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Portable ap upright chest radiograph was provided. Small right pleural effusion with associated compressive lower lobe atelectasis is better assessed on same date chest ct. The cardiac silhouette appears prominent though this is attributable to prominent epicardial fat. The left lung is clear. Mediastinal contour is notable for a calcified and unfolded thoracic aorta. No pneumothorax. Degenerative ac joint arthropathy noted bilaterally. No free air below the right hemidiaphragm.
<unk>-year-old male with shortness of breath, evaluate pulmonary edema. this patient has a history of hepatic cellular carcinoma.
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As compared to the previous radiograph, there is no relevant change in position of the endotracheal tube. The tip of the tube projects approximately <num> cm above the carina. Unchanged position of the nasogastric tube. Unchanged bilateral known parenchymal opacities and upper lobe hyperlucencies with areas of surrounding fibrosis. No larger pleural effusions.
hypoxemic respiratory failure, intubation, assessment for endotracheal tube placement.
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The cardiac silhouette is enlarged, even allowing for ap technique. The azygous vein is top normal. The lungs are well expanded and clear. There is no pleural effusion or focal consolidation. There is no overt pulmonary edema. No focal consolidation concerning for pneumonia.
vtach. question volume status.
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The inspiratory lung volumes are slightly decreased. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. No pulmonary vascular engorgement or edema is present. The cardiac silhouette is likely within normal limits allowing for decreased lung volumes. The mediastinal and hilar contours are within normal limits. The trachea is midline. The visualized upper abdomen is unremarkable.
chest pain, here to evaluate for acute cardiopulmonary process.
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As compared to the previous radiograph, the monitoring and support devices, including the endotracheal tube, are in unchanged position. There is unchanged evidence of relatively extensive bilateral atelectasis, the presence of a left pleural effusion is likely. Unchanged mild fluid overload and moderate cardiomegaly. No newly appeared focal parenchymal opacities suggesting pneumonia.
evaluation for ett placement.
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The cardiac silhouette is significantly enlarged compared to prior ap view. There are increased bilateral pulmonary vasculatures and interstitial markings. There is bilateral pleural effusion. No consolidation. No pneumothorax. The t<num> sclerotic lesion and loss of the t<num> vertebral height are again appreciated, both present on previous ct. The sternotomy wires are unchanged. The tracheostomy tube has been removed.
<unk> year old man with copd and cad // ?chf
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The endotracheal tube ends <num> cm above the carina. An enteric tube courses below the diaphragm with the tip in the left upper quadrant likely in the proximal stomach. Evaluation of the chest is slightly limited due to patient rotation to the right. The lung volumes are low with resultant bronchovascular crowding and accentuation of cardiomediastinal silhouette. Retrocardiac opacification most likely reflects atelectasis. There is no pulmonary edema, large pleural effusion or pneumothorax. The thoracic aorta is unfolded.
stroke, requiring intubation.
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Pa and lateral views of the chest were provided. Mild cardiomegaly is noted without focal consolidation, effusion, or pneumothorax. On the lateral view there is a rounded density projecting over the chest which likely represents a skin fold the. The mediastinal contour is normal. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>-year-old woman with cough and fever.
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Heart size is normal. The aorta is mildly tortuous. Mediastinal and hilar contours are otherwise unremarkable. Subsegmental atelectasis is noted in the left lung base. No focal consolidation, pleural effusion or pneumothorax is identified. Known pulmonary nodules are better assessed on the previous ct. No acute osseous abnormalities detected. Sclerotic metastases are also visualized better on the prior ct.
history: <unk>m immunosuppressed on chemotherapy for malignant melanoma presenting with confusion and fever. // pneumonia?
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>m with hematomas s/p fall, brain bleed // ? acute process
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Frontal and lateral views of the chest were obtained. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable, as are the hilar contours.
