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There are diffuse widespread pulmonary airspace opacities more confluent in the right middle lobe and lingula compared to the ct from <unk>. A small to moderate left pneumothorax is similar to the outside hospital radiograph from earlier today. Mild septal thickening may be due to pulmonary edema. There are small bilateral pleural effusions. The cardiomediastinal silhouette is normal in size however largely obscured by airspace opacities. The visualized upper abdomen is unremarkable.
history: <unk>m with known pneumothorax with hypoxia on nrb // eval for pneumonia/pneumothorax expansion
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The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The mediastinum is less wide than on prior radiographs of the time of discharge, consistent with decreasing postsurgical mediastinal hematoma. Median sternotomy wires are noted.
history: <unk>f with chest pain // acute process
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Frontal and lateral chest radiographs demonstrate low lung volumes, with increased prominence of the cardiac silhouette and bronchovascular crowding. An azygous fissure is noted. No focal consolidation, pleural effusion, or pneumothorax is seen. The visualized upper abdomen is unremarkable, except for clips in the right upper quadrant consistent with prior cholecystectomy.
fevers and cough. evaluate for pneumonia.
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The heart size, mediastinal, and hilar contours are normal. Faint left basilar opacity is thought to be atelectasis. No pleural effusions, or pneumothorax.
<unk> woman with <unk> chest pain now improved. evaluate for acute intrathoracic process.
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The previously noted right lower lobe opacity is not identified on today's exam. The inspiratory lung volumes are appropriate. The lungs are clear without focal consolidation, pleural effusion, or pneumothorax. The cardiac silhouette is normal in size. The mediastinal and hilar contours are stable. The thoracic aorta is unfolded. A cerclage wire is again seen projecting over the posterior neck.
<unk>-year-old female with history of behcet's disease and common variable immunodeficiency, recently diagnosed with pneumonia, here to reevaluate for resolution of pneumonia.
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Ap upright and lateral radiographs were obtained of the chest. The lungs appear clear aside from mild left-sided atelectasis due to large hiatal hernia as on previous examination. No pleural effusion or pneumothorax is seen. The heart is obscured by the hiatal hernia. Mediastinal and hilar contours are otherwise unremarkable.
altered mental status concerning for occult infection.
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Pa and lateral views of the chest provided demonstrate clear well-expanded lungs without focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is normal. Bony structures are intact. Right shoulder prosthesis is partially imaged.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. There is a <num> x <num> cm round mass in the left upper lobe. There is right basilar atelectasis. Lungs are otherwise clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. There is minimal wedging of some midthoracic vertebral bodies.
history: <unk>m with incidentally noted possible lung cancer with shortness of breath.
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The tip of an accessed right pectoral mediport extends to the superior cavoatrial junction. Pain right middle lobe airspace opacity is compatible with known pneumonia. The left lung is clear. There is a new small right pleural effusion. There is no pneumothorax.
<unk> year old man with recent pna now with +fatigue and pain with cough and inspiration and course crackles to rll. evaluate for consolidation
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Surgical clips the lower neck are again noted. Heart size is within normal limits. Coronary artery stents are noted. Platelike atelectasis is noted the left midlung. Lung fields are otherwise clear. No focal consolidation.
<unk>f with chest pain // eval for ptx, widened mediastinum
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. Right-sided rib deformities appear unchanged.
dysarthria. chest pain and shortness of breath. history of stroke.
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Pa and lateral views of the chest provided. Lungs are clear bilaterally. No focal consolidation, effusion or pneumothorax. Cardiomediastinal silhouette is normal. Visualized bones and soft tissue are normal. No free air below the right hemidiaphragm.
