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There is no change from the prior radiograph. Cardiac size is within normal limits. Multiple surgical clips project over the anterior mediastinum in left hemi thorax. The patient is status post median sternotomy. There is no pneumothorax or pleural effusion. Left-sided volume loss and left rib changes suggest prior thoracotomy and left lobectomy. No mass lesions are identified.
<unk>m with new brain lesion admitting for onc workup // eval for tumor. history of prior lobectomy.
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Cardiomegaly is mild, slightly improved since prior. Pulmonary vascular markings are prominent compatible with congestion. Small opacity at the lateral right lung base may represent atelectasis or consolidation. No pneumothorax or substantial pleural effusion. A coil in the left axilla is new. Multiple medical devices, including epicardial leads of anterior abdominal wall pacer, svc stent, and right brachiocephalic stent are in similar position to prior. Rugger <unk> appearance of the lumbar vertebral bodies is similar to prior and compatible with hyperparathyroidism, which may be secondary to renal failure.
headache and dizziness. evaluate for pneumonia.
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Cardiac size cannot be evaluated. Upper mediastinum is normal. There is no pneumothorax. Moderate to large bilateral effusions with adjacent atelectasis are grossly unchanged allowing the difference in positioning of the patient. Left pigtail catheter has been removed. The upper lungs are clear
<unk> year old woman with s/p cabg, mvr- returned with chylothorax- bilateral cts have been d/c'd // f/u chylothorax s/p removal of right ct
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There is no evidence of mediastinal lymphadenopathy. Cardiomediastinal silhouette and hilar contours are normal. No pleural effusion or pneumothorax. Lungs are clear.
<unk>-year-old woman with atypical lymphocytes, night sweats and fatigue. question mediastinal adenopathy.
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The lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
history: <unk>f with dizziness // infection?
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac silhouette is top-normal to mildly enlarged. Mediastinal contours are unremarkable. There is no pulmonary edema. Multi-level degenerative changes including multilevel anterior osteophytes are seen along the thoracic spine.
history: <unk>f with r upper abdominal pain // evaluate for pulmonary edema, effusion
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Cardiac silhouette has increased in size and is accompanied by increasing width of the vascular pedicle as well as worsening vascular engorgement. These findings are accompanied by a bilateral asymmetrical airspace process involving the right lung more than the left with relative peripheral sparing. Combination of findings is most suggestive of asymmetrical pulmonary edema. Followup radiographs after diuresis may be helpful to document resolution and to exclude other underlying parenchymal process in the lungs.
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Interval advancement of nasogastric tube, now terminating below the diaphragm. Exam otherwise appears similar to the recent study except for improving aeration in the left lung base.
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The heart size is mildly enlarged. The aorta remains mildly dilated and tortuous. The mediastinal and hilar contours are otherwise unchanged. New focal consolidation within the right lower lobe is compatible with pneumonia. Minimal retrocardiac patchy opacity is also seen. The lungs are hyperinflated compatible with underlying copd. There is no pleural effusion is definitively seen. No pulmonary vascular congestion or pneumothorax is demonstrated. Osteophytic spurring is seen within the thoracic spine.
cough and fever.
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Right-sided port-a-cath is seen, terminating at the cavoatrial junction. There is mild elevation of the right hemidiaphragm with right basilar atelectasis/scarring. No definite new focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable.
malaise, fever.
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Lungs show no focal consolidation. No pleural effusion or pneumothorax is seen. There is possible minor lingular atelectasis. Cardiac and mediastinal silhouettes are unremarkable.
asthma presenting with shortness of breath and wheezing.
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The heart is mildly enlarged, as before. A right internal jugular central venous catheter terminates in the mid svc. Linear atelectasis is present in the left midlung. Indistinctness of pulmonary vasculature about the hilus, as well as mild peribronchial cuffing suggest mild pulmonary edema. There is no pleural effusion, pneumothorax, or focal consolidation.
history: <unk>m with history of dchf, htn, ckd presenting with <num> days of doe. has not been taking prescribed lasix // r/o chf
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The heart size is normal. There is mild central vascular pulmonary engorgement. The lung fields demonstrate diffuse nodular opacities. The lung fields bilaterally also demonstrate diffuse confluent hazy opacities. There appears to be an interval increase in focal consolidation along the mid right lung field. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable. The heart size is normal.
history of shortness of breath. please evaluate for interval change in pulmonary edema.
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The lungs are well expanded and clear. The heart size is normal. The mediastinal and hilar contours are unchanged from prior. Biapical scarring is unchanged. No pleural effusion is seen. Right port-a-cath terminates at cavoatrial junction, unchanged from prior.
<unk> year old woman with aml currently neutopenic with chills // ? pna
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Tip of endotracheal tube has been withdrawn and now terminates <num> cm above the carina as communicated by phone to dr. <unk> at <time> a.m. On <unk> at the time of discovery. Cardiomediastinal contours are stable in appearance. Multifocal parenchymal opacities predominantly affecting the right lung are again demonstrated including a dominant cavity in the right mid lung region, in keeping with history of multifocal infection. As compared to the recent study, there has been interval improved aeration at the left lung base, but worsening atelectasis at the right base with accompanying elevation of the right hemidiaphragm. Small right pleural effusion is unchanged. No visible pneumothorax.
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As compared to <unk>, lung volumes remain low. No consolidation, pneumothorax or pleural effusion. The cardiomediastinal contours unremarkable.
<unk> year old man with mi // pulm edema, pna?
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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. Heart size is mildly enlarged. The aorta is tortuous and calcified with tortuosity or possible dilation of the ascending aorta. Cardiac pacing hardware appears similarly positioned. Right rib deformities are again noted.
<unk>-year-old male with ekg changes.
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Tortuous and diffusely dilated thoracic aorta is re- demonstrated, with marked enlargement of the aortic knob compatible with known aortic arch aneurysm, better depicted on the prior chest cta. Heart size is top normal. The pulmonary vascularity is not engorged. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities.
shortness of breath, productive cough.
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There is no evidence of pneumothorax. The bilateral lungs and cardiomediastinal silhouettes are unchanged in appearance compared with the prior study with bilateral opacifications suspicious for pneumonia or aspiration. There has also been interval repositioning of the endotracheal tube, which is now in appropriate position, terminating <num> cm above the carina. The nasogastric tube has also been repositioned since the prior study, coursing below the diaphragm with side hole below the level of the diaphragm, but near the gastroesophageal junction, and could be advanced several cm.
attempted internal jugular line placement. evaluation for pneumothorax.
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Pa and lateral chest radiograph demonstrates clear lungs bilaterally. Left parahilar opacity likely reflects superimposed structures. There is no pleural effusion, pulmonary edema, or pneumothorax. There is no air under the right hemidiaphragm.
<unk> year old man with hx of a.fib with light headedness and ha after exertion on <unk>, intermittent cough, currently in sinus rhythm // acute process
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The patient is status post endotracheal intubation. The endotracheal tube terminates approximately <num> cm above the carina. An orogastric tube courses into the stomach; its tip is not imaged, however. The heart is mildly enlarged. There are new perihilar opacities suggesting pulmonary edema. A retrocardiac opacity with air bronchograms appears unchanged, and although not entirely specific as the etiology, could be seen with substantial atelectasis. Mild relative elevation of the right hemidiaphragm is similar to somewhat increased. A trace left-sided pleural effusion is suspected. There is no pneumothorax. Cholecystectomy clips project over the right upper quadrant.
status post endotracheal intubation. history of coronary artery disease and congestive heart failure.
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In comparison to the radiograph obtained <num> day prior, of the right lower lobe consolidation has substantially improved. There has been interval intubation and the ett terminates <num> cm above the carina. Heart size is top-normal. No pulmonary vascular congestion or pulmonary edema.
<unk> year old woman with stroke, intubated for elevated pco<num> // ?ett placement
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Frontal and lateral radiographs of the chest demonstrate well expanded lungs. In the left upper lung there is a somewhat spiculated appearing nodule. Calcified hilar nodes are seen on the left. The cardiomediastinal contour is unremarkable. There is no pneumothorax, pleural effusion, or consolidation.
history: <unk>f with shoulder/arm pain, new likely cervical osteo. cough for many years ? tb // please eval for infection, consolidation, acute process.
