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The patient is status post median sternotomy and cabg with several stents noted. Cardiac silhouette size is mildly enlarged. The mediastinal and hilar contours are unchanged. Pulmonary vasculature is normal without evidence of edema. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
cough, fever, lower extremity edema.
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Single portable view of the chest. New right ij line is seen with catheter tip over the mid svc. There is no pneumothorax. The lungs remain clear and the cardiomediastinal silhouette is unchanged. Prior right clavicular fracture is again seen. Deformity of the right humeral head is partially visualized and also appears chronic. Old healed right lateral rib fractures are noted.
<unk>-year-old female with sepsis and right ij central venous line placement.
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Low lung volumes are present. This accentuates the size of the cardiac silhouette which is top normal. The mediastinal contours are unremarkable. There is crowding of the bronchovascular structures. Patchy bibasilar airspace opacities could reflect atelectasis though infection is not excluded. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
shortness of breath.
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The tip of a right picc line again projects over the mid right subclavian vein. The enteric tube has been removed. The tip of a newly placed right ij central venous line projects over the low svc. There is no pneumothorax. Lung volumes are low. There is a stable moderate layering right pleural effusion, and a stable small left pleural effusion. The left lung is clear. There is stable cardiomegaly despite the projection. The mediastinal contours are stable. Aortic arch calcifications are incidentally noted.
<unk> year old man with cryptogenesis cirrhosis and secondary peritonitis. please evaluate picc position
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with cough and dyspnea // please eval for pna
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with cough and ili concern for pna or consolidation // r/o consolidation or pna
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Right-sided port-a-cath with the tip in the mid svc. There are low lung volumes. Minimal subsegmental atelectasis in the lung bases bilaterally. No focal consolidation. No interstitial pulmonary edema. The cardiac silhouette is compared.
<unk> year old woman with endometrial cancer, new fever after starting chemotherapy yesterday // eval for infiltrates
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Lung volumes are low. The heart size is moderately enlarged. Mediastinal and hilar contours are unremarkable. The pulmonary vasculature is not engorged. Minimal patchy opacities in the lung bases likely reflect atelectasis. No pleural effusion or pneumothorax is seen. No acute osseous abnormality is detected. Degenerative changes are noted involving both acromioclavicular joints.
right elbow fracture, preoperative assessment.
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A dual-lead, right-sided pacemaker is noted, unchanged in position as compared to the prior examination. There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.
history: <unk>m with chest tightness // chest tightness
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Interval repositioning of endotracheal tube terminating <num> cm above the carina. Marked interval improvement in previously present widespread edema with mild residual perihilar edema remaining. Bilateral pleural effusions have also decreased in size with residual small-to-moderate pleural effusions remaining, right greater than left. No visible pneumothorax.
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A portable frontal chest radiograph demonstrates a dual lead pacemaker with the leads overlying the right atrium and ventricle. Prominence of the cardiomediastinal silhouette may be due to magnification related to the patient's body habitus. Surgical material along the mediastinum is unchanged. Opacity along the right hemidiaphragm may be a combination of atelectasis and post-biopsy bleeding. There is no pneumothorax or large pleural effusion.
status post biopsy. evaluate for pneumothorax.
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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. A normal splenic shadow is absent within the left upper quadrant, compatible with auto splenectomy as seen on the previous ct.
history: <unk> with sickle cell, chest pain
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The lungs are well-expanded and clear. There is no pleural effusion, pulmonary edema, pneumothorax, or focal consolidation. The cardiomediastinal silhouette is unremarkable.
<unk>m with cp // r/o cardiopulm abnorma
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are hyperinflated but clear. Previously identified pulmonary nodules on ct are not clearly visualized on the current exam. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>m with abdominal pain // evaluate for free air, pneumonia
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Compared with prior radiographs on <unk>, and there is no significant change.the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. The right central venous access line is stable in position, terminating in the low svc.
<unk> year old woman with fever/neutropenia. s/p cord blood transplant now with relapse disease. // fever/neutropenia. mds <unk>/p cord blood transplant with relapse disease/
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Right-sided port-a-cath tip terminates in the svc. The cardiac, mediastinal and hilar contours are unchanged, with the heart size within normal limits. Streaky opacities within the lung bases bilaterally likely reflect atelectasis. Previously noted right apical nodular opacity is no longer visualized, though this area on prior ct was noted to have emphysematous changes. No focal consolidation, pleural effusion or pneumothorax is detected. No acute osseous abnormalities are seen.
shortness of breath.