<unk>f with chest tightness w hx of asthma
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Mild cardiomegaly is stable. Pacer leads are in a standard position in the right atrium and right ventricle. The lungs are hyper inflated. Scarring in the apices is again noted. Scattered calcified granulomas are unchanged. There is no pulmonary edema. Bronchiectasis in the left base are better delineated in the prior ct. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable
<unk> year old woman s/p ppm // ptx, leads
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Tortuosity of the descending thoracic aorta is noted. The cardiomediastinal and hilar contours are otherwise within normal limits. There is no pleural effusion or pneumothorax. The lungs are well-expanded and without focal consolidation concerning for pneumonia. Bibasilar atelectasis is present. Small nodular opacities at the lung apices are noted, which may be projectional or represent pulmonary nodules. These were not clearly present on the prior exam. The upper abdomen is unremarkable in appearance. Multiple compression fractures of the lower thoracic spine are noted.
<unk> year old woman with multiple myeloma, c/o persistent productive cough, increased sleepiness, o<num> sat <unk>% // r/o pneumonia
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As compared to the previous radiograph, the diffuse and generalized parenchymal opacities visible on the previous radiograph has increased in severity. No other parenchymal changes have occurred, notably no pleural effusions and no pneumothorax. The size of the cardiac silhouette is constant.
worsening respiratory function, longstanding copd, evaluation for pneumonia.
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Compared to <unk> at <time>, the lung volumes have slightly decreased, accentuating the heart size and interstitial opacities. Right paracardial opacity is again seen, not significantly changed from prior. The left lower lobe atelectasis or pneumonia appears slightly denser, likely due to lower lung volume. Et tube is seen approximately <num> cm from the carina. The enteric tube likely terminates and mid stomach. The enlarged appearance of the mediastinum is unchanged.
<unk> year old man with ett, ?pna // interval change?
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The patient is rotated to the right. The lungs are hyperinflated. The cardiomediastinal silhouette is stable given differences in patient positioning. There is relative increased opacity at the lung bases, right greater than left, which could be due to atelectasis, infection, or aspiration. No pleural effusion or pneumothorax is seen.
history: <unk>f with ? dka, intermittent ams, assess for infection // acute process, attn to infection
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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.
chest pain.
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The lungs are clear. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen.
syncope.
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The cardiac silhouette remains enlarged. The aorta calcified and tortuous. No pleural effusion or pneumothorax is seen. No overt pulmonary edema is. Patchy right base opacity most likely represents overlap of vascular structures although early pneumonia is not excluded in the appropriate clinical setting.
history: <unk>m with chest tightness // eval for pna, chf
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<num> serial radiographs of the chest demonstrate placement of a dobbhoff tube with the <unk> image showing the dobbhoff tube in the mid-esophagus and the <unk> image demonstrating the dobbhoff tube positioned in the stomach. As compared to the previous radiograph, there is no relevant change. Signs of mild to moderate pulmonary edema persist. There is mild blunting of the left costophrenic angle. No focal consolidation is identified. Borderline enlargement of the cardiac silhouette is again seen.
placement of a dobbhoff tube.
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Frontal portable chest radiograph demonstrates low lung volumes and interval placement of right picc this terminates in the right atrium. Mild bibasilar atelectasis persists as does mild vascular congestion although mildly improved. The heart size is mildly enlarged. There are no new focal consolidations. No pneumothorax.
<unk>-year-old male with altered mental status hyperglycemia fever and cough. evaluate for pneumonia.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lung volumes are low with mild elevation of the right hemidiaphragm. Patchy opacities at the lung bases are probably compatible with atelectasis, and not out of proportion to reduced lung volumes, but potential are infectious.
cough and chest pain.
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In comparison with the study of <unk>, there is continued enlargement of the cardiac silhouette with evidence of improving pulmonary edema. Retrocardiac opacification is consistent with pleural fluid and volume loss in the left lower lobe.
volume overload.
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Comparison is made to previous study from <unk> at <time> p.m. There is again seen an area of consolidation and opacity accentuating the right minor fissure in the right upper lobe. This is stable. There are no signs for overt pulmonary edema. There is also hilar prominence on the right side. Of note, this opacity and consolidative was not present on the prior radiograph from <unk>, thus most likely represents a pneumonia.
