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Since prior chest x-ray, the patient has apparently ingested a screw, which now overlies the left upper abdomen. The previously identified paper binder overlies the lower left abdomen. The cardiomediastinal contours are within normal limits. The bilateral hila are unremarkable. The lungs are clear without focal consolidation. There is no evidence of pulmonary vascular congestion. There is no pneumothorax or pleural effusion.
<unk>f swallowed another object, new foreign body.
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The lungs are clear without focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are within normal limits. No acute osseous abnormalities detected.
<unk>-year-old man with chest pain, here to evaluate for pneumothorax.
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The endotracheal tube is in satisfactory position, approximately <num> cm from the carina. A nasogastric tube courses below the diaphragm with the tip out of field of view. Since the prior exam, the lung volumes are lower. Mild pulmonary edema has worsened. There is persistent opacification of the left mid and lower lung zones, likely pneumonia or aspiration. There is no pleural effusions or pneumothorax. The cardiomediastinal silhouette is normal.
found down. evaluate endotracheal tube.
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. There is no focal opacity. The interstitium is mildly prominent. This appearance is not specific but suggests slight fluid overload.
altered mental status.
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The lungs are clear with no effusion, consolidation or pneumothorax. Heart and mediastinal contours are normal. No displaced rib fractures are visualized, though a dedicated rib series with a radiopaque marker at the site of pain is more sensitive.
<unk>-year-old woman with fall down five stairs, right lower posterior thoracic pain.
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Single supine ap portable view of the chest was obtained. Endotracheal tube is seen coursing into the right main stem bronchus with complete opacification of the left hemithorax. Recommend withdrawal by approximately <num> cm. Enteric tube is seen coursing below the level of the diaphragm, terminating in the region of the expected location of the proximal stomach. Bilateral diaphragmatic plaques are seen and evidence of pleural plaques, most consistent with prior asbestos exposure. No evidence of pneumothorax is seen. The right lung is clear.
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As compared to the previous radiograph, the opacity at the right lung base is unchanged in extent and severity. Presence of a minimal right pleural effusion cannot be excluded. The lung volumes remain low. Unchanged post-operative appearence at the level of the right lung apex. Unchanged size of the cardiac silhouette.
post-obstructive pneumonia from lung cancer, worsening shortness of breath.
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Portable ap chest radiograph. The ett terminates least <num> cm above the carina. The ng tube tip and sidehole are below the diaphragm. The lungs are clear and there is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
seizure and intubation. evaluation of line position.
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There is a tortuous thoracic aorta. Otherwise, the cardiomediastinal contours are within normal limits. The bilateral hila are unremarkable. The lungs are clear without focal consolidation. There is no evidence of pulmonary vascular congestion. There is no pneumothorax or pleural effusion.
<unk>f with pleuritic chest pain, evaluate for pneumonia, pneumothorax, mass.
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The tip of the endotracheal tube projects over the mid thoracic trachea. The tip of the nasogastric tube projects below the level the diaphragms but beyond the field of view of this radiograph. A left central venous catheter tip projects over the mid svc. Low bilateral lung volumes. Increasing hazy opacities throughout the right lung likely reflect a layering pleural effusion. More discrete opacities project over the right lower lung zone and may reflect atelectasis and/or pneumonia. Small left pleural effusion. No pneumothorax identified. The size and appearance of the cardiomediastinal silhouette is unchanged.
<unk> year old woman with new fever // assess interval change
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The heart size is within normal limits. The mediastinal and hilar contours appear unchanged. The previously described left pleural effusion is now markedly decreased. There is no pneumothorax. Minimal left basal atelectasis persists but is improved from before.
<unk>-year-old male with pleural effusion status post thoracentesis.
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Ap upright and lateral chest radiograph demonstrate low lung volumes with subsequent bibasilar atelectasis and crowding of the vasculature. No focal consolidation convincing for pneumonia is present. There is no large pleural effusion or pneumothorax. Cardiomediastinal and hilar contours are within normal limits. Calcifications involve the aortic arch.
history: <unk>f with s/p syncope, concern for ecg changes, head strike // ? traumatic injuries or cardiouplm abnormalities
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As compared to the previous radiograph, the nasogastric tube has now a normal course, the tip of the tube, however, is not visualized. Unchanged appearance of the lung parenchyma. Unchanged normal size of the cardiac silhouette. No evidence of complications, notably no pneumothorax.
shortness of breath, nasogastric tube placement.