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Single frontal view of the chest was obtained. The patient is rotated to the left. Opacity projecting over the right medial base is felt to likely be due to overlapping vascular structures. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable.
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There is no consolidation, pleural effusion, or pneumothorax. Faint opacity in the lingular region is similar to prior and likely chronic scarring. Cardiomediastinal and hilar silhouettes are normal size.
<unk> year old man with hx of cll. cough. please r/o pna. // <unk> year old man with hx of cll. cough. please r/o pna.
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Pa and lateral views of the chest provided. Clips are noted in the right upper quadrant. 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 <num> weeks of night sweats // pna, tb
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In comparison with the study of <unk>, there is little change. Again there is substantial enlargement of the cardiac silhouette with a dual-channel pacer device in place. No pulmonary vascular congestion. Continued mild hyperexpansion of the lungs without substantial atelectasis or evidence of pneumonia.
recent pneumonia which resolved, now with more dyspnea on exertion and left crackles.
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The cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal lung consolidation. No acute osseous abnormality is seen.
<unk> year old woman with n/v and wbc <unk> postop day <unk> from ventral hernia repair.
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Ap upright and lateral views of the chest were provided. Lung volumes are low. Bronchovascular crowding and atelectasis noted in the lower lungs. No large consolidation, effusion or pneumothorax is seen. The heart and mediastinal contour appear grossly stable. No definite fracture is identified.
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Patient is post aortic valve replacement, with intact median sternotomy wires. The left chest wall pacer device, with leads terminating in the right atrium and right ventricle, is unchanged in appearance. Compared with the prior radiograph, increased interstitial pulmonary lung markings and <unk> b-lines, with peribronchial cuffing, consistent with worsening pulmonary edema. Mild cardiomegaly and severe calcification of the mitral annulus are unchanged. Right hemidiaphragm eventration is unchanged. No new focal consolidation concerning for pneumonia or pleural effusions.
<unk>f with history of chf, here for sob. assess for pulmonary edema vs. infection.
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The heart is at the upper limits of normal size. Mild unfolding of the thoracic aorta appears similar. There are new patchy opacities in the left lower lung, probably within the lingula and vague streaky right upper lung opacities. These could be seen in association with lower airway infection or inflammation. It is also difficult to exclude bronchopneumonia. There is no pleural effusion or pneumothorax. Mild degenerative changes are similar along the thoracic spine. Slight subpleural thickening at each lung apex is also stable.
chest pain.
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Compared with the prior radiograph, a right lower lobe opacity is new and concerning for pneumonia. Elevation of the right hemidiaphragm is also new. Lung volumes are low, unchanged. The left lung is clear without effusion or consolidation.
<unk> year old woman with gnr sepsis w urinary source, received <num>l of fluid, <num>l fluid positive. cough of <num> days duration has worsened. rule out pna, pulmonary edema, pleural effusion.
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Left chest wall icd is unchanged. Moderate cardiomegaly has improved compared to prior study. Mediastinal silhouette and hilar contours are unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.
atrial fibrillation with rvr with icd firing twice.
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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 headache, fever // eval for pneumonia
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Pa and lateral views of the chest provided. No evidence of focal consolidation. Bibasilar atelectasis is unchanged from <unk>. Left upper lobe platelike atelectasis is unchanged. No pleural effusion or pneumothorax. Hilar contours are normal. Moderate cardiomegaly is unchanged.
<unk> year old woman with see above. // patient with hypoxia, rhonchi, cough, please assess for pneumonia/pulmonary process.
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Stable small right pleural effusion and moderate sized left pleural effusion. No interval change in the left lower lobe, retrocardiac, well-circumscribed, thick-walled, soft tissue lesion measuring <num> cm x <num> cm with central contents of air and fluid. The inferosuperior aspect is distinct from the pleura and is in the lung; however, the inferoposterior aspect is partially obscured by the pleural effusion and may have pleural invasion. No vertebral destruction. No additional focal opacities. No pneumothorax and the right lung is clear. Heart is top normal and mediastinal contours are normal without lymphadenopathy. Severe emphysema with widened ap diameter, hyperinflated lungs and flattened diaphragms is unchanged.
