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Pa and lateral views of the chest. No prior. The lungs are clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. Degenerative changes are seen in the spine. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with chest pain.
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Frontal and lateral views of the chest were obtained. There are low lung volumes. No focal consolidation, pleural effusion, or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable. There is no overt pulmonary edema.
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Mild enlargement of cardiac silhouette with a left ventricular predominance is re-demonstrated. The aorta knob is calcified. Mediastinal and hilar contours are otherwise unremarkable and there is no pulmonary edema. As before, multiple calcified granulomas are seen within the left upper lobe, and there is calcification of the pleura posteriorly within the left hemithorax compatible with fibrothorax. No focal consolidation, pleural effusion or pneumothorax is seen. The patient is status post right mastectomy with a clip demonstrated in the right chest wall. There are multilevel degenerative changes in the thoracic spine including a mild compression deformity at the thoracolumbar junction, unchanged.
shortness of breath
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The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Lungs are well-expanded and clear without any consolidation concerning for pneumonia. Pulmonary vasculature is within normal limits. Cholecystectomy clips are seen the upper abdomen.
<unk> year old man with cirrhosis // new evaluation for liver transplant assess for cardiopulmonary abnormalities
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As compared to the previous radiograph, the extent of the bilateral pleural effusions has slightly increased. The signs of moderate pulmonary edema are constant. Unchanged bilateral areas of atelectasis, but no pneumonia is visible in the ventilated parts of the lung. The monitoring and support devices are constant. No pneumothorax.
hypertension, recent hospitalization, recently discharged from floor, evaluation.
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There is no focal consolidation, pleural effusion, pulmonary vascular congestion, or pneumothorax. A surgical clip is noted overlying the abdomen, unchanged. The heart size is normal. The cardiac, hilar, and mediastinal contours are within normal limits.
history of multiple pneumonias, most recently two and a half years ago. recently resolved <num> days of productive cough. concern for pneumonia.
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Enteric tube seen passing below the inferior field of view. Air-fluid level within a loop of bowel is seen in the right upper quadrant as well as within the stomach. Biapical scarring is again noted with superior retraction of the hila. Linear opacities at the left lung base are also compatible with scarring. The lungs are otherwise clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with ? obstruction, persistent cough, chills x several wks. known bilat upper parenchymal, pleural airspace disease // ?eval new or interval worsening of lung process
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Portable ap upright view of the chest was reviewed and compared to the prior studies. An endotracheal tube ends <num> cm above the carina. A nasogastric tube ends in the mid portion of the stomach. Low lung volumes persist and exaggerate the mediastinal and cardiac contours that are unchanged. A retrocardiac opacity is unchanged and likely represents atelectasis or infection. There is a new small left pleural effusion. Right lower lobe atelectasis has minimally improved.
evaluation for interval change in an intubated patient with altered mental status and an intraparenchymal hemorrhage.
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Lungs are clear without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormalities identified.
<unk>m with cough // eval pna
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Icd leads are seen with revised position of the right atrial lead noted. Moderate-to-severe cardiomegaly persists without signs of pulmonary edema. There is no focal consolidation. No pneumothorax is seen.
<unk>-year-old man with icd status post right atrium lead position revision.
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There are streaky opacities in the lower lungs, most suggestive of minor atelectasis. Otherwise, the lung fields appear clear. The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. Bony structures are unremarkable. Surgical clips project along the right upper quadrant. There is no free air.
malaise; prior history of pancreatitis.
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The patient is rotated. Spinal hardware devices are seen in mid and lower thoracic spine. Apparent shift in the mediastinal silhouette due to patient rotation resulting in increased density in the left lower mid thorax. Course of the endotracheal tube in its lower course could not be found. Endotracheal tube ends <unk>.<num> cm above the carina ending at the level of the clavicles. Consider advancing the et tube by around <num> cm for better seating. Left internal jugular line ends at mid svc approximately. Bilateral lung volumes remain low. Mild-to-moderate right and minimal left pleural effusion associated with bilateral lower lung atelectasis is overall unchanged. Evaluation of the cardiomediastinal silhouette is however limited due to the rotation of the patient.
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Both of the lower lung volumes seen on the current exam. Retrocardiac opacity may be secondary to atelectasis. Elsewhere the lungs are grossly clear. The cardiomediastinal silhouette is within normal limits given low inspiratory effort. Degenerative changes noted at the acromioclavicular joints.
<unk>m with <num>xd severe <unk> epigastric pain w/ <num>x episodes of vomiting, hx of hernia repair w/ mesh // eval sbo, free air under diaphragm
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Right-sided port-a-cath terminates at the mid svc. Pleural effusion and atelectasis at the left lung base has improved. Again seen are right anterior <unk> and <num>th rib fractures of indeterminate age for which clinical correlation is recommended. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
<unk> year old woman with rib pain prior pna // ? fracture or infection
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Frontal and lateral views of the chest were obtained. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. Right basilar tree-in-<unk> opacity is better seen on the concurrent ct abdomen. Heart size is normal. Mediastinal silhouette and hilar contours are normal. A hiatal hernia is noted.
left flank pain and left lower quadrant pain. recent admission of pneumonia sepsis. evaluate for pneumonia.
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Ap semi-upright portable chest radiograph is obtained. There are lower lung vague opacity, which is concerning for pneumonia, less likely atelectasis. Calcified pleural plaque is clearly visualized at the left lung base. No definite pleural effusion or pneumothorax is seen. The heart and mediastinal contour appears normal. The imaged osseous structures are intact.
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There has been interval progression of bilateral parenchymal opacities, either representing significant worsening of pneumonia or development of air ds. Left central venous line and enteric tube are unchanged in position. Bilateral pleural effusions are again seen.
<unk> year old man with atypical pna // interval change
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In comparison with study of <unk>, the icd device has been removed and replaced with a left ij pacer that extends to the region of the apex of the right ventricle. Little change in the appearance of the heart and lungs. Specifically, there is no evidence of pneumothorax.
lead extraction, to assess for pneumothorax.
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The lungs are clear with no evidence of consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. Osseous structures are normal with evidence of an old rib deformity on the right. No free air is noted in the hemidiaphragms. Surgical clips are noted in the right upper quadrant suggestive of prior cholecystectomy.
evaluation of patient with changes in blood sugar.
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No previous images. There is a large area of consolidation involving the left mid and lower lung zone, consistent with the clinical impression of pneumonia. Indistinctness of pulmonary vessels suggests some elevated pulmonary venous pressure. Low lung volumes may account for mild prominence of the transverse diameter of the cardiac silhouette.
possible pneumonia.
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The lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal. There are mild degenerative changes in the thoracic spine.
<unk>-year-old man with knee pain. preoperative evaluation.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
<unk> year old woman with productive cough + blood streaked, and fever x <num> days.
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Pa and lateral views of the chest are obtained. There is elevated right hemidiaphragm which is unchanged. Previously noted left arm picc line and ng tube have been removed. The previously noted drainage catheter in the upper abdomen is not included in the imaged field. A small left pleural effusion is present. There is no definite sign of pneumonia or chf. Cardiomediastinal silhouette appears stable. The bony structures appear grossly intact.
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The lungs are well inflated and clear. The cardiomediastinal silhouette is unremarkable. There is no pleural effusion, pulmonary edema, pneumothorax, or focal airspace consolidation.
<unk> year old woman with stroke // infection
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The lungs are well inflated and clear. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. A left chest wall pacer device lead tips are in the right atrium and right ventricle.
<unk> year old man with afib on amiodarone. annual amiodarone evaluation
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A pre-existing icd pacer device is present, with interval placement of a new left ventricular lead. No definite pneumothorax. Lung volumes are low, accentuating the cardiac silhouette and bronchovascular structures. Apparent worsening of bibasilar atelectasis. Persistent left pleural effusion versus pleural thickening.