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The lungs are hyperinflated with associated flattening of the diaphragms, suggesting chronic pulmonary disease. The lungs are clear without focal consolidation to suggest pneumonia or any pulmonary edema. No pleural effusion or pneumothorax. The heart size is normal. Mediastinal contours, hila, and pleura are unremarkable.
<unk> year old woman with cough, fever, asthmatic exacerbation. evaluate for pneumonia.
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Lung volumes are low, causing bronchovascular crowding. The cardiomediastinal silhouette is unremarkable. No focal consolidation, pleural effusion, or pneumothorax detected. Within the limitations of chest radiography, osseous structures are unremarkable.
<unk>-year-old man in a motor vehicle accident with pain. evaluate for traumatic injury.
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In comparison with the study of <unk>, the endotracheal tube has been removed. Right ij catheter remains in place. The right lung base is more sharply seen with good definition of the hemidiaphragm, consistent with improved aeration of the right lower lobe. Continued cardiomegaly without definite vascular congestion. Persistent mediastinal widening that could reflect venous engorgement and fat deposition. However, a more ominous cause of this appearance cannot be excluded and ct should be obtained if this is a serious clinical possibility.
extubation.
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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. Aortic knob calcifications are unchanged. Left humeral surgical hardware is again seen without obvious complication. Mild scoliosis is unchanged.
<unk>f with s/p, exquisite l lateral rib ttp and inspiratory pain // eval ? rib fracture, lung contusion
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Increased interstitial markings are seen throughout the lungs as on prior. Small bilateral pleural effusions persist. Scarring at the right lung apex is again noted. No focal consolidation. Calcifications again seen in the right chest wall in addition to multiple right axillary clips. Cardiomediastinal silhouette is stable. No acute osseous abnormality identified.
<unk>f with dyspnea, cough // any pneumonia?
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Ap and lateral views of the chest were compared to previous exam from <unk>. Compared to prior, there has been interval enlargement of the left-sided pleural effusion. Superiorly, the left lung remains clear and the right lung is unremarkable without effusion as well. Cardiomediastinal silhouette is stable. Degenerative changes are noted at the shoulders and in the spine.
<unk>-year-old male with history of severe aortic stenosis, presents with increasing shortness of breath.
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The patient is intubated. The endotracheal tube is in correct position. The nasogastric tube shows a normal course, the tip is located in prepyloric position. The lung volumes are low. Atelectasis are seen at both the left and the right lung bases. There is mild fluid overload. No larger pleural effusions. No pneumothorax.
gastrointestinal bleed, evaluation for orogastric tube placement.
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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 intermittent dyspnea // intermittent dyspnea
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Portable upright view of the chest demonstrates low lung volumes. The study is somewhat limited due to patient's body habitus. Hilar and mediastinal silhouettes are unchanged. Intrathoracic aorta is tortuous. Heart is mildly enlarged, unchanged. Linear opacity in the left lung base is longstanding and likely represents an area of scarring. There is mild pulmonary edema. Bibasilar opacities are noted, which may reflect atelectasis. A fixation hardware overlying of the right humerus is noted.
fever. assess for pneumonia.
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Mild cardiomegaly is stable. . The lungs are grossly clear. There are minimal bibasilar atelectasis left greater than right. There is no pulmonary edema. There is no pneumothorax or pleural effusion. There are moderate degenerative changes in the thoracic spine. Sternal wires are aligned. Patient is status post cabg. Stent projects in the left subclavian region
<unk> year esrd old man with rib pain. // fracture?
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The heart size is normal. The aorta is tortuous. The hilar contours are normal. The pulmonary vascularity is normal. The lungs are clear. No pleural effusion or pneumothorax is present. No free air is noted under the diaphragms. There is no acute osseous abnormality.
vomiting.
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The lungs are poorly inflated. The left lower lung field is opacified as it was in the prior exam, with a distinct linear consolidation tracking across the left lower lobe, likely representing atelectasis with a concurrent small pleural effusion. Otherwise, the remaining lung fields are clear. Cardiac sillhouette appears slightly smaller suggesting improvement of the pericardial effusion. There is no evidence of pneumothorax.