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Pa and lateral views of the chest were obtained. There is focal consolidation in the medial segment of the right middle lobe compatible with pneumonia. Also noted is a left lower lobe opacity, likely also representing pneumonia. Tiny left and right pleural effusions are seen. Upper lobe lucency is compatible with known emphysema. Cardiomediastinal silhouette is stable. Bony structures are intact.
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Pa and lateral views of the chest. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal.
cough and shortness of breath.
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No significant interval change. No focal consolidation, effusion, pneumothorax, or edema. Streaky opacities in the left lower lung may reflect a small degree of atelectasis. Cardiomediastinal and hilar contours are unchanged. Heart is top-normal in size. Atherosclerotic calcifications in the aortic knob are unchanged. No acute osseous abnormality.
history: <unk>m with liver cirrhosis, confusion // eval for consolidation
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As compared to the previous image, the lung volumes have decreased. This might reflect a physiologic change or change in the ventilatory pressure. The aortic valve and the sternal fixation devices are in unchanged position. Unchanged is the position and course of the monitoring and support devices, including the hemodialysis catheter, the right chest tube, the endotracheal tube and the picc line. Considering the lower lung volumes, the severity of the pre-existing pulmonary edema is probably unchanged. The extent of the left pleural effusion, combined to subsequent left lower lung atelectasis, is constant. There currently is no visible pneumothorax.
respiratory failure, pneumothorax, evaluation.
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An endotracheal tube has been placed, which terminates approximately <num> cm above the carina. An orogastric tube courses into the stomach, its tip not visualized. Hilar fullness on each side as well as large indistinct pulmonary vessels is most suggestive of a pulmonary vascular congestion. There is no definite pleural effusion or pneumothorax.
status post endotracheal intubation.
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Frontal and lateral views of the chest were obtained. There are relatively low lung volumes. Given this, no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Surgical clips are noted in the right upper quadrant, presumably from prior cholecystectomy. There is no evidence of free air seen beneath the diaphragms. There is slight deformity at the inferior mid left clavicle which is stable since the prior study.
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Cardiac silhouette size is normal. The aorta is tortuous. Moderate size hiatal hernia is re- demonstrated. Hilar contours are unremarkable. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. No acute osseous abnormality is detected.
history: <unk>f with chest pain
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Moderate enlargement of the cardiac silhouette is again noted with a left ventricular predominance. The aorta remains tortuous. The mediastinal and hilar contours are otherwise grossly unchanged. The pulmonary vasculature is not engorged. Patchy atelectasis is noted in the lung bases. No focal consolidation, pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities demonstrated.
history: <unk>f with lethargy
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Pa and lateral views of the chest show airspace consolidation in the right lower lobe medially. There may be some milder associated streaky consolidation in the right middle lobe. These findings are new compared to prior study from <unk> and the appearance is consistent with pneumonia. The left lung is clear, and the heart and mediastinal contours and bony structures are unremarkable.
<unk>-year-old woman with fever, cough and consolidation. question pneumonia. preliminary report typed into pacs reads "right lower lung opacification concerning for pneumonia. <unk> discussed these findings with dr. <unk> at <time> p.m. on <unk>, one minute after study interpretation."
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Compared to the prior radiograph from <unk>, there has been interval improvement in bibasilar opacities with the residual low opacity of the right middle lobe which could represent atelectasis. The heart size, hilar, and mediastinal contours are normal. No pleural effusion or pneumothorax. Compression deformity in the midthoracic spine is unchanged since <unk>.
<unk> year old man with severe asthma, clinical diagnosis of pna, on abx, with a question of a nodule vs infiltrate seen on outside cxr.
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Interval improved aeration in the left retrocardiac region with residual opacities suggestive of atelectasis adjacent to a small pleural effusion. Remainder of the lungs are grossly clear. Cardiomediastinal contours are stable. Small right pleural effusion is also demonstrated.
