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The lungs are normally expanded and clear on this single projection. Heart size is normal. The mediastinal and hilar contours are normal. There is no large pleural effusion or pneumothorax. There is no pulmonary edema. There is incompletely evaluated spinal fusion hardware in the cervical spine.
history: <unk>m with weakness, hypotension // assess for infiltrate
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There has been significant interval reduction in size of left pleural effusion with possible small effusion remaining. Trace right pleural effusion may be present. No evidence of pneumothorax is seen. Prominence of the hila may be due to pulmonary vascular engorgement although hilar adenopathy is not excluded. Left base opacity may be due to atelectasis and there is shift of the mediastinum to the left however, underlying consolidation is not excluded. Micronodular opacities are again seen scattered throughout the lungs. Persistent right upper lung opacity is seen
history: <unk>f with effusion // ? improvement of effusion s/p thoracentesis
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The endotracheal tube is approximately <num> cm above the carina. Lung volumes are low. The heart is moderately enlarged. Mediastinal silhouette is unchanged compared to multiple priors. There is no focal consolidation, pulmonary edema, pneumothorax, or pleural effusion.
<unk> year old woman with acute exacerbation of heart failure, being diuresed. still overloaded on physical exam // worsening pulmonary edema? consolidation?
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The cardiac, mediastinal and hilar contours are unremarkable except for aortic knob calcifications. Heart size is normal. Pulmonary vascularity is normal. Lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are demonstrated.
cough and shortness of breath.
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Heart size is normal. Cardiomediastinal silhouette and hilar contours are normal. Lungs are clear. Nodular density projecting over the left lower lobe is unchanged and is compatible with a nipple shadow. Pleural surfaces are clear without effusion or pneumothorax.
myalgias, fevers and chills.
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Pa and lateral views of the chest. The lungs are clear. The cardiomediastinal silhouette is normal. No acute osseous abnormalities identified.
<unk>-year-old male with seizure.
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Heart size is normal. Aorta remains mildly tortuous. Pulmonary vascularity is normal. Mediastinal contours are stable. No pulmonary vascular congestion is noted. At least <num> nodular opacities are seen, <num> within the right upper lobe, and one within the left upper lobe, which were present on the prior ct torso. Other smaller pulmonary nodules seen on the ct are not clearly demonstrated on the current exam. Blunting of the costophrenic angle on the left posteriorly suggests a small left pleural effusion, new from the prior exam. No pneumothorax is identified. There is diffuse demineralization of the osseous structures.
fever, on chemotherapy.
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The ett has been slightly advanced approximately <num> cm above the carina and the enteric tube is in satisfactory position. There is left lower lobe atelectasis and left pleural effusion. Otherwise the lungs are clear with no new consolidation. No pneumothorax. The cardiomediastinal silhouette is normal. No fractures.
<unk> year old man with intracranial hemorrhage // assess interval change, assess position of ett
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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. There is no pneumomediastinum. No free air is present below the hemidiaphragms.
epigastric pain. evaluate for pneumomediastinum.
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A right-sided picc line is noted with the tip projecting over the lower svc. Mild bilateral pulmonary interstitial edema and small bilateral pleural effusions with adjacent atelectasis are relatively stable. There is no large pneumothorax identified. Mild-moderate cardiomegaly is unchanged. Median sternotomy wires appear intact.
<unk>m with picc // confirm picc position
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Pa and lateral views of the chest are compared to previous exam from <unk>. Right chest wall port is again seen with catheter tip in the mid svc. The lungs are clear of focal consolidation. Cardiomediastinal silhouette is within normal limits. Surgical clips are seen within the left chest anteriorly. Osseous and soft tissue structures are otherwise unremarkable.
<unk>-year-old female with breast cancer, on chemotherapy with fever.
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Single ap portable chest radiograph demonstrates prominent bilateral interstitial markings. There is blunting of bilateral costophrenic angles consistent with likely small pleural effusions. The within the right midlung zone, there is a rounded opacity which corresponds to mass seen on same day ct. The mediastinal contour or appears to be wide, consistent with adenopathy, also demonstrated on same day ct. Prominent vasculature likely reflects a component of vascular congestion and mild pulmonary edema.
<unk>-year-old female with altered mental status status post fall.