<unk>-year-old female with shortness of breath, recent pericardial effusion, bilateral lower lung field faint crackles. evaluate for pleural effusion.
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There is complete opacification of the left hemithorax consistent with combination of large pleural effusion and atelectasis and tumor. Multiple nodules in the right lung consistent with metastatic disease. No pneumothorax. There appears to be displacement of the cardiac silhouette shifted to the left which could be related to changes in position.left bronchial stent again seen in unchanged position.
<unk> year old woman with pleural effusion s/p thoracentesis // r/o residual pleural effusion
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The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax. There is no pleural effusion. Pulmonary vascularity is normal.
<unk>-year-old woman with near syncope. evaluate for pneumonia or other acute process.
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The lungs are clear. There is no pneumothorax or pleural effusion. The heart size is normal. The cardiomediastinal silhouette is unremarkable.
cough.
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Compared to the previous examination, the minimal left apical pneumothorax is no longer visible. Otherwise, the lung parenchyma in both the left and the right hemithorax is of unchanged appearance. Unchanged borderline size of the cardiac silhouette. In the left lateral chest wall, soft tissue air inclusion is unchanged in extent.
status post right wedge resection, rule out pneumothorax.
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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 worsening cough, l lower lung rhonchi on exam // r/o pneumonia
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Pa and lateral views of the chest. The lungs are clear of consolidation, effusion or pulmonary vascular congestion. Left chest wall triple lead pacer device seen with the tips unchanged in position. Cardiomegaly is unchanged. No acute osseous abnormalities detected.
<unk>-year-old male with cough and chest pain.
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In comparison with the study of <unk>, the patient has taken a better inspiration. There is continued enlargement of the cardiac silhouette with retrocardiac opacity and some elevation of pulmonary venous pressure. Central catheter remains in place.
cardiac surgery.
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There is a right port-a-cath and left subclavian with both tips in the mid svc. 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 htlv leukemia, d+<unk> after allosct, now w cough // any acute lung process to explain new cough?
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Ap view of the chest. Low lung volumes. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are stable.
fever, question pneumonia.
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The heart is borderline in size. The mediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. Vague opacification of the left mid to lower lung spares the left cardiac border, which appear sharp; although the opacities are not well seen on the lateral view, it is probably in the left lower lobe. Although the density is not very elevated, the extent of the abnormality may be significant.
fever. question pneumonia.
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There is no focal consolidation, pleural effusion or pneumothorax. No evidence of pulmonary edema. Heart size appears mildly enlarged, although this may be exaggerated by portable technique. No acute osseous abnormalities are identified.
history: <unk>m with syncope, hypotension // eval ? edema, cardiomegaly
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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.
weight loss. latent tb.
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Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. Streaky right basilar opacity most consistent with atelectasis.
<unk> year old woman with bowel obstruction, evaluate for acute pathology.
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Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable. No overt pulmonary edema is seen. There is mild bibasilar atelectasis.
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Left apical pneumothorax is increased compared to <num> hr prior. Depth of the pneumothorax measures approximately <num> cm from the chest wall. Displaced left midclavicular fracture is similar to before. There is no consolidation, pleural effusion, or pulmonary edema. Cardiomediastinal silhouette is normal size. Small amount of left-sided subcutaneous emphysema is noted.
<unk>m s/p fall off bike, helmeted, +loc with l clavicle fx, l <unk> rib fx, and occult l pneumothorax // interval change. please perform at <unk> <unk>.
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Compared with the prior radiograph, no significant change. There is no new focal consolidation, pleural effusion, or pneumothorax. The aorta is tortuous, and the cardiomediastinal silhouette is within normal limits. Multiple surgical clips again noted in the neck, likely from prior thyroidectomy.
<unk>-year-old woman with history of myasthenia <unk>, hypothyroidism, and sarcoidosis presents with weakness. evaluate for acute process.
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Left chest wall transvenous pacer with leads ending in the right atrium and right ventricle, as expected. Left lingular pulmonary nodule measuring approximately <num> cm is stable. Lungs are otherwise clear. Heart size is normal. There is no pneumothorax. Pleural surfaces are unremarkable.
<unk> year old man with cied for mri. please evaluate for pending mri.
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The lateral view is slight suboptimal due to the patient's overlapping arm.no definite focal consolidation is seen. Medial right base opacity is felt to be due to overlap of vascular structures. There is no large pleural effusion or pneumothorax. The cardiac silhouette is top-normal to mildly enlarged. Mediastinal contours are grossly unremarkable.
history: <unk>m with intoxication s/p fal hit head. // c-spine fx?r/o pna
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The lung volumes are low. There is no evidence of pulmonary edema, pneumothorax or focal air space consolidation. Equivocal pleural effusions are noted. The cardiomediastinal silhouette is unremarkable, and the heart size is accentuated by the low lung volumes, but is likely normal. Residual enteric contrast material was seen within loops of bowel in the upper abdomen.
<unk>-year-old female with fevers. evaluation for pneumonia.
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The heart is mildly enlarged. There is volume loss at the bases but no definite infiltrate. The remainder of the lungs are clear. There is no effusion.
<unk> year old man with fevers, on immunosuppresion // <unk> year old man with fevers, on immunosuppresion
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The lungs are hyperinflated with emphysematous changes most pronounced in the lung apices. The heart size is normal. Mediastinal and hilar contours are unchanged. The pulmonary vascularity is normal. Previously noted nodules distributed in both lungs are better assessed on the prior ct. No new focal consolidation, pleural effusion or pneumothorax is identified. No displaced fractures are seen. Curvilinear lucency within the left upper quadrant of the abdomen is compatible with gas within a colonic loop of bowel, and is not extraluminal.
dyspnea, cough.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is again moderate elevation of the right hemidiaphragm. Streaky opacities, greater along the right lung base than left, are most consistent with minor atelectasis. Otherwise, the lungs appear clear.
shortness of breath.
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A single portable ap upright view of the chest was obtained. Heart is normal in size and cardiomediastinal contour is stable. Pericardial calcifications are noted. Lungs are clear. There is no focal consolidation, pleural effusion, or pneumothorax.
<unk>-year-old woman with cough and tachypnea, evaluate for pneumonia.
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The frontal and lateral views of the chest were obtained. Minimal mid lung linear atelectasis/scarring is seen. There is no focal consolidation, no pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable. Retrocardiac air-fluid level is again seen, consistent with patient's known hiatal hernia.
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Frontal and lateral views of the chest were obtained. The lungs remain relatively hyperinflated. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable. The hilar contours are stable.
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Right subclavian central venous catheter, swan-ganz catheter, endotracheal tube, nasogastric tube and left chest tube are unchanged in position. There is persistent retrocardiac and left basilar opacification with deep sulcus sign on the left suggesting a combination of atelectasis and pneumothorax, although superimposed infection is not excluded. A small left apical pneumothorax is also present. Multiple rib fractures are re-demonstrated. The cardiomediastinal and hilar contours are within normal limits.
pre-operative evaluation of the chest prior to organ donation.
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Frontal and lateral views of the chest were obtained. Surgical clips overlie the right breast/chest. No focal consolidation, pleural effusion or evidence of pneumothorax is seen. Mild left basilar atelectasis/scarring seen. The cardiac and mediastinal silhouettes are unremarkable. Partially imaged surgical hardware seen.
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Pa and lateral views of the chest provided. Again seen is right middle lobe consolidation. There are no new areas of consolidation. Pulmonary vasculature is normal. Heart size is normal. Trace pleural effusion seen on the left.
<unk> year old woman with ? right middle lobe consolidation seen on ct scan at osh // eval for infiltrate
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Lungs are clear without focal consolidation, edema, or effusion. Cardiac silhouette is enlarged but similar in configuration compared to prior. No acute osseous abnormalities identified.
