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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 fact that the right cardiac border is mildly obscured suggests minimal opacification of the medial segment of the right middle lobe, not as well seen on the lateral view. The lungs appear otherwise clear.
chest pain.
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Allowing for slight rightward rotation, cardiomediastinal contours are within normal limits. Lungs are well expanded and grossly clear. There are no pleural effusions or acute skeletal findings.
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Pa and lateral views of the chest were obtained demonstrating clear well expanded lungs without focal consolidation, effusion, pneumothorax. No signs of chf. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm. No signs of pneumomediastinum.
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Pa and lateral chest views have been obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar study of <unk>. There is status post left upper lobectomy remaining scar formations in the apical area and surgical clips in the left anterior lateral wall status post thoracotomy. Mild degree of left diaphragmatic elevation is noted but no other significant abnormalities can be identified. No new infiltrates are seen.
<unk>-year-old male patient with history of lobectomy and legionella. evaluate for interval change.
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The patient's chin overlies the medial lung apices, partially obscuring the view. There are low lung volumes which accentuate the bronchovascular markings. Patchy right basilar opacity may be due to confluence of structures and is not substantiated on the lateral view although a subtle consolidation is not excluded. No large pleural effusion is seen. There is no pneumothorax. The cardiac and mediastinal silhouettes are grossly stable.
history: <unk>f with dyspnea // sob
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Ap upright and lateral views of the chest provided. There is mild basilar atelectasis. Patient is slightly rotated to his left. Allowing for limitations, the lungs appear clear. No large effusion or pneumothorax is seen. The heart size appears stable. The mediastinal contour is normal. No acute bony injuries.
<unk>m with multiple falls. poor historian. // pneumonia?
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Pa and lateral views of the chest. Vague linear opacity persists in the right lower and left mid lung -- likely atelectasis. There is no pleural effusion or pneumothorax. The cardiomediastinal contours are normal.
status post whipple procedure with anastomotic leak, question of intrathoracic process.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is mildly enlarged. Mediastinal contours unremarkable. There is no pulmonary edema.
history: <unk>f with intermittent episode of acute shortness of breath //
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Persistent mild to moderate cardiomegaly and pulmonary vascular congestion persists, with an interval increase in the severity of pulmonary edema. There is also moderate interstitial edema. Again noted, at the periphery of the right upper lobe, at the level of the <unk> posterior rib, there is a <num> mm nodular opacity, overall unchanged compared to the prior exam. Small bilateral pleural effusions are persistent. There is a right-sided central line which terminates in the right atrium.
history of shortness-of-breath. please evaluate for chf.
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Pa and lateral views of the chest provided. Extensive airspace consolidation in the right and left mid and lower lungs is compatible with worsening pneumonia. No large effusion or pneumothorax. Cardiomediastinal silhouette is grossly unchanged. Bony structures are intact.
<unk>f with pna, worsening sx // worsening process
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The patient has been extubated. Lung volumes are within normal limits except note mild left lower lobe atelectasis. Superimposed infection cannot be excluded. No consolidation or pneumothorax seen. No frank pulmonary edema. Pulmonary vascular congestion has improved.
<unk> year old man with s/p exfix for open left tib/fib fracture c/b vascular compromise and small ich called out from the vicu for further management and workup of hypertensive urgency, ileus, and acute encephalopathy now with new fever // acute cause of fever
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The heart size is mildly enlarged. The aorta is slightly unfolded. The mediastinal contours are otherwise unremarkable. There is mild pulmonary vascular congestion. A somewhat peripheral opacity projecting over the left lateral lung base may be due to overlying soft tissue. No pleural effusion or pneumothorax is present. Streaky opacities in the lung lower lungs likely reflect atelectasis. No pneumothorax is identified. There is minimal scarring within the lung apices. No acute osseous abnormalities are otherwise demonstrated.
cough and shortness of breath.
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A portable frontal chest radiograph demonstrates slightly increased heart size, which is no top-normal mild pulmonary edema and multifocal severe pneumonia is not clearly improved. Adenopathy is unchanged. There is no pneumothorax.
evaluate for pneumonia in a patient with fever, hypoxia, and episode of aspiration.