<unk> year old woman with dlbcl now with neutropenia and intermittant fevers // status of lll
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Since the last radiograph performed earlier today, there has been interval placement of a tracheostomy tube which terminates approximately <num> cm above carina. The enteric tube and endotracheal tube have been removed. The left sided picc line is unchanged in position terminating in the distal svc. Bilateral pleural effusions appear to have improved since the prior cxr performed earlier today, but this may partially be due to patient position. There is no pneumothorax. There are no changes to the cardial mediastinal silhouette.
<unk> year old man with s/p trach placement // s/p trach
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The lung volumes are low. The mediastinal and hilar contours are unremarkable aside from similar mild unfolding of the thoracic aorta. The heart is normal in size. The lungs appear clear. There are no pleural effusions or pneumothorax. Small osteophytes are similar along the mid-to-lower thoracic spine.
chest pain.
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Ap portable upright view of the chest. There has been interval placement of a left ij central venous catheter with its tip projecting over the expected region of the mid svc. Otherwise no change.
<unk>m with central line (lij) placement
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Lung volumes are low with secondary bronchovascular markings. Left basilar opacity is similar compared to prior, potentially atelectasis although infection is not excluded. There is pulmonary vascular congestion without overt edema.
<unk>m with hypoxia // eval for chf/pneumonia/pneumothorax
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Frontal and lateral views of the chest were obtained. The right hemidiaphragm is elevated and there may be underlying pleural effusion or consolidation. No left-sided pleural effusion is seen. The cardiac silhouette is mild to moderately enlarged. Mediastinal contours are stable. Prominence and indistinctness of the hila suggests mild edema. No pneumothorax.
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Evaluation of the chest is limited due to underlying trauma board. Within this limitation, the lungs are clear without focal consolidation, pleural effusion or large pneumothorax on this supine view. The cardiomediastinal and hilar contours are within normal limits. The trachea is midline. No acute osseous abnormality is detected.
status post mvc with pain, here to evaluate for acute intrathoracic injury.
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Frontal and lateral views of the chest. There is no focal opacity, pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal. There is no free air beneath the hemidiaphragms. Irregularity on the lateral aspect of the right <num>th rib is unchanged since <unk>.
<unk>m s/p assault with right rib pain and chest wall bruising. evaluation for rib fractures.
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The lungs are clear. There is no consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified. High-density material correlates with cholelithiasis seen on prior ct scan.
<unk>f with ble edema + cough // acute process
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Appropriate placement of dobbhoff tube post-pyloric. Low lung volumes continue to be seen, and mild fluid overload has improved. Mild to moderate cardiomegaly is again seen. No consolidation or pleural effusions are seen.
<unk>-year-old male, placement of dobbhoff. patient has ng tube in place as well. evaluate placement.
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Patient is rotated to the left. The lungs are clear without focal consolidation, effusion, or pneumothorax. There is likely at least mild cardiomegaly although evaluation is limited due to patient positioning. There is no visualized pneumomediastinum. Right humeral head orthopedic hardware is identified.
<unk>m with n/v, <unk> tears, gastritis, hx pancreatitis // eval ? pneumomediastinum, free air
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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. A nasogastric tube is seen, coursing below the level of the diaphragm, although the distal aspect is not well seen.
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Frontal and lateral radiographs of the chest demonstrate mildly enlarged cardiac silhouette. The cardiomediastinal silhouette and hilar contours are normal. The lungs are clear. No pleural effusion or pneumothorax. No displaced rib fracture identified.
dizziness and syncope. evaluate for pneumonia
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Heart size is mildly enlarged, unchanged. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. Minimal atelectasis is noted in the lung bases without focal consolidation. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
history: <unk>m with dyspnea
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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> year old man with hx of crohn's disease and new fevers. r/o pna. // assess for pna
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Ap and lateral views of the chest: the lungs are clear. There is no pleural effusion, pneumothorax or focal airspace consolidation to suggest pneumonia. The heart is normal in size. The mediastinal contours are unremarkable. Degenerative changes of the acromioclavicular and glenohumeral joints are noted.
shortness of breath and altered mental status evaluate for an infiltrate.