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There is mild bibasilar atelectasis. No pleural effusion or pneumothorax seen. The cardiac silhouette is top normal. Mediastinal and hilar contours unremarkable. Evidence of old right rib fractures seen. No radiopaque foreign body/shrapnel seen.
evaluation of patient with history of shrapnel for mri clearance.
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Single semi-erect portable view of the chest was obtained. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable.
<unk> year old female with history of wheezing and altered mental status.
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Low lung volumes, clear lungs. Stable cardiomegaly and aortic knuckle calcification. No pleural effusion or pulmonary edema. No interval change in bony thorax.
<unk> year old woman with chf, recent transfusion reaction // please evaluate for pulmonary edema
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Moderate-to-severe pulmonary edema has significantly improved and is now mild. Left lower lobe atelectatic bands are minimal. There are also bilateral small layering pleural effusions without pneumothorax. Mediastinal and cardiac contours are normal.
patient with congestive heart failure, nonsustained ventricular tachycardia, moderate mitral regurgitation, pulmonary hypertension, dilated cardiomyopathy, hyperlipidemia, presented with dyspnea due to chf exacerbation.
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Right-sided port-a-cath is again seen, terminating in the upper svc without evidence of pneumothorax. 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 nhl with cerebellar mets presents with lightheadedness and achy shoulder.neck pain // any acute cardiopulmonary process
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As compared to the previous radiograph, there is no relevant change. The pre-existing right medial and basal opacity has constant appearance. On the left, the contour of the diaphragm is less well seen, which could indicate developing pleural effusion. Unchanged size of the cardiac silhouette. Unchanged monitoring and support devices.
respiratory failure, right lower lobe pneumonia, evaluation of interval change.
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New right ij terminates at about the mid svc. There is no evidence of pneumothorax. Loculated right pleural effusion along the mediastinum and right base are not significantly changed since the next most recent study. Diffuse infiltrating abnormality in the right lung is severe and unchanged. Pulmonary edema in the left lung is improved. There may be a small left pleural effusion. The heart is partially obscured on the right, but not grossly enlarged.
right ij placed. evaluate new line placement.
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Chest the lungs are clear without focal opacities, pulmonary edema, pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal. There is no free air beneath the right hemidiaphragm.
history: <unk>f with chest pain, cough // ?pna, ?ptx
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No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Aortic knob calcification is seen.
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A right pleural catheter ends in the right perihilar region, as before. There is a substantially increased moderate right hydropneumothorax. A trace left pleural effusion is new. There is minimal bilateral lower lobe atelectasis. Post-operative changes are seen in the right perihilar region, as before. The heart size is normal. Wedge compression deformities within the thoracic spine are not significantly changed compared to radiographs dating back through <unk>.
history of lung cancer, status post right upper lobectomy. assess lung.
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Ap and lateral chest radiograph demonstrate clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits. There is no pneumothorax, pleural effusion, or evidence of pulmonary edema. Imaged upper abdomen is unremarkable.
history: <unk>m with recurrent seizures undergoing w/u // eval ? infection
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Ivc filter is partially visualized.
<unk>-year-old female with hypotension.
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There is a new et tube with tip <num> cm above the carina. Picc line tip in the distal svc is unchanged. Pleural plaques are again visualized. There is volume loss in the right midlung. Compared to the exam from earlier the same day, aeration of lower lobes is slightly improved.
worsening shortness of breath, check ett.
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Pa and lateral views of the chest provided. Midline sternotomy wires and mediastinal clips again noted. Lungs appear hyperinflated. 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 af rvr, dyspnea, labile bps // eval for chf
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The lung volumes are low. The cardiac silhouette is enlarged, likely exaggerated due to low lung volumes. Aortic arch calcifications are seen. An endotracheal tube is noted, terminating <num> cm above the carina. A transesophageal tube is seen, with the side port at the ge junction. No definite focal consolidation is identified. There is no pleural effusion or pneumothorax.
<unk>f with intubated eval ett tube placement
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There is mild prominence of the pulmonary vasculature without edema, likely due to fluid resuscitation. Minimally increase opacification of bilateral bases is likely due to overlying prominent pulmonary vasculature. The lungs are without focal consolidation, effusion, or pneumothorax. Cardiac and mediastinal silhouettes are normal. Two lead pacemaker appears in place. No acute fractures are identified.
altered mental status.
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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. Mild reverse s-shaped curvature to the thoracic spine appears unchanged.
epigastric and chest pain.