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The lungs are hyperinflated but clear without consolidation, effusion, or edema. Calcified granuloma identified at the left lung base. Cardiac silhouette is enlarged but not significantly changed given differences in technique. No acute osseous abnormalities, pectus deformity again noted.
<unk>f with weakness // pna?
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with copd exac // eval for bronchitis/pna
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Ap upright and lateral views of the chest provided.e concerning for pneumonia with adjacent small left pleural effusion. The right lung appears clear. Heart size appears grossly unchanged. Mediastinal contour stable. Bony structures are intact.
<unk>f with confusion, recent tavr // eval for infiltrate
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Ap and lateral views of the chest. Lower lung volumes seen on the current exam. The lungs are clear without consolidation or effusion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities detected.
<unk>-year-old male with diabetes and chest pain.
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The cardiac, mediastinal, and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. A known nodule, which has been stable, projects over the right upper lobe and course of the right second rib, not significantly changed. Otherwise, the lungs appear clear.
obesity and asthma exacerbation.
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The lungs are hyperexpanded. In the right mid lung, there is a <num> x <num> cm cavitary lesion with thick irregular margins. Surrounding this, there is additional irregular opacity with similar appearance at the left base. The heart is not enlarged. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax.
syncope with recent treatment for pneumonia with levaquin. evaluate for pneumonia.
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As compared to the previous radiograph, there is no relevant change. Extensive bilateral parenchymal opacities are constant in extent and severity. Moderate cardiomegaly without evidence of pulmonary edema. The lateral radiograph confirms the presence of minimal pleural effusions. No other relevant changes. A previously placed drain projecting over the right upper quadrant is no longer visible.
fever, cough, evaluation for pneumonia.
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Compare to prior, there has been interval advancement of the enteric tube with its tip terminating in the upper stomach. There is no significant interval change. Lateral aspect of the left lower hemi thorax is excluded from the examination but the other pleural surfaces are normal. Lungs are clear. Borderline cardiomegaly unchanged. Incidental note is made of large lymph node calcifications in the mediastinum and right hilus.
<unk> year old man with s/p exp. lap, <unk>'s, dobhoff in esophagus, tube advanced <num> cm // check placement of dobhoff tube, low cxr
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Portable upright chest were obtained. The lungs appear clear without focal consolidation, effusion or radiopaque foreign body. Cardiomediastinal silhouette is normal. Bony structures are intact.
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Heart size is normal. Cardiomediastinal silhouette and hilar contours are unremarkable. Multiple scattered calcified pleural plaques are suggestive of prior asbestos exposure. Lungs are otherwise clear. There is no pleural effusion or pneumothorax. The bony structures are grossly unremarkable with fracture.
anterior fifth rib fracture on physical exam after a fall.
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Pa and lateral views of the chest are reviewed and compared to the prior study. Bilateral nipple rings are again noted. The lungs are clear without focal consolidation, pulmonary edema, pleural effusion or pneumothorax. The cardiac, hilar and mediastinal silhouettes are normal.
evaluation for pulmonary signs of tb in man with hiv.
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Patchy right upper lobe opacity could be chronic or due to infection. No priors available for comparison. There is subtle patchy opacity left upper lung, to a lesser extent. Streaky left base opacity is seen. No pleural effusion or pneumothorax. The cardiac silhouette is not enlarged. There is subtle right paratracheal opacity which could be due to fat although lymphadenopathy is not excluded.
history: <unk>m with hiv infxn, recent pna, unknown cd<num>, low grade fever today // please evaluate for acute infectious process
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Ap view of the chest provided. A right picc line extends to at least the cavoatrial junction and possibly the right atrium. Prominent pulmonary vascular markings are new. No pneumothorax. A moderate left pleural effusion is new. Cardiomediastinal contours are normal.
<unk> year old man with mds, pancytopenia, on dacogen, new onset narrow complex tachycardia, hypotension, hypoxia. // infiltrate or evidence of volume overload?
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There is unchanged evidence of mild overinflation. No pneumonia, no pulmonary edema, no pleural effusions. Normal size of the cardiac silhouette. Mild elongation of the descending aorta. Skin fold over the right lower hemi thorax is not a pneumothorax.