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Lung volumes are low, resulting in bronchovascular crowding. Cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.
history: <unk>m with chest pain, dyspnea // ? pneumonia
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A single portable frontal chest radiograph was obtained. Lung volumes remain low. Bilateral peripheral interstitial opacities in an apical to basal gradient are similar to prior exams dating back to <unk>. Mild cardiomegaly is unchanged. No effusion or pneumothorax is present.
<unk>-year-old woman with interstitial lung disease, heart failure and increased shortness of breath.
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Portable semi-upright radiograph of the chest demonstrates low lung volumes which results in bronchovascular crowding. There is an area of increased opacification at the left base, likely representing a combination of pleural effusion and adjacent atelectasis. The right lung is essentially clear. There is an area of increased opacification in the left mid lung zone, an area of presumed lung biopsy. There is a small left-sided apical pneumothorax. Cardiomediastinal and hilar contours are unchanged.
<unk>-year-old man status post transbronchial biopsy. evaluate for pneumothorax.
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The patient is status post median sternotomy and cabg. A left-sided dual-chamber pacemaker device is noted with leads terminating in the right atrium and right ventricle. Again seen is cardiomegaly with pulmonary vascular congestion. Bibasilar opacity consistent with atelectasis. No pleural effusion or pneumothorax is seen.
<unk> year old man with anemia, cad, asthma, c/o increased shortness of breath, weakness // assess for chf, infiltrate or other abnormality that may account for sob
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Right moderate pleural effusion is worsened from <unk>. Bibasilar atelectasis is stable. Top normal cardiac size persists with mild pulmonary edema. There is no pneumothorax. There are atherosclerotic calcifications within the aortic arch. There is a calcified mitral annulus with a hugely dilated left atrium. Mediastinal borders are normal and hilar structures are normal.
<unk> year old woman with dchf and hypervolemia. // please eval for e/o pulmonary edema/vascular congestion.
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Lung volumes are low, but the lungs are clear without focal consolidation, pleural effusion, or pneumothorax. Heart size and cardiomediastinal contours are normal.
history: <unk>m with fever // pna?
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Endotracheal tube and nasogastric tube remain in standard position. Cardiomediastinal contours are stable allowing for differences in patient's positioning. Pulmonary vascular congestion has slightly improved, and previously described bibasilar lung opacities are also somewhat better, particularly in the left retrocardiac region. Small-to-moderate bilateral pleural effusions have slightly decreased in size as well. No visible pneumothorax.
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Pa and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding similar study of <unk>. The heart size is at the upper limit of normal variation. No typical configurational abnormalities identified. The pulmonary vasculature is not congested. There is now left-sided basal pulmonary parenchymal infiltrate obliterating the diaphragmatic contour and that of the lower descending thoracic aorta. Mild degree of blunting of the left lateral and posterior pleural sinus is also present. No other new pulmonary abnormalities are seen. When comparison is made with the next preceding pa and lateral chest examination of <unk>, this pneumonic infiltrate is new. The finding apparently matches the clinical findings. Followup examination after treatment is recommended.
<unk>-year-old male patient with chronic lymphatic leukemia, evaluate for pneumonia, patient has crackles in the left base.
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Single upright portable radiograph of the chest demonstrates unchanged mild cardiomegaly with bilateral pleural effusions, moderate on the left and small on the right, slightly improved since the prior study from <unk>. No focal consolidation concerning for pneumonia is identified. There has also been mild interval improvement in pulmonary edema since the prior study. Bibasilar atelectasis is present. A superior vena cava stent and the superior aspect of the partially visualized central venous catheter appear unchanged in position. There is no pneumothorax.
<unk>-year-old female with shortness of breath. evaluation for pulmonary edema.
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The heart appears to be borderline enlarged. The mediastinal contours are unremarkable. There are low lung volumes which causes crowding of the bronchovascular structures, but no overt pulmonary edema is demonstrated. Elevation of right hemidiaphragm is age indeterminate. Atelectasis is demonstrated in both lung bases. No left-sided pleural effusion or pneumothorax is visualized. There are no acute osseous abnormalities.
tachypnea.