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In comparison with study of <unk>, there is little overall change. Again there is evidence of old granulomatous disease without acute focal pneumonia, vascular congestion, or pleural effusion.
rhonchi, to assess for pneumonia.
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In comparison with the earlier study of this date, allowing for differences in position, there is little overall change. Although no definite free intraperitoneal gas is seen, this is not an upright view. To exclude free intraperitoneal gas, ct would be necessary.
perforation after ercp, now tachypneic, to assess for free air.
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Bilateral lung volumes are low. Bilateral hemidiaphragms are not elevated. The right hemidiaphragm contour is obscured from lung opacities, likely atelectasis. Increased retrocardiac density reflecting left lower lung atelectasis is unchanged. Small bilateral pleural effusions are similar. Prominant mediastinal contour and heart size is attributed to at least some extent from low lung volumes. Spinal fusion devices is present in the lower thoracic spine. Right chest tube ends near the right lung apex.
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In comparison with the study of <unk> from an outside hospital, the left subclavian picc line again appears to extend to the brachiocephalic vein before it crosses the midline to join the svc. No evidence of acute focal pneumonia. There is the vague suggestion of some increased opacification at the bases most likely reflecting atelectatic change.
picc position in patient with osteomyelitis.
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Portable chest radiograph demonstrates persistent and unchanged opacification of the right lower hemithorax with elevated right hemidiaphragm consistent with large pleural effusion. The left lung remains clear with small pleural effusion and atelectasis. Increased vascular congestion and interstitial edema concerning for slight volume overload. The cardiomediastinal contour or remain stable. A right jugular sheath is unchanged in position.
<unk>-year-old male status post motor vehicle accident with duct difficulty breathing.
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Single portable chest radiograph was provided. There is no focal consolidation, pleural effusion or pneumothorax. There is minor left basilar atelectasis. The cardiomediastinal silhouette is unchanged.
history of dry cough for <num> days. evaluate for pneumonia.
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In comparison to prior chest x-ray from <unk>, the cardiomediastinal silhouettes are stable. Central bronchovascular and diffuse interstitial prominence is compatible with mild to moderate pulmonary edema on a background of underlying interstitial lung disease. There is biapical pleuroparenchymal scarring. A tortuous thoracic aorta is again noted. The trachea is midline. There is a small right pleural effusion. There is no left pleural effusion or pneumothorax.
a <unk>-year-old man with shortness breath, evaluate for pulmonary process.
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Since <unk>, there has been interval placement of a dual-chamber icd. The leads are intact and follow their expected courses into the right atrium and right ventricle. Severe cardiomegaly is unchanged. No pulmonary vascular congestion, pulmonary edema, or pleural effusions. Lungs are fully expanded and clear.
<unk> year old man with new dual chamber icd // assess lead position
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There is mild bibasilar atelectasis. No focal consolidation, pleural effusion or pneumothorax identified. The size of the cardiac silhouette is unchanged.
<unk>-year-old woman with vomiting, severe bradycardia, and decreasing o<num> saturation. concern for aspiration. // r/o pneumonia
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Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is identified. Minimal degenerative changes are seen in the thoracic spine.
history: <unk>f with foreign body sensation after stepping on glass, shortness of breath
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A right ij catheter is unchanged in positioning. There is improved aeration of the right upper lobe compared to prior. Again visualized is a large right pleural effusion, which appears to have increasing loculated components. The left lung essentially clear. Pulmonary vasculature is normal. Cardiomediastinal silhouette is stable. There is no pneumothorax. Cervical fixation hardware is partially visualized, unchanged compared to prior. Surgical clips are seen projecting over the upper abdomen.
<unk> year old woman s/p thoracic fusion now with increasing sob and desating with activity // r/o infectious process vs increasing pl effusions
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Pa and lateral views of the chest provided. The lungs are slightly hyperexpanded. 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. Surgical clips projecting over the left chest are likely related to prior left breast procedure.
history: <unk>f with pleuretic right posterior chest wall pain // ? acute cardiouplm process
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The heart is mildly enlarged. The mediastinal and hilar contours appear unchanged. There is again a large anterior eventration of the right hemidiaphragm, not significantly changed. A streaky opacity at the right lung base suggests unchanged atelectasis associated with the eventration. There is no pleural effusion or pneumothorax. Bony structures are unremarkable.
dyspnea.
