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Ett and ng tube are in standard positions, with the distal tip of the ng tube not captured on the current study. The cardiomediastinal and hilar contours are stable. There is no pleural effusion or pneumothorax. The lungs are well-expanded, and there has been continued improvement in pulmonary edema.
<unk> year old man with respiratory failure, pulmonary edema, s/p diuresis // please assess for change in edema, ett placement
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Cardiomediastinal silhouette is within normal limits. Lungs are symmetrically expanded and clear. There is no pleural effusion or pneumothorax. No pulmonary edema.
history: <unk>f with history of increase seizure (frontal lobe epsiley) over the last week, lungs clear // r/o intracranial hemorrhage r/o pna vs pleural
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Inspiratory volumes are slightly low. Allowing for this, the heart is borderline, with a left ventricular configuration. Mediastinal and hilar contours are within normal limits. No chf, focal infiltrate or effusion is detected. No mediastinal air is identified. Increased density along the inner surface of the right chest wall is consistent with mild pleural thickening or prominent subpleural fat, in keeping with findings on a <unk> ct scan. . The diaphragms are slightly flattened. Mild elevation of the right hemidiaphragm, similar in appearance to the prior radiographs. No obvious vertebral body compression is detected.
<unk>f with lupus, chest pain, vomiting // evaluate for acute process
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Mild to moderate cardiomegaly is noted, improved compared to the previous study. Mediastinal and hilar contours are normal. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is demonstrated. No acute osseous abnormalities seen. Splenic shadow is absent.
history: <unk>m with acute sickle cell crisis, recent acute chest, history of intracranial hemorrhage, question aneurysmal, current severe headache similar to that
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Ap portable upright view of the chest. Tracheostomy tube projects over the superior mediastinum. The previously noted picc line is been removed. The heart is mildly enlarged. There is pulmonary vascular congestion without frank pulmonary edema. No large effusion or pneumothorax is seen. Prominence of the mediastinal silhouette likely reflect portable ap technique. Bony structures are intact.
<unk>f with cough, hypoxia // eval for pna
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In comparison with study of <unk>, the opacification involving the right hemithorax has essentially cleared with minimal residual blunting of the costophrenic angle and fibrotic streaks in the mid and lower zones. The left lung is essentially clear and the cardiac silhouette is unchanged given the different position of the patient.
pleural effusions.
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There is a large amount of free air underneath each hemidiaphragm. By history, the patient recently had g-tube placement. There is volume loss at both bases with more focal opacity in the left lower lobe. There is likely an infiltrate and effusion in this region. There is minimal pulmonary vascular redistribution. Findings discussed with dr. <unk> on <unk> by dr. <unk> at the time of interpretation of the film.
pneumonia question effusion.
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The right-sided pigtail catheter is again seen. There is increased size of the right pneumothorax best visualized inferiorly. The remainder of the appearance of the lungs are unchanged.
right pneumothorax.
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There are low lung volumes. Allowing for changes due to this, the cardiomediastinal silhouettes are stable and within normal limits, with a mildly tortuous thoracic aorta. Mild prominence of the cardiac silhouette likely relates to low lung volumes and ap technique. There is no focal consolidation. There is no evidence of pulmonary vascular congestion. There is no pneumothorax or pleural effusion.
<unk>m with weakness, syncope, evaluate for pneumonia.
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There has been interval placement of a left internal jugular central venous catheter, terminating in the proximal to mid svc without evidence of pneumothorax. The cardiac silhouette is mildly enlarged, likely exaggerated by ap technique. There is minimal left apical pleural thickening/ calcification. There is minor left basilar atelectasis/ scarring. There is a tubular structure projecting over the lateral left upper abdomen, unclear whether this is external or internal to the patient.
history: <unk>m with l-ij placement // evaluate central line placement
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Pa and lateral views of the chest provided. Cardiomegaly is mild to moderate. Hilar congestion is noted. No overt signs of pulmonary edema. Small bilateral pleural effusions are present. No definite signs of pneumonia. No pneumothorax. Mediastinal contour appears grossly unremarkable. Numerous old right rib deformities are seen.