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There is interval opacification of the right hemi thorax the left lung remains clear except for mild prominence of the bronchovascular markings. The left cardial mediastinal silhouette is unchanged. A radiopaque tube is projected over the lower right hemi thorax as before.
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Ap upright and lateral views of the chest provided. Cervical spinal stabilization device projects over the chest limiting assessment. Allowing for this, there is no convincing evidence for pneumonia or edema. No large effusion or pneumothorax. The hila appear slightly prominent with mild cardiomegaly, appearing relatively unchanged. No acute osseous abnormality is seen.
<unk>m with recent d/c for c<num> fracture (in somi brace may not remove) with neck pain, chest discomfort, sxs c/w prior sickle cell episode
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In comparison with study of <unk>, there is little change and no evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion.
tired with chills and positive ppd.
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A new endotracheal tube is seen, ending at the thoracic inlet, approximately <num> cm above the carina. A right ij line has also been placed in the interval and ends in the lower svc. Compared with prior exam, there is interval worsening of the opacification of the right hemithorax, with more conspicuous reticular opacities in the right lung base obscuring the right heart border which may be due to worsening infection and more confluent opacity over the right upper to mid hemithorax worrisome for further long collapse with overlying pleural effusion. There is also interval development of diffuse interstitial markings in the left lung with perihilar predominance. Severe cardiomegaly is not significantly changed from prior. Apparent interval widening of the vascular pedicle may be due to supine position; attention at followup. There is a possible trace left pleural effusion. No pneumothorax is identified.
<unk>-year-old male status post intubation. evaluate endotracheal tube placement.
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In comparison with the study of <unk>, there is now a nasogastric tube that extends well into the stomach. Continued low lung volumes with enlargement of the cardiac silhouette and possibly worsening pulmonary vascular congestion. Bibasilar opacifications are consistent with pleural effusion and volume loss in the lower lobes.
atrial fibrillation.
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The examination is compared to <unk>. In the interval, the patient has been intubated. The tip of the endotracheal tube projects <num> cm above the carina. There is no evidence of complication, notably no pneumothorax. The appearance of the lungs is unchanged. In the interval, bilateral pleural effusions have developed. Additional evidence of retrocardiac atelectasis. Unchanged appearance of the cardiac silhouette.
intubation, evaluation of endotracheal tube placement.
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Frontal and lateral views of the chest demonstrate low lung volumes. 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.
left-sided chest pain. assess for pneumothorax.
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The tip of the right subclavian picc line lies in the mid-to-lower portion of the svc. Otherwise, little change with streak of atelectasis or fibrosis in the left lower zone.
new picc line.
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Allowing for differences in technique and positioning, there is no substantial interval change. Postsurgical changes are noted in the right upper lung. Cardiomediastinal silhouette is stable. Lungs are clear. No large effusion or pneumothorax.
<unk> year old woman s/p tracheobronchioplasty, check interval change
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Left chest wall transvenous pacing device with lead ending in the right atrium, as expected. A right pleural effusion has increased from prior, although the exact size is difficult to discern given a probable subpulmonic component. Heart is top-normal in size. Mediastinal contour is normal. Lungs are clear.
<unk> year old man with hemorrhagic right pleural effusion
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Endotracheal tube terminates <num> cm above the carina. Left subclavian central venous catheter remains in unchanged position in the left svc. Increased opacities persist at the right lung base with increased aeration in the right upper lobe. This could be related to asymmetry of residual edema in the setting of copd as well as to fissural pleural fluid. Left lung base has not cleared. Cardiac silhouette is not enlarged. There is no definite pneumothorax.
<unk>-year-old man with et tube placement. study requested for evaluation of et tube placement.
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There are bibasilar parenchymal opacities. There is no pleural effusion or pneumothorax. The heart size is normal. Right middle lobe bronchiectasis is noted.
history of bone marrow transplant as well as leukemia and bronchiectasis. concern for pneumonia. leukocytosis on <unk>.