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The lung volumes are low, exaggerating the pulmonary vasculature. There is no pulmonary edema, pneumothorax, focal consolidation, or pleural effusion. The heart size is normal. The hilar and mediastinal contours within normal limits.
unresponsive.
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Portable chest radiograph demonstrates well expanded and clear lungs. There are no new focal consolidations. An endotracheal tube is seen with its tip at the level of the upper clavicular margins. The tube could be advanced by <num> to <num> cm. There is no pleural effusions or pneumothorax. The heart size is normal.
<unk>-year-old male found hanging.
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Ap and lateral views of the chest. No prior. The lungs are clear of focal consolidation or effusion. Cardiomediastinal silhouette is at upper limits of normal in size likely accentuated due to ap technique on the frontal. The osseous and soft tissue structures are unremarkable. Diffuse osteopenia however is noted.
altered mental status.
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There is eventration of the right hemidiaphragm and mid lung atelectasis is seen. No definite focal consolidation is seen.the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable and stable. Degenerative changes are seen along the spine although not well assessed on this study.
history: <unk>f with orthostatic sxs, persistent cough x <num> month // eval ? subacute infection
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>f with stage iv ckd p/w dizziness and ams // eval for pna
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The film is limited due to the patient's body habitus and underpenetration. Moderate cardiomegaly is accompanied by pulmonary edema, which is slightly asymmetric right greater than left. Atelectasis in the left lower lobe is stable. There are no focal consolidations that are concerning for pneumonia. No pleural effusions are appreciated.
cough, question acute process.
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There is cardiomegaly, pulmonary vascular congestion, and bilateral hazy opacities, consistent with mild pulmonary edema. Calcified granulomas in the right upper lobe are again seen.
history: <unk>m with dyspnea wt gain // pulmonary edema
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A right subclavian central line ends at the cavoatrial junction. The cardiomediastinal silhouette and hila are normal. There is no pleural effusion and no pneumothorax.
<unk> yo m with dizziness.
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Pa and lateral chest radiographs again demonstrate plate atelectasis in the right middle and left lower lobes. Additionally, there is a subtle slightly increased retrocardiac opacity and in a proper clinical setting could represent pneumonia. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
cough.
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New heterogeneous opacities have developed in the right upper lobe, some of which have a slightly nodular configuration. Lungs are otherwise remarkable for linear atelectasis at the left lung base. Cardiomediastinal contours are within normal limits. Small pleural effusions are new, left greater than right. Bilateral shoulder prostheses are noted.
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Ap portable upright view of the chest. There is extensive subcutaneous emphysema within the left chest wall extending into the neck. Streaky gas lucency projecting over the mediastinum is compatible with known pneumomediastinum, seen on ct of the cervical spine. There is left basal airspace consolidation with possible small pleural effusion or hemothorax. A small left pneumothorax is present without definite signs of tension. The right lung appears grossly clear though likely with mild basal atelectasis. The heart size appears grossly within normal limits. Acute fractures of the left ribs <num>, <num>, <num> and <num> which appear displaced.
<unk>m with rib fractures and b/l ptx s/p fall
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Extremely low lung volumes limit evaluation. Left greater than right prominent basilar opacities, all potentially due to atelectasis are seen. The cardiomediastinal silhouette is stable given difference in technique. No pneumothorax.
hepatitis c virus cirrhosis now presenting with low-grade fever and acute episode of hypoxia and tachycardia. exam with bibasilar crackles and trace bilateral lower extremity edema. evaluate for infiltrate, fluid.
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The et tube is in adequate position. . This could be advanced several cm to be in more optimal position. The feeding tube terminates at the expected area of the ge junction. This could be advanced several cm to be in more optimal position. Low lung volumes. The lungs are otherwise clear. No pleural effusion or pneumothorax is seen. The heart is top-normal in size, unchanged prior exam.
history: <unk>f with ams, now intubated // eval for ett placement
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There is a small abnormal density in the right midlung zone immediately superior to the oblique fissure, which was not present on the prior study and appears to pull up on the oblique fissure. This is atypical for atelectasis, and early pneumonia, particularly in an immunosuppressed patient, cannot be ruled out. Chest ct for further characterization or empiric pneumonia treatment with followup radiographs in <unk> weeks is recommended. There is no pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.