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Prominence of the pulmonary vasculature and increased interstitial markings likely represent mild to moderate pulmonary edema. There are likely small bilateral pleural effusions. Bibasilar opacities likely reflect dependent pulmonary edema. The heart remains enlarged.
history: <unk>f with respiratory distress // ? acute process
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No change in location of tracheostomy tube. Persistent bilateral diffuse hazy and linear opacities with cardiomegaly, bilateral pleural effusions and enlargement of hilar vasculature.
<unk> year old man with hcap, chronic trach // eval change in infiltrates since yesterday
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Lung volumes remain low, unchanged compared to the prior study. This likely contributes to apparent femara was cardiomegaly. There is mild unfolding of the thoracic aorta. No consolidation, pneumothorax or pleural effusion seen. The visualized bony structures are unremarkable in appearance.
<unk> year old man with tbi, now with tachypnea, tachycardia // new pneumonia or aspiration
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Single erect ap portable view of the chest was obtained. The left hemidiaphragm remains elevated. There is blunting of the left costophrenic angle, which could be due to a small pleural effusion. Left retrocardiac opacity is seen, which may be due to underpenetration, although underlying consolidation and/or pleural effusion, atelectasis not excluded. There is prominence of the central vasculature and the interstitium suggesting pulmonary edema. The cardiac silhouette is enlarged. The aortic knob is calcified.
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There is blunting of the left costophrenic angle. The left hemidiaphragm appears mildly elevated and there is subtle patchy left basilar opacity. The right lung is clear. There is no evidence of pneumothorax. The cardiac silhouette is top-normal. The mediastinal contours are grossly unremarkable. No evidence of free air is seen beneath the diaphragms.
history: <unk>m with <unk> pain, lymphoma // ? free air under diaphragm
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Cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities detected.
chest pain.
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Stable chronic left apical pleural thickening. Lungs clear bilaterally without pleural effusion or pneumothorax. Heart is mildly enlarged in size with normal mediastinal contour and hila. Left lower lobe and retrocardiac opacity is likely from epicardial fat. Chronic stable biliary duct air was seen on ct. No bony abnormality.
female with new dyspnea on exertion and pedal edema. assess for atelectasis or pneumonia or chf.
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The lungs are well expanded. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is notable for top normal cardiac size. This is unchanged from the prior study. The bones are intact.
<unk>-year-old female with chest pain and shortness of breath. rule out acute process.
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There is near-complete opacification of the left hemithorax, due to atelectasis/collapse of the left lung. There is leftward deviation of the trachea, as before. The right demonstrates slight interval worsening of linear basal atelectasis. Chronic right humeral head dislocation is again noted, unchanged compared to the prior study.
<unk>-year-old female with tracheomalacia and hypoxia.
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The lungs are well expanded and clear. The hila and pulmonary vasculatures are normal. The cardiomediastinal silhouette is normal. No pleural abnormality. No pneumothorax. No fractures.
<unk> year old woman with c/o chest congestion, cough, orthopnea, and intermittent fever x few days. // r/o pna
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The heart is enlarged with mild interstitial edema. There are bilateral pleural effusions, left greater than right. A left retrocardiac opacity is noted, possibly reflecting volume loss. No pneumothorax is noted. Chronic deformity of the left shoulder is noted.
<unk>-year-old female with st-elevation myocardial infarction. please evaluate for cardiopulmonary disease.
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Overall volume of the right hydropneumothorax is stable, with a slight increase in dependent fluid. Stable right apical pneumothorax. Unchanged left pleural effusion. Moderate bibasilar atelectasis, slightly increased on the right and stable on the left. Normal cardiomediastinal and hilar contours.
<unk>-year-old woman with a history of cecal cancer complicated by liver metastases now status post segment <num> wedge resection, pericardial effusion status post pericardial window, and pleural effusion and pneumothorax status post chest tube removal. assess for interval change.
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The right lower lung opacities are stable, but left lower lung consolidation has increased with new small pleural effusion. There is no pneumothorax. Mediastinal and cardiac contours are unremarkable.
patient with diffuse rhonchi, bilateral opacities on chest x-rays, aspiration pneumonitis versus atelectasis vs pneumonia.
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In comparison with the study of <unk>, there are slightly lower lung volumes. However, there is no evidence of acute pneumonia, vascular congestion, or pleural effusion.
cough.