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As compared to the previous radiograph, the patient has received a nasogastric tube. The device can be followed along the proximal and mid third of the esophagus and not clearly visualized beyond that. Additional upper abdominal views should be obtained to confirm or exclude correct tube position. No other relevant changes. Minimal fluid overload, mild cardiomegaly, left pectoral pacemaker.
new nasogastric tube placement, evaluation.
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A left-sided port-a-cath is unchanged in position. There is a large right pleural effusion with adjacent atelectasis. In addition, there is a probable small left pleural effusion with adjacent atelectasis. Moderate central pulmonary vascular congestion is noted. The heart is moderately enlarged.
history: <unk>f with dyspnea // eval volume status
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Single frontal view of the chest. Heart size and cardiomediastinal contours are normal. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax.
bipolar disorder now with leukocytosis.
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The cardiac, mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vasculature normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities demonstrated.
chest pain.
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Pa and lateral views of the chest. No prior. The lungs are clear. Costophrenic angles are sharp. Cardiac silhouette is at upper limits of normal. Degenerative changes noted in the t-spine. No free air is seen below the diaphragm.
<unk>-year-old female with multiple medical problems, taking four aleve everyday with one month of gnawing/burning left-sided abdominal pain, worse with eating.
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As compared to the previous radiograph, there is a newly appeared zone of increased parenchymal opacity in the right mid lung. The opacity, however, is more likely to reflect progression of the known underlying disease than pneumonia. The retrocardiac lung volumes are better ventilated than on the previous image. The right basal atelectasis that pre-existed has completely resolved. Unchanged size of the cardiac silhouette. In the apical lung areas, there is unchanged extent of the pre-existing pulmonary changes.
langerhans cell histiocytosis, ongoing cough, evaluation for pneumonia.
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Pa and lateral views of the chest. The cardiomediastinal and hilar contours are normal. There is no chf, focal consolidation, pleural effusion or pneumothorax. Mild concavity of the anterior chest (pectus excavatum) appears to account for the apparent prominence of markings in the cardiophrenic region -- this appearance is unchanged compared with a cxr from <unk> and is considered within normal limits. Mild right convex curvature of the thoracic spine is suggested, new compared with <unk>.
afib and palpitations. shortness of breath.
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Ap and lateral chest radiograph demonstrate hyperinflated clear lungs . The heart is within upper limits of normal in size. Patient is status post median sternotomy. There is no pulmonary edema. There is no pleural effusion or pneumothorax. No acute osseous abnormality is detected.
<unk>-year-old male status post fall.
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There is possible background hyperinflation. The right hemidiaphragm is elevated. The heart is not enlarged. Aorta is minimally unfolded. There is patchy atelectasis/scarring in the right cardiophrenic region associated with the elevated right hemidiaphragm. There may be minimal subsegmental atelectasis at the left base. No chf, frank consolidation or gross effusion is identified. The pulmonary nodules identified on the <unk> chest ct are not well depicted radiographically. Osteopenia, mild right convex curvature and degenerative changes of the thoracic spine are noted, not fully evaluated. No free air detected beneath the diaphragms.
<unk> year old woman with lung nodules from metastatic leiomyosarcoma, new sob overnight since doxil (chemo), with no significant findings on exam except for increased wob // edema? infection?
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There is a right ij central venous catheter with the distal lead tip at the cavoatrial junction. Some mild prominence of the pulmonary interstitial markings is suggestive of mild fluid overload. The cardiac silhouette and mediastinum is normal. There is no focal consolidation or pneumothoraces.
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As compared to the previous radiograph, no relevant change is seen. No pulmonary edema. Borderline size of the cardiac silhouette with tortuosity of the thoracic aorta. No pneumonia, no pleural effusions. Status post vertebral and left shoulder fixation. Minimal elevation of the left hemidiaphragm, caused by slight dilatation of the left colonic flexure.
pre-cabg.