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Heart size is top normal. The aorta remains tortuous. Mediastinal and hilar contours are otherwise unchanged. Pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is seen. There is mild elevation of the left hemidiaphragm which is unchanged. Minimal atelectasis is seen in the left lung base. Mild degenerative changes are noted in the thoracic spine
history: <unk>m with cardiac history, parkinsonism, with new onset lethargy
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Left-sided pacemaker is in place, with lead tips over the right atrium and right ventricle. There are low inspiratory volumes. The cardiomediastinal silhouette is prominent, partially obscured by effusions. The hila are prominent bilaterally . There is upper zone redistribution, diffuse vascular blurring, interstitial edema, and areas of alveolar edema. There are small to moderate bilateral effusions with underlying collapse and/or consolidation. Clips noted in the right axilla.
<unk> year old woman with dyspnea // pl effusion
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Right-sided neck pacer lead in situ with the tip projecting over the right ventricle. Tavr in situ. Sternotomy wires intact. Improved vascular congestion. No pneumothorax. No pulmonary edema. No airspace consolidation. No pleural effusions. Calcification projecting in the left cervical soft tissues most likely represent carotid artery atherosclerotic disease.
<unk> year old man with as, cad, s/p tavr and r neck screw in pacer. // <unk> year old man with as, cad, s/p tavr and r neck screw in pacer. pacer location?
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The lungs are normally expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. A chain projecting over the left upper quadrant is better evaluated on concurrent abdominal radiograph.
<unk> year old woman with reported ingestion of <num> plastic fork prongs and base of plastic for // assess for pneumoperitoneum
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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. No evidence of free air is seen beneath the diaphragm.
history: <unk>f with hx pancreatitis now with burning epigastric pain radiating to back // please assess for etiologies of abdominal pain
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is slight subpleural scarring at each lung apex. Otherwise, lung fields appear clear. There is no pleural effusion or pneumothorax. Bony structures appear within normal limits. There are a number of small air-fluid levels projecting over the left upper quadrant including within the stomach, but no evidence for free air or bowel dilatation on limited visualization of the epigastric region. Surgical clips project over the right upper quadrant.
epigastric pain and ekg changes.
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Pa and lateral views of the chest provided. Left subclavian port-a-cath is seen with its tip in the mid to low svc. Cardiomediastinal silhouette is stable. There is increased reticular opacity within the lungs most prominent in the right upper lung, possibly reflecting worsening fibrosis. Difficult to exclude a subtle superimposed pneumonia. No large effusion or pneumothorax. Imaged bony structures are intact. A cbd metallic stent projects over the upper abdomen.
<unk>m with fever // r/o pna
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The lungs are clear without consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with cheset pain // ? ptx, effusion
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There is a single lead pacemaker terminating in the right ventricle. The heart appears moderately enlarged. Superior vena cava shows new mild distention. There is also a new bilateral hilar congestion. The cardiac, mediastinal and hilar contours are otherwise unchanged. Mild interstitial process suggest pulmonary edema. Left posterior basilar opacity was present before but increased.
shortness of breath and lower extremity edema.
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A tracheostomy tube has been placed into the upper airway. The tracheostomy tube is positioned obliquely to vertical. A right subclavian central venous catheter terminates at cavoatrial junction. The enteric catheter extends below the film. Partial right middle lobe atelectasis has increased. Large bilateral layering effusions are similar.
status post tracheostomy placement.
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Portable upright frontal view of the chest. There has been marked improvement in the interstitial pulmonary edema seen one day prior. Mild cardiomegaly persists. Likely tiny bilateral pleural effusions are seen. No pneumothorax.
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Bilateral opacities are seen in the lung bases, which can be concerning for aspiration or infection. Asymmetric edema is thought to be less likely but cannot be excluded. Moderate bibasilar atelectasis is noted. The heart size is normal. No pneumothorax or pulmonary edema.
<unk> year old man with hypoxemia in setting of subarachnoid hemorrhage, tachypnea. // eval for volume loss, consolidation, edema.
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As compared to the previous radiograph, the left upper displaced rib fractures are still seen in unchanged manner. There also is a suspicion of a left scapular fracture. Bilaterally, minimal apical thickening persists, but the suspicion of aortic trauma has been excluded on the ct examination from <unk>, <time> p.m. Borderline size of the cardiac silhouette with mild fluid overload and a small left pleural effusion with accompanying left atelectasis.
rib fractures.
