematous changes are again noted. Small left pleural effusion appears unchanged from the prior exam. There is minimal left basilar atelectasis. No focal consolidation or pneumothorax is detected. Degenerative changes are noted in both glenohumeral and acromioclavicular joints, as well as at multiple levels within the thoracic spine. A catheter is incompletely imaged within the right upper quadrant of the abdomen.
leukocytosis, history of gastric cancer on chemotherapy.
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As compared to the previous radiograph, the left lung shows minimally improved ventilation. However, there is still extensive cardiomegaly with retrocardiac atelectasis and signs of moderate fluid overload. The asymmetry of the opacities at the lung bases suggests atelectasis rather than pneumonia. The monitoring and support devices are in constant position. No pneumothorax.
recent aspiration, evaluation for pneumonia.
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The cardiac silhouette is stably prominent. The central pulmonary vasculature appears mildly engorged without overt edema. Linear atelectasis is noted. On the lateral view, there is vague posterior opacity at the left lung base. This may represent atelectasis, though infiltrate is not excluded. A small right pleural effusion is present.
history: <unk>m with ckd generalized weakness // eval for pna
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Severe scoliosis with is with subsequent asymmetry of the ribcage. Normal structure and transparency of the lung parenchyma. No pneumonia, no pulmonary edema. No pleural effusion. No cardiac abnormalities.
<unk> year old woman with hospital stay last month for back pain, presents with subjective fevers and cough. lungs clear and no sputum so suspicion for pna is low but would like to rule it out radiographically. // rule out pneumonia
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The et tube is in standard position. Right internal jugular venous catheter is present with tip in the low svc. An enteric tube is seen coursing to the stomach with distal tip not seen. The cardiomediastinal and hilar contours are normal. Bibasilar consolidations, mostly atelectasis based on the chest ct from <unk>, are improved. There is no pleural effusion or pneumothorax.
sepsis.
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As compared to the previous radiograph, there is no relevant change. The lung volumes are low. There is a status post cabg. There is minimal fluid overload but no overt pulmonary edema. Mild atelectasis in the retrocardiac lung areas. No pneumothorax. No pleural effusion.
chronic heart failure, acute shortness of breath, evaluation for volume overload.
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Heart size is normal. Mediastinal and hilar contours are within normal limits. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are present.
chest pain and syncope.
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The lungs are well inflated. . There is slight increased density in the left base but this is likely due to overlying soft tissue. The patient has had a right mastectomy and axillary node dissection. Since the previous examination a venous access device is present in satisfactory position. The heart is not enlarged. The osseous structures are normal for age.
<unk> year old woman with neutorpenic fever // assess for acute intrapulmonary process
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Sternotomy. Cardiac enlargement. Increased pulmonary vascularity. Extensive pulmonary opacities, favor edema, mildly improved. Improved basilar opacities.
<unk> m pmh hiv (well controlled), cad s/p cabg (<unk>), rhd/as/ms <unk>/p bioavr/mvr in <unk>, repeat bioavr <unk> (for stenosis), and afib on xarelto, generally doing well, last echo <unk> with nl av/mv function, mild-mod phtn, ef><unk>. last night, suddenly felt sob when lying in bed, persisted all night. denied cp, palpitations, progressive <unk> edema. no hx of asthma/copd. denies recent infectious sx. given lasix and bipap in ed. // follow up cxr to evaluate pulmonary volume status
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
<unk>m with hiv and cirrhosis, c/o cough // ?pna
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The patient is status post median sternotomy. The cardiac silhouette is enlarged, but stable. The mediastinal and hilar contours are within normal limits. The lungs are slightly hyperinflated without focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. No acute osseous abnormality is detected.
cough and fever, here to evaluate for pneumonia.
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In comparison with study of <unk>, there again are two chest tubes on the left. The previously described areas of pneumothorax are no longer present. Elevation of the left hemidiaphragm is seen with post-surgical changes at the left base. Right lung is clear except for streak of atelectasis at the base.
left empyema after vats.
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As compared to the previous radiograph, the lung volumes have slightly decreased. As a consequence, the lung parenchyma at the right lung base appears minimally denser than on the previous image. No evidence of pulmonary edema is present on the current film. Unchanged appearance of the cardiac silhouette. No pleural effusions. No pneumothorax. Unchanged axillary clips. Unchanged position of the internal jugular vein catheter.
tachycardia, wheezing after blood transfusion, evaluation.
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Slightly rotated positioning. The ostomy tube noted. An ng tube is present, tip extending beneath diaphragm off film. Left subclavian picc line tip overlies mid svc. No obvious pneumothorax identified. Inspiratory volumes are slightly lower. Cardiomediastinal silhouette is grossly unchanged. There is upper zone redistribution and mild vascular blurring, suggesting mild chf. Minimal bibasilar atelectasis. No gross effusion.
<unk> year old man with increased work of breathing // fluid overload
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The patient is rotated. The endotracheal tube terminates <num> cm above the carina. The enteric tube extends beyond the ge junction with tip out of view. The lung volumes are low resulting in bronchovascular crowding. The heart is moderately enlarged. Thickening along the minor fissure is noted.
<unk> year old man with intubation // eval chest tube
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There is no pleural effusion, pneumothorax or focal airspace consolidation worrisome for pneumonia. Heart is normal size. There is no pulmonary edema. The mediastinal and hilar contours are unremarkable. There are mild degenerative changes of the thoracic spine, marked by loss in disk space height.
new cough, wheezing and fever. evaluate for pneumonia.