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Frontal and lateral views of the chest. The lungs are clear of focal consolidation or effusion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
<unk>-year-old female with chest pain and dyspnea. cough.
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Comparison is made to previous study from <unk>. There is an endotracheal tube whose distal tip is <num> cm above the carina. There are low lung volumes. There is a left retrocardiac opacity. There is mild prominence of the pulmonary interstitial markings without overt pulmonary edema.
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There has been interval removal of a left sided picc line. A right ij central venous catheter likely descends to the level of the lower svc. There is mild cardiomegaly. There is mild pulmonary edema. No pneumothorax or large pleural effusion seen.
history of copd, here with shortness of breath. rule out pneumonia, overload.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear.
one month of cough.
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The heart size is normal. The hilar and mediastinal contours are unremarkable. The lungs are clear bilaterally without evidence of focal consolidations. There is no evidence of a pneumothorax or pleural effusions. Cervical spinal fusion hardware is intact. The osseous structures are otherwise unremarkable.
history of diabetic ketoacidosis, diffuse rhonchi, rule out acute pulmonary process.
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Normal heart, lungs, pleural and mediastinal surfaces. A right port-a-cath ends in the mid superior vena cava.
<unk>-year-old man with a fatigue and weakness after chemotherapy. evaluate for pneumonia.
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Frontal and lateral views of the chest. There is no pleural effusion, pneumothorax or focal airspace consolidation. The heart size is normal. The mediastinal and hilar structures are unremarkable.
nausea for <num> weeks. evaluate for an acute cardiopulmonary disease.
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There are no lung opacities of concern. Heart size, mediastinal and hilar contours are normal. There is no pleural abnormality.
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In comparison with the study of <unk>, the monitoring and support devices remain in place. However, the nasogastric tube appears to have been pushed forward since the side hole is not evident and the tube extends below the lower margin of the image. Right lung remains clear. On the left, there is extensive opacification especially involving the lateral aspect of the mid and lower lung with smaller amounts in the right upper zone. This could reflect diffuse left-sided pneumonia, although the previously suggested the possibility of loculated effusion should also be considered.
respiratory failure.
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Bilateral multifocal pneumonia, most severe in the right perihilar region is unchanged in the severity since <unk>. Moderately enlarged heart size is chronic and stable. Mediastinum and hilar unremarkable. There is evidence of prior median sternotomy and sternal sutures are intact. There is no pleural effusion. Mild vascular congestion is present.
pneumonia, to assess interval change.
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As compared to the previous radiograph, no relevant change is seen. Extensive bilateral parenchymal opacities, left more than right, with air bronchograms. Moderate cardiomegaly with bilateral basal areas of atelectasis. Mild widening of the right aspects of the mediastinum, suggesting fluid overload. None of the changes are substantially different than on the previous image.
assessment for respiratory status.
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An endotracheal tube is in satisfactory position, approximately <num> cm from the carina. An enteric tube courses below the diaphragm with the tip out of the field of view. A right central venous catheter is unchanged with the tip in the low svc. A right mid and lower lung zone opacity is not significantly changed from the prior exam, and likely reflects a combination of the known pneumonia and a right pleural effusion. A retrocardiac opacity is also not significantly changed, likely due to atelectasis and a small left pleural effusion. The apices of the lungs are clear. There is no pneumothorax. The cardiomediastinal silhouette is unremarkable. Flowing osteophytes are noted in the thoracic spine.
respiratory failure from an adenovirus pneumonia. evaluate for change.
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Persistent elevation of the right hemidiaphragm and low lung volumes are unchanged compared to the prior study earlier on the same day, limiting assessment for pulmonary edema or consolidation. There is probably no pleural effusion. Apices are obscured by the chin.
<unk> year old man with wheezing. last cxr with very low lung volumes. please obtain cxr on inhale // please assess for volume overload
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Heart size is normal. The aorta is unfolded. Mediastinal and hilar contours otherwise are unremarkable. Lungs are clear. No pleural effusion or pneumothorax is present. Biapical pleural thickening appears asymmetrically more pronounced on the right compared to the left. There are no acute osseous abnormalities.
weakness, constipation.