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Heart size is mildly enlarged. Mediastinal and hilar contours are unchanged with atherosclerotic calcifications noted within the aortic knob and descending thoracic aorta. The pulmonary vasculature is normal. Minimal linear opacities in the lung bases may reflect scarring or subsegmental atelectasis. Lungs are otherwise clear without focal consolidation, pleural effusion or pneumothorax. There are no acute osseous abnormalities.
history: <unk>f with diabetes, presents with weeks of productive cough
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Endotracheal tube is stable in position, terminating <num> cm above the carina. Left central venous catheter terminates at the origin of the svc. Nasogastric tube is in the stomach. Cardiomediastinal silhouette is stable. Lung volumes remain low. There is no consolidation or pleural effusion. No pneumothorax.
<unk> year old man with crani intuabted // interval change
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The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are well expanded and clear. There is no focal consolidation concerning for pneumonia. Pulmonary vasculature is within normal limits.
<unk>-year-old with history of myeloma presenting with cough.
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Since the prior exam, there is new mild pulmonary edema and a possible new tiny left pleural effusion. There is no right pleural effusion. No focal opacity is identified to suggest pneumonia. Significant biapical pleural-parenchymal scarring is unchanged. There is no pneumothorax. The mediastinal contours are normal. The heart size is at the upper limits of normal. Sternal wires are intact.
nash cirrhosis, presenting with cough and altered mental status. evaluate for pneumonia.
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A stimulator device has been placed and projects over the left mid chest. The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. Severe mid-to-lower thoracic compression fracture appears unchanged.
syncope.
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Lungs are moderately well inflated and clear. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable.
<unk>f with chest pain and shortness of breath. assess for acute process.
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As compared to the previous radiograph, the monitoring and support devices are in constant position. The patient is strongly relocated, which limits the evaluation of subtle changes. However, there appears to be a slight increase in extent and severity of the pre-existing diffuse parenchymal opacities. Moreover, blunting of the costophrenic sinuses has increased, potentially suggesting increasing pleural effusions. The size of the cardiac silhouette remains moderately enlarged.
diffuse alveolar hemorrhage, intubation, evaluation for interval change.
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Lungs are well expanded. Opacity in the right lower lobe obscures the right heart border. Right chest wall defibrillator with intact atrial and ventricular leads is unchanged from <unk>. Postoperative mediastinum and cardiomegaly are stable from <unk>. There is no pneumothorax or right pleural effusion. The left hemidiaphragm is incompletely visualized.
<unk>m with cough // ?pneumonia
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Heart size is normal. Mediastinal and hilar contours are unremarkable. Lungs are clear and the pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities demonstrated.
auto accident.
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Lower lung volumes are noted. Blunting of the left lateral costophrenic angle is likely due to combination of rotation with prominent mediastinal fat as seen on ct scan. Superiorly, the lungs are clear. There is no pneumothorax. The cardiomediastinal silhouette is within normal limits. No displaced fractures identified.
<unk>f s/p fall on right breast // <unk>f s/p fall on right breast
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Overlying trauma board slightly limits assessment. Cardiac and mediastinal contours are unremarkable. Fractures of the left fifth through seven ribs are noted with increased lucency overlying the left lung base suspicious for a pneumothorax. No contralateral shift of the mediastinal structures is present to indicate tension. Minimal atelectasis is noted in the left lung base. No large pleural effusion is demonstrated. Leftward deviation of the trachea at the level of thoracic inlet may be due to the presence of a thyroid goiter. Fracture of the right seventh lateral rib is also noted
history: <unk>f trauma, motor vehicle collision
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Pa and lateral views of the chest. No prior. Lungs are clear of focal consolidation. Cardiomediastinal silhouette is top normal in size. Median sternotomy wires are noted. Osseous and soft tissue structures are otherwise unremarkable.
<unk>-year-old female with hypotension.
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As compared to <unk> radiograph, cardiomediastinal contours are stable. Lungs and pleural surfaces are clear.
<unk> year old man with hx of atypical pneumonia // compare to <unk> <unk>, check for resolution of pna
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Frontal and lateral views of the chest are obtained. The thoracic portion of the right vp shunt is seen coursing along the right hemithorax, intact. Multiple bilateral pulmonary nodules are again seen, increased since chest radiograph from <unk>, however, grossly stable as compared to <unk>, given differences in technique. Left paracardiac, left infrahilar ground-glass opacity corresponds to that seen on multiple prior chest cts, consistent with lymphangitic spread is again seen. No large pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable. Degenerative changes are seen at bilateral acromioclavicular joints. No displaced fracture is identified.
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Ap and lateral views of the chest are compared to previous exam from <unk>. Extremely low lung volumes are seen. There is new opacity at the left lung base laterally, potentially in part due to atelectasis; however, is incompletely characterized. Cardiomediastinal silhouette is unchanged. Chest wall port is again noted. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male with tachycardia. question infiltrate.
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Pa and lateral views of the chest provided. Midline sternotomy wires and mediastinal clips are noted. There is a subtle patchy opacity within the right upper lobe which is concerning for an early pneumonia. Lungs are otherwise clear. No large effusion or pneumothorax is seen. There is a small out pouching of the posterior right hemidiaphragm which is likely a small eventration or bochdalek's hernia. Cardiomediastinal silhouette appears grossly unremarkable though there is calcification along the aortic knob. Bony structures appear relatively intact.
<unk>f with sob // pna
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There is no focal consolidation, pleural effusion, pneumothorax, or mass. Cardiomediastinal silhouette is normal. Osseous structures are intact.
<unk>-year-old male with left sternal chest pressure, question pneumonia or mass.
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Comparison is made to previous study from <unk>. Again seen are areas of consolidation in the right base, left base and right perihilar region which can be due to pneumonia. There is also likely superimposed mild pulmonary edema. Heart size within normal limits. Small bilateral pleural effusions are also present. No pneumothoraces are seen.
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The lungs are hyperinflated. There is severe bullous emphysema on the right. Increased ill-defined opacification in the right upper lung is new from prior with focal lateral pleural thickening in this region. An air-fluid level is noted in a large bulla adjacent to the region of consolidation. The left lung is grossly clear. Cardiomediastinal silhouette is normal. No pulmonary edema or pleural effusion is present. There is no pneumothorax.
<unk>-year-old man with cough and chest pain
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The lungs are clear. Mediastinal and cardiac contours are mildly enlarged. There is no pleural effusion or pneumothorax.
patient with dementia, copd, chronic smoker; rule out pneumonia.
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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 positive ppd <num>mm // r/o tb
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Ap upright 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 agitation/ams // pneumonia?
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There is moderate cardiomegaly which is unchanged. The aortic knob remains calcified. Mediastinal and hilar contours are unchanged. There is crowding of the bronchovascular structures with mild pulmonary vascular congestion. Findings appear similar when compared to the prior study. No pleural effusion or pneumothorax is identified. Degenerative spurring is noted within both acromioclavicular joints.
chest pain and shortness of breath.
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There is a widespread interstitial abnormality, potentially chronic, although no prior studies are available. There is no focal consolidation. There is no evidence of pulmonary edema. Patchy mid-to-upper lung atelectasis/scarring is noted bilaterally. The heart is mildly enlarged. The mediastinal contours are normal. Note is made of a calcified lymph node in the aortopulmonary window. There are no pleural effusions. No pneumothorax is seen.
atrial fibrillation with rapid ventricular response earlier today. also with a history of copd and increased sputum production. evaluate for pneumonia.
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Heart size is mild to moderately enlarged,unchanged. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is seen. Minimal streaky opacity in the left lung base likely reflects atelectasis. No acute osseous abnormalities are seen. Healing fracture of the right mid clavicle is re- demonstrated. Clips are seen within the right upper abdomen.
diabetes mellitus, hhs.
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A single portable supine image of the chest was obtained. A new right subclavian central venous line is present with the tip terminating at the atriocaval junction. An endotracheal tube is in place, approximately <num> cm from the carina. An orogastric tube is present and courses below the diaphragm with the tip out of the field-of-view. The lung volumes are low, exaggerating the pulmonary vascular markings and the cardiac size. In comparison to the prior radiograph, there has been no significant change. Hazy bilateral basilar opacification is likely atelectasis. There is no evidence of consolidation, edema, pleural effusion, or pneumothorax. The size of the cardiac silhouette is at the upper limits of normal.
altered mental status. evaluate central line placement.