<unk> year old man with hx of lymphoma s/p allo stem cell transplant with cough // r/o consolidation
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Lung volumes are low. There are extensive bilateral dense opacifications in all lung fields. There may be trace bilateral pleural effusions. No pneumothorax. The heart is not well evaluated, but likely enlarged.
<unk>f with shortness of breath and hypoxia.
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Comparison is made to previous study from <unk>. There has been no interval change. There is again seen a right-sided pleural effusion and consolidation within the right base. No pneumothoraces are seen on either side. There is some prominence of the pulmonary interstitial markings and there is a hazy opacity within the left mid lung field, which may represent developing infiltrate. Attention to this area is recommended on subsequent exams.
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Frontal and lateral chest radiograph demonstrates clear lungs with low lung volumes, which accentuate the pulmonary vasculature. There is no effusion or pneumothorax. The heart size is normal and mediastinal contours are unremarkable.
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Small opacity at the right lung base is likely atelectasis. Left lung is clear. There are no lung opacities concerning for pneumonia. There is no pleural abnormality. Heart size, mediastinal and hilar contours are normal. Calcified coronary arteries and calcification of aortic valve is present. A healed old fracture of the posterior ninth rib is seen. Impression; no pneumonia
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The lungs are well inflated with no evidence of focal airspace consolidation, pleural effusion, pneumothorax, or pulmonary edema. Allowing for patient rotation, the cardiomediastinal silhouette is unchanged.
history: <unk>f with decreased po intake, fever, dementia // eval for pna
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The cardiomediastinal silhouette is stable. Hilar contours are stable. Lung volumes are low. Bibasilar opacities given the low lung volumes are likely atelectatic; however, infection cannot be excluded by this appearance. No evidence of effusion or pneumothorax. Sternotomy wires are in place, and surgical clips project over the mediastinum. No acute bony abnormality is identified.
runny nose and cough for two days.
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Pa and lateral chest radiograph demonstrates clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion or pneumothorax. The right humerus is dislocated, anteriorly and inferiorly.
<unk>-year-old female status post collision injury.
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Ng tube is cold of the esophagus and extents upward ridging the pharynx. Apparent increase in diffuse bilateral opacities may be due to poor inspiratory effort. Et tube is above the carina and left picc line in mid svc.
<unk> year old man with new ngt // ng placement
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As compared to the previous radiograph, there is no relevant change. The extent of the right pleural fluid collection is constant. The monitoring and support devices are in constant position. No change in appearance of the left lung. Constant size of the cardiac silhouette.
hemothorax, evaluation for progression.
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The heart size is normal. The mediastinal and hilar contours are relatively unchanged with mild unfolding of thoracic aorta. The pulmonary vascularity is not engorged. Bibasilar airspace opacities have a somewhat linear configuration are likely related to atelectasis. Infection, however, cannot be excluded particularly at the right lung base. No pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities.
confusion and vertigo.
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There are nonspecific bibasilar opacities. The apices of the lungs are clear. There is no pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. No fracture is identified on this limited supine view.
chest pain. evaluate for pneumonia.
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Pa and lateral chest radiograph demonstrate clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion or pneumothorax. No displaced rib fracture is identified. No air under the right hemidiaphragm.
<unk>m w/syncope and falls, right rib pain, please eval for rib fxs, occult pna
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Heart size is normal. Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. There is no pleural effusion or pneumothorax.
fever and cough.
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A right-sided picc line terminates in the mid svc. A left basilar pigtail catheter remains in place. The patient is slightly rotated. Bilateral airspace opacities have slightly increased. Left basilar retrocardiac airspace opacification most likely due to atelectasis is unchanged since the most recent prior exam, and recurrent. A small left pleural effusion is unchanged.