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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 after paclitaxel therapy
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As compared to prior chest radiograph from <unk>, there has been interval placement of a dobbhoff tube with its tip terminating in the gastric fundus. There has been interval removal of a right picc line. The cardiomediastinal and hilar contours are within normal limits. Heterogeneous bilateral parenchymal opacities are improving. There is no pneumothorax or appreciable pleural effusion. The right internal jugular venous catheter tip terminates in the mid to low svc, unchanged in position.
<unk>-year-old male patient with new dobbhoff placement. study requested for assessment of tube position.
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As compared to the previous radiograph, the lung volumes have decreased. There is a minimal increase in diameters of the pulmonary vessels, but no evidence of overt pulmonary edema. Borderline size of the cardiac silhouette. Unchanged course of the left picc line.
chest heaviness, evaluation for interval change.
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Cardiac silhouette size is borderline enlarged. The mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities seen.
history: <unk>f with chest pain
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Ap and lateral views of the chest are compared to previous exam from <unk>. There is mild bibasilar atelectasis. Lungs are otherwise clear. Cardiomediastinal silhouette is stable in configuration. Previously identified right ij central lines are no longer seen. Right-sided picc identified with tip seen to at least the lower svc; however, exact tip cannot be delineated due to overlying osseous structures. Severe degenerative changes at the shoulders bilateral in addition to multiple bilateral rib fractures and probable right thoracotomy changes.
<unk>-year-old female with altered mental status.
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Tracheostomy tube is midline without evidence of complication. Bronchus stent is in the same orientation without dislodgement. The right chest tube is the same location. Compare to <unk> at <time>, there is increased opacification of right upper lobe causing decreased right lung volume. This is more likely due to atelectasis than pneumonia considering the acute change from this morning. There is interval increase in bilateral pleural effusion. There is persistent left lower lobe atelectasis. The cardiomediastinal silhouette is unchanged. No pneumothorax. No fractures.
<unk> year old woman with lung mass now with sudden desat // interval change
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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. Some degenerative changes are seen along the spine.
history: <unk>m with cough, fever, persistent tachycardia // infiltrate?
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<num> lead left-sided pacemaker is again seen, stable in position. The cardiac and mediastinal silhouettes are stable. There is persistent obscuration of the left hemidiaphragm which may be due to a bochdalek hernia as also seen on the prior study. No new focal consolidation is seen. There is no large pleural effusion although a trace right pleural effusion and is difficult to exclude as there is again blunting of the right costophrenic angle. No pneumothorax is seen. A vp shunt is noted coursing over the right hemi thorax.
history: <unk>m with ams // r/o infection
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The lung volume is small. The left lower lobe consolidation has improved. No pulmonary edema or pulmonary venous congestion. Small left pleural effusion and atelectasis are unchanged. Right lower lobe atelectasis is unchanged. Moderate cardiomegaly is unchanged. Mediastinal silhouette is unchanged.
<unk> year old man with lll pneumonia and new increased oxygen requirement // please evaluate for fluid overload vs worsening of pneumonia
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Ap upright and lateral views of the chest were provided. Midline sternotomy wires and mediastinal clips are again noted. There is a right chest wall pacer device with lead tips extending to the expected level of the right atrium and right ventricle. The lungs appear clear bilaterally with no evidence of focal consolidation, effusion, pneumothorax, or pulmonary edema. Cardiomediastinal silhouette is normal. Bony structures appear intact. Degenerative spurring is seen within the thoracic spine. No free air is seen below the right hemidiaphragm.
<unk>-year-old male with syncope yesterday and fall.
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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. Spinal hardware is partially imaged.
history: <unk>m with fever, sob // evidence of pna
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Support and monitoring devices remain in standard position except an ng tube with tip in the mid thoracic esophagus, as communicated by phone on <unk> to dr <unk> at <time> am at the time of discovery. Bibasilar lung opacities favor atelectasis, and are persistent compared to the prior study. Adjacent small to moderate partially layering pleural effusions are also noted, but there is no evidence of pneumothorax.