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As also noted on chest radiograph from <num> hours prior, there are low lung volumes with increased bibasilar atelectatic changes, difficult to discern whether bibasilar opacities are solely atelectatic or whether there is underlying in pneumonia. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable.
history: <unk>m with productive cough // please eval for infectious process
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Since the previous film there is a increased an pulmonary vascular congestion. Inspiratory effort remains limited increased opacity in the left lower lobe may suggest early edema. Picc line in svc with no interval change. .
<unk> year old man with history of chf, afib, amyloid angiopathy presented with hypoxia/tachypnea likely secondary to mucous plugging/pneumonitis/volume overload. // evidence of pulmonary edema or volume overload given h/o heart failure
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In comparison with the study of <unk>, there is little change and no evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion.
anterior and lateral chest pain.
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No focal opacity to suggest pneumonia is seen. An opacity in the right infrahilar region has been present on prior examinations and likely represents a prominent vessel. No pleural effusion, pulmonary edema, or pneumothorax is present. The heart size is normal.
fever, tachycardia and cough since visit to <unk>.
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There is moderate cardiomegaly. There is mild pulmonary vascular congestion, otherwise, the hilar and mediastinal contours are normal. No focal consolidations concerning for pneumonia are identified. There is no pleural effusion or pneumothorax.
history of fall. please evaluate.
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There is an interval removal of an endotracheal tube and feeding tube. Again seen is a moderate left pleural effusion and opacification of the left base consistent with collapse. Also seen is a small right pleural effusion and opacification of the right base consistent with atelectasis. The cardiomediastinal silhouette and hilar contours are normal. There is no pneumothorax.
status post lap nissen fundoplication for paraesophageal hernia. evaluation for interval change.
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The patient is status post median sternotomy and cardiovascular surgery. Sternal wires are absent. Cardiac silhouette is stable in the post-operative period, but mediastinal width has slightly decreased, with associated slight improvement in extent of pulmonary edema, now moderate in severity. Bilateral chest tubes remain in place, with no definite pneumothorax. Prominent lucency adjacent to left cardiac silhouette contour may reflect post-operative pneumopericardium, less likely a medial left pneumothorax. Attention to this region on short-term followup radiograph would be helpful.
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Pa and lateral chest radiographs were obtained. The lungs are well expanded. A right lower lobe opacity projects over the spine leading to a "spine sign." the opacity is less clearly seen on the frontal projection. The right heart border is sharp. There is no additional consolidation effusion or pneumothorax. Cardiac and mediastinal contours are normal.
shortness of breath cough.
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Portable upright view of the chest demonstrates low lung volumes, which accentuate bronchovascular markings. Again seen is diffuse bronchial wall thickening, bronchial mucous impaction and bronchiectasis. There are superimposed somewhat confluent opacities in bilateral lung bases and right upper lobe, new since prior. There is no pleural effusion or pneumothorax. Mild perihilar vascular congestion is likely present. Hilar and mediastinal silhouettes are otherwise unchanged. Heart size is normal. Partially imaged upper abdomen is unremarkable.
dyspnea, assess for pneumonia.
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In comparison to prior radiograph from <unk>, the cardiomediastinal silhouettes are stable. Central bronchovascular and diffuse interstitial prominence likely reflects pulmonary vascular congestion and mild pulmonary edema. There is no focal lung consolidation. There is no pneumothorax or pleural effusion.
a <unk>-year-old man with shortness of breath, evaluate for cardiopulmonary process.
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As compared to the previous radiograph, there are newly appeared bilateral pleural effusions, multiple pulmonary nodules and evidence of increased interstitial structures. Overall, the findings are suggestive of pulmonary metastatic disease, associated with pleural effusions, potentially related to lymphangitic spread of cancer. Also new is a diffuse increase in bone density, notably at the level of the vertebral bodies and ribs, indicative of diffuse metastatic bone disease. Unchanged cardiac silhouette.
metastatic breast cancer, evaluation.
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Cardiomediastinal silhouette is within normal limits. Calcifications are present in the aortic arch. Previously noted focal opacity in the right lower lung has resolved. There is no new consolidation or pleural effusion. No pneumothorax. Bones are grossly unremarkable. Surgical clips in the upper abdomen are again noted.
<unk> year old woman with recent pna // eval for resolution
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The cardiac, mediastinal and hilar contours appear stable including a stable bulging contour to the right lateral mid peritracheal stripe suggesting lymphadenopathy, probably unchanged. There is no pleural effusion or pneumothorax, but there is new very mild right lateral pleural thickening. The lungs appear clear. The right lateral seventh rib shows a new contour irregularity with a sclerotic line suggesting interval fracture, otherwise age-indeterminant.
hepatitis-c, sarcoidosis, and status post recent fall with right-sided reproducible chest pain.
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The lungs are clear. Right subclavian line ends in mid svc. Mediastinal and cardiac contour is normal. Mild elevation of left hemidiaphragm is chronic.
patient with aml and shortness of breath, previous chest x-ray and ct negative, concerning for pe?, pneumonia?
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A portable view of the chest shows clear lungs. The cardiomediastinal and hilar contours are stable. There is no pneumothorax or pleural effusions. There is no pulmonary edema.
ich and poor mental status now with leukocytosis, evaluate for pneumonia.
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Since <unk> there has been interval development of a right pleural effusion seen on ct dated <unk>. A small right pleural effusion is seen on today's radiograph. There is bronchial wall thickening on the lateral which corresponds to the ct dated <unk>. No parenchymal consolidation is seen. No pneumothorax.
<unk> year old man with pleural effusion
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Cardiomediastinal contours are stable with mild cardiomegaly. There is mild vascular congestion. Right port a cath tip is in the lower svc. There is no pneumothorax or pleural effusion. There are mild degenerative changes in the thoracic spine
<unk>m with relapsed refractory iga myeloma s/p autosct now on c<num>cybord c<num>d<unk>, t<num>dm, h/o pe and recent admission for cast nephropathy, admitted with abdominal pain/distention requiring ficu stay for ngt decompression. imaging suggestive of duodenal mass vs. inflammation from prior chemotherapy, now improving clinically. coughing and with mild hemoptysis. // assess for consolidation/pna
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Heart size is normal. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is normal. The lungs are clear. No pleural effusion or pneumothorax is identified. Percutaneous gastrostomy catheter and spinal stimulator wires are again demonstrated. A catheter is also noted projecting over the right lung base, unchanged. Multiple clips are again seen in the right upper quadrant. No displaced fractures are identified.
left-sided rib pain.
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Portable ap upright chest radiograph. 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, cough
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with asthma presenting with increasing shortness of breath // pneumonia?
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The lungs are clear besides minimal left midlung atelectasis. There is no effusion or consolidation. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with hallucinations pending psych placement // eval ? infiltrate
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The patient is status post median sternotomy, cabg, aortic and mitral valve replacements. Mild cardiomegaly is unchanged. The mediastinal and hilar contours are similar with mild pulmonary vascular congestion, likely chronic. Minimal atelectasis is seen in the lung bases without focal consolidation. Trace bilateral pleural effusions are noted. There is no pneumothorax. No acute osseous abnormality is seen.
<unk> year old woman with fever to <num>, leukocytosis, history of endocarditis
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Chest pa and lateral radiograph demonstrates unremarkable mediastinal, hilar and cardiac contours. Lungs are clear. No pleural effusion or pneumothorax evident. No osseous abnormality is identified.
mdma ingestion with coarse breath sounds. please assess pulmonary edema.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. High density material noted within the bowel likely from previously administered enteric contrast.
<unk>f with abnormal cbc, ? new ca // ? acute cardipulm process
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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. Surgical clips are demonstrated in the right upper quadrant of the abdomen compatible prior cholecystectomy.
history: <unk>f with history of cholecystectomy, appendectomy, pancreatic divisum, gastroparesis presents with right upper quadrant abdominal pain radiating to the right chest and neck with deep breathing.