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In comparison with study of <unk>, there is little overall change. Continued bilateral pleural effusions with compressive atelectasis at the bases, more prominent on the right. The lucency in the upper mediastinum at the thoracic inlet again is seen, most likely reflecting dilatation of the trachea. Ct would be necessary if there is concern for a post-surgical complication.
status post surgery.
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The lungs are hyperinflated but clear. Dramatic increase in lung volumes since the prior study raises the possibility of bronchospasm although no bronchial cuffing is seen. Heart size and mediastinal contours are normal. No pleural effusion or pneumothorax. Osseous structures are intact.
history: <unk>m with cough, congestion, chest pain // r/o pneumonia
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The tip of the feeding tube extends to the body of the stomach. A stent projects over the right upper quadrant. No focal consolidation, pleural effusion or pneumothorax identified. The size the cardiomediastinal silhouette is within normal limits.
<unk> year old woman with ngt placed - confirm position prior to ir advancement to njt position please
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Frontal and lateral views of the chest. The lungs are clear of consolidation or effusion. The cardiomediastinal silhouette is normal. Anterior the left <num>rd rib fracture is again seen. Focal opacity projecting over left mid lung anteriorly is compatible with radiation changes seen on prior chest ct. No acute osseous abnormalities detected.
<unk>-year-old female with immunosuppression and cough.
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No focal consolidation is seen. There is mild right base atelectasis. No pleural effusion or pneumothorax is seen. The cardiac silhouette is mildly enlarged. Mediastinal contours are unremarkable.
history: <unk>m with hypotension // eval for infection
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As compared to <unk> <time>, there is a new small right pleural effusion and right mild pulmonary interstitial edema. There is a left endobronchial blocker terminating in the left mainstem bronchus. Endotracheal tube is in appropriate position. Left jugular venous catheter ends in the mid svc. Unchanged left pulmonary edema with increasing left lower lobe atelectasis. No pneumothorax.
<unk> year old man with lll mass and s/p rigid bronchoscopy and jet ventillation // r/p ptx
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The heart appears mildly enlarged. The mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. Mild degenerative changes affect the lower thoracic spine. Thoracic spine curves mildly to the right, as before.
stroke.
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No focal consolidation is seen. Again noted are minimally increased interstitial markings which are chronic and have been seen on multiple prior studies. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Single fractured sternotomy wire is stable. Surgical clips project over the mediastinum. .
history: <unk>f with cough // cough
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Right picc line tip near cavoatrial junction. Coarsened interstitial pattern in the lower lungs is stable, consistent with pulmonary fibrosis. Tiny pleural effusions or thickening both costophrenic angles, stable. Normal heart size, pulmonary vascularity. Previously seen right mid lung opacity is less apparent. Few strands of fibrosis right upper lung laterally, similar compared with <unk>. Residual contrast throughout bowel loops in the upper abdomen. Surgical <unk> abdominal wall.
<unk>f w/ scleroderma s/p bowel perforation. had recent cxr (for picc placement) with new opacity. // interval change in opacity
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Pa and lateral chest radiographs were obtained. There is an ill-defined airspace opacity in the left upper lobe. There is no effusion or pneumothorax. Opacities over both hila have increased in size since <unk>. Moderate cardiomegaly has worsened since <unk>. The right hemidiaphragm remains asymmetrically about elevated over the left. Calcifications of the tortuous thoracic aorta are stable. Chest wall surgical clips are unchanged.
abdominal aortic stenosis cough and wheezing.
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Ap and lateral upright chest radiograph demonstrates symmetrically expanded lungs bilaterally. Re- demonstration of a granuloma at the right lung base. Bibasilar atelectatic changes noted. Prominent vascular markings may reflect mild vascular congestion. Cardiomediastinal and hilar contours appear stable in appearance. Osseous structures are without acute abnormalities.
<unk>-year-old female with altered mental status.