<unk>-year-old female with chronic left lower lobe mass.
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Left-sided pacer device with leads terminating in the right atrium and right ventricle is demonstrated. Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities visualized.
history: <unk>m with confusion
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Right picc terminating at the superior cavoatrial junction. Mild bilateral atelectasis mostly unchanged from prior. No pneumothorax. Mild cardiomegaly.
<unk> year old man with resp distress // aspiration vs chf
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Left chest wall pacer is again seen. The lungs are clear without focal consolidation, effusion or edema. Cardiac silhouette is enlarged but stable. Median sternotomy wires again noted. No acute osseous abnormalities.
<unk>f with pacer placement <num> days ago now with arm swelling and dyspnea // ? acute process
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There is cephalization of pulmonary vessels, with perihilar haziness, vascular indistinctness consistent with moderate pulmonary edema, worsened since prior exam. Small bilateral pleural effusions are noted. Bibasilar opacities are noted, which likely represent atelectasis. The cardiac silhouette is obscured by the pleural effusions. There is no pneumothorax. Sternotomy wires, cabg clips, and cholecystectomy clips are noted.
shortness of breath.
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Ap portable upright and lateral views of the chest are provided. The lungs are clear without focal consolidation, effusion, or pneumothorax. The heart is mildly enlarged. The mediastinal contour and hilar configuration is normal. The bony structures are intact. No large effusion or pneumothorax is seen. There is no free air below the right hemidiaphragm.
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Ap and lateral views of the chest were provided. The patient is status post left lower lobe wedge resection. A small left pleural effusion is present. Right lower lobe pulmonary nodules are present, as seen on the prior chest ct. There is no pneumothorax. The cardiomediastinal silhouette is unchanged. Imaged upper abdomen is unremarkable.
<unk>-year-old man status post left vats lower lobe wedge resection. check interval change.
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Rightward rotation of the patient limits evaluation et tube remains <num> cm from the carina. Right internal jugular central venous catheter is stable in the mid to low svc. There are persistent small to moderate bilateral pleural effusions. Atelectasis in the right mid and lower lung is improving. Right upper lobe pneumonia is resolving. Heart size is likely normal. There is no large pneumothorax.
<unk> year old woman with respiratory failure <unk> mucus plugging and aspiration s/p intubation. evaluate for interval change
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Right-sided chest tube remains in place, with a new small right apical pneumothorax. Bilateral layering pleural effusions are moderate to large in size and are accompanied by bilateral lower lobe and right middle lobe atelectasis.
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There is a new dual-lead pacemaker with leads projecting over the expected locations. There is volume loss in both lower lungs and bilateral pleural effusions. There is mild pulmonary vascular redistribution. An underlying infectious infiltrate in the lower lobes cannot be excluded. Compared to the prior study the fluid status is slightly worse.
pacemaker.
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Pa and lateral views of the chest provided. Left subclavian port-a-cath terminates at the low svc. There is no focal consolidation, effusion, or pneumothorax. Please note, small nodules seen at the lung bases on todays ct abdomen/pelvis are too small to visualize. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with luq sharp pain // eval for pna
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Stability of a moderate bilateral pleural effusion with compressive atelectasis. Stability of the enlarged mediastinal and cardiac contours. The cta showed a mediastinal collection. There is no edema, no pneumothorax.
patient with recent aortic aneurysm repair, shortness of breath and pleural effusions.
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There are low lung volumes, which accentuate bronchovascular markings. Mild bibasilar opacities may be due to combination of low lung volumes and atelectasis, but aspiration or pneumonia is not excluded in the appropriate clinical setting. Again seen linear scarring in the right right mid and lower lung. No large pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are stable.
history: <unk>f with shortness of breath // eval for pna
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As compared to the previous radiograph, there is no relevant change. Normal lung volumes. No pulmonary edema, no pneumonia, no pleural effusion. Borderline size of the cardiac silhouette, unchanged left pectoral pacemaker with normal course of the lead. The sternal wires are in constant alignment.
chest pain, evaluation for pneumonia or chronic heart failure.