<unk> year old man with trach/chronic hypercarbic respiratory failure here with suspected vap s/p chest tube placement, now to water seal // chest tube evaluation
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The tip of the right picc line extends to the mid svc. There is persisting mild pulmonary vascular congestion however the element of interstitial opacities has resolved. Minimal left basilar atelectasis. No pleural effusion or pneumothorax identified. The size of the cardiac silhouette is enlarged.
<unk> year old woman with picc // assess position of picc
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Patient is rotated. The cardiomediastinal and hilar contours are within normal limits. Note is made of previous median sternotomy cabg and mitral valve placement. Lungs are clear. There is no focal consolidation, pleural effusion or pneumothorax.
history: <unk>m with hypoxia, ? aspiration // infiltrate infiltrate
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The lung volumes are low, leading to crowding of the bronchovascular structures. The bilateral costophrenic angles are blunted laterally, suggesting atelectasis as the posterior costophrenic angels are sharp. Redemonstrated is mild scarring at the right lung base. There is no evidence of focal consolidation, pneumothorax, or frank pulmonary edema. Again seen is a <num> cm left upper lung nodule, less conspicuous as compared to the prior exam. The previously identified <num> cm right lower lung pulmonary nodule is not well visualized on this exam. The patient is status post median sternotomy and cabg, with sternotomy wires seen intact and well aligned. The cardiomediastinal silhouette is stable. No acute bony abnormality is detected.
intermittent chest pain. evaluate for pneumonia.
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Ap upright and lateral views of the chest provided. Volumes are low limiting assessment. Allowing for this, the lungs are clear. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Chronic left ribcage deformities are noted. No free air below the right hemidiaphragm is seen.
<unk>m with chest pain, dyspnea // acute process?
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is stable. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with diaphragmatic-type pain, fever nightly x <num> days // eval ? pna vs pleural effusion.
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Compared with the immediate prior study of <num> hr before, right base pleural effusion has further decreased and associated compressive atelectasis has improved. Pleurx catheter still cannot be traced from the chest wall through its course. This is better evaluated on the concurrent abdominal radiograph, which demonstrates that the catheter is within the chest. Otherwise there is little change from radiographs obtained earlier the same day.
<unk> year old woman with mpe s/p right pleurx placement // please assess if pleurx is in abdomen or chest. kub view also ordered.
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Pa and lateral views of the chest provided. Hardware in the lower cervical spine noted. 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 chest pain x <num> days
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A left-sided picc line terminates in the lower superior vena cava. There are moderate bilateral pleural effusions which are similar to increased allowing for differences in technique. Coinciding atelectasis is likely in the lower lungs. Fissures are thickened. Pulmonary edema has worsened and is moderate in severity.
weakness and shortness of breath.
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Pa and lateral images of the chest demonstrate well-expanded lungs. There is a minimal amount of atelectasis at the left mid zone. Otherwise, the lungs are clear. There is no pneumothorax or pleural effusion. Cardiomediastinal silhouette is unremarkable. Visualized osseous structures are unremarkable.
<unk>-year-old male with cough and chills.
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Support devices: a nasogastric tube courses through the esophagus, into the stomach, and inferiorly at of field of view. The left costophrenic sulcus is not included on any of the supplied images. Bilateral diffuse and perihilar alveolar opacities consistent with moderate pulmonary edema is worse than on the prior study. There is no pneumothorax or pleural effusion. There is no airspace consolidation. Moderate cardiomegaly is unchanged.
<unk> year old man with increased work of breathing. evaluate for volume overload, acute process.
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Heart size is normal. Mediastinal contours are unremarkable. Hilar contours are prominent suggestive of underlying pulmonary arterial enlargement. Relative paucity of pulmonary vascular markings towards the apices indicates underlying emphysema. Streaky and patchy opacities are seen within the right mid lung field of both lung bases, potentially areas of atelectasis and/or infection. No large pneumothorax or pleural effusion is detected on this supine exam. Multiple bilateral rib fractures are noted, potentially related to recent resuscitation.
history: <unk>m status post arrest
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The patient has had right thoracentesis with interval decrease in the known right pleural effusion, which is now trace in size. However, there is a new tiny right apical pneumothorax. The lungs remain hyperinflated but clear, which is most commonly due to emphysema. The heart and mediastinum are within normal limits. A mid thoracic vertebral body compression fracture is unchanged. There is a stable small left pleural effusion. Mild dilatation of upper lobe vessels may be an early indication of impending heart failure.