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A portable frontal chest radiograph was obtained. Evaluation is limited secondary to patient rotation. A tracheostomy tube projects over the left upper lung. The peg tube is not well visualized on this exam. There is no obvious focal consolidation, pleural effusion, or pneumothorax. No dilated loops of bowel are seen within the visualized abdomen.
evaluate for pneumonia or dilated bowel in a patient with a tracheostomy and peg tube, presenting with vomiting.
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The right pigtail catheter has been repositioned. There has been interval reinflation of the right lung with small residual pneumothorax measuring <num> mm. Multiple rounded lucencies in the right lung apex may reflect bullae. There is ground-glass opacity in the right lung likely reflecting residual atelectasis and possibly re- expansion pulmonary edema
history: <unk>m with ptx s/p pigtail pls eval interval change // history: <unk>m with ptx s/p pigtail pls eval interval change
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The right lung is well expanded, while there is improved aeration of the left lung, with partial re-expansion of the previously collapsed left lower lobe. No focal parenchymal opacities are identified. The cardiac silhouette is moderately enlarged, but not significantly changed from prior. A small left-sided pleural effusion persists. There is no pneumothorax.
<unk>-year-old male with cough and fever and recent parapneumonic and pericardial effusion. evaluate for evidence of pneumonia.
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Ap portable upright view of the chest. There has been interval placement of a left-sided pigtail chest tube with significant re-expansion of the left lung. There is persistent trace left apical pneumothorax seen. Right lung remains well aerated. Cardiomediastinal silhouette is unremarkable. Bony structures are intact.
<unk>m with pneumothorax s/p pigtail
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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.
fever.
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Frontal and lateral views of the chest. Left basilar linear opacities are compatible with scarring and unchanged. Elsewhere, the lungs are clear. There is no pneumothorax or effusion. The cardiomediastinal silhouette is within normal limits. Mid-to-lower thoracic dextroscoliosis is identified.
<unk>-year-old male with weakness.
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After reposition of the iabp device, the tip position is at <num> cm from aortic arch apex. Et tube terminates about <num> cm above the carina. Right-sided swan-ganz catheter, mediastinal drains and left-sided chest tube and ng tubes are all unchanged and in standard position. Lung volumes are still low for bibasilar atelectasis. Heart size is unchanged and normal the vascular congestion is stable and mild. There is no pleural effusion or pneumothorax.
<unk> year old woman with iabp, pulled back, please re-evaluate position..
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Frontal and lateral views of the chest provided demonstrate midline sternotomy wires and mediastinal clips. The heart is normal in size. Mediastinal contour is normal. Lungs are clear. No pneumothorax or pleural effusion. Bones appear intact.
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There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal silhouette is within normal limits. Previously seen right lung base airspace opacity has improved, likely attributable to atelectasis.
<unk>m with psych eval, evaluate for cardiopulmonary disease.
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Mild cardiomegaly is stable. Small to moderate bilateral effusions are stable. Bibasilar opacities larger on the right side are likely atelectasis but superimposed infection cannot be excluded. Right upper lobe opacity is more conspicuous than before seen in the frontal view. The osseous structures are unremarkable
<unk> year old woman with cp and sob // ? acute process
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The lungs are clear. There is no consolidation or effusion or vascular congestion. The cardiomediastinal silhouette is within normal limits. Median sternotomy wires and mediastinal clips are noted.
<unk>m hx cad s/p cabg presenting with palpitations and lightheadedness // r/o chf/pneumonia
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The aorta is mildly tortuous. Calcification is visible along the arch. The heart is normal in size. There is no pleural effusion or pneumothorax. In addition to vague increased asymmetry of interstitial markings in the left mid to lower lung, as depicted on the frontal view, there is focal opacity projecting along the lower lungs on the lateral view which also likely refers to the left, specifically the left lower lobe.
hyponatremia. question mass or infiltrate.