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As compared to the previous radiograph, there is no relevant change. The lung volumes have decreased. Borderline size of the cardiac silhouette without overt pulmonary edema. No pleural effusions. No evidence of pneumonia.
meningioma, status post resection, evaluation for interval change.
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A round <num> cm opacity in the superior aspect of the left upper lobe and an ovoid <num> cm opacity in the inferior aspect left upper lobe are both most consistent with metastases. The lungs are otherwise clear. Heart size is top normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen.
left arm weakness, evaluate for acute process.
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As compared to the previous radiograph, there is no relevant change. No evidence of pneumonia or other abnormality. No pleural effusions. No other acute changes. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures.
chest pain last night, now resolved, evaluation for pneumonia.
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Both lungs are well expanded and clear. There are no lung opacities concerning for pneumonia. Heart size, mediastinal and hilar contours are normal. There is no pleural abnormality.
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There is a moderate left and small right pleural effusions have increased since the prior radigraphs. Opacities overlying the left pleural effusion likely represent atelectasis. Additional ill-defined opacity in the left upper lobe, not previously seen, may be infectious. A right chest wall port is seen with catheter tip in the mid-to-low svc. The cardiomediastinal silhouette is unchanged. The bony structures are intact.
<unk>-year-old man with pseudomonas bacteremia and large pleural effusion. patient to undergo thoracentesis today, would like extent of effusion evaluated.
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There has been interval worsening of the bilateral upper lobe infiltrates. Continued infiltrates iare seen in bilateral lower lobes that appear similar or slightly improved compared to prior .right midlung infiltrate is slightly improved. Heart size continues to be moderately enlarged.
multifocal pneumonia.
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Mild bibasilar atelectasis is noted. No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. The heart size is top normal. Mediastinal contours are normal.
shortness of breath.
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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 dyspnea // dyspnea
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Upright radiograph of the chest demonstrates a normal cardiomediastinal silhouette. The thoracic aorta is tortuous. Right infrahilar opacity is noted, which corresponds to atelectasis on ct of the abdomen and pelvis from <num> hours prior. A transesophageal tube is in place, the tip is not visible, but the side port is seen within the stomach.
history: <unk>f with `sbo // confirm ogt placement
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In comparison with <unk> study there is significant increase in volume loss of the left lung and mild leftward mediastinal shift suggestive of airway obstruction (mucous plugging). Mild pulmonary vascular congestion is also seen. Ett appears to terminate approximately <num> cm superior to the carina. A left picc line is unchanged in position and terminates at the mid svc. No pneumothorax is seen.
<unk> year old woman with cad.t<num>dm. pvd presents s/p cardiac arrest, diffuse anoxic brain injury on imaging intubated now with new desaturation // please assess for interval change in setting of acute desaturation
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Portable ap upright chest radiograph was provided. The lung volumes are low and bibasilar atelectasis is noted. There is mild perihilar congestion and mild pulmonary edema. A retrocardiac density containing an air-fluid level is most compatible with a hiatal hernia. No pneumothorax. No acute bony abnormalities. The heart size is difficult to assess but appears grossly within normal limits.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>m with hypertension who presents with acute chest pain
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Pa and lateral views of the chest provided. Lateral view is limited due to obliquity. Lungs are clear. No pleural effusion or pneumothorax. Heart and mediastinal contours are normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with cough fever // pna
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The cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal lung consolidation.
<unk>-year-old woman with chest pain evaluate for pneumonia
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The cardiomediastinal and hilar contours remain stable. Median sternotomy wires and aortic valve replacement are noted. Elevation of the right hemidiaphragm is new, and a small to moderate right pleural effusion is present, a component of which is likely subpulmonic. Partial obscuration of the right hemidiaphragm likely reflects residual infection. Small left pleural effusion is present. There is no pneumothorax.
shortness of breath, recent pneumonia.