<unk> year old woman with treated small cell lung cancer // post <unk> <num>l right
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The lung volumes are low. The cardiac, mediastinal and hilar contours appear stable including mild cardiac enlargement. A linear opacity projecting over the left mid lung suggests minor atelectasis, but elsewhere, the lungs appear clear. There is no pleural effusion or pneumothorax. Upper thoracic interspaces again appear mild to moderately narrowed. Anterior osteophytes are moderate in size along several lower thoracic interspaces.
rheumatoid arthritis and atrial fibrillation presenting with left lower quadrant tenderness.
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The ett appears in appropriate positioning. There is a right picc line, which terminates in the cavoatrial junction. There has been interval resolution of the right upper lobe atelectasis. The left lower lobe atelectasis has worsened. There is now new right lower lobe atelectasis. Heart size is stable. The mediastinal and hilar contours are stable. The pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There is a displaced right clavicular fracture. Cervical stabilization hardware appears unchanged.
<unk> year old man s/p mcc on ventilator with multiple secretions found on bronch. ? interval improvement in cxr after bronch // interval improvement s/p bronch
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As compared to the previous image, patient has received a nasogastric tube. As intended, the tip of the tube is located in the middle third of the esophagus. The other monitoring and support devices are constant. Constant appearance of the cardiac silhouette and of the lung parenchyma. The known bilateral pleural effusions are unchanged in extent and severity.
boerhaave syndrome, status post primary repair, esophageal tube placement.
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In comparison with the earlier study of this date, the left pleural drain has been removed. There is no evidence of pneumothorax. Bilateral pleural effusions, more prominent on the right with evidence of increased pulmonary venous pressure. Left lateral pleural thickening is again seen.
metastatic cancer with removal of pigtail drain, to assess for pneumothorax.
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Frontal and lateral views of the chest are obtained. No focal consolidation, pleural effusion, or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable. Hilar contours are also within normal limits. No pulmonary edema is seen.
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<num> views were obtained of the chest. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The heart and mediastinal contours are unremarkable. There is no displaced rib fracture. L<num> vertebral body is better assessed concurrent to lumbar spine radiographs.
chest and back pain after fall. there is no fracture.
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No focal opacity to suggest pneumonia is seen. No pleural effusion, pulmonary edema or pneumothorax is present. There is atelectasis at the left base. The patient is status post median sternotomy and cabg with unchanged pleural thickening at the left apex.
substernal chest pain. shortness of breath.
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The heart is mildly enlarged and is increased in size since the previous chest radiograph of <unk> and probably since the more recent portable radiograph of <unk> as well. Pulmonary vascularity is normal, and lungs and pleural surfaces are clear. Surgical clips are present in the thymic bed consistent with previous thyroid resection.
<unk> year old man with pancreatic cancer with new doe, cough // assess for interval change
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No previous images. Endotracheal tube tip measures approximately <num> cm above the carina. Nasogastric tube is coiled within the fundus of the stomach. Lungs are clear without vascular congestion or pleural effusion.
postoperative.
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The cardiac, mediastinal and hilar contours are normal. Pulmonary vascularity is normal. Multiple nodules are again seen within both lungs. Chain sutures are again noted within the right mid lung field. No focal consolidation, pleural effusion or pneumothorax is identified.
weakness.
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An endotracheal tube terminates <num> cm above the carina. There is a coarse linear opacity in the left lower lung. The right lung is clear. There is no pleural effusion or pneumothorax. Cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits.
<unk>-year-old male patient with copd, respiratory failure. study requested to rule out pna.