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Compared to the previous radiograph, there are new focal parenchymal opacities that have occurred in both the left lung and at the right lung base. The distribution and morphology of these opacities are highly suspicious for pneumonia. Unchanged borderline size of the cardiac silhouette without overt pulmonary edema. No pleural effusions. No pneumothorax. Unchanged mild right apical pleural thickening. At the time of dictation and observation, <time> a.m., on <unk>, the referring physician, <unk>. <unk>, was paged for notification.
status post cabg, cholecystitis.
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The cardiomediastinal silhouettes are stable, and within normal limits. The bilateral hila are unremarkable. Equivocal left lower lobe alveolar opacities could represent pneumonia in the appropriate clinical setting. The lungs are otherwise clear. There is no pulmonary vascular congestion or pulmonary edema. There is no pneumothorax or pleural effusion.
<unk>-year-old woman with dyspnea, evaluate for infiltrate.
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<num> portable views of the chest. Bibasilar opacities are compatible with a moderate right-sided and at least a small left sided effusion as well. There is moderate pulmonary edema. Cardiac silhouette is difficult to assess given sihouetting particularly on the right. Atherosclerotic calcifications seen at the aortic arch.
<unk>-year-old male with lower extremity swelling.
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Portable frontal radiograph of the chest demonstrates interval improvement in pulmonary edema, right greater than left. There is persistence of bilateral pleural effusions and bibasilar atelectasis. There is no pneumothorax. Cardiac size is unchanged.
<unk>-year-old female with hypoxia, effusions, and fluid overload status post dialysis. evaluation for interval change.
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Right-sided central venous catheter is unchanged. Heart size is stable.heterogeneous right perihilar opacity is unchanged from <unk>, representing pneumonia as seen on pet ct. Patchy bibasilar opacities likely reflect atelectasis. No pleural effusion.
<unk> year old m w/ relapsed follicular lymphoma s/p with multiple relapses and multiple salvage chemo regimens. proceeded w/ autologous stem cell transplant in <unk>, found to have relapse again in <unk>; underwent rituximab and revlimid and proceeded w/ double umbilical cord blood transplant <unk>, admitted day +<num> for diarrhea and failure to thrive.
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Ap single view of the chest has been obtained with patient in semi-upright position. Analysis is performed in direct comparison with the next preceding similar study of <unk>. The patient is status post bypass surgery, postoperative day #<num>. Findings in comparison with the next preceding similar portable study are grossly unchanged. There is, however, now a mild blunting of the left lateral pleural sinus, which was not observed on the previous examination. This is compatible with the development of a small left-sided pleural effusion. No new pulmonary abnormalities are present and no pneumothorax is identified. The previously described right-sided internal jugular approach central venous line remains unchanged and terminates overlying the svc some <num> cm below the level of the clavicle.
<unk>-year-old female patient, evaluate effusion.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures appear within normal limits.
fever, sweats, cough and runny nose with left upper quadrant pain.
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As compared to the previous radiograph, the patient has developed bilateral pleural effusions. There is mild atelectasis at both lung bases. No overt pulmonary edema. No pneumonia. No pneumothorax. The visible parts of the monitoring and support devices are in constant position, with exception of the nasogastric tube that has been exchanged, showing a correct course.
status post aortic replacement, evaluation for pleural effusions.
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Pa and lateral chest radiograph demonstrate no focal opacity convincing for pneumonia. Elevation of the right hemidiaphragm appears to been present on prior study dated <unk>. Cardiomediastinal and hilar contours are within normal limits. A left chest wall port-a-cath is again identified, a catheter tip terminating in the low superior vena cava. There is no pleural effusion or pneumothorax. Visualized osseous structures are without an acute abnormality.
<unk>-year-old male with sickle cell crisis.
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Pa and lateral views of the chest. There is mild pulmonary vascular congestion. There is no focal consolidation. There is no pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal.
chest pain. evaluate for pneumonia.
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Single portable chest radiograph demonstrates the feeding tube within the stomach below the diaphragm. Again seen is layering moderate left pleural effusion. Bilateral parenchymal opacities are unchanged. The right apical pneumothroax is stable. The cardiomediastinal silhouette is unchanged.
evaluate dobbhoff placement.