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Cardiomediastinal contours are unchanged, the aorta is elongated. The lungs are clear. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable
history: <unk>f with shortness of breath, dry cough , h/o pneumonia // r/o acute process
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Frontal and lateral chest radiograph demonstrate hypoinflated lungs with crowding of vasculature and left lower lobe atelectasis. Small right pleural effusion is noted. No left pleural effusion. Stable mild cardiomegaly. Mediastinal contour and hila are unremarkable. Limited assessment of the upper abdomen is within normal limits. Persistent h shaped vertebrae is consistent with known history of sickle cell disease.
sickle cell with chest pain. assess for acute cardiopulmonary process.
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Ap and lateral chest radiographs were provided. There is a retrocardiac opacity at the left lung base which is nonspecific and may represent atelectasis versus infectious process. There are no other focal consolidations seen. There is a small left pleural effusion. There is no pneumothorax. Cardiomediastinal silhouette has a left ventricular configuration. Median sternotomy wires are seen. There is no evidence of chf. There are multiple old healed rib fractures on the right as well as old fracture of the right humeral head.
<unk>-year-old man with increasing altered mental status, evaluate for infiltrate and pneumonia.
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Pa and lateral chest radiographs were obtained. The lungs are well inflated and clear. No focal consolidation, effusion, or pneumothorax is present. The cardiac and mediastinal contours are normal. There is no evidence of hilar adenopathy. The posible trapezius node would be better evaluated with ct.
<unk>-year-old woman with trapezius lymph nodes on mri.
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There is a moderate-to-large right pleural effusion, layering on today's study given supine technique, likely not significantly changed compared to the prior radiograph from <unk>. Moderate right and mild left lower lung atelectasis is noted. Mild-to-moderate cardiomegaly is not significantly changed. There is no pneumothorax. Note is made of midline sternotomy and cabg, as before. Old left rib fractures are noted.
status post fall with right-sided effusion seen on fast. assess for acute intrathoracic process.
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There is mild central pulmonary vascular congestion. There is no pleural effusion or pneumothorax. There is no focal consolidation concerning for pneumonia. Heart size is top-normal. Mediastinal contours normal. Bony structures are intact.
<unk>f with sob, wheezing, prod cough pna.
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The cardiac, mediastinal and hilar contours are normal. The pulmonary vascularity is normal and the lungs are clear. Previously noted left upper lobe peripheral opacity has resolved. There is no pleural effusion or pneumothorax. Multilevel degenerative changes are noted in the thoracic spine.
chest pain.
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Heart size is normal. The aortic arch is calcified. A large hiatal hernia is re- demonstrated. The mediastinal and hilar contours are otherwise unchanged. Streaky right lower lobe opacity with bronchial wall thickening is again re- demonstrated. Left lung is clear. No pleural effusion or pneumothorax is definitively noted, with mild scarring seen at the lung apices. Diffuse demineralization of the osseous structures is noted.
pleural effusion seen on recent ct exam.
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Since prior exam. There has been an interval increase in the patchy opacification at the left base, which on the lateral view, localizes to the left lower lobe. The lungs are otherwise clear. There is no pulmonary edema, pleural effusion or pneumothorax. The mediastinal contours are normal. The heart is moderately enlarged, and unchanged from prior exams. A single-lead left pectoral pacemaker is unchanged.
cough and shortness of breath. evaluate for pneumonia.
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The heart is normal in size. The hilar and mediastinal contours are normal. The lungs are well expanded and clear. There is no focal consolidation concerning for pneumonia. There are no pleural effusions or pneumothorax. No acute osseous abnormality is noted.
<unk>-year-old male patient with fevers and reduced breath sounds in the right axilla. study requested for evaluation of an acute process.
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Cardiomediastinal contours are normal. Ovoid opacity in the right mid lung associated with adjacent pleural abnormalities is stable, of unclear etiology, ct again is recommended for further evaluation. There is no pneumothorax or pleural effusion. There are mild degenerative changes in the thoracic spine
<unk> year old man with tachyarrhythmia r/o for nstemi s/p cath <unk>. // per radiologist to better understand findings on v/q scan
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A linear streaky opacity at the left base is most consistent with plate-like atelectasis. In comparison to the prior exam, bilateral atelectasis is improved and the lung volumes have increased. There is no dense consolidation, pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Surgical clips are noted in the left upper quadrant.
history of rheumatoid arthritis. severe fatigue. evaluate for pneumonia.