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Decrease in size of pericardial effusion following placement of pericardial drain. Moderate left pleural effusion has also apparently slightly decreased in size with persistent adjacent left lower lobe atelectasis. Right lower lobe peribronchial thickening and adjacent opacity is worse compared to the prior study, and could reflect aspiration, early infection or asymmetrical edema.
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The heart is mild to moderately enlarged. The aorta is tortuous. The cardiac, mediastinal and hilar contours are probably unchanged allowing for differences in technique, including a convex contour to the right upper mediastinum, which is commonly due to tortuosity of great vessels. There is no focal opacification. The interstitium is again mildly coarse, but similar to baseline. Fissures are mildly thickened as best depicted on the lateral view and there are also trace posterior pleural effusions.
right upper extremity cellulitis and hypoxia.
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The lungs are clear. The cardiomediastinal silhouette, hilar contours, pleural surfaces are normal. No evidence of pneumothorax or pleural effusion.
<unk> year old woman with asthma s/p bt // s/p ptx
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Right apical pigtail pleural drainage catheter is unchanged in position alongside the mediastinum. There is no pneumothorax or pleural effusion. The lungs demonstrate mild bibasilar atelectasis, otherwise are unremarkable. No large pleural effusions are identified. Mild cardiomegaly, appears to have progressed compared to exams dated back to <unk>. The visualized osseous structures are unremarkable.
history of tracheobronchomalacia status post y-stent placement and removal with spontaneous pneumothorax on <unk>. please evaluate for interval change.
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The cardiomediastinal and hilar contours are stable, with a tortuous thoracic aorta. The lungs are clear, without consolidation, pulmonary edema, pleural effusion or pneumothorax. Cervical spine fixation hardware is partially imaged.
<unk>-year-old woman with cough for five days.
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Previously noted right basilar opacity has increased and likely represents increase atelectasis, perhaps due to aspiration. Left basilar opacity appears stable and likely a combination of small pleural effusion and adjacent atelectasis. Upper lung <unk> are clear. Tracheostomy is noted in place.
recent laryngeal squamous cell carcinoma with new tracheostomy and increased respiratory secretions, evaluation for pneumonia.
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Ap upright and lateral views of the chest provided.there is a congested appearance of the pulmonary hila concerning for fluid overload. <unk> b-lines are noted suggestive of mild interstitial pulmonary edema. No large effusion or pneumothorax. No focal opacity concerning for pneumonia. The heart size is within normal limits. Mediastinal contour is normal. The imaged bony structures appear intact.
<unk>m with fever, chest pain // eval for pneumonia
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Ap upright and lateral chest radiographs were obtained. The lungs appear well expanded and clear without pleural effusion or pneumothorax. No overt edema is seen. The heart is stably and severely enlarged with unchanged tortuous aortic contour. The width of the mediastinum appears grossly unchanged from prior ap chest radiograph. Right neck plastic cannula is presumed to be for iv access.
chest pain.
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Pa and lateral views of the chest demonstrate the lungs are well expanded and clear. The cardiomediastinal silhouette is unremarkable. There is no pleural effusion, pulmonary edema, pneumothorax, or focal airspace opacity.
<unk>-year-old male with diabetic ketoacidosis. evaluation for pneumonia.
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Pa and lateral views of the chest. No prior. Lungs are clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with right scapular pain.
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The lungs are fully expanded and clear. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Left-sided dual-chamber pacemaker is unchanged in position with leads in the right atrium and right ventricle. Right port-a cath terminates in the low svc, unchanged from prior. Left elevation of diaphragm is stable.
<unk> year old man with pacemaker and left temporal anaplastic astrocytoma. check pacemaker placement.
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Frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. Linear opacity in the right lung likely represents atelectasis. There is no pulmonary edema. Partially imaged upper abdomen is unremarkable.
shortness of breath.