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In comparison with the study of <unk>, there is little interval change. Blunting of the left and possibly right costophrenic angles with mild enlargement of the cardiac silhouette and tortuosity of the aorta. However, no acute pneumonia, vascular congestion, or pleural effusion.
wheezing, to assess for pneumonia.
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There is a new left lower lobe infiltrate .there is also platelike atelectasis in both lower lobes. The heart is mildly enlarged. The upper lobes are clear.
cirrhosis hypotension, question pneumonia.
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The endotracheal tube tip sits <num> cm above the carina. The endogastric tube courses inferiorly such that its tip appears to be right at or just below the ge junction, and the side port is well above the ge junction. The heart size is at the upper limits of normal. Mediastinal contours demonstrate enlargement of the central vasculature. The lungs are clear of lobar consolidation, although predominantly basilar and perihilar fluffy opacities are present. No large pleural effusion or pneumothorax is appreciated. Multiple lateral old healed rib fractures are present bilaterally.
<unk>-year-old male with respiratory distress.
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Unchanged right hemidiaphragm elevation. Lungs are otherwise well expanded and clear. No pleural effusion or pneumothorax. Mild cardiomegaly is unchanged. No pulmonary edema. Cardiomediastinal and hilar silhouettes, including prominence of the azygos contour, are unchanged since <unk>, not corresponding to lymphadenopathy on ct.
<unk> yo old man with follicular lymphoma currently stable. has had increase in sputum production and cough recently, r/o infection // <unk> yo old man with follicular lymphoma currently stable. has had increase in sputum production and cough recently, r/o infection
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Left lower lobe consolidation and small pleural effusion have improved since the previous exam. There is no new lung consolidation. Mild pulmonary edema has also resolved. Right-sided picc line and right-sided port-a-cath end in mid svc. Tracheostomy is in adequate position. There is no pneumothorax. There is deformity of left acromion could be sequela from prior trauma. A dedicated study could be done if needed.
patient with hypoxia, interval change.
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The anterior portions of the sixth right rib are missing. The patient has a left-sided chest tube without evidence of pneumothorax. Borderline size of the cardiac silhouette. Clips projecting over the mediastinum and the heart. Minimal scarring at the right lung apex. No evidence of acute thoracic changes in the lung parenchyma.
sixth rib, evaluation for postoperative appearance.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with chest pain // eval for pna
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Cardiac size is top-normal. Mediastinal lymphadenopathy is better seen in prior ct. Large right and small left effusions are unchanged. Multiple lung nodules are better seen in prior ct. Surgical clips project in the left upper hemi thorax. Patient has known emphysema. There is minimal asymmetric vascular congestion on the right .
<unk> year old man with history of treated malignancies now presenting with dyspnea found to be anemic and hypoxic // please evaluate for interval change from osh cxrs particularly for pulmonary edema
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As compared to the previous radiograph, the patient has developed a left pleural effusion and an area of newly appeared left parenchymal consolidation in the retrocardiac and left basal lung areas. In the appropriate clinical setting, pneumonia with an associated pleural effusion might be the most likely differential diagnosis. At the time of dictation and observation, the referring physician, <unk>. <unk>, was paged for notification. Normal size of the cardiac silhouette. Normal-appearing right lung.
hypoxia, questionable pneumonia.
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The cardiomediastinal silhouette is unremarkable. Since the most recent examination, there appears to been interval development of vascular congestion. Possible septal lines are noted. These findings are likely exaggerated due to supine technique. No definite consolidation is identified.evaluation for pleural effusion no pneumothorax is limited on supine evaluation. Again seen is what appears to be transverse colon and well left chest.
<unk> year old woman with sob. started on ivf overnight. ? pulmonary edema // sob
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A weighted feeding tube is demonstrated with tip in the stomach. Heart size remains mildly enlarged. The mediastinal and hilar contours are unchanged with mild tortuosity of the thoracic aorta again noted. Diffuse atherosclerotic calcifications are seen within the aorta. Pulmonary vasculature is not engorged. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. There is evidence of prior vertebroplasty at the thoracolumbar junction.
history: <unk>f with ng tube
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Pa and lateral views of the chest demonstrate the lungs are well expanded and clear. The heart is mildly enlarged, unchanged since the prior study, with suggestion of a small pericardial effusion, particulary on the lateral view. There is no pleural effusion, pulmonary edema, pneumothorax, or focal airspace opacity. There is no subdiaphragmatic free air.
<unk>-year-old man with right-sided chest pain.
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Et tube is unchanged in position, although the carina is not well visualized. The feeding tube has been advanced and is coiled in the stomach, but the tip is not visualized. The subclavian line tip ends in the mid svc. The right-sided picc line is no longer visualized. The pulmonary appearance is similar with bibasilar volume loss. An underlying infectious infiltrate, particularly on the left cannot be excluded.
pancreatitis, check lungs.
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Previous small right apical pneumothorax is no longer visualized. The right pleural effusion has increased with compressive basilar atelectasis causing silhouetting of the right heart border. Fluid tracking within the minor fissure is re- demonstrated. Cardiomediastinal silhouette is stable. The left lung is clear.
<unk> woman with h/o hcv cirrhosis c/b hcc s/p tace and ascites requiring weekly paracenteses who initially p/t <unk> w/sob and found to have hepatic hydrothorax. evaluate recurrent pleural effusion.
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Heart size cannot be assessed due to adjacent pleural effusion. Large left pleural effusion with compressive atelectasis. The mediastinal and hilar contours are normal. The aorta is calcified, indicating atherosclerosis. No pneumothorax is seen. Known rib fractures and left humeral head fracture are poorly visualized on this single portable ap chest radiograph. The patient is status post right shoulder surgery.
history: <unk>m with delayed anemia, abd pain s/p multiple l low rib fxs //
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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 influenza-like illness for <num> week.
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The radiograph is compared to the previous image. In unchanged manner, the endotracheal tube is located too high. A telephone conversation on this topic was performed with the referring physician earlier today. The tube needs to be repositioned. The remaining appearance of the lung parenchyma, with fluid overload, cardiomegaly, atelectasis and without pneumothorax is unchanged.
confirmation of tube placement.
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The projection is lordotic. The endotracheal tube terminates at the level of the clavicles. Lung volumes are low, but there is no gross parenchymal abnormality. The heart and mediastinum are magnified by the projection.
<unk> year old man with etoh cirrhosis and upper gib. // please evaluate et tube position
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Cardiomediastinal silhouette is within normal limits. A small wedge-shaped area of opacification along the left hemidiaphragm is new compared to the prior examination. Lungs are otherwise clear. There is no pleural effusion or pneumothorax. Bones are grossly unremarkable.
history: <unk>m with cp // ? effusion, consolidation, ptx
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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 chest pain // presence of pneumothorax, infiltrate
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. Mediastinal contours are unremarkable. The hila are also unremarkable.
cough.
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Cc is status post median sternotomy and cabg. Severe cardiomegaly is unchanged. There is mild to moderate pulmonary edema, as seen previously. The mediastinal and hilar contours are similar with atherosclerotic calcifications noted diffusely in the descending thoracic aorta. Small bilateral pleural effusions have decreased in size compared to the prior study. Patchy atelectasis is noted in the lung bases. No pneumothorax is identified. There are moderate degenerative changes in the thoracic spine.
history: <unk>m with chf, copd, cad presents with progressive dyspnea, fluid retention, cough
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There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The osseous structures and upper abdomen are unremarkable.
<unk>m with altered mental status, evaluate for pneumonia.
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Heart is upper limits of normal in size and accompanied by pulmonary vascular congestion and bilateral interstitial opacities, most pronounced in the periphery of the mid and lower lungs. Additionally, there are more confluent poorly defined opacities in the left upper and left lower lobes. The left upper lobe opacities have a nodular configuration. Small pleural effusions are present bilaterally. Lung volumes are increased suggesting underlying copd, and there is a probable small calcified granuloma at the right apex.