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Unchanged malpositioning of left picc, coursing cephalad in the right brachiocephalic vein. Nasogastric tube terminates below the diaphragm. Stable cardiomegaly and marked enlargement of central pulmonary arteries, the latter suggestive of pulmonary arterial hypertension. Slight improvement in extent of pulmonary edema, but similar appearance of bilateral pleural effusions. No detectable pneumothorax. Dr. <unk> has been alerted about the positioning of the left picc by telephone at <time> a.m. On <unk> at time of discovery.
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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 and syncope.
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Cardiac silhouette size is moderately enlarged. The mediastinal and hilar contours are normal. Pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is present. Minimal streaky retrocardiac opacity likely reflects atelectasis. There are mild degenerative changes demonstrated in the thoracic spine.
history: <unk>f with dyspnea on exertion x <num> wk, chf history,
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As compared to <unk>, right-sided picc at the cavoatrial junction. Weighted feeding tube with the tip in the body of the stomach. Increasing left basal opacity and moderate left effusion. Minimal subsegmental atelectasis in the right lung base. Possible new nodular opacity with central cavitation in the right lower lobe. No pneumothorax. The cardiac mediastinal contours are stable.
<unk> year old man with l iph with hypoxic respiratory failure <unk> hcap // interval change
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Pa and lateral views of the chest were obtained demonstrating clear well-expanded lungs without focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures appear intact.
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The cardiac, mediastinal and hilar contours are normal. Diffuse, bilateral symmetric airspace opacities have progressed significantly compared to the previous exam. No pleural effusion or pneumothorax is seen. No pulmonary vascular congestion is present. There are mild degenerative changes in the thoracic spine.
dyspnea, cough, recent pneumonia, immunocompromised.
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There is pulmonary vascular congestion without overt pulmonary edema or effusion. The cardiomediastinal silhouette is within normal limits. Right chest wall triple lead pacing device is again noted as well as a left chest wall port. No acute osseous abnormalities.
<unk>f with shortness of breath. hx of cardiomyopathy // eval for chf
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with dyspnea, chest pain // ?pna, effusion
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There is bilateral hilar engorgement and pulmonary edema, significantly worsened from recent radiograph performed the day prior at outside institution, with associated bilateral small pleural effusions. No new focal opacities identified. Biapical scarring is present. There is no pneumothorax. A left-sided subclavian line does not cross the midline.
<unk>-year-old male with left subclavian line. evaluate line placement.
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In comparison to the prior study there is increased opacity in the lungs bilaterally. An endotracheal tube ends in the mid thoracic trachea. Enteric tube courses below the diaphragm. Known right pneumothorax is not well seen.
<unk>f with ett placed // eval for ett placement
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Pa and lateral views of the chest provided. Lung volumes are low. There is increased opacity in the base of the left upper and lower lung compared to prior, likely from atelectasis. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. Numerous surgical clips are again seen none appear unchanged. Coronary artery stent is again noted.
history: <unk>m with sob, doe. // pna?
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There is an endotracheal tube with tip terminating <num> cm cephalad to the carina. An orogastric tube extends below the field of view, below the diaphragm. There is an unchanged right pleural effusion tracking into the minor fissure and along the right apex. Accounting for decreased inspiratory volume in current study, bilateral airspace opacities are unchanged, right greater than left. There is unchanged blunting of the left costophrenic angle consistent with effusion. There is no pneumothorax.
<unk> year old man intubated with pneumonia and fluid overload // interval change? interval change?
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As compared to the previous radiograph, the patient has received a left-sided internal jugular vein catheter. The course of the catheter is unremarkable, the tip of the catheter projects over the mid svc. No evidence of complications, notably no pneumothorax. In the interval, the right picc line has been removed. Moderate cardiomegaly persists. Minimal fluid overload but no overt pulmonary edema. No pleural effusions.
confirm line placement.
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Low lung volumes are present. Heart size is top-normal. The aorta is unfolded. No definite pulmonary edema is visualized. Diffuse coarse interstitial opacities are noted bilaterally, most pronounced in the left lung base, in a primarily peripheral and basilar distribution compatible with a fibrosing chronic interstitial lung disease. No new focal consolidation, pleural effusion or pneumothorax is clearly identified. There are no acute osseous abnormalities.