<unk>m with sob with exertion // eval for chf, known r sided rib fx
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Heart size is normal. Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. There is no pleural effusion or pneumothorax.
chest pain.
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Tracheostomy tube is in standard placement. Both lungs are adequately expanded and clear. Heart size, mediastinal and hilar contours are normal. The pneumoperitoneum is seen on prior radiograph dated <unk>, attributed to recent peg placement has resolved.
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Dobbhoff tube is lying more distally than the previous exam in the gastric body. The lvad is in unchanged position. There is no sign of pulmonary edema. Right-sided picc line ends in mid svc. Left pleural effusion and basilar atelectasis are unchanged. There is no sign of pulmonary edema. The heart is significantly enlarged, but unchanged.
patient with nonischemic dilated cardiomyopathy, fraction ejection of <unk>%, now lvad as bridge to transplant. dobbhoff tube placement.
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Frontal and lateral views of the chest. The lungs remain clear without focal consolidation, effusion, or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
<unk>-year-old female with chest pain, dyspnea.
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Ap upright and lateral views of the chest provided. The lungs are hyperexpanded. There is no focal consolidation, effusion, or pneumothorax. There is mild bibasilar atelectasis. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
history: <unk>m with ruq tenderness to palpation c/f sbp vs. cholecystitis vs. choleangitis with <num> month of melena. // ascittes. please perform dopplers to eval pvt and portal vein flow
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Borderline enlargement of the cardiac silhouette is unchanged. The aorta remains mildly tortuous. Mediastinal and hilar contours are normal. The pulmonary vasculature is not engorged. Lungs are hyperinflated without focal consolidation, pleural effusion or pneumothorax. Osseous structures are diffusely demineralized.
history: <unk>f with ms, confusion
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Lung volumes are low. Cardiomediastinal silhouette and hilar contours appear unremarkable. The lungs appear clear. No obvious pleural effusion or pneumothorax. No apparent rib fractures.
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There is mild hyperinflation. The trachea is central. The cardiomediastinal contour is within normal limits. The heart is not enlarged. No pleural effusion, consolidation or pneumothorax seen. There is a <num> mm opacity projecting over the left sixth rib anteriorly. This is not clearly seen on the prior study and may reflect a lesion within the rib raw low no true pulmonary parenchymal abnormality. Suggest oblique views of the ribs initially to better localize.
<unk> year old man with posterior circulation stroke now with cough // ? pna
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The lungs are clear of focal consolidation, effusion, or vascular congestion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with hyperglycemia, needs infectious workup // please eval for pneumonia.
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Single portable view of the chest. Endotracheal tube is seen with tip approximately <num> cm from the carina. Enteric tube passes below the diaphragm with tip in the gastric fundus. Low lung volumes are seen with secondary crowding of the bronchovascular markings. No confluent consolidation identified. Cardiomediastinal silhouette is within normal limits.
<unk>-year-old male intubated.
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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 pa and lateral chest examination of <unk>. Heart size is unchanged and remains within normal limits. Unremarkable appearance of thoracic aorta. No mediastinal abnormalities are present. The pulmonary vasculature is not congested. Deep inspiration results in some flattening of the pleural sinuses, but there is no evidence of pleural effusion in the lateral or posterior sinuses as they are free. There is now a moderately sized poorly delineated parenchymal infiltrate on the left lung base obliterating partially the apical cardiac contour. The lateral view confirms the infiltrate to be located in the peripheral lingula of the left upper lobe located quite anterior and low which matches well the description of the positive findings on physical examination.
<unk>-year-old male patient with cough and wheezes and rhonchi on lung examination. evaluate for infiltrates ? left lower lobe.
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<num> ap view of the chest. There is no evidence of pulmonary edema. Cardiomegaly is unchanged. No pneumothorax. The mediastinal and hilar contours are normal. No focal consolidation.
shortness of breath, evaluate for pulmonary edema.
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There has been little interval change in comparison to her prior study with no evidence of a focal consolidation, pleural effusion, or pneumothorax. Heart and mediastinal structures appear normal. No acute fractures are identified.
cough with history of hiv and hcv.