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In comparison with the study of <unk>, there is again hyperexpansion of the lungs with flattening of the hemidiaphragms, consistent with chronic pulmonary disease. Cardiac silhouette is at the upper limits of normal in size, and there is tortuosity of the aorta. Some prominence of interstitial markings could reflect chronic lung disease, elevated pulmonary venous pressure, or both. No evidence of acute focal pneumonia.
weight loss with significant tobacco use.
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Following removal of right-sided chest tube, a small right apical pneumothorax has developed. Cardiomediastinal contours are stable in appearance. An area of consolidation in the left lower lobe appears slightly more pronounced than on the recent study but is markedly improved compared to the earlier radiograph <unk> <unk> at <time> a.m. A small focus of consolidation lateral to the right hilum also appears slightly more prominent. Observed findings could potentially be due to recurrent aspiration or evolving multifocal infection.
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Ap frontal and lateral chest radiograph demonstrates well expanded and clear lungs with no focal consolidation. A linear band of opacification in the lower left lung zone is consistent with atelectasis. There is no pulmonary nodule or mass identified. There is no pleural effusion or pneumothorax. The mediastinum and hilar contours are within normal limits. Visualized osseous structures are unremarkable.
<unk>-year-old male with prolonged cough and recent weight loss. remote history of smoking.
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Lung volumes are slightly low. The heart size is top normal with a left ventricular predominance. The mediastinal and hilar contours are within normal limits. Left lower lobe opacity is concerning for pneumonia. Minimal patchy opacity in the right lung base could reflect atelectasis. No definite pleural effusion or pneumothorax is seen. Minimal patchy opacity is also seen within the left upper lung field. There are no acute osseous abnormalities.
chest pain.
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The tip of the endotracheal tube is approximately <num> cm from the carina, at the upper margin of the clavicles. The enteric tube is in stomach. Lung volumes are low and there is no large pleural effusion or pneumothorax. Consolidation in the left lung appears worse.
<unk> year old man s/p intubation // ett placement
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Overlying trauma board and external devices limit assessment. Heart size is normal. Mediastinal and hilar contours are within normal limits. Pulmonary vasculature is not engorged. Lungs are clear. No focal consolidation, large pleural effusion or pneumothorax is detected on this supine exam. No acutely displaced fractures are grossly visualized.
trauma.
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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. The imaged osseous structures are intact. There is no free air below the right hemidiaphragm.
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Support and monitoring devices are unchanged in position except for removal of a nasogastric tube. Left pigtail pleural catheter remains in place, with no visible pneumothorax. Worsening left retrocardiac opacity is suggestive of lobar collapse, likely on the basis of mucus plugging. Pulmonary vascular congestion is accompanied by moderate edema. Worsening airspace opacity in right lower lung could reflect asymmetrical edema co-existing with previously described atelectasis, continued followup is suggested to exclude a site of infection if warranted clinically. Increasing moderate right pleural effusion and unchanged small-to-moderate left effusion. Multifocal post-traumatic abnormalities have been more fully detailed on ct exams.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax. The bony structures are unremarkable.
severe sharp pain.
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The heart is normal in size with mild dextropositioning. The mediastinal and hilar contours are unremarkable. The lungs appear clear. There are no pleural effusions or pneumothorax. Bony structures are unremarkable.
atypical chest pain.
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In comparison with the study of earlier on this date, with a chest tube on waterseal, there is probably a residual tiny pneumothorax. Otherwise, little change.
rib fractures with chest tube on waterseal.
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In comparison with study of <unk>, there are lower lung volumes. Blunting of the left costophrenic angle could reflect some small effusion or overlying soft tissues. The medial aspect of the left hemidiaphragm is not sharply seen, without adjacent areas of increased opacification, consistent with clearing of prior atelectasis in the region. No evidence of pulmonary vascular congestion or acute focal pneumonia.
stent placement.
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Ap portable view of the chest. Limited study, lung bases not imaged. The patient is rotated to the right which limits evaluation. The et tube is <num> cm from the carina. A right subclavian line ends in the low svc. Pulmonary edema and pleural effusions are unchanged. Bibasilar opacities are unchanged. No pneumothorax. Mediastinal and hilar contours are stable.
respiratory failure.