<unk> year old woman with myeloma, new tachycardia eval for pneumonia // eval for infiltrates
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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>m with sore throat, fever, n/v, intermittent cough, likely strep // ?cpd
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There is an opacity at the level of the right costophrenic angle, which may represent atelectasis or infection in the appropriate clinical setting. There is background interstitial pulmonary edema. Blunting of the left costophrenic angle suggests a small pleural effusion. No pneumothorax. Mild cardiomegaly. Multiple old left-sided rib fractures are known.
history: <unk>f with chest pain and shortness of breath // eval for pneumonia, chf, pneumothorax
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There is no focal consolidation, pleural effusion or pneumothorax. Heart size is mildly enlarged. No acute osseous abnormalities identified.
<unk>f s/p mvc with headache, n/v, neck pain, and chest wall pain
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A frontal upright view of the chest was obtained portably. Bilateral pleural effusions are moderate on the right and small on the left. The right pleural effusion and adjacent atelectasis are unchanged, while the left pleural effusion has improved with improved aeration of the left lung. The upper lung zones are clear. The cardiac and mediastinal silhouettes are stable. No pneumothorax.
presumed pneumonia. evaluate for interval change.
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As compared to the previous radiograph, no relevant change is seen. No evidence for aspiration. Low lung volumes. Moderate cardiomegaly, gastric overinflation are constant.
hypoxia, atelectasis, questionable aspiration.
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Ap upright and lateral views of the chest provided. There is new consolidation in the left mid to upper lung which is concerning for pneumonia. Coarsened markings in the lower lungs may reflect sequelae of chronic aspiration. Right upper lobe appears partially collapsed. Cardiomediastinal silhouette is unchanged.
<unk>m with c/o cough and recent pna // ? pna
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Frontal and lateral views of the chest demonstrate low lung volumes, which accentuate bronchovascular markings. There is no pleural effusion. No pneumothorax is seen. Hilar and mediastinal silhouettes are unchanged. Aortic arch calcifications are noted. Heart is mildly enlarged. Left lung base opacities are new since prior.
epigastric and right chest pain.
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The lungs are grossly clear besides minimal streaky left basilar opacity which is likely atelectasis. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with asthma presents with hacking cough // pna
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Heart size is normal. Multiple clips are demonstrated within the right superior mediastinal region compatible with prior esophagectomy with gastric pull-through. The hilar contours are normal. Moderate left and small right pleural effusions appear relatively unchanged compared to the prior ct from <unk>. There is adjacent atelectasis in the left lung base. No other areas of focal consolidation are seen. There is no pneumothorax. Old right-sided rib fracture is again noted.
shortness of breath.
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Bilateral, left worse than right lower lobe opacities with blurring of the diaphragm silhouettes could be a combination of edema and/or infection/aspiration. Prominence of the interstitium may correspond to a component of chronic interstitial changes noted on the prior head ct as well as edema and/or infection. The heart remains enlarged. The descending thoracic aorta is slightly tortuous. No evidence of a pneumothorax. The thoracic spine is severely curved to the right, likely reflecting a degree is scoliosis and positional changes. This results in slight distortion of the chest cage and altered appearance of the changes in the hemithorax. No large pleural effusion but there may be a small left pleural effusion. Degenerative changes in both glenohumeral joints as well as the left acromioclavicular joint are severe.
<unk>-year-old woman presenting with lower extremity swelling and chest pain. evaluate for pulmonary edema.
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Pa and lateral views of the chest were reviewed and compared to the prior studies. Normal heart, lungs, pleural and mediastinal surfaces.
cough in an immunocompromised patient with history of cll.
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There is a right central venous catheter terminating in the upper right atrium. There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is normal. There is no osseous abnormality.
<unk>-year-old woman with new fever and leukemia, question infiltrate.
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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 are appear clear.
dyspnea on exertion.
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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.
<unk> year old woman with cough and fever. // pneumonia
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The cardiac, mediastinal and hilar contours are normal. The pulmonary vascularity is normal. Lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormality is seen.
lightheadedness, syncope.
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Status post left upper lobe wedge resection. A moderate-sized left apical pneumothorax remains and is now accompanied by an air-fluid level consistent with a hydropneumothorax. Left basilar atelectasis appears increased since the prior exam while minimal right base atelectasis is similar to prior. Small dependent left and possible small right effusions.