<unk>f with diffuse edema // please eval for pulm edema
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Bilateral lungs are hyperexpanded with flattening of both hemidiaphragms and increase in the anteroposterior dimension of the chest, compatible with copd changes. No focal abnormality concerning for pneumonia. Heart size and hilar contours are normal. Aorta is generally large, but without focal aneurysm.
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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. Heart and mediastinal contours are stable with aortic tortuosity. Sternal wires appear intact on these views. Coronary artery stent is imaged.
<unk>-year-old male with malaise.
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Pa and lateral views of the chest provided demonstrate small bilateral pleural effusions, increased from prior exam with probable mild compressive lower lobe atelectasis. The heart size is top normal. Aortic arch calcifications noted. There is no pneumothorax. No definite signs of pulmonary edema. Bony structures are intact.
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The heart size is mildly enlarged. The mediastinal and hilar contours are unremarkable. There is no pulmonary vascular congestion. Minimal streaky opacities in the lung bases are compatible with atelectasis. No focal consolidation, pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
hiv and altered mental status.
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There is retrocardiac opacity with a spine sign on the lateral view. Right basilar opacity is likely atelectasis. Superiorly the lungs are clear. The cardiomediastinal silhouette is grossly stable although is silhouetted on the left and difficult to accurately assess. Left chest wall dual lead pacing device is noted. Surgical clips in the right upper quadrant are noted. No acute osseous abnormalities.
<unk>m with cough // pna?
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Patient is status post median sternotomy and cabg. Mild cardiomegaly is re- demonstrated. The mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. Low lung volumes are present with atelectasis in the lung bases, more so on the left, but improved from prior. No focal consolidation, pleural effusion or pneumothorax is present. Fixation hardware in the left humeral head is incompletely imaged.
history: <unk>m with altered mental status// please evaluate for acute abnormality
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The patient is status post sternotomy and coronary artery bypass graft surgery. The cardiac, mediastinal and hilar contours appear unchanged. Similar mild relative elevation of the right hemidiaphragm is present. Streaky right basilar opacity suggests minor atelectasis or scarring. Elsewhere, the lungs remain clear. There is no pleural effusion or pneumothorax. Small anterior osteophytes are present along the lower thoracic spine.
altered mental status.
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Cardiac silhouette is mildly enlarged accompanied by pulmonary vascular congestion, mild perihilar edema, and an area of more confluent opacity in the left retrocardiac area which probably reflects a combination of pleural effusion and atelectasis. Small right pleural effusion is also demonstrated.
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As compared to the previous radiograph, the patient has been extubated. The right picc line has been pulled back, the tip of the line now projects over the uppermost parts of the superior vena cava. An abdominal drain in the left upper quadrant is in unchanged position. The pre-existing parenchymal opacities at the lung bases have decreased in extent and severity but are still clearly visible. Also decreased are small pre-existing pleural effusions. The heart continues to be borderline in size, and the aorta is tortuous. Signs of minimal fluid overload could be present. No pneumothorax. Unchanged symmetrical apical thickening.
aspiration pneumonia, evaluation.
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Lungs are clear. No pleural effusion or pneumothorax evident. Mediastinal, hilar and cardiac contours are unremarkable. Stable thoracic dextroscoliosis evident.
cough, shortness of breath, wheezing. please evaluate for infiltrate.
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The endotracheal tube is <num> cm from the carina. An enteric tube is seen with its tip in a decompressed stomach. A previously seen left internal jugular line is in the proximal svc and unchanged. Also seen is a large-bore right internal jugular catheter that overlies the right atrium and is unchanged. There is generalized vascular engorgement consistent with mild biventricular decompensation. There is a persistent left lower lobe opacity, which is similar in appearance to the prior study. The hilar contours are normal. There is no evidence of pneumothorax.
chronic kidney disease on hemodialysis status post cva and cranial decompression.