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The lungs are hypoinflated. Right mid lung linear atelectasis or scarring is noted. Left lung base subsegmental atelectasis is also present. There is no pneumothorax. The heart size is suboptimally assessed due to low lung volumes. The mediastinum is not widened. Multilevel spinal degenerative changes are present.
<unk>-year-old male with colonic adenocarcinoma at the hepatic flexure status post laparoscopic hemicolectomy with pneumonia referred for <num> week follow-up.
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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 hyperglycemia // eval heart and lungs
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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. No fracture is seen.
<unk>-year-old male with left clavicular pain. evaluate for clavicle fracture or fracture elsewhere.
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There are extensive diffuse patchy multifocal airspace opacities throughout both lungs. Although they appear more pronounced compare with the prior film, this is likely accentuated due to technical differences. Given th the presence of diffuse opacities, it is difficult to exclude superimposed chf, but the left lung base laterally is relatively clear and no pleural effusion is seen on either side, making superimposed chf less likely. Again seen are calcified mediastinal and left hilar nodes and a calcified granuloma in the left upper zone, consistent with prior granulomatous disease. Cardiomediastinal silhouette is prominent, but unchanged allowing for technique. Left-sided pacemaker with leads over right atrium and right ventricle unchanged.
<unk> year old man with cad, chf, a-fib, history of multiple myeloma in remission presenting with pneumonia. // please assess for infiltrates and pulmonary edema
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Compared with the prior study and allowing for technical differences, no definite change. Again seen is left-sided pacemaker with lead tips over the right atrium and right ventricle, sternotomy wires, and prosthetic tricuspid and mitral valves. Unusual configuration of wires over the superior mediastinum is unchanged compared with <unk> in appears to reflect the presence of a sternal defect. Again seen is cardiomegaly and chf, with vascular plethora and interstitial edema. There is bibasilar atelectasis, similar to prior. No gross effusion. As before, the pulmonary arteries are enlarged, suggestive of pulmonary hypertension. Incidental note is again made of deformity of the right humeral head, which may reflect an old fracture.
<unk> year old woman with copd, chf now in heart failure // assess for interval change, pulmonary edema
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Diffuse bilateral patchy airspace opacities, most pronounced in the left lower lung zone may reflect pulmonary edema although superimposed infection cannot be excluded. The size of the cardiomediastinal silhouette is significantly enlarged. No discrete pneumothorax identified.
<unk> year old man with baseline copd underwent right sided paraspinal soft tissue bx at t<num>, // eval for ptx with focus on right apex
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Cardiac size is normal. Enlargement of the pulmonary arteries is again noted. There is minimal vascular congestion, otherwise the lungs are clear. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable
<unk> year old woman with pre vq scan // pre vq scan
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>f with cough, msk type chest pain // ? cardiopulmonary process
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Compared to prior, there has been no significant change in a large right apical pneumothorax. Lines and tubes are unchanged in position. Left pleural effusion, cardiomegaly, and mild pulmonary edema are also unchanged.
<unk> year old man with new possible diagnosis of non-hogkin's lymphoma, recurrent right sided pleural effusion, s/p chest tube yesterday with pneumothorax, evaluate size of pneumothorax
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Portable semi-upright radiograph of the chest demonstrates increased opacification of the bilateral bases, which likely represents atelectasis, however superimposed infection cannot be excluded. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax or pleural effusion.
shortness of breath and hypoxia. evaluate for pneumonia.
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Lungs are hyperinflated, likely due to copd. Focal area of scarring in the right upper lobe is unchanged since <unk>, with associated volume loss and upward retraction of the minor fissure and hila. No new focal consolidation, pleural effusion, or pneumothorax. Cardiomediastinal contours are normal.
<unk> year old man with n v, hyperglycemia to <num>, chest pain. evaluate for pneumonia.
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Frontal and lateral chest radiographs demonstrate interval removal of a right subclavian catheter. The heart, lungs, mediastinum, hila, and pleural surfaces are normal.
transplant workup.