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Lung volumes are low. This accentuates the size of the cardiac silhouette which is likely mildly enlarged. Aortic knob is calcified. Leftward tracheal deviation with fullness of the right superior mediastinal border may be due to the presence of the thyroid nodule or goiter. There is crowding of the bronchovascular structures without overt pulmonary edema. Patchy retrocardiac opacity likely reflects atelectasis. No pleural effusion or pneumothorax is demonstrated. Multilevel degenerative changes are noted in the thoracic spine.
history: <unk>f with altered mental status
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There is moderate to severe enlargement of the cardiac silhouette, new since the prior study, including a prominent left atrium. A wide mediastinum and a prominent right and left main pulmonary arteries are also new since the prior study. No focal opacities concerning for infection. Small bilateral pleural effusions. No pneumothorax.
history: <unk>m with dyspnea // eval infiltrate
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The lungs are hyperinflated, with flattening of the diaphragms, but no focal opacities. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old male with hypotension and weakness. evaluate for acute cardiopulmonary process.
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Low lying tip of the endotracheal tube is situated <num> mm from the carina. The enteric tube side port is noted to be above the ge junction with the tip likely at the ge junction. Tip of the right ij is again seen at the cavoatrial junction. Superimposed upon interstitial edema is worsening opacity in the left mid lung region. Additionally, left pleural effusion has increased in size with adjacent worsening left lower lobe atelectasis. No pneumothorax is seen.
<unk>f with new intubation, evaluate for endotracheal tube placement.
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Pa and lateral views of the chest provided. A nodular opacity projecting over the right upper lung appears bilobed and measures approximately <unk>.<num> mm in maximal dimension. In the absence of prior imaging studies, a nonemergent chest ct may be obtained to exclude underlying nodule. Lungs are otherwise clear without signs of pneumonia or edema. Heart and mediastinal contours are normal. Bony structures are intact.
<unk>f with chest pain // eval for infiltrate
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Pa and lateral views of the chest were provided. Comparison with a prior exam from <unk>. The lungs appear clear and well inflated without pneumothorax or contusion. Cardiomediastinal silhouette is normal. No free air below the right hemidiaphragm. There is no definite rib fracture seen. T-spine aligns normally.
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Pa and lateral views of the chest provided. There is no focal consolidation. There is no pulmonary edema or pleural effusion. Heart size top-normal. Mediastinal and hilar contours are normal.
<unk> year old woman with new white count, evaluate for pneumonia?
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Cardiomediastinal silhouette is stable. Right lower lung consolidation is unchanged. No large pleural effusions. No pneumothorax. Dense calcifications of the aortic arch and surgical clips projecting over the heart are again noted.
<unk> year old man w/ lung ca s/p right upper lobectomy, and left lower lobectomy with pna // eval for interval change
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Lung volumes low and the lungs are clear. Mediastinal contours and hila are normal. The cardiac silhouette is mildly enlarged. No pneumothorax or pleural effusion. Scoliosis of the thoracic spine is moderate. No other osseous abnormality is identified on this nondedicated study.
<unk> year old woman with bilateral lower rib pain radiating to the back off and on for <num> months // eval rib pain
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Frontal chest radiograph. Endotracheal tube terminates approximately <num> cm above the carinal. Ng tube tip appears to be in the distal esophagus. Moderate bilateral pleural effusions and pulmonary edema have improved since prior. There is no pneumothorax. The heart is moderately enlarged, but assessment is limited on this projection.
history: <unk>m with new ett // eval ett
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As compared to the previous radiograph, there is an unchanged appearance of the lung parenchyma. No pneumonia is seen. A minimal increase in radiodensity over the basal parts of the thoracic spine, seen on the lateral radiograph only, is unchanged as compared to the previous image. No pulmonary edema. No pleural effusions. Tips in situ.
cirrhosis, shortness of breath, rule out pneumonia.
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There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The descending thoracic aorta is tortuous the cardiomediastinal silhouette is otherwise within normal limits.
<unk>m with ams // eval for pna
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Ap upright and lateral views of the chest provided. Lung fields are fully expanded. Dual pacer leads are seen extending into the right atrium and apex of the right ventricle. 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 brain cancer on chemo with increasing sob // eval pneumonia
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The lungs are well expanded. A vague opacity is noted projecting over the right cardiophrenic angle, without obscuration of the right heart border. There might be some streaky retrocardiac opacities, but no other focal opacities are seen. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old male with shortness of breath and hypoxia. evaluate for acute process.
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A right-sided chest tube has been removed. There is no residual pneumothorax on this radiograph. Right ij is in appropriate position. Bilateral pleural effusions, right greater than left, remain. The patient is status post median sternotomy.
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Ap and lateral views of the chest. Exam is somewhat limited due to poor inspiratory effort and patient body habitus. The lungs are clear of large confluent consolidation or effusion. There is no definite pulmonary vascular congestion; however, there is crowding of the bronchovascular markings which could be due to poor inspiratory effort. Cardiomediastinal silhouette is within normal limits. Median sternotomy wires are identified.
<unk>-year-old female with chills. question pneumonia.
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Frontal and lateral views of the chest are obtained. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are stable and unremarkable. Hilar contours are also stable.
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As compared to the previous radiograph, there is no relevant change. Diffuse interstitial opacities in the entire lung, without particular predominance of the anatomic location. No evidence of pneumothorax after lung biopsy. Unchanged size of the cardiac silhouette. No pleural effusions.
diffuse interstitial lung disease, rule out pneumothorax after biopsy.
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The patient is rotated to the right. A loculated right hydro pneumothorax appears stable. There is continued evidence of volume loss/consolidation in the underlying right lung. The right chest tube remains in place. There is no significant change.
improvement in effusion? lung re-expanding? chest tube in correct position?
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The cardiomediastinal and hilar contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax. Bilateral nipple ornamentation is noted.
<unk>-year-old female with fever.
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There is increased cardiomegaly. A left-sided pacemaker is appreciated. There is mild vascular congestion. More confluent opacity is noted at the right lung base and could reflect edema although superimposed infection cannot be excluded. There is no pneumothorax or effusion.
shortness of breath.
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In comparison with study of <unk>, there is the suggestion of some increased opacification at the right base medially. This could reflect mild atelectatic changes with crowding of vessels relating to poor inspiration. However, in the appropriate clinical setting, developing consolidation would have to be considered.
fever.
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Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. The lungs are well expanded and clear with no focal consolidation concerning for pneumonia. Pulmonary vasculature is within normal limits.
left arm numbness and chest heaviness. question pneumonia.
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Frontal radiograph of the chest demonstrates interval removal of swan-ganz catheter. Bilateral pulmonary vascular congestion is again noted with continued bibasilar atelectasis and pleural effusions. There is slight interval increase in the left pleural effusion which is small and right pleural effusion which is small to moderate. Stable cardiomegaly which is consistent with postoperative appearance. No pneumothorax is identified.
status post cabg with shortness of breath and increased oxygen requirements. evaluate for effusion.
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As compared to the previous radiograph, there is unchanged absence of pneumonia or other acute lung changes. Borderline size of the cardiac silhouette. No pulmonary edema. Moderate tortuosity of the thoracic aorta, no pleural effusions.
cll, assessment for pneumonia.
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Support and monitoring devices are similar in position. Stable cardiomegaly accompanied by pulmonary vascular congestion, mild edema, and bilateral small pleural effusions, left greater than right. Persistent left lower lobe atelectasis. Worsening patchy right basilar opacity could reflect atelectasis or developing pneumonia.
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Frontal and lateral views of the chest demonstrate fully expanded and clear lungs. The cardiomediastinal in of the common was normal. There is no pleural effusion or pneumothorax. Pleural surfaces are unremarkable.
<unk> year old man with history of bladder ca and persistant cough.
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Heart size is normal. Cardiomediastinal silhouette and hilar contours are normal. There is trace left base atelectasis. Blunting is seen posteriorly suggesting a small effusion. Lungs are otherwise clear. Pleural surfaces are clear without effusion or pneumothorax.
fever.