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Right picc line ends in the mid to lower svc. The cardiac silhouette continues to be mildly enlarged postoperatively, and no vascular congestion or pulmonary edema is seen. Median sternotomy wires are intact. Continued left lower lobe atelectasis and associated elevation of the left hemidiaphragm is seen. Mild left pleural effusion continues to be seen. No focal consolidation is seen.
<unk>-year-old woman status post mechanical aortic valve replacement. evaluation chest x-ray pre-discharge.
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Hyperinflated lungs with flattening of the diaphragms is consistent with copd. There is no focal consolidation, pleural effusion or pneumothorax. There is no vascular congestion or interstitial pulmonary edema. Stable biapical scarring. Mediastinal and hilar contours stable. Mild cardiomegaly is unchanged.
<unk> year old man with doe // please evaluate for intrathoracic process
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As compared to the previous radiograph, there is no relevant change. The pre-existing minimal right pleural effusion distributes in a slightly different manner, but is overall unchanged in extent. The right lung parenchyma appears unchanged. In the interval, the patient has been extubated, nasogastric tube has been removed and the mediastinal drains have been removed. Unchanged postoperative mild cardiomegaly.
status post cardiac surgery, evaluation for pneumothorax.
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The cardiomediastinal and hilar contours are within normal limits. Patchy opacities at the lung bases are concerning for pneumonia. There is no pneumothorax, fracture or dislocation. Surgical clips are noted in the right upper quadrant, consistent with cholecystectomy.
history: <unk>f with cough // eval for pna
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Lung volumes are low. Heart size is at least moderately enlarged. The mediastinal and hilar contours are unchanged. Crowding of the bronchovascular structures is demonstrated without overt pulmonary edema. Patchy opacities are noted in the lung bases, more focal in the left lung base likely reflecting areas of atelectasis. No large pleural effusion or pneumothorax is identified. Evidence of prior kyphoplasty is seen within the upper lumbar spine.
history: <unk>m with hypoxia
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Pa and lateral views of the chest provided. Lungs are hyperinflated and clear. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with hyponatremia, ams
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Lungs are hyperexpanded. Coarse reticular interstitial markings, predominating the bases, are consistent with fibrosis, as seen on the prior ct abdomen and pelvis of <unk>. There is increasing opacity lung base from <unk> which, in the appropriate clinical setting could represent pneumonia. No pleural effusion or pneumothorax. Mediastinal and hilar structures are unremarkable. Course of the trachea is unchanged.
recent admission for uti/cholangitis now with worsening cough. evaluate for pneumonia.
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Pa and lateral radiographs of the chest were acquired. An air-fluid level is again seen within the gastric pull-through. There is minimal bibasilar atelectasis. The lungs are otherwise clear. A small left pleural effusion may be minimally decreased in size. A small right pleural effusion is unchanged. The cardiac and mediastinal contours are normal. A left port-a-cath ends in the low svc. There is no pneumothorax. Wedging of a mid thoracic vertebral body is unchanged.
history of esophagectomy three weeks ago, now with fevers. evaluate for acute process.
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Frontal and lateral views of the chest. The lungs are clear of focal consolidation. There is no effusion or pulmonary vascular congestion. Cardiac silhouette is top-normal in size. Thoracic aorta is slightly tortuous. No acute osseous abnormality is identified. Orthopedic hardware seen in the right humeral head.
<unk>-year-old female with recent dizziness, nausea and vomiting.
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Interval placement of pigtail pleural catheter in the lower left hemithorax, but no significant reduction in size of a large partially loculated left pleural fluid collection.
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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.
frequent seizures.
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Enteric tube tip coiled in the distal stomach, tip in the proximal stomach. Endotracheal tube tip in good position. Worsened right basilar consolidation. Left infrahilar patchy opacity, stable. Suggestion of right pleural effusion, similar. Increased heart size, pulmonary vascularity, similar.
<unk> year old man with stroke // check og
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Heart size is normal but demonstrates left ventricular configuration. Aorta is mildly tortuous. There is known mild dilation of ascending aorta by report of prior chest ct of <unk>. Lungs and pleural surfaces are clear, and there are no concerning acute skeletal findings.