<unk>-year-old man status post vats of the left upper lobe for squamous cell carcinoma.
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Two frontal images of the chest demonstrate slight interval improvement in the right basilar pneumothorax since previous imaging. The rest of the chest radiograph is essentially unchanged from prior imaging. The right basilar opacity is unchanged. The left-sided pleural effusion has not changed since prior imaging. There is no right-sided pleural effusion. Mild cardiomegaly is stable. Again seen is the svc stent, femoral central line with tip in the right atrium, and pigtail catheter at the right lung base.
<unk>-year-old female with right pleural effusion and pneumothorax, requiring assessment for interval change in the pneumothorax.
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There is a moderate cardiomegaly and a large hiatal hernia. The lungs are clear. No pleural effusion or consolidation. Mildly tortuous descending thoracic aorta is noted. Heavily calcified aortic arch seen. Osseous structures are demineralized.
<unk> year old woman with chest pain// eval for acute pathology
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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 fatigue, cough // eval for pneumonia
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Allowing for differences in technique and projection, there has not been a relevant short interval change in the appearance of the chest since the recent study of one day earlier.
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Portable ap upright chest radiograph was provided. Lung volumes are low. The heart remains moderately enlarged. There is retrocardiac opacity, likely atelectasis. Small right pleural effusion is likely present. There is no overt edema. No pneumothorax. Bony structures intact.
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Frontal and lateral chest right radiographs demonstrate a normal cardiomediastinal silhouette. The lungs are well aerated and clear, with no focal consolidation or pulmonary edema. There is a small right pleural effusion. There is no pleural effusion on the left, and no pneumothorax.
status post tracheobronchoplasty. evaluate for interval change.
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As compared to the previous radiograph, there is no relevant change. Status post sternotomy. Mediastinal clips. Borderline size of the cardiac silhouette without overt pulmonary edema. Mild atelectasis at the left lung bases. No pleural effusions. No parenchymal opacity suggesting pneumonia.
myasthenia, shortness of breath, evaluation for pneumonia.
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The lungs are clear with no evidence of consolidation, effusion, or pneumothorax. There is mild cardiomegaly. No focal consolidation, effusion, or pneumothorax is noted. Leftward convexity of the mid thoracic spine is noted and may be positional. No acute fractures are identified.
evaluation of patient with abdominal pain.
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The lungs are hyperinflated. Left lower lobe atelectasis is noted. There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits. There are calcifications within the aortic arch. There is a displaced fracture through the midportion of the first right rib.
history: <unk>f with preop for probable percutaneous biliary stent // preop
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The lungs are symmetrically well expanded with no focal consolidation, concerning for pneumonia, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits. No acute osseous abnormality is detected.
cough and sore throat, here to evaluate for pneumonia.
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Lung volumes are low. Heart size is accentuated as result of low lung volumes appearing borderline enlarged. The mediastinal and hilar contours are grossly unremarkable. Crowding of bronchovascular structures is present with possible mild pulmonary vascular congestion, but no overt pulmonary edema. Streaky opacities in the lung bases likely reflect areas of atelectasis. No pleural effusion, focal consolidation or pneumothorax is identified. No acute osseous abnormalities detected.
history: <unk>m with altered mental status
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The lungs are hyperinflated and demonstrate mild interstitial changes raises which raises concern for emphysema. No focal opacity, pulmonary edema, pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal. There is no free air beneath the hemidiaphragms.
history: <unk>m with severe n/v/d, ttp with guarding in ruq and b/l lq pls eval for appy and cholecys and panc // history: <unk>m with severe n/v/d, ttp with guarding in ruq and b/l lq pls eval for appy and cholecys and panc
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Portable ap chest radiograph. Median sternotomy wires are intact and mediastinal clips are again noted. There is are bibasilar interstitial opacities, moreso on the right. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is stable.
chest pain.
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The lungs are well-expanded and clear. No focal consolidation, edema, effusion, or pneumothorax. The heart is normal in size. The mediastinum is not widened. No acute osseous abnormality. The stomach is moderately distended.
<unk>-year-old man with chest pain. evaluate for pneumonia.