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There is a moderate-to-large right basilar opacity silhouetting the hemidiaphragm and likely due to large pleural effusion. Underlying consolidation is also possible. Position of the left-sided central line with tip in the region of the mid svc. There is likely some shift of the mediastinal structures to the left. There is also shift of the trachea at the thoracic inlet to the left as well. The left lung is grossly clear noting some limitation due to motion. No acute osseous abnormality is detected.
<unk>-year-old female with shortness of breath. question edema.
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Pa and lateral views of the chest. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal contours are normal.
hiv and glycemia, evaluate for pneumonia.
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A right-sided chest tube has been removed. There is mild bibasilar atelectasis. No focal consolidation concerning for pneumonia. The heart is top normal in size. There is no large pleural effusion or pneumothorax. A pigtail catheter is seen in the right upper quadrant. There is no overt pulmonary edema.
<unk> year old man with cad, recent cholecystitis, status post biliary stenting; with sob // ? pneumonia vs chf ? pneumonia vs chf
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Pa and lateral views of the chest are obtained. Lungs appear clear bilaterally without focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette appears stable and normal. Bony structures are intact. There is no free air below the right hemidiaphragm.
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As compared to the previous radiograph, the patient was extubated. Currently, the nasogastric tube is in correct position, with its sidehole approximately <num> cm below the gastroesophageal junction and its tip projecting over the middle parts of the stomach. There is no evidence of complications, notably no pneumothorax. The patient has received a tracheostomy tube. The tube is in correct position. Otherwise, no changes. Vertebral stabilization devices. Borderline size of the cardiac silhouette with signs of mild to moderate fluid overload. No larger pleural effusions.
nasogastric tube placement, evaluation.
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The heart size is normal. The hilar and mediastinal contours are normal. Bibasilar linear opacities are most compatible with atelectasis, worse at the cardiophrenic angle. Trace right pleural effusion. There is no pneumothorax. The visualized osseous structures are unremarkable.
history: <unk>m with sob, hx of chf and copd, pls eval for edema vs pna.
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There is a moderate sized pleural effusion on the left, which is increased from the prior study and a small right pleural effusion which is new. The previously seen widespread interstitial abnormality is less apparent on the current study. The heart appears moderately to severely enlarged and is larger than on <unk>. There is no evidence of pneumothorax. A vascular stent is again seen projected over the right hemi thorax, unchanged in position.
end stage renal disease and aortic stenosis with new tachypnea. evaluate for interval change.
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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 chest pain
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The patient is intubated. The tip of the endotracheal tube terminates approximately <num> cm above the level the carina. A nasoenteric tube is in-situ, the tip is not visualized lies below the left hemidiaphragm. A tunneled right internal jugular dialysis catheter terminates in the right atrium. A right internal jugular vascular access catheter terminates in the svc. There are persistent bilateral opacities predominately perihilar distribution consistent pulmonary edema. Prominence of the pulmonary vasculature persists. Unchanged left lower lobe atelectasis. An apparent opacity in the left upper lobe is also unchanged compared to the prior study but new compared earlier studies. This is not clearly seen to be on the patient's skin and would be better evaluated with a ct of the chest.
<unk> year old woman with cirrhosis, sepsis s/p cvl placement. // interval change
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The heart is enlarged. Pulmonary vascular congestion is mild with early pulmonary edema. A small left pleural effusion is likely. Opacity overlying the left mid lung could represent a focal consolidation or possibly fluid collecting within the left major fissure given the appearance on prior chest ct. An infectious process should be considered in proper clinical setting.
<unk>f with esrd on hd presenting with acute anemia, evaluate evidence of effusion or infiltrate.
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As compared to the previous radiograph, there is no relevant change. Left pectoral pacemaker and nasogastric tube in situ. Mild fluid overload with minimal atelectasis at the lung bases but no pleural effusions or indications for pneumonia. No pneumothorax.
aspiration pneumonia.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with shortness of breath // eval for pna
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Tip of endotracheal tube terminates approximately <num> cm above the carina, and could be advanced a few centimeters for standard positioning communicated directly to the icu team during radiology-icu rounds on <unk> at <time> a.m. At the time of discovery. Cardiomediastinal contours are stable. Asymmetrically distributed airspace opacities involving the right mid and lower lung to a greater degree than the left have worsened, and may be due to asymmetrical edema with or without underlying infectious consolidation or aspiration. Peripheral interstitial edema at the lung bases is unchanged. There has been rapid interval worsening of a left retrocardiac opacity which most likely represents atelectasis. Small pleural effusions are present, but there is no visible pneumothorax.