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In comparison with study of <unk>, there is continued hyperexpansion of the lungs consistent with severe emphysema. Posterior right pleural loculation is again seen. There appears to be a small pneumothorax on the right. Diffuse bilateral pulmonary granulomas are seen.
hydropneumothorax, to assess for recurrence.
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The cardiomediastinal and hilar contours are stable. There is no pleural effusion or pneumothorax. Lungs are well expanded and without focal consolidation concerning for pneumonia. Median sternotomy wires are noted.
<unk>m with cough and congestion.
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There has been no significant change. There is left-sided persistent pleural effusion and opacification of the left lung base as well as patchy right basilar opacification, all suggesting atelectasis. The cardiac, mediastinal and hilar contours appear stable.
left arm pain.
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Known bilateral pulmonary nodules are not identified. Extremely low lung volumes are seen. Bibasilar opacities are likely atelectasis. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>m with hypoxia and tachycardia // eval for pna
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The lungs are well inflated. There is left lower lobe patchy opacity that does not transgress the major fissure on the lateral view. No other focal opacities are present. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old female with cough and fever. evaluate for evidence of pneumonia.
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Left-sided dual-chamber pacemaker device with leads terminating in the right atrium and right ventricle are in unchanged positions. Heart size is borderline enlarged. Mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormality is visualized.
history: <unk>f with chest
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The cardiomediastinal and hilar contours are within normal limits. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax.
chills. question pneumonia, lymphadenopathy.
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Cardiac, mediastinal and hilar contours are normal. The lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities seen.
chest pain.
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Lungs are well-expanded and clear. No pleural effusion, focal consolidation, edema, or pneumothorax. Heart size is normal. Mediastinum is not widened. The hila and pleura are unremarkable. Mild, broad dextroconvex scoliosis of the lower thoracic spine is unchanged.
<unk>-year-old woman presenting with shortness of breath. evaluate for infiltrate.
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<num> views were obtained of the chest. The patient is rotated. Accounting for this, the lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The heart is normal in size with normal cardiomediastinal contours.
fever and hypotension.
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A new right internal jugular central venous catheter terminates in the lower superior vena cava. There is no pneumothorax. The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion on the right but there is a suggestion of a small pleural effusion on the left with increased, confluent but focal opacity obscuring the left heart border, probably within the lingula.
central line placement.
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Previously seen <num> cm metallic foreign body has been removed. Small metallic fragments overlying the left upper abdomen are unchanged. Pneumoperitoneum under the left hemidiaphragm is consistent with patient's history of recent laparoscopic surgery. Cardiomediastinal silhouette is normal size. Lungs are clear. There is no pneumothorax or large pleural effusion.
<unk> year old man with gsw s/p dx lapscope // interval change / ptx / hemotx / free air
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The lungs are well-expanded and clear. The heart is mildly enlarged. The hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.
history: <unk>f with back pain and sob, elevated d-dimer // eval for pe
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Pa and lateral chest radiographs demonstrate clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion, pneumothorax, or evidence of pulmonary edema. There is no air under the right hemidiaphragm.
history: <unk>f with cp, abd pain, radiation to left scapula and back // any infection, volume oveload
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Chest, portable upright. Lung volumes are low, causing bronchovascular crowding. The lungs are clear. Moderate cardiomegaly is unchanged. The aorta is tortuous. The hila are remarkable only for mild vascular engorgement without frank edema. There is no pneumothorax or pleural effusion.
clinical suspicion of pneumonia.
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The patient has situs inversus with a right-sided cardiac apex, right-sided aortic arch, and right-sided stomach. Mediastinal and hilar contours are stable, and the heart size is not enlarged. There is no pulmonary vascular congestion. Minimal atelectasis is noted at the lung bases. No pleural effusion or pneumothorax is present. Several clips are demonstrated at the ge junction, as well as within the right upper quadrant of the abdomen.
abdominal pain and distention. history of bowel obstruction.
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Compared to the prior study there is increased opacity at the right base with obscuration of the right hemidiaphragm. It is unclear how much of this is due to volume loss in how much of that is due to a e right lower lobe infiltrate. There is also dense retrocardiac opacity with obscuration of the left hemidiaphragm. This is increased slightly compared to the prior exam. There is mild pulmonary vascular redistribution. The left ij line and left-sided picc line tips are unchanged. .
<unk> year old woman with trach // please eval interval change
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In comparison with the study of <unk>, there again are low lung volumes that accentuate the transverse diameter of the heart. There may be minimal elevation of pulmonary venous pressure. Left basilar opacification is consistent with combination of pleural effusion and volume loss in the left lower lobe. There may be mild atelectatic changes of the right base as well. The right picc line extends to the cavoatrial junction or upper portion of the right atrium. Of incidental note again are severe degenerative changes in the right shoulder.
mi with fever, to assess for pneumonia.
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The lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen. No clavicle or rib fractures identified.
history: <unk>m with fall on left shoulder with left shoulder and left chest wall pain. evaluate for fracture or dislocation.
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Frontal and lateral chest radiographs demonstrate low lung volumes, with exaggeration of cardiac size and bronchovascular crowding. There is no focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.
evaluate for pneumothorax or pneumonia in a patient with chest pain.
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Both lungs are well expanded and clear. There is no evidence of pulmonary edema. Heart size, mediastinal and hilar contours are normal. There is no pleural abnormality.
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Persistent cardiomegaly, but interval resolution of pulmonary edema. Bibasilar opacities are partially improved, and most likely represent atelectasis adjacent to small right and small-to-moderate left pleural effusions respectively.
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The heart is mild to moderately enlarged. The aorta is tortuous. The vascular pedicle appears widened. There is a mild interstitial abnormality suggesting slight pulmonary vascular congestion. There is no pleural effusion or pneumothorax. Mild degenerative changes are present along the thoracic spine.
congestive heart failure.
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In comparison with the study of <unk>, the monitoring and support devices are unchanged. There is continued increased opacification in the retrocardiac region with some obscuration of the hemidiaphragmatic shadow. This is consistent with atelectasis and small effusion. However, in the appropriate clinical setting, supervening pneumonia would have to be considered.
craniotomy, now with coughing, to assess for aspiration.
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Portable frontal radiograph of the chest demonstrates a weighted feeding tube with the tip within the stomach. There is stable moderate left pleural effusion. The previous pulmonary edema has cleared. Right basilar atelectasis is present. No pneumothorax or right pleural effusion
stroke status post dobbhoff tube placement.
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An og tube is seen coursing into the proximal portion of the stomach. Tracheostomy tube is in stable position. Right subclavian catheter terminates in low svc. Moderate-to-severe cardiomegaly is similar to the prior exams and a retrocardiac opacity is stable and compatible with atelectasis although infection can have a similar appearance. While the extremely low lung volumes particularly on the left are largely unchanged, there is a worsening left upper lobe consolidation consistent with aspiration versus atelectasis.
<unk>-year-old man with hematocrit drop. please evaluate for og tube location.
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As compared to the previous radiograph, the right-sided pigtail catheter has been removed from the pleural space. The remaining monitoring and support devices, in particular the left-sided pleural pigtail catheter, are in unchanged position. There is no evidence of right pneumothorax. Minimal increase in extent of the pre-existing right pleural fluid. Unchanged appearance of the left lung and of the cardiac silhouette.
removal of chest tube, questionable pneumothorax.
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There is a new ill-defined opacity at the posterior right base. No pleural effusion, pneumothorax, or pulmonary edema. Heart size is normal. Again seen are prominent multilevel bridging osteophytes in the right anterolateral thoracic spine. Otherwise, mediastinal contours are normal.
male with cad and diabetes presents with productive cough x<num> days. assess for pneumonia.