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Frontal and lateral radiographs of the chest demonstrate normal heart size. The mediastinal and hilar contours are normal. No pleural effusion or pneumothorax. Clear lungs.
acute liver injury and abdominal pain. concern for infectious process as trigger. evaluate for intrapulmonary process.
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Pa and lateral views of the chest were provided. Dual-lead pacer is unchanged. Wispy opacities in the lower lungs are similar to that seen on prior ct and likely represent areas of scarring. Dense mitral annular calcification is again noted. There is no new consolidation, effusion or pneumothorax is seen. Heart and mediastinal contour is stable with atherosclerotic calcifications along the aortic knob. Bony structures are intact. No free air below the right hemidiaphragm.
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Blunting of the right costophrenic angle appears unchanged compared to prior. There is increased density at the left costophrenic angle, which may represent pleural effusion. The lungs are hyperinflated with underlying emphysematous changes. Linear opacity in the left mid-lung likely represents atelectasis. Heart and mediastinal contours are stable with a densely calcified aorta. No pneumothorax is detected. Mitral annular calcification is seen.
<unk>-year-old female with copd, now with two days of worsening shortness of breath.
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Single portable chest radiograph was provided. A right chest wall port catheter tip terminates in the mid svc. A pacemaker with a lead in the right ventricle is present. The lungs are well expanded. There is no focal consolidation, pleural effusion or pneumothorax. There is linear atelectasis in the left lower lobe. Heart size is top normal.
history of hypotension, gi bleed, question pneumonia.
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As compared to the previous radiograph, the monitoring and support devices, including the swan-ganz catheter and the hemodialysis catheter are unchanged. There is slightly increasing extent of the known extensive right parenchymal opacity, the left lung, including the moderate pulmonary edema and the left retrocardiac atelectasis are constant. No other relevant change. No pneumothorax. Constant size of the cardiac silhouette.
status post cabg, evaluation for pleural effusion.
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In comparison with the study of <unk>, there is no change or evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion.
cough.
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This study was made available for my interpretation, today, <unk>. There may be trace pleural fluid. No definite focal consolidation is seen. Slight increase in interstitial markings bilaterally may be due to mild interstitial edema. No pneumothorax is seen. The cardiac silhouette remains enlarged. The aorta is calcified and tortuous. Old left-sided posterior sixth rib fracture/ deformity is noted. The bones are diffusely osteopenic.
<unk>f with increasing weakness. // <unk>f with increasing weakness.
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Lungs are fully expanded and clear. No pleural abnormalities. Heart size is normal. Cardiomediastinal and hilar silhouettes are normal.
<unk> year old woman with hx of liver transplant on immunosuppression, now w/transaminitis. has wheeze on exam. assess for pna. // assess for pneumonia
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No previous images. The heart is normal in size and there is no vascular congestion or pleural effusion. Specifically, no evidence of acute focal pneumonia.
intermittent persistent cough.
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There are new mild ground-glass opacities in the left perihilar region that are concerning for a infectious process. Stability of the right peripheral opacity that is partially due to a loculated hematoma : it is however better then the exam of <unk>. Patient with known subsegmental chronic middle lobe atelectasis. There is also mild right lower lobe atelectasis. Stability of the mild posterior right pleural effusion. There is no pneumothorax. There is a hiatal hernia. The mediastinal and cardiac contour are normal.
patient with redo tracheoplasty.
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No previous studies. There is an endotracheal tube whose tip is <num> cm above the carina at the level of the aortic knob. There is a feeding tube whose distal tip and side port are below the ge junction. There are bilateral pleural effusions and a left retrocardiac opacity. There are no signs for overt pulmonary edema. There are no pneumothoraces.
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Compared with <unk>, there is increased hazy opacification of the left lung. There is no pleural effusion or pneumothorax. Cardiomediastinal silhouette is unchanged. An endotracheal tube and enteric tube are stable in position.