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Indwelling support and monitoring devices are in standard position. Lung volumes are low, accentuating the cardiac silhouette and bronchovascular structures. Even accounting for this factor, there is apparent pulmonary vascular congestion and interstitial edema, a persistent finding from the prior study. Worsening bibasilar opacities are present and may reflect a combination of atelectasis and pleural effusion, but underlying infection is also possible in the appropriate clinical setting.
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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 sob, pls eval for pna vs ptx
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There is a left sided pacemaker, with lead tips over right atrium and right ventricle. The cardiomediastinal silhouette is enlarged, but unchanged. There is probable background copd. There is a small to moderate right effusion with underlying collapse and/or consolidation and minimal atelectasis at the left base. The hila are both prominent, which may reflect pulmonary hypertension, but probably unchanged. There is probable mild vascular plethora, though the appearance is likely accentuated by underpenetration. .
history: <unk>m with hx of cad, sss, s/p fall // ?intra cranial bleed ? left hip pain
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Cardiac silhouette size remains moderately enlarged. The mediastinal and hilar contours are within normal limits. Pulmonary vasculature is not engorged. Patchy opacities within the lung bases likely reflect areas of atelectasis. Blunting of the right costophrenic angle likely reflects chronic pleural thickening, as seen previously. No focal consolidation or pneumothorax is identified. No acute osseous abnormality is detected.
history: <unk>m with dyspnea // evaluate for pleural effusoin
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The cardiomediastinal and hilar contours are not significantly changed and are within normal limits. Again seen is a large right pleural effusion, not significantly changed in size from the prior study. There is adjacent atelectasis at the right base. New, subtle retrocardiac opacity is likely representative of atelectasis. There is no evidence of pneumothorax.
<unk> year old man with dyspnea, known pleural effusion // worsening effusion, ?pna
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Since a recent radiograph, a right internal jugular catheter is been removed. A very small right apical pneumothorax is present and is decreased in size compared to <unk> at <time>. Stable cardiomegaly. Bibasilar atelectasis has worsened in the interval and is accompanied by a new small bilateral pleural effusions. .
<unk> year old man with mvr and pericardial patch // interval change
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There is an aortic core valve and a cardiac pacer. Moderate cardiomegaly is unchanged. Diffuse interstitial abnormality is unchanged since <unk>. There is no focal consolidation, pulmonary vascular engorgement, pleural effusion or pneumothorax.
<unk> year old man with sudden onset sob in setting of drinking cranberry juice. evaluate for pulmonary edema, pneumonia and aspiration.
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Pa and lateral views of the chest provided. Overlying ekg leads somewhat limit the evaluation. Allowing for this, lungs are clear without 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 chest tightness x<num> days // eval for cp
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The cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
chest pain.
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Ap upright and lateral views of the chest provided. Port-a-cath resides over the right chest wall with catheter tip extending to the region of the svc. The lungs are clear without focal consolidation, large effusion or pneumothorax. The cardiomediastinal silhouette is stable. No bony abnormalities. No free air below the right hemidiaphragm.
<unk>f with dyspnea, fatigue, on chemo for lymphoma // rule out pna, other acute process
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Lung volumes are low, which leads to bronchovascular crowding. There are hazy bibasilar opacities, more pronounced on the lateral view, concerning for aspiration or pneumonia. The cardiomediastinal silhouette is unchanged. There is no pleural effusion or pneumothorax.
<unk>-year-old man with cough/wheezing. evaluate for pneumonia
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Pa and lateral views of the chest. The lungs are clear. There is no pneumothorax or pleural effusion. The cardiac, mediastinal and hilar contours are normal.
<unk>-year-old woman with chest pain, right-sided weakness and tingling, question of infection.
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Right subclavian central venous catheter, bilateral chest tubes, and metallic fragments are unchanged in position. The known left pneumothorax has increased. There is worsening predominantly left lower lobe atelectasis with leftward deviation of the cardiomediastinal structures. The tiny right apical pneumothorax is stable. The right lung is clear.
<unk> year old man with bilateral chest tubes to water seal // ?ptx
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Pa and lateral radiographs of the chest demonstrate clear lungs and normal hilar and cardiomediastinal contours. There is no pneumothorax or pleural effusion. The pulmonary vascularity is normal.
right-sided pleuritic chest pain.