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Frontal supine view of the chest was obtained. Radiopaque marker of the iabp overlies the inferior aspect of left main bronchus. The heart is of normal size with normal cardiomediastinal contours. Lungs are clear without focal or diffuse abnormality. No pleural effusion or pneumothorax.
<unk>-year-old female with new intra-aortic balloon pump. evaluate pump position.
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Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac silhouette is not enlarged. Evidence of a distended esophagus is seen with lucency projecting in the upper right paramediastinal region, likely representing air within the esophagus with some opacity seen more distally which may represent fluid within the esophagus. No overt pulmonary edema is seen.
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There are low lung volumes, which accentuate the bronchovascular markings. Given this, there is persistent mild elevation of the right hemidiaphragm with overlying atelectasis. Right middle lobe opacity most likely represents atelectasis rather than consolidation due to pneumonia. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable given differences in lung volume and technique.. Prominence of the pulmonary vasculature is likely accentuated by a low lung volumes and technique.
history: <unk>m with cougfh, sob, hypoxia // eval for consolidation
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Again seen is the very large left pleural effusion with only a small amount of aerated left upper lobe. Compared to the prior study the amount of fluid has slightly decreased however the pleural effusion is still large and there still mediastinal shift to the left indicating left lung collapse the right lung is relatively with a small amount of volume loss/ early infiltrate in the right lower lobe medially. The appearance of the left chest tube is unchanged
<unk> year old woman with pleurex l pleural effusion // interval change
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As compared to the previous radiograph, the lung volumes remain low. Pre-existing parenchymal opacity at the right lung base has increased in extent and severity. There also is associated minimal blunting of the right costophrenic sinus, potentially reflecting a small pleural effusion. No other parenchymal opacities. Borderline size of the cardiac silhouette. No pulmonary edema.
pneumonia, evaluation for pleural effusions and atelectasis.
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There has been no significant interval change. Expansile lytic lesions involving the lateral right fourth and posterior left seventh rib are re- demonstrated. Associated pleural thickening along the right lateral mid hemi thorax is again seen. No new focal consolidation is seen. There is no pleural effusion or pneumothorax. Cardiac and mediastinal silhouettes are stable given differences in technique and inspiration.
<unk> year old man with mm who now has productive sputum and ra sats in low <num>s // focal consolidation that would explain hypoxia
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As compared to the previous radiograph, the right and the left pigtail catheter and the pleural spaces are in unchanged position. Also unchanged is the endotracheal tube, the nasogastric tube and the left internal jugular vein catheter. Lung volumes remain unchanged. No larger pleural effusions are seen on today's image, but lateral areas of atelectasis have slightly increased as compared to the previous radiograph. The size of the cardiac silhouette remains unchanged. No pneumothorax. No new parenchymal opacities.
hemorrhagic pancreatitis, bilateral pleural effusions, intubation, evaluation for interval change.
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Large right upper lobe consolidation, likely partly atelectatic and potentially partly neoplastic, given the presence of a double contour at the right hilus and the elevation of the right hilus. The remaining lung parenchyma on the right is hyperinflated. On the left, no abnormalities are seen. Mild tortuosity of the thoracic aorta. Normal size of the cardiac silhouette. There is no evidence of pneumothorax after biopsy.
bronchoscopy and biopsy, evaluation for pneumothorax.
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Pa and lateral views of the chest were provided. The lungs are clear without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm. A gas-filled somewhat distended loop of small bowel is seen below the left hemiabdomen. Please correlate, for abdominal pain.