<unk> year old man with post-op ileus. intubated and producing purulent appearing airway secretions with <num> temperature // eval for signs of pna
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Comparison is made to prior study from <unk>. Tracheal tube has been removed. There is a swan-ganz catheter and feeding tube which is unchanged in position. A drain is projecting over the right upper abdomen. There is improved aeration at the left base since the prior study. There remains mild pulmonary edema.
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The patient is status post left upper lobectomy with unchanged mild leftward mediastinal shift and tenting of the left hemidiaphragm. There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema identified. The heart size is normal.
history of non-small cell lung cancer, status post left upper lobectomy. evaluate for pneumonia.
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Frontal views of the chest demonstrate no radiopaque foreign body to suggest retained picc fragment. Lung volumes are low, resulting in increased prominence of the cardiac silhouette and bronchovascular crowding. Allowing for this, heart size is likely normal. There is atelectasis in the bilateral lower lobes, without concerning focal consolidation or pleural effusion. There is no pneumothorax. The visualized upper abdomen is unremarkable.
evaluate for retained picc line, in a patient with dimension loop pulled out her picc.
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As compared to the previous radiograph, there is no relevant change. The endotracheal tube is still relatively high, with its tip projecting approximately <num> cm above the carina. The other monitoring and support devices are in correct position. Borderline size of the cardiac silhouette without pulmonary edema. No pneumothorax, no pleural effusions, no pneumonia.
intubation, rule out pneumonia.
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Pa and lateral views of the chest provided demonstrate unchanged scarring at the right lung apex with upward retraction of the right pulmonary hilum. There is no definite sign of pneumonia, chf, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is stable. Atherosclerotic calcifications are noted along the aortic knob. Bony structures appear grossly intact with a stable scoliosis and kyphotic angulation of the t-spine.
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There has been interval increase in the right-sided pleural effusion along with a right lower lobe infiltrate. The heart is moderately enlarged. There is pulmonary vascular redistribution. There is some patchy volume loss in the left lower lung
<unk> year old woman with multiple pulmonary infarcts secondary to tv endocarditis with worsening dyspnea // evaluate for interval changes
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Lung volumes are low. Blunting of the left costophrenic angle may reflect trace pleural effusion. No edema, large pleural effusion, or pneumothorax. Retrocardiac streaky opacity is probably atelectasis. Heart size top-normal in size. No acute osseous abnormality.
<unk>-year-old man with afib w/ rvr, chest pain. evaluate for effusion.
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Right lung appears grossly clear; nodule seen on ct is not appreciated. In the left lung, there consolidation in the left lower lobe and an additional opacity in the left upper lobe corresponding to the known pleural based tumor and effusion. A port-a-cath terminates within the distal svc. No pneumothorax.
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Frontal and lateral views of the chest demonstrate low lung volumes, which accentuate bronchovascular markings. There is no pleural effusion, focal consolidation, or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. Partially imaged upper abdomen is unremarkable.
acute decompensation of suspected cirrhosis and cough.
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Frontal and lateral views of the chest were obtained. There is mild pulmonary vascular congestion. No large pleural effusion is seen. There is no pneumothorax. The cardiac silhouette is moderate to markedly enlarged. The aorta is tortuous.
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In the interval the patient has been extubated and the nasogastric tube has been removed. A central line with the tip in the right atrium is unchanged in position. There is a left subclavian line terminates in the svc. Lung volumes are low, but there is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is unchanged. Bones are intact. Median sternotomy wires are intact.
<unk>-year-old man with bowel ischemia, status post ex lap and intubated. evaluate for interval change.
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Lungs are well expanded. The cardiac silhouette is enlarged, stable. The aorta appears mildly tortuous. No pneumothorax, pleural effusion, or consolidation. Chronic deformity of the right shoulder appears unchanged.
history: <unk>f with of <num> fever and confusion x<num> days. // ? pneumonia
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Frontal and lateral views of the chest demonstrate a right subclavian approach central venous catheter with tip terminating in the cavoatrial junction. The heart is normal in size. Mild unfolding is seen in the thoracic aorta. The mediastinal and hilar contours are unremarkable. The lungs are clear with the exception of stable left apical scarring. There is no pneumothorax, vascular congestion, or pleural effusion. There is a subtle minimally displaced mid-body sternal fracture. Mild diffuse thoracolumbar scoliosis is present. An ivc filter is in place.