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As compared to the previous radiograph, the pre-existing pneumonia at the right lung base has almost completely resolved. There is mild elevation of the right hemidiaphragm. Minimal atelectasis at the right lung bases. No new parenchymal opacities. Minimal bilateral symmetrical apical thickening. Borderline size of the heart without evidence of pulmonary edema.
pneumonia, followup.
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A right-sided picc is in-situ, unchanged in position when compared to the prior study unchanged small left pleural effusion. No pneumothorax seen. No focal consolidation seen. The cardiomediastinal contour is unchanged compared to the prior study. Calcification of the thoracic aorta.
<unk>f h/o copd not on home o<num>, htn, recurrent utis, prior cva c/b residual l sided weakness, and depression who p/w concerns for intrauterine infection and underwent endometrial aspiration where she became intraoperatively hypotensive to <unk>, started on neo gtt, and now being admitted to icu with concerns for septic shock. now <num>l positive and worsening hypoxia. // interval exam
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The lungs are well inflated. Persistent left retrocardiac opacities and left pleural effusion, with mild interval improvement compared to the prior radiograph. Unchanged patchy opacities in the right mid zones. Stable cardiomegaly and tortuosity of the thoracic aorta. Persistent degenerative changes of the thoracic spine.
<unk> year old woman with pleural effusion // reasses l pleural effusion
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There is a moderate right-sided pleural effusion that is slightly increased compared to the study from the prior day. There is volume loss at both bases. There is improved aeration of the right upper lung compared to prior.
<unk> year old woman s/p tracheobronchoplasty // interval change, please evaluate
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A right-sided picc terminates <num> cm below the cavoatrial junction. Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pneumothorax. The contour of the right hemidiaphragm suggests a possible small sub pleural effusion however this is equivocal.
<unk> year old man with lymphoma // please eval picc placement
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No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac mediastinal silhouettes are stable. No pulmonary edema is seen.
<unk>f with decreased mental status // <unk>f with decreased mental status
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Supine portable ap view the chest provided. Lungs are clear. No supine evidence for effusion or pneumothorax. Cardiomediastinal silhouette appears normal. Bony structures are intact. Excreted contrast within the renal collecting system noted in the upper abdomen.
<unk> year old man with chest pain s/p mvc // acute process
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Mild prominence of the central pulmonary vasculature suggests pulmonary vascular engorgement without overt pulmonary edema. Subtle left base retrocardiac opacity likely represents atelectasis rather than focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
history: <unk>f with sob and <unk> lb wt gain // eval chf vs pneumonia
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As compared to the previous radiograph, the lung volumes have increased. The signs of diffuse and relatively severe pulmonary fibrosis are visually more obvious than on the previous image. Currently, there is no evidence of additional pulmonary edema. The size of the cardiac silhouette remains at the upper range of normal. No pleural effusions are present.
pulmonary fibrosis, shortness of breath, evaluation for pneumonia.
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The heart is mildly enlarged. The aorta is heavily calcified. Otherwise, the mediastinal and hilar contours appear within normal limits. A small calcified granuloma projects over the right upper lobe. There is slight blunting in the left costophrenic sulcus suggesting minor atelectasis with a possible trace left-sided pleural effusion. There is no pneumothorax. The bones appear demineralized. A mild upper thoracic compression deformity appears unchanged.
palpitations and dizziness.
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Ap view of the chest demonstrates moderate left pleural effusion, unchanged since prior. Left lung base consolidation is again noted. Right pleural effusion has improved. Right lung base opacities likely represent atelectasis. Hilar and mediastinal silhouettes are unchanged. Heart size is normal. There is no pulmonary edema. Tracheostomy tube is noted with its tip terminating <num> cm above the carina.
fever, labored breathing. assess for pneumonia.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures are unremarkable.
chest pain.
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Suture material projecting over the left upper lung compatible with prior resection. Again seen is a focal opacity in the right lower lobe and left mid lung not significantly changed compared to prior study. Small bilateral pleural effusions are unchanged.