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Allowing for difference in technique there may be minimal reduction in density of the bilateral symmetric extensive opacities and the the probably some decrease to the left pleural effusion. Left lower lobe atelectasis remaining. Right chest tube endotracheal tube above the carina. In place. There may be minimal left pneumothorax remaining.
<unk> year old woman with esophagectomy, new intubation // ett placement
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Cardiomediastinal contours are normal. Right perihilar pneumonia has almost completely resolved, there are no new lung abnormalities. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable
<unk> year old man with recent pneumonia and cxr, rads recommending f/u imaging // f/u to ensure resolution of pneumonia
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There has been little change compared to yesterday's examination with slight interval repositioning of the dual pacemaker leads, which still appear to remain in appropriate position in the right atrium and right ventricle. There is otherwise no change.
pacemaker lead revision.
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The lungs are expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
history: <unk>f with fall // eval for consolidation
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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 fever on immunosuppression.
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The tracheostomy tube and ng tube are unchanged again seen is dense alveolar infiltrate involving almost the entire right lung. The left lung alveolar infiltrate has expanded and now includes left lower lobe and lingul.a the left upper lobe appears clear
<unk> year old woman with s/p tracheostomy, increasing secretions // eval for interval change
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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 cough
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In comparison with the study of <unk>, the extents of post-surgical and malignant changes in the left hemithorax are essentially unchanged. Degree of aeration is stable. The right lung remains essentially clear.
lung tumor with left effusion and new fever.
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Pa and lateral views of the chest demonstrate well-expanded and clear lungs. The heart is normal in size and cardiomediastinal contour is stable. There is no pleural effusion or pneumothorax.
<unk>-year-old man with chest pain and dyspnea.
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Frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. The lungs are well expanded and clear. There is no pneumothorax, vascular congestion, or pleural effusion.
<unk>-year-old male with lightheadedness and shortness breath. question pneumothorax or other acute process.
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Interval insertion of a right-sided chest tube, with the tip difficult to see and it courses towards the mediastinum. No pneumothorax. The right internal jugular catheter and et tube are stable. Interval decrease in the right-sided pleural effusion. The airspace opacity and left effusion have not significantly changed. Mild vascular pulmonary congestion persists with moderate cardiomegaly.
<unk> year old man with hypoxic resp failure and bilateral chest tubes // chest tube placement
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. There has been no significant change.
left chest pain radiating to the back.
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The current radiograph is compared to a portable x-ray from <unk>. There are differences in technique and a different projection angle of the x-ray beam. The aortic contour is sharply delineated. The calcific patterns of the aortic wall are comparable. There is no apical cap. Nevertheless, given the different techniques, the aortic knob projects in a different way than it did before, extending slightly more laterally and cranially than on the previous exam. If the presence of an aortic aneurysm continues to be suspected based on the clinical presentation, the patient should proceed to ct, given the superior sensitivity of this technique. Small bilateral pleural effusions continue to be present and are better appreciated on the lateral than on the frontal film. Moderate cardiomegaly. Mild fluid overload. No evidence of pneumonia. No pneumothorax. At the time of dictation and observation, <time> a.m., on <unk>, the referring physician <unk>. <unk> was paged for notification. Findings were discussed a minute later over the telephone.
hcc, ascites, evaluation for aortic dissection.
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The doboff tube tip is in the proximal stomach. The appearance of the lungs are unchanged
<unk>f w/ <unk>'s s/p debridement now s/p dobhoff. // confirm dobhoff placement
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The heart size may be slightly decreased compared to the prior exam but is still mildly enlarged. Bilateral small pleural effusions are overall unchanged. The lungs are clear. No focal consolidation, pulmonary edema, or pneumothorax. The thoracic aorta is calcified and ectatic. Mild dextroconvex scoliosis of the thoracic spine is unchanged.
<unk> year old woman with dyspnea, pnd, h/o pericardial effusion <unk> <unk> virus myopericarditis s/p window x<num> at<unk>. // baseline prior to v/q scan.
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Frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.
history: <unk>f with chest pain // evaluate with acute process
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As compared to the previous radiograph, the signs indicative of pulmonary edema has massively increased. The patient is now in severe pulmonary edema. Monitoring and support devices are constant. No larger pleural effusions. Unchanged size of the cardiac silhouette.
desaturations, rule out pulmonary edema.