<unk> year old man with severe ild presenting with increased sputum production and dyspnea on exertion // ?pulmonary edema v. edema
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Right internal jugular pacing lead terminates in the region of the right ventricle. Lung volumes are improved compared to the previous study with the heart size appearing mild to moderately enlarged. No mediastinal contour is unremarkable. The pulmonary vasculature is not engorged. Minimal atelectasis is seen in the left lung base. No large pleural effusion or pneumothorax is present on this supine exam. Patient is status post kyphoplasty at the thoracolumbar junction.
history: <unk>m with right internal jugular pacing wire
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As compared to the previous radiograph, there is increase in transparency of the right lung, with a clear decrease of the pre-existing bilateral parenchymal opacities. However, the lung volumes remain low, and there is unchanged evidence of mild pulmonary edema. Moderate cardiomegaly. Unchanged right internal jugular vein catheter.
evaluation for interval change or fluid overload.
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Multifocal consolidations in the right lung have worsened. Cardiac size is top-normal. Et tube is in standard position. Ng tube tip is out of view below the diaphragm. There is no pneumothorax
<unk> year old man with legionella pna // placement of ett
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Tip of endotracheal tube terminates about <num> cm above the carina and should be withdrawn several centimeters for standard positioning, as communicated by phone to dr. <unk> on <unk> at <time> p.m. At the time of discovery. There are otherwise no relevant short interval changes since the previous study performed about two hours earlier.
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Frontal and lateral views of the chest are compared to previous exam from <unk>. Biapical scarring is again noted. The lungs are clear of consolidation or effusion. Cardiomediastinal silhouette is stable. Aortic valve replacement again noted. Fracture of the most superior median sternotomy wire is again noted. There is apparent ossification of anterior longitudinal ligament throughout. Osseous and soft tissue structures are otherwise unremarkable.
<unk>-year-old male with weakness and confusion. frequent falls.
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As compared to the previous radiograph, the patient has been intubated. The tip of the endotracheal tube projects approximately <num> cm above the carina. The patient has also received a nasogastric tube. The tip of the tube is difficult to assess, given overlay with multiple ecg cables. Atelectatic changes at the right lung base are constant. Constant appearance of the known changes in the left lung.
elective intubation, evaluation of endotracheal tube position.
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Mild enlargement of the cardiac silhouette is unchanged. The aorta remains tortuous. The mediastinal hilar contours are normal. The pulmonary vasculature is not engorged. There is minimal blunting of the costophrenic angles bilaterally suggestive of trace pleural effusions, unchanged. No pneumothorax is present. Clips from prior cholecystectomy are noted in the right upper quadrant of the abdomen.
history: <unk>f with shortness of breath // ?pulmonary edema or pneumonia
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Right pectoral infusion port terminates in the low svc. No consolidation, pneumothorax, or a large pleural effusion is identified. Cardiac silhouette is markedly enlarged. Small area of scarring is noted in the peripheral left mid lung. Et tube terminates <num> cm above the carina. Transesophageal tube terminates in the stomach.
<unk> year old woman with sp sz // ett placement
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As compared to the previous radiograph, there is an almost unchanged presentation. Mild fluid overload, borderline size of the cardiac silhouette without pleural effusions. Mild retrocardiac atelectasis and absence of parenchymal opacities suggestive of pneumonia.
hypotension, evaluation for pulmonary edema.
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Lung volumes are low but not significantly changed compared with prior exam. There are diffusely increased interstitial markings, with some associated plate-like atelectasis in both bases. Blunting of the right costophrenic angle might be related to small pleural effusion with associated scarring, unchanged from prior. Streaky left base retrocardiac opacity may represent atelectasis. Cardiomediastinal contour is unchanged. The aorta is tortuous with severe atheorsclerotic calcifications. Diffuse osteopenia is re-demonstrated. Degenerative changes of both shoulder joints are again seen.
<unk>-year-old female with shortness of breath and hypoxia. evaluate for evidence of pneumonia or congestive heart failure.