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Ap upright and lateral chest radiographs demonstrate clear lungs bilaterally. There are low lung volumes. Cardiac silhouette appears stable, the heart mildly enlarged. The right hemidiaphragm is elevated with associated atelectasis. There is no large pleural effusion or pneumothorax.
<unk>f with ><unk> falls this week.
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No previous images. There are low lung volumes and extensive soft tissues in the patient, which may accentuate the size of the cardiac silhouette and mediastinum. Minimal indistinctness of pulmonary vessels could reflect some elevated pulmonary venous pressure or merely be a manifestation of low lung volumes. No evidence of acute focal pneumonia. There are midline sternal wires in place, the upper three of which are broken.
cad stents with chest pain.
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Portable ap upright chest radiograph was obtained. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The heart is normal in size with tortuous aortic contour. Rightward tracheal deviation is likely due to thyroid goiter. No displaced rib fractures are identified.
fall, assess for traumatic injury.
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The lungs are clear. There is no consolidation, effusion or pneumothorax. Cardiac silhouette is top-normal. No displaced fractures identified.
<unk>f with chest pain s/p mvc // acute process?
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Et tube tip lies approximately <num> cm above the carina. Inspiratory volumes are low, with prominent bibasilar atelectasis. There is been some degree of improvement at the left base as the left hemidiaphragm is now visible. There is upper zone redistribution and mild vascular plethora, slightly more pronounced, but likely accentuated by low inspiratory volumes. Prominence of the cardiomediastinal silhouette is similar to the prior film and also likely accentuated by low inspiratory volumes. No gross effusion, but a small effusion might not be apparent.
<unk> year old man with angioedema // eval ett
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Indwelling support and monitoring devices remain in standard position. Cardiac silhouette remains enlarged and is accompanied by pulmonary vascular congestion and diffuse interstitial edema. A developing area of consolidation in the left mid and lower lung has rapidly worsened compared to the recent study. Such rapidity suggests the possibility of an acute aspiration event, although differential diagnosis include rapidly progressive infectious pneumonia and less likely asymmetrical pulmonary edema. Moderate-sized left pleural effusion has also increased in the interval.
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Moderate right pleural effusion is collected posteriorly. Worsened right lower lobe atelectasis raises concern about chronic bronchial obstruction. Right hilus displaced inferiorly and medially could contain adenopathy. Ct scanning is recommended for evaluation of the airway and right lower lobe. Heart size top-normal. Left lung clear. Borderline cardiomegaly, with no pulmonary vascular congestion, edema, or left pleural effusion.
<unk>-year-old man with right pleural effusion on outside hospital chest x-ray
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There are low lung volumes. This accentuates the size of the cardiac silhouette which is at least moderate to severely enlarged. Aortic knob calcifications are re- demonstrated. There is crowding of the bronchovascular structures with mild to moderate pulmonary edema present. No large pleural effusion or pneumothorax is seen. Bibasilar patchy opacities likely reflect atelectasis.
altered mental status.
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There is no pleural effusion, pneumothorax or focal airspace consolidation. The cardiac silhouette is normal. There is no evidence of hilar lymphadenopathy or an anterior mediastinal mass. There are no acute osseous abnormalities.
pruritus of unclear etiology, rule out evidence of lymphoma.
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Tip of esophageal probe is in the expected location of the proximal-to-mid thoracic esophagus, with radiodense tip terminating just above the level of the carina. Cardiac silhouette remains enlarged, and is accompanied by pulmonary vascular congestion and slight worsening of perihilar edema. Otherwise, no relevant changes.
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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. Bilateral breast implants are again noted.
history: <unk>f with syncope with head strike
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Frontal and lateral views of the chest demonstrate normal cardiomediastinal silhoette. Mild rightward tracheal indentation is due to a known goiter, as seen on prior ultrasound studies. The lungs are clear. There is no pneumothorax, vascular congestion, or pleural effusion.
<unk>-year-old female with syncope. question acute process.