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Severe cardiomegaly with mediastinal vascular pedicle engorgement and mild pulmonary edema. No large pleural effusion. Right lower lobe opacity.
<unk>-year-old female pmhx poorly-controlled t<num>dm, diastolic heart failure (ef <unk>% <unk>), gastroparesis, and nephrotic syndrome who presents with volume overload concerning for decompensation of heart failure. // eval for cardiopulmonary 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 normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with cough, sob // ?pna
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The lungs are clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with shortness of breath // acute process?
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There is a new opacity in the left cp angle, compatible with a small infiltrate in that region. Otherwise, the lungs are clear.
cough and hypoxia, question pneumonia.
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Frontal and lateral chest radiographs were obtained. There is persistent subcutaneous emphysema in the soft tissues surrounding the right hemithorax and now the left hemithorax and neck. A right chest tube has been removed. There is no appreciable pneumothorax. Lungs are better aerated without evidence of consolidation. The heart size is normal. There is chronic dilation of the ascending aorta better seen on recent cta chest from <unk>. There is no pleural effusion or pulmonary edema.
patient status post chest tube removal, eval pneumothorax.
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No focal consolidation is seen. There is slight increased interstitial markings bilaterally suggesting mild interstitial edema. No pleural effusion or pneumothorax is seen. Cardiac silhouette is top-normal. Mediastinal contours are grossly stable given differences in technique.
history: <unk>f with dyspnea // acute process
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The patient is status post coronary artery bypass graft surgery. The heart is borderline in size. The cardiac, mediastinal and hilar contours are otherwise unremarkable aside from aortic calcification. There is a patchy opacity obscuring the left lung base, probably due to atelectasis, although not entirely specific. It is possible that there may be a very small coinciding pleural effusion on the left only. None is suspected on the right. No fracture is identified.
head and shoulder injury status post fall from bike. possible syncope.
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Lung volumes are low. There is mild pulmonary edema. Cardiomediastinal silhouette is mildly enlarged, which likely reflects ap position and low lung volumes. There is no pneumothorax or pleural effusion. The stomach is air-filled and distended. Degenerative changes are noted of the right acromioclavicular joint.
<unk>f with a fib and shortness of breath // evaluate for chf .
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There is mild cardiomegaly. Apparent mediastinal widening is due to mediastinal lipomatosis. There is no pleural effusion or pneumothorax. Note is made of a left central venous catheter with tip terminating in the mid svc. There is no focal consolidation concerning for pneumonia.
malaise, on chemo.
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The lungs are clear. Cardiac silhouette is top normal in size. No pleural effusion or pneumothorax. No evidence of pulmonary edema. Anterior osteophyte formation at multiple levels of the mid thoracic spine.
<unk>-year-old man with shakes and chills. evaluate for pneumonia.
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Right internal jugular central venous catheter tip terminates at the svc/right atrial junction. Low lung volumes are present. The heart size is mildly enlarged. Mediastinal and hilar contours are unremarkable. Minimal streaky bibasilar airspace opacities likely reflect atelectasis. No focal consolidation, pleural effusion or pneumothorax is present.
rectal bleeding.
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Streaky left basilar opacity at the cardiophrenic angle is thought to be be due to overlying pectoral soft tissues and epicardial fat pad as there is no clear correlate on the lateral view. Elsewhere, the lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>m s/p fall, septic x<num> days, looking for infectious workup on chest // <unk>m s/p fall, septic x<num> days, looking for infectious workup on chest
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There are low lung volumes. There is persistent elevation of the right hemidiaphragm and overlying right base atelectasis. Lingular atelectasis is also seen. There is blunting of the posterior left costophrenic angle suggesting a small pleural effusion. There is mild diffuse increase in interstitial markings suggesting mild interstitial pulmonary edema. The cardiac and mediastinal silhouettes are stable.
dizziness.
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An ng tube is present, tip extending beneath diaphragm, off film. On the current film, there is again suggestion of looping of the tube in the hypopharynx. Left-sided picc line is present, tip likely over the mid svc. Compared with <unk> and allowing for technical differences, spine doubt significant interval change. Background hyperinflation suggests bcopd. The cardiomediastinal silhouette is prominent, similar to the prior study. Again seen are left greater right pleural effusions with underlying collapse and/or consolidation, with more extensive hazy opacity in the right mid/lower zones. There is upper zone redistribution with mild vascular plethora, but i doubt overt chf.