<unk>-year-old female status post fall onto chest with sternal pain. question sternal fracture.
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. No free intraperitoneal air.
<unk>-year-old male with nausea and vomiting. evaluate for subdiaphragmatic free air or acute cardiopulmonary process.
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Patient is status post median sternotomy and left-sided pacer placement with leads terminating in the right atrium and right ventricle. Cardiac silhouette size remains moderately enlarged, unchanged. The mediastinal hilar contours are similar. Mild pulmonary vascular congestion is not substantially changed in the interval without overt pulmonary edema. No focal consolidation, pleural effusion or pneumothorax is demonstrated. There are mild degenerative changes noted in the thoracic spine. No subdiaphragmatic free air is present.
history: <unk>f with history of dchf, status post pacemaker presenting with nausea, vomiting
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The lungs are moderately well inflated. There is cephalization of vasculature with mild cardiomegaly and likely small left pleural effusion with compressive atelectasis. No pneumothorax. Mediastinal contour and hila are unremarkable. Intact median sternotomy wires are noted.
<unk>m with sob assess for pneumonia or effusion.
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A port-a-cath terminates in the lower superior vena cava. The cardiac, mediastinal, and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. Streaky left basilar opacity appears unchanged and suggests minor atelectasis. Otherwise, the lungs appear clear.
tachycardia.
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Mild enlargement of the cardiac silhouette persists. The mediastinal and hilar contours are unchanged. The pulmonary vasculature is normal. Apart from mild bibasilar atelectasis, the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is identified. There are mild degenerative changes noted in the imaged thoracic spine.
new left facial numbness.
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Comparison is made to prior study from <unk> at <time> a.m. There is a feeding tube whose distal tip and side port are within the distal stomach. The heart size is upper limits of normal. There are no signs for overt pulmonary edema. There are no pneumothoraces. There is mild atelectasis at the lung bases.
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Comparison with study of <unk>, the right basilar opacification has essentially cleared. No evidence of vascular congestion or pleural effusion. Apical pleural thickening is consistent with old granulomatous disease. The left subclavian catheter has been removed.
fever, to assess for pneumonia.
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Upright portable view of the chest demonstrates known low lung volumes. Elevation of the right hemidiaphragm is longstanding. Right lung base opacities likely represent atelectasis. There is no pleural effusion or pneumothorax. Heart is mildly enlarged. Mild prominence of interstitial lung markings is unchnaged. Multiple surgical clips project over mediastinum. Sternotomy wires appear intact.
patient with gi bleed, assess for acute process.
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Right pigtail pleural catheter remains in place. Moderate right pneumothorax has slightly increased in size with apical visceral pleural line now at the level of the third posterior rib. Otherwise, no relevant short interval change since the recent study.
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Ap view of the chest provided. As compared to prior study, there is no significant change with the degree of pulmonary edema. Bibasilar atelectasis has mildly improved. There is no new parenchymal consolidation. Right pleural effusion is resolving. Cardiomediastinal and hilar contours are stable. There are no large pleural effusions
<unk> year old man with flu and chf, evaluate for interval change in pulmonary edema, new consolidation to suggest pneumonia?
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Pa and lateral views of the chest. The lungs are clear. There is no pneumothorax or effusion. The cardiomediastinal silhouette is normal. No acute osseous abnormalities detected.
<unk>-year-old female with chest pain.
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Patchy bibasilar opacities are new, and could reflect patchy atelectasis, aspiration, or developing infectious pneumonia. Cardiomediastinal contours are stable with persistent hiatal hernia. Small right pleural effusion is present, and has likely increased in size since recent ct.