<unk> year old woman with multifocal pna // pneumonia interval change
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As compared to the previous radiograph, the right picc line has been removed. There is unchanged evidence of moderate cardiomegaly and bilateral areas of atelectasis as well as of a potential minimal right pleural effusion. However, no new parenchymal opacities have appeared, the presence of pneumonia is unlikely. Unchanged healed right rib fractures. Unchanged mild fluid overload but no overt pulmonary edema.
questionable pneumonia.
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Lung volumes are decreased, accentuating the cardiac silhouette and bronchovascular structures. The heart is top normal in size, unchanged. There is no definite focal abnormality suggestive of pneumonia. There is no large pleural effusion or pneumothorax.
tachycardia, cough. evaluate for pneumonia.
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Cardiac silhouette size is normal. Mediastinal and hilar contours are normal. Pulmonary vasculature is not engorged. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. No acute osseous abnormality is identified.
history: <unk>m with <num> day substernal chest pain from outside hospital, tnt <num> / nstemi
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Lung volumes remain low. Pulmonary edema has improved, now mild. Mediastinal venous engorgement is unchanged. Left lower lobe atelectasis is worse than before. Moderate right pleural effusion is unchanged. A left ij central venous catheter terminates at the mid svc as before. There is no pneumothorax.
<unk> year old man with necrotizing sacral soft tissue infection and pulmonary edema being diuresed, evaluate for interval change.
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Compared with most recent prior radiographs, pleural effusions and associated atelectasis have resolved. There is no change in severe leftward thoracic scoliosis and hiatal hernia. Lungs are clear. No pleural effusion or pneumothorax.
history of renal cell cancer, resected. question pulmonary nodules.
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Pa and lateral views of the chest provided. The lungs are clear without focal consolidation, effusion or pneumothorax. Cardiomediastinal silhouette is normal. No free air below the right hemidiaphragm. No displaced rib fractures are seen.
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The lungs are clear without focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is unchanged in appearance. There are mild degenerative changes of the thoracic spine.
history: <unk>m with syncope flu like symptoms // ? pna
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Portable semi-upright ap view of the chest was provided. Patient is rotated to the right, low lung volumes limit evaluation. There is mild bibasilar atelectasis. No definite signs of pneumonia or chf. No large effusion or pneumothorax seen. Heart size cannot be assessed. Mediastinal contour is normal. Bony structures are intact.
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The heart appears borderline enlarged. There is similar tortuosity and calcification along the aorta. Mild relative elevation of the right hemidiaphragm is similar. The lateral view depicts a posterior basilar consolidation in the right lower lobe. The pleural effusion visualized on the ct was small and not well demonstrated on radiography. There is no evidence for opacification or pleural effusion on the left side.
shortness of breath and consolidation on recent ct.
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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
fevers.
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Assessment is slightly limited by patient rotation. Right internal jugular central venous catheter tip terminates in the region of the mid svc. No pneumothorax is identified. Heart size is normal. Mediastinal and hilar contours are unremarkable. Ill-defined hazy opacity within the left lung base appears progressed compared to the previous chest radiograph, which could reflect asymmetric pulmonary edema given the rapid interval progression. No large pleural effusion or pneumothorax is seen. Subsegmental atelectasis is noted in the left mid lung field. There are no acute osseous abnormalities.
history: <unk>f with central line placement
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The lungs are relatively well expanded, with mild atelectasis in the left lung base. The heart and descending thoracic aorta are mildly, unchanged compared to the prior study. A right picc terminates in the low svc, unchanged from the prior exam. There is no pneumothorax, pleural effusion, pulmonary edema, or focal consolidation.
history: <unk>f with rle pain, rlq tenderness, known mesentic clot, recent sigmoidoscopy // ?clot extension, ?perf
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In comparison with the study of <unk>, there is a little interval change. The patient has taken a somewhat better inspiration and so that the prominence of the aorta and cardiac silhouette are substantially less. No evidence of vascular congestion, pleural effusion, or acute focal pneumonia.
breast cancer with fever on chemotherapy.