<unk> year old man with pneumonia, now improving clinically // interval change
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Ap view of the chest. There is a left-sided pacemaker in place. There are sternotomy wires. Suture material is seen at the right apex. Chronic deformity of the posterior right ribs likely from prior trauma. No focal consolidation or pleural effusion. No pneumothorax. There is mild cardiomegaly, the mediastinal and hilar contours are normal.
right-sided weakness.
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Normal heart size, pulmonary vascularity. Lungs are clear. No effusions. No change since prior exam
<unk> year old woman with cirrhosis, rle wound, fevers // r/o pneumonia
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Fractures of the right <unk> and left <num>th ribs are unchanged from at least <unk>. There are no new, acutely displaced rib fractures. There is no pleural effusion or pneumothorax. Increased opacity within the right upper lung on the frontal view is likely a confluence of shadows, however, there is a rounded opacity superior to the aorta on the lateral view which could represent an underlying lesion. Repeat imaging with a lordotic view is recommended. The cardiac and mediastinal contours are normal. The hilar structures are unremarkable. There is no focal consolidation.
cough and left chest wall pain. evaluate for rib fractures.
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As compared to the previous radiograph, the patient has undergone left thoracocentesis. There is no visualization of an apical or basal pneumothorax. The effusion has moderately decreased in extent. Borderline size of the cardiac silhouette. Double-lumen dialysis catheter. The left heart border is delineated in a sharper manner than on the previous radiograph, likely caused by slight patient rotation to the left.
pleural effusion, rule out pneumothorax.
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Cardiac, mediastinal and hilar contours appear stable. There is a developing opacity in the left lower lobe most consistent with pneumonia. There are no definite pleural effusions.
worsening tachypnea.
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In comparison with the study of <unk>, there is little overall change except for removal of the right ij and nasogastric tubes. No evidence of pneumonia or vascular congestion at this time.
malaise and electrolyte disturbance, to assess for infection.
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Vascular markings are mildly prominent. The lungs are otherwise clear. There is no focal consolidation. There is fullness of the ascending aorta is noted earlier. The heart is within normal limits in size. Mediastinal structures are otherwise unremarkable and unchanged. The bony thorax is grossly intact.
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Extensive subcutaneous emphysema continues to limit assessment. The diffuse patchy airspace opacities throughout both lungs are unchanged. No convincing evidence of a pneumothorax. These supportive a monitoring equipment is unchanged in position when compared to the prior study.
<unk> year old man with ards now with worsening hypoxia // eval for interval change
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The lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen. No rib fracture.
history: <unk>f with right-sided chest pain // eval for ptx, fx
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The lungs are well-expanded. Persistent elevation of the left hemidiaphragm with adjacent atelectasis is unchanged. Mediastinal contours and cardiac borders are normal. Right hilar scarring is stable. Serpiginous opacities in the right upper lung and left axilla appear unchanged, likely representing soft tissue calcifications. No pleural effusion.
<unk> year old woman preop for debridement // please assess for acute pathology surg: <unk> (debridement)
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Portable ap view of the chest. There is a small right pleural effusion and a moderate left pleural effusion with adjacent atelectasis. No pneumothorax. An enteric tube ends off the inferior portion of the image. The heart appears enlarged. No hilar abnormality is seen. Unchanged displaced right proximal humerus fracture.
small-bowel obstruction with ischemia, preoperative chest x-ray.
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Pa and lateral views of the chest. Linear opacity at the right lung base on the frontal and lateral view suggestive of atelectasis or alternatively, could represent fluid in the fissure. Additional linear opacities identified at the bases bilaterally. The cardiomediastinal silhouette is within normal limits. Hypertrophic changes are noted in the spine. Old healed anterior and lateral right rib fractures are identified.
<unk>-year-old male with cough. question infiltrate.
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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 sob/cough // acute process
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Again seen is diffuse bilateral peribronchial thickening with bronchiectasis, worst in the right upper lung, similar in distribution as compared to the prior study, in keeping with history of cystic fibrosis. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable.
history: <unk>m with cough, h/o cystic fibrosis // ? pneumonia