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In comparison with the study of <unk>, there is again substantial enlargement of the cardiac silhouette with only mild elevation of pulmonary venous pressure. This suggests cardiomyopathy or pericardial effusion. Endotracheal and nasogastric tubes remain in good position. The hemidiaphragms are more sharply seen, consistent with clearing of the previous pulmonary edema. Mild atelectatic changes may be present.
stroke with intubation.
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A nasogastric tube courses into the stomach. Its distal course lies below the inferior margin the film but it probably terminates in the stomach. Contrast is seen in each renal collecting system, without dilatation, in accordance with recent administration for ct. The lungs appear clear. There is no pleural effusion or pneumothorax. The cardiac, mediastinal and hilar contours appear within normal limits.
nasogastric tube placement.
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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. Cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is seen.
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Left-sided pacemaker device is re- demonstrated with leads terminating in the right atrium and right ventricle. Mild enlargement of the cardiac silhouette is again noted. Marked enlargement of the main pulmonary artery is similar. Lung volumes are low compared to the previous study. There is crowding of the bronchovascular structures without overt pulmonary edema. Patchy opacity within the right lung base likely reflects atelectasis. No pleural effusion or pneumothorax is present. There are mild degenerative changes noted in the thoracic spine.
history: <unk>f with cough
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<num> views were obtained of the chest. The lungs are low in volume but clear. There is no pleural effusion or pneumothorax. The heart is normal in size with normal cardiomediastinal contours. Dilated loops of small bowel are better assessed on the accompanying abdominal radiograph.
abdominal pain, assess for free intraperitoneal air.
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Tracheostomy ends <num> cm above the carina. Right lower lung consolidation/atelectasis has improved. Left lower lung focal consolation is unchanged. Pulmonary edema is mild. There is no pleural effusion or pneumothorax. Mediastinal and cardiac contours are normal. Ng tube is in unchanged position.
patient with alcoholic cirrhosis and trach mask due to various aspiration pneumonia. increase in secretion, please evaluate for pneumonia.
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Ap single view of the chest has been obtained with patient in upright position. Comparison is made with the next preceding similar study obtained eight hours earlier during the same day. Permanent pacemaker with icd device, cardiac enlargement and pulmonary congestion as before. During the interval, the left-sided chest tube has been removed. No pneumothorax is seen in the apical area of the left hemithorax. No new parenchymal densities can be identified. The markedly congested pulmonary vascular pattern persists and may have increased slightly.
<unk>-year-old female patient with pericardial window placed yesterday. chest tube pulled today, evaluate for possible pneumothorax.
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The cardiomediastinal and hilar contours are normal. Small bilateral pleural effusions are apparent on the lateral view. There is no pneumothorax. The lungs are well-expanded. There is a new partly ill-defined density in the right upper lobe, concerning for pneumonia. This area appears confluent with the previously noted right upper lobe partly solid lesion, best assessed on the prior chest ct. A more subtle opacity along the right upper mediastinum is again noted, consistent with the patient's known malignancy. The upper abdomen is unremarkable.
history: <unk>f with fever cough // r/o pna
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Frontal and lateral radiographs of the chest demonstrate hyperexpanded, clear lungs. The cardiomediastinal and hilar contours are unchanged. There is no pneumothorax, pleural effusion, or consolidation. No acute displaced rib fracture identified. Deformities of the lateral right ribs appear chronic and unchanged from prior
<unk>f with left shoulder and left rib pain s/p fall on treadmill // r/o fracture
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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 fall, left anterior rib pain
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Pa and lateral views were provided of the chest. Left chest wall pacer device is again seen with leads extending to the region of the right atrium and right ventricle. Lungs are clear and hyperinflated. No focal consolidation, effusion, or pneumothorax is seen. The heart is mildly enlarged. Mediastinal contour is normal. Bony structures appear intact.
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Dobbhoff tube has been repositioned or replaced, and is now coiled within the body of the stomach with distal tip in the fundus directed towards the ge junction. Right subclavian vascular catheter has been removed, with no visible pneumothorax. Otherwise, no relevant change since the recent study of earlier the same date.
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Ap upright and lateral views of the chest provided.midline sternotomy wires and prosthetic cardiac valve again noted. The heart is moderately enlarged. The aorta appears calcified. No focal consolidation, large effusion or pneumothorax is seen. The imaged bony structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with doe // r/o acute process
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The lungs are hyperinflated but clear. Heart size and mediastinal contours are normal. There is no pleural effusion or pneumothorax. Osseous structures are intact.
history: <unk>m with cough, sob // evaluate for acute process
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The lungs are hypoinflated. No focal consolidation, edema, effusion, or pneumothorax. Cardiomediastinal silhouette wet is overall unchanged. No subdiaphragmatic free air. Moderate dextroconvex scoliosis of the thoracic spine is also unchanged. There appears to be a stent that projects over the apex of the right lung, unchanged.
history: <unk>m with lactate <num>, significant abdominal pain // eval for free air
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The lungs are normally expanded and clear. The heart is not enlarged. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax.
history: <unk>m with chest pain // eval for cardiopulmonary process
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Pa and lateral chest radiographs demonstrate tortuous aorta and large hiatal hernia. However, the lungs are clear. There is no pleural effusion or pneumothorax. Degenerative changes of the humeral joints thoracic spine noted. This includes age-interminate compression deformities of the thoracolumbar spine.
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Single portable view of the chest is compared to previous exam from <unk>. Right chest wall pacing device is seen with leads in unchanged position. Lower lung volumes are seen on the current exam. Hazy right basilar opacity may be due to atelectasis given the lower lung volumes. There is no definite large consolidation, large effusion, or congestion. Cardiac silhouette is enlarged but stable in configuration. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with gi bleed.
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No focal consolidation, edema, effusion, or pneumothorax. The heart is normal in size. The mediastinum is not widened. No acute osseous abnormality.
history: <unk>m with fever // eval for pneumonia
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In comparison with the study of <unk>, there again are low lung volumes which accentuate the transverse diameter of the heart. No evidence of pneumonia, vascular congestion, or pleural effusion. No pneumomediastinum or pneumothorax.
chest pain.
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The lungs are clear. There is no consolidation, effusion, or edema. Mild cardiac enlargement is again noted. No acute osseous abnormalities. Surgical clips in the right upper quadrant suggest prior cholecystectomy.
<unk>f with seizures, cough // please evaluate for acute process
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As compared to the previous radiograph, the clips at the right lung apex and the combined mediastinal parenchymal opacities are unchanged. These are likely results of prior surgery. The remaining right lung and the entire left lung are otherwise unchanged. There is no evidence of pulmonary edema or pneumonia. The heart continues to be moderately enlarged. Larger pleural effusions are not seen.
concern for aspiration, evaluation for new opacities.
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Since the prior radiograph performed earlier this morning, there has been interval placement of a left-sided ij catheter which terminates in the distal svc. Et tube is <num> cm above the carina. Enteric tube extends to the stomach. Right picc line is unchanged in position, with the tip located in the distal svc. Lung volumes are persistently low. There are diffuse parenchymal opacities, more prominent in the bilateral perihilar regions, which suggests pulmonary edema. Bibasilar atelectasis is again noted. There are small bilateral pleural effusions. No pneumothorax. Stable moderate cardiomegaly.
<unk> year old man with new central line // central line on left side in correct position
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No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with productive cough and sputum // eval pna
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In comparison with study of <unk>, the patient has taken a much better inspiration. No pneumonia, vascular congestion, or pleural effusion.
aids with cough, but no fever.
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Supine ap portable view of the chest provided. The lungs are clear and well expanded. The cardiomediastinal silhouette is normal. No supine evidence for effusion or pneumothorax. The imaged bony structures are intact.
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The heart is at the upper limits of normal size. The aorta is moderately tortuous and partly calcified, particularly along the arch. The cardiac, mediastinal and hilar contours appear unchanged. Blunting along the left costophrenic sulcus, probably due to scarring, appears unchanged. It is accordingly difficult to exclude a small pleural effusion but pleural effusions are doubted. The lungs appear hyperinflated. Patchy subpleural opacification at each lung apex, more extensive on the right than left, appears stable and suggests minor scarring. Streaky linear opacities in the right lung are probably due to atelectasis or scarring. There is no evidence for focal consolidation.
cough and hypotension.