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Compared to the study from the prior day, the endotracheal tube has been removed. The picc line tip projects over the spine but this is felt to be rotational, as the tip was previously seen to be at the cavoatrial junction. There is volume loss at the left base that has increased slightly. There is increased alveolar infiltrate in both lower lungs. It is unclear if some of this is due to volume loss, aspiration or infectious infiltrate. More patchy areas of alveolar infiltrate throughout the lungs are again visualized. Old rib fractures on the right are again seen.
bronchial stent placement.
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New left-sided pacemaker has leads in the right atrium and ventricle. There is no pneumothorax or pleural effusion. The lungs are clear. The aorta is tortuous and moderate cardiomegaly is unchanged. Hiatal hernia measures <num> cm.
patient with new dual-chamber pacemaker, evaluate lead position.
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Frontal and lateral views of the chest. The heart size and cardiomediastinal contours are normal, allowing for patient rotation. The lungs are clear without focal consolidation, pleural effusion, or pneumothorax. Old right sided rib fractures are noted.
status post fall <num> days prior with unsteady gait.
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Frontal chest radiograph demonstrates an aortic endograft and a right apical chest tube. No apical pneumothorax is seen on either side. The right basilar pneumothorax is improved compared to the day prior. A tiny right pleural effusion is the same to slightly increased compared to prior radiograph. There is a small left pleural effusion and atelectasis. The cardiomediastinal silhouette is within normal limits.
right chest tube and small pneumothorax. evaluate for interval change.
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Focal consolidation in the left lower lung. The lungs are otherwise clear. No pleural effusion, pulmonary edema, or pneumothorax. Normal cardiomediastinal silhouette, hila, and pleura. No acute osseous abnormality.
<unk>-year-old man with a history of asthma and pneumonia, presenting with<num> days of productive cough and sweats, found on exam to have basilar rhonchi. evaluate for pneumonia.
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The lungs are well inflated and without evidence for lobar consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. The cardiomediastinal silhouette is unchanged in appearance.
history: <unk>m with syncope // r/o infectious process
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Lungs are well expanded. There are new patchy opacities in the right mid lung, right lower lung, and the left lower lung. Cardiomediastinum and hilar contours unremarkable. There is no pleural effusion or pneumothorax. Tracheostomy tube in place.
<unk>-year-old male with tracheostomy with increased shortness of breath.
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The cardiac, mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. The lungs appear clear. Nodules mentioned in the prior ct report are not discernable on radiographs. Streaky left basilar opacity suggests minimal atelectasis.
syncope and cough.
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Ap single view of the chest has been obtained with patient in sitting semi-upright position. Comparison is made with the next preceding similar study of <unk>. Comparison of the two examinations with less than <num> hours interval demonstrate that the dobbhoff line has been advanced by a few centimeters. The tip of the line is now well away from the site of the hiatus and the position now in the fundus of the stomach. Chest findings are unaltered, indicating status post sternotomy, aortic and mitral valve replacement with prostheses, significant cardiac enlargement and moderate degree of chronic pulmonary congestive pattern. No new pulmonary parenchymal infiltrates are identified.
<unk>-year-old female patient with new feeding tube, check position.
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As compared to the previous radiograph, the patient has received a new left subclavian line. The course of the line is unremarkable, the tip of the line projects over the inflow tract of the right atrium. No evidence of complications, notably no pneumothorax. Otherwise, the radiograph is unchanged.
new left subclavian line. evaluation.
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The lung volumes are normal. Mild tortuosity of the thoracic aorta. Normal appearance of the hilar and mediastinal structures. Normal appearance of the lung parenchyma. Unremarkable shape and size of the cardiac silhouette. No acute or chronic lung disease. No pleural effusions.
chest pain and cough, evaluation for acute process.
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Lungs: the lungs are hyper inflated. A <num> cm nodular density is seen adjacent to the left heart border. There may been scarring in this region in the past but this represents a significant change. Chest ct recommended for further evaluation. Pleura: no pleural effusion is seen. Heart: the heart is not enlarged. Mediastinum and hila: there is no mediastinal mass. Osseous structures: the osseous structures are normal for age. Other findings: none
history: <unk>m with chest heaviness // r/o pneumonia
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No focal consolidation is seen. There is slight blunting of the left costophrenic angle on the frontal view, not well substantiated on the lateral view, may be due to pleural thickening or a very trace pleural effusion. There is no pneumothorax. The aorta is calcified. The cardiac silhouette is not enlarged. Degenerative changes are seen along the spine.