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Frontal and lateral radiographs of the chest were acquired. There is a widespread upper lung predominant interstitial abnormality throughout both lungs that is chronic in appearance, thought to be attributable to sarcoidosis. A <num>-mm nodular opacity in the left mid-to-upper lung is not significantly changed compared to the prior radiograph from <unk>. There is no focal consolidation. Calcified mediastinal/hilar lymphadenopathy is similar in appearance. There are no pleural effusions. No pneumothorax is seen.
shortness of breath and fatigue as well as chest heaviness.
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As compared to the previous radiograph, the patient has undergone a right thoracocentesis. The effusion on the right has substantially decreased. There is no evidence of pneumothorax. Right atelectasis persists. The lucency on the left corresponds to an aerated lung portion, as documented on the previous ct examination. The left chest tube is in unchanged position. Unchanged alignment of the sternal wires. Unchanged size of the cardiac silhouette.
status post primary repair and gastric patch. rule out acute changes in the lung parenchyma.
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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.
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Two views of the chest were obtained. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The heart is moderately enlarged and increased in size since <unk> of uncertain chronicity. Pulmonary vascularity is normal suggesting against acute decompensation. Hilar and mediastinal contours are normal.
reproducible chest pain, assess for acute process.
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In comparison with the earlier study of this date, the tip of the endotracheal tube is somewhat difficult to see, though it appears to be about <num> cm above the carina. Nasogastric tube extends at least to the distal esophagus, where it crosses the lower margin of the image. There is suggestion of some increased opacification at the right base, which could reflect aspiration or atelectasis. Otherwise, little change.
cardiac arrest with tube placement.
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Mild cardiomegaly is noted again without signs of pulmonary edema. Visualized lung fields are clear without any focal opacities, pleural effusions or pneumothorax. The mediastinal silhouette is unremarkable.
chest pain, evaluate for pneumothorax or pneumonia.
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Ap and lateral chest radiographs were obtained. Lung volumes are low, accentuating pulmonary vasculature and interstitial markings. The lungs are clear. No focal consolidation, effusion or pneumothorax is present. The heart and mediastinal contours are normal. A left chest internal jugular approach port-a-cath tip terminates at the cavoatrial junction.
<unk>-year-old woman with hyperglycemia and fevers.
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The patient is status post median sternotomy, cabg, and aortic valve replacement. Heart size is normal. The aorta is mildly dilated and tortuous. The pulmonary vascularity is normal and the hilar contours are unremarkable. Except for minimal linear right basilar atelectasis or scarring, the lungs are clear without focal consolidation, pleural effusion or pneumothorax. No acute osseous abnormalities are visualized.
cough.
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The lungs are moderately well expanded with bibasilar discoid atelectasis. No additional focal opacity. No right pleural effusion. Blunting of the left costophrenic angle is unchanged since <unk> and most consistent with scarring. No pneumothorax. Heart is top normal. Mediastinal contour and hila are unremarkable.
<unk>f with cp. assess for pneumothorax.
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A single portable chest radiograph was obtained. The lungs are well expanded and clear. There is no focal consolidation, effusion, or pneumothorax. Moderate cardiomegaly is accentuated by portable technique.
seizure.
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There has been interval placement of an endotracheal tube, which terminates just distal to the clavicles. The patient has had median sternotomy with cabg. A left pectoral aicd remains in place. A newly placed swan-ganz catheter terminates in the right descending pulmonary artery. Retained pacer leads are in place. There is no pneumothorax. Marked cardiomegaly is unchanged. Bilateral airspace opacities are slightly improved. New retrocardiac airspace opacification is likely due to atelectasis. Extensive splenic artery calcifications are incidentally noted.
<unk> year old man with mr <unk>/p mitraclip placement on <unk> // please eval for edema
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There has been interval improvement in the right basilar atelectasis and bilateral vascular congestion. There are low lung volumes, likely due to poor inspiration. There are no pleural effusions. Cardiac size is unchanged from prior exam.
<unk>-year-old female with mrsa pericarditis and pleural effusion, new requiring assessment for interval change.