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The cardiac, mediastinal and hilar contours appear stable. The right hemidiaphragm is mild to moderately elevated, probably with a small subpulmonic effusion but likely decreased substantially. There is persistent patchy right posterior basilar opacity overlying the diaphragm although atelectasis may be suspected in the early post-operative course as the likely cause.
fever, chills, abdominal pain, shortness of breath and chest pain. recent resection of left hepatic hemangioma.
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Ap and lateral chest radiographs again demonstrate a persistent opacity in the right posterior segment. Opacification is unchanged from prior ct. There is no new focal consolidation. The heart size is top normal. Hyperexpansion consistent with emphysema is unchanged. The cardiomediastinal silhouette is normal. Atherosclerotic calcifications of the aortic arch are noted.
history of recent embolic cva, presenting with sudden visual loss. evaluation for acute process.
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There is a new dense right lower lobe infiltrate. And a more hazy left lower lobe infiltrate. There is pulmonary vascular redistribution. There small bilateral effusions. The heart size is moderately enlarged. Again seen are multiple calcified lymph nodes in the mediastinum and supraclavicular region on the left
<unk> year old man with ild and increased sputum production // r/o pna
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As compared to the previous radiograph, there is unchanged appearance of a <num>-<num> cm rounded opacity in the peripheral aspect of the middle left lung. The left lung volumes remain low. Overall, also after review of the chest ct images from the torso examination performed on <unk>, the known left lung nodule cannot explain for this change. Given the history of hemoptysis in this patient, a repeat ct should be performed to clarify the morphological situation. Known right basal lung scars that are partly calcified. Unchanged normal-appearing right lung.
no specified indication.
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The lungs are mildly hyperinflated, with biapical hyperlucency, increase in anteroposterior diameter, and widening of the retrosternal clear space. Cardiomediastinal and hilar contours are normal. No focal consolidation is present. There are no pleural effusions, pneumothorax, or pneumomediastinum.
<unk>-year-old female with syncope and cough.
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The inspiratory lung volumes are decreased with resultant bronchovascular crowding. No sizable pleural effusion or pneumothorax is seen on this single ap view. There is no focal consolidation concerning for pneumonia. Streaky opacities in the bilateral lung bases likely represent atelectasis in the setting of low lung volumes. There is no overt pulmonary edema. The cardiac silhouette is top normal in size. The mediastinal and hilar contours are within normal limits. No acute osseous abnormality is detected.
altered mental status, here to evaluate for pneumonia.
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Heart size is mildly enlarged with a left ventricular predominance. The aorta is diffusely calcified and tortuous. Mediastinal contours otherwise are unremarkable. There is mild perihilar haziness with pulmonary vascular indistinctness compatible with mild pulmonary vascular congestion. No focal consolidation, pleural effusion or pneumothorax is identified. No acute osseous abnormalities detected.
sepsis.
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Since prior, there has been interval removal of right-sided pleural catheter. There has been re-accumulation of the pleural fluid on the right tracking within the fissures. Underlying atelectasis is likley with superimposed consolidation also possible. Multifocal regions of consolidation again noted in the the left lung with partial clearing superiorly but again worrisome for persistent infection. Cannot assess cardiac silhouette due to silhouetting on the right. Surgical clips seen in the left upper quadrant. No acute osseous abnormality is detected.
<unk>-year-old male with dyspnea.
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In comparison with the study of <unk>, there is little overall change in the bilateral areas of opacification with continued enlargement of the cardiac silhouette. The appearance most likely is consistent with a combination of multifocal pneumonia and pulmonary vascular congestion.
pneumonia.
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Lung volumes are increased with hyperlucency of upper lobes in keeping with emphysema. Bilateral lower lobe heterogeneous opacities affecting the left lung to a greater degree than the right show interval improvement, particularly at the left lung base. An apparent subpulmonic left pleural effusion may be slightly smaller compared to the prior study. No new areas of lung consolidation are evident in the remainder of the lungs.