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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 <num> weeks of fevers and chills, now with productive cough
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Picc line tip appears to been retracted in the interval up interim in overlies distal most svc. Vascular plethora appears increased. Right ij sheath has been removed. Otherwise, i doubt significant interval change. Retrocardiac opacity and platelike atelectasis at the left base with small left effusion again noted. Minimal atelectasis noted the right base. No pneumothorax detected trace
<unk> year old woman s/p aaa with rising wbc // eval for opacity
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Right picc tip is in the low svc. Heart size is mildly enlarged but unchanged. Mediastinal and hilar contours are normal. Pulmonary vasculature is not engorged. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
history: <unk>m with osteomyelitis and right right picc line.
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In addition to existing bilateral chest tubes, a new pigtail catheter has been placed into the right hemithorax. There is a persistent small right-sided pneumothorax, but somewhat decreased.
follow-up of right-sided pneumothorax after pigtail placement.
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In comparison with the previous study, the dobbhoff tube has been re-positioned so that the tip is just below the level of the esophagogastric junction. It could well be pushed forward. No evidence of acute pneumonia or vascular congestion.
dobbhoff position.
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The lungs appear hyperinflated, with flattening of the diaphragms suggesting emphysematous lung disease. A linear radiopacity across the lower right lung represents discoid atelectasis. An ill-defined opacity in the periphery of the lower right lung is in the same location as in prior exam and is likely a summation of structures including the nipple. There are no other focal opacities bilaterally. Cardiomediastinal and hilar contours are unremarkable. Bilateral apical calcified pleural plaques are noted, but there is no pleural effusion or pneumothorax. Fractured sternotomy wires are again seen and the patient is status post cabg surgery. There is a prior resection of the posterior left sixth rib.
<unk>-year-old male status post fall. please evaluate for evidence of acute trauma.
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Frontal and lateral views of the chest demonstrate well expanded, clear lungs. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion, consolidation, or pneumothorax.
chest pain. evaluate for widened mediastinum.
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Frontal and lateral views of the chest. The lungs are clear. There is no consolidation, effusion or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>-year-old female with new dyspnea on exertion.
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Compared with the immediate prior radiograph of <unk> there is no relevant change. Widespread parenchymal opacities are unchanged. Right ij central venous catheter ends in the mid svc, endotracheal tube ends <num> cm from the carina, enteric tube passes below the diaphragm and out of the field-of-view within a decompressed stomach. The cardiomediastinal silhouette is within normal limits.
<unk> year old woman with ards of unclear etiology. // ? change in bilateral infiltrates
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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 with shortness or breath. evaluate for pulmonary edema.
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The heart size remains mildly enlarged with a left ventricular predominance. Mediastinal and hilar contours are unchanged. There are low lung volumes which causes crowding of the bronchovascular structures. Hazy and streaky left lower lobe opacity could reflect atelectasis though infection cannot be completely excluded. No pleural effusion or pneumothorax is present. Minimal loss of height anteriorly of a lower thoracic/upper lumbar vertebral body is unchanged. Remote left posterior rib fracture is again seen.
weakness and fatigue.
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A trauma board and its associated hardware underlying the patient obscures fine bony detail. The endotracheal tube terminates at the level of the clavicular heads, approximately <num> cm from the carina. The enteric tube terminates below the diaphragm, beyond the field-of-view. The lungs are clear with no pneumothorax. Heart size and mediastinal contours are normal. No obvious displaced rib fracture.
<unk> year old man s/p mvc with multiple facial fractures intubated at osh // please assess for traumatic injury
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As compared to the previous radiograph, the patient has received a left-sided picc line. The line can be followed to the confluence of the brachiocephalic vein and superior vena cava but is not seen beyond that point. If unequivocal position of the line must be determined, additional radiographs are required. At the time of dictation and observation, <time> a.m., on the <unk>, the referring physician <unk>. <unk>, covered by dr. <unk>, was paged for notification. Findings were discussed on the telephone within the next few minutes.
picc line placement.
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There is a hazy right midlung opacity which is seen on prior exam dating back to <unk> but not definitively seen in <unk>. Streaky left basilar opacity is also noted, unchanged from most recent exam although potentially due to atelectasis given low lung volumes. Cardiomediastinal silhouette is within normal limits on this single portable film. No acute osseous abnormalities visualized.
<unk>m with hypotension, sob // eval for infiltrates