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Portable ap chest radiograph demonstrates low lung volumes with increased right pleural effusion with scars at the level of the lower right hilus previously identified. The left lung appears clear, although there is increased left-sided pleural effusion with associated atelectasis. Secondary to overlying densities, it is difficult to appreciate exact placement of tracheal cannula. There is no pneumothorax. There has been interval removal of right central line.
<unk>-year-old male status post right cannula placement.
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Ap upright and lateral views of the chest provided. There is nodular opacity in the region of the right middle lobe which is new from prior exam and could represent infectious process or possibly aspiration. No effusion or pneumothorax. The heart and mediastinal contours are stable with borderline cardiomegaly. Bony structures are intact.
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Patient is rotated. Despite consideration of patient positioning, there is a new abnormal configuration to the mediastinum and right hilum. Given rapidity of development, diagnostic consideration if given to pulmonary parenchymal collapse or possibly mediastinal hematoma. Minimal right lower lung opacification is not significantly changed compared to <unk> and may represent chronic change. No pleural effusion or pneumothorax is evident. No displaced rib fractures identified.
delirium with dementia and rising white blood cell count. please assess for cardiopulmonary process.
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Ap upright and lateral views of the chest provided. Right chest wall port-a-cath is seen with catheter tip in the mid svc. There are multiple bilateral pulmonary nodules compatible with known metastatic disease. Bilateral pleural effusions are present. Lower lobe consolidation, right greater than left is concerning for atelectasis and/or pneumonia. No pneumothorax. Cardiomediastinal silhouette is stable. Bony structures are intact.
<unk>f with colon cancer, mets, here w/ sob // pna? pleural effusions?
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There is interval placement of an ng tube that is coiled in the stomach. Right chest tube and et tube are unchanged in position. Interstitial changes which are due to pre-existing interstitial lung disease, now appear slightly less prominent; the decreased prominence is likely due to decreased vascular congestion. No definite pleural effusion is seen. Moderate cardiomegaly is seen.
<unk> year old woman with ild s/p vats, intubated, now with og tube // determine position of og tube determine position of og tube
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In comparison with the study of <unk>, there is no evidence of acute cardiopulmonary disease or pneumothorax. Right upper zone is difficult to evaluate due to overlying material.
hypoglycemia and hypoxia.
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Lung is well inflated and clear. There are no consolidations or pulmonary nodules. Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There are no signs of clavicle or rib fractures.
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Single frontal ap view of the chest provided. There is mild pulmonary edema. Elevated right hemidiaphragm is noted. No large effusion or pneumothorax. The heart is mildly enlarged. No bony abnormalities.
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The heart continues to be moderately enlarged with vascular engorgement and interval increase in bilateral parenchymal and interstitial opacities. There are small bilateral pleural effusions.
<unk>f with pah and chf exacerbation, sudden desaturation and non-rebreather requirement. evaluate for new opacity.
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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 male status post recent atrial fibrillation ablation procedure presents with palpitations. evaluate for acute process.
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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>. Heart size, thoracic aorta and mediastinal structures are unchanged. Pulmonary vasculature is not congested. No new acute infiltrates identified. Comparison with the preceding study again demonstrates again the previously identified hazy density in the mid lung field on the right side, projecting over the posterior portion of the right-sided eighth rib on the frontal view. This density is difficult to identify on the lateral view conclusively. No other new abnormalities can be identified on the pa and lateral chest examination. Review is extended to the next preceding chest examination of <unk> and it is noted that no suspicious density could be identified at that time.
<unk>-year-old male patient with abnormal chest findings, evaluate further.
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There is a slightly decreased, but moderate-size pneumothorax. Small amounts of subcutaneous emphysema persist but have not increased. A right-sided pleural effusion has decreased. However, there is increased perihilar consolidation and widespread opacity within the right lower lung, most likely in the right lower lobe. Minimal left basilar atelectasis is noted. There is a calcified nodule consistent with a granuloma in the left mid lobe as well as a few other suspected tiny calcified granulomas. A suture line projects along the right suprahilar region associated with prior right upper lobectomy.
status post right upper lobectomy, presenting with shortness of breath.
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Pa and lateral chest radiographs demonstrate rightward deviation of the trachea and prominence of the ascending aorta suggestive of dilatation. The lungs are clear and there is no pleural effusion or pneumothorax. The heart size is normal.
cough and dyspnea.