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The monitoring and supporting devices, including the endotracheal tube, right-sided ij line, left-sided chest tube, mediastinal tube, ng tube, surgical clips and sternotomy wires are unchanged. Little change is seen compared to prior with low lung volumes, retrocardiac atelectasis, mild cardiomegaly and mild pneumopericardium. There is no pleural effusion or pneumothorax.
<unk>-year-old male, status post cabg. evaluate for evidence of pneumothorax or pulmonary edema.
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There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>-year-old male with a history of lyme disease, presenting for evaluation of morning pleuritic chest pain.
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In comparison with the study of <unk>, the left chest tube remains in place, though the tip is several cm lower. No evidence of pneumothorax. Minimal atelectatic changes at the left base. Port-a-cath remains in place.
chest tube and possible pneumothorax.
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Et tube is seen <num> cm from the carina between the clavicular heads. Enteric tube passes below the field of view, side-port past the ge junction. Increased interstitial markings seen throughout the lungs which may be due to chronic underlying interstitial process. There is no confluent consolidation. The cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications noted at the aortic arch. No acute osseous abnormalities.
<unk>f intubated // eval ett placement
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Mild bibasilar atelectasis is seen. No definite focal consolidation. No pleural effusion or pneumothorax is seen. Mediastinal contours are unremarkable. Cardiac silhouette is top-normal to mildly enlarged.
<unk> year old man with ampullary adenocarcinoma and recent biliary stent now presenting with fevers to <num>, also cough // assess for pneumonia
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As compared to the previous radiograph, the lung volumes have decreased. The size of the cardiac silhouette has minimally increased. Both lung bases, areas of atelectasis are seen, left more than right. The presence of a minimal left pleural effusion cannot be excluded. However, there is no overt pulmonary edema and no evidence of pneumonia. No pneumothorax.
desaturation, evaluation.
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As compared to the previous radiograph, there is no relevant change. The position of the endotracheal tube and the left central venous access line are constant. Lung volumes remain low, there is mild cardiomegaly and evidence of bilateral pleural effusions. The pre-existing areas of parenchymal atelectasis at both lung bases are constant, also constant are signs indicative of mild pulmonary edema. No parenchymal opacities have newly occurred.
fecal peritonitis, status post washout, intubation, evaluation for interval change.
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Pa and lateral views of the chest were obtained. Surgical clips in the left upper quadrant are again noted. Additionally, surgical clips in the left medial chest are again noted. There is left lower lobe atelectasis with a tiny pleural effusion. Possibility of a superimposed mild consolidation cannot be excluded. Otherwise, the lungs are clear. Heart and mediastinal contours are stable. Bony structures are intact.
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Postoperative mediastinum and mild cardiomegaly is unchanged from prior exam. Hilar contours are normal. A heterogenous density in the posterior right lower lobe is worrisome for pneumonia. The left lung is clear. There is no pleural effusion or pneumothorax.
cough for four days, fatigue and leukocytosis.
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Lung volumes are slightly low, causing exaggeration of the heart size and accentuation of the pulmonary vasculature. The lungs are clear. There is unchanged mild-to-moderate cardiomegaly with persistent left atrial enlargement. The descending thoracic aorta is tortuous, as before. Mediastinal contours are otherwise normal. There are no pleural effusions. No pneumothorax is seen.
chest pain.
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Ap single view of the chest has been obtained with patient in semi-upright position. As before, there is evidence of sternotomy, bypass surgery, and aortic valve replacement (porcine type). Moderate cardiac enlargement as before but regressing amount of right-sided basal pleural density. The previously identified right internal jugular approach sheath has been removed. No pneumothorax has developed. A previously present right-sided picc line remains in unchanged position and is seen to terminate in the mid portion of the svc.
<unk>-year-old male patient with picc line for vancomycin therapy. confirm picc placement prior to use.