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Single supine ap portable view of the chest was obtained. Underlying trauma board and other external artifact partially obscures the view. No focal consolidation is seen. There is no pleural effusion or evidence of pneumothorax. The cardiac and mediastinal silhouettes are unremarkable. No evidence of a displaced fracture is seen.
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Shallow inspiration. Heart size, pulmonary vascularity has improved since prior exam. No infiltrates, no effusions.
<unk> year old woman with cirrhosis, now with worsening renal failure and rigors // ? pneumonia
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Compared with the prior study, lung volumes are lower, with a stable cardiomediastinal silhouette. No focal consolidation, pleural effusion, or pneumothorax detected. There may be mild bibasilar atelectasis.
<unk>-year-old man with chest pain. evaluate for focal consolidation.
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Cardiac, mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Linear opacities in the lung bases are compatible with areas of subsegmental atelectasis. Remainder of the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities.
history: <unk>f with altered mental status
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Endotracheal tube tip is just above carina, should be pulled back. Large known thyroid mass, with tracheal deviation to the right is stable. Stable left basilar consolidation, more prominent lingular opacity, consider pneumonitis, aspiration. Tiny pleural effusions are less apparent. Mild right basilar atelectasis is stable. Heart size at the upper limits are normal. Normal pulmonary vascularity. Thoracolumbar curve
<unk> year old woman with tracheal stent placement removal and subsequent intubation after hypoxic respiratory distress. // please evaluate location of et tube.
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Interval removal of ng tube. Right picc ends in the right atrium and could be withdrawn <num> cm in order for tip to end in the lower svc. Persistent consolidation at the left base reflects moderate left pleural effusion. Rounded left retrocardiac opacity may reflect loculated pleural fluid or a rapidly developing lung abscess. Stable, mild cardiomegaly.
<unk> year old man s/p gastric perforation // pleural effusion pleural effusion <unk>-year-old man with a gastric sleeve leak and pleural effusion. assess for interval change.
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A tracheostomy tube is noted in place. There is a right internal jugular central venous catheter with the catheter tip at the lower svc. Lung volumes are low. There are increased interstitial markings suggestive of mild pulmonary edema. Severe cardiomegaly is again noted. Bibasilar opacities likely are likely representative of bilateral small pleural effusions with atelectasis.
increased secretions.
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Small bilateral pleural effusions are new. The exam is otherwise unchanged since the recent study performed five days earlier. If there is strong clinical suspicion for acute rib fracture, dedicated rib radiographs with metallic marker at site of symptoms may be helpful for more complete assessment if warranted clinically.
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Frontal and lateral chest radiographs were obtained. The right basilar pneumothorax has partially re-expanded with a persistent right pleural effusion remaining. There may be some loculated collections of air within the effusion. Again seen is a large apical and paramediastinal consolidation, likely secondary to a hydrothorax or fibrosis. The previously seen left hilar and right base consolidations have essentially cleared. Heart size is normal. Mediastinal contours are within normal limits. The right basilar chest tube appears to be in unchanged position. A right-sided port is again seen with a catheter tip in the cavoatrial junction.
patient with history of right empyema, check interval change.
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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.
subjective fever after surgery.
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As compared to the previous radiograph, the patient has undergone right thoracocentesis. Right pleural effusion has substantially decreased. The remaining effusion is limited to the costophrenic sinus. There is no evidence of pneumothorax or other complications. Otherwise, unchanged radiographic appearance.
pleural effusion, status post thoracocentesis, evaluation for pneumothorax.
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There has been slight further increase in size of the right pleural effusion, small to moderate in extent. No evidence of a pneumothorax. The appearance of the lung parenchyma is unchanged with multiple areas of patchy and confluent airspace opacities. A small left pleural effusion is unchanged.
<unk> year old woman with metastatic breast cancer, pe, b/l effusions and sob // s/p <unk>, evaluate for re-accumulation
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A portable semi upright frontal chest radiograph again demonstrates low lung volumes and cardiomegaly with prominence of the superior left heart border, unchanged compared to the <unk>. There is central pulmonary vascular congestion with mild edema. No definite focal consolidation is identified. There are bilateral pleural effusions. No pneumothorax is seen.
shortness of breath.
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The cardiac, mediastinal and hilar contours appear stable. The lungs appear clear. There is no pleural effusion or pneumothorax. Mild rightward curvature is centered along the mid thoracic spine.
hemoptysis and congestive heart failure.
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Heart size is normal. The mediastinal and hilar contours are remarkable for widening of the left superior mediastinal contour with associated rightward deviation of the trachea above the thoracic inlet level. This is likely due to left lobe thyroid enlargement with associated peripheral calcifications visualized. . The pulmonary vasculature is normal. Lungs are clear except for a heterogeneous rib focus of consolidation within the right middle lobe. . No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
<unk> year old woman with history of copd presenting with sinusitis associated with shortness of breath and chest tightness. // r/o pna, r/o pulmonary edema
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Cardiac and mediastinal silhouettes are stable. Again, the aorta is markedly tortuous, dilated with a stent graft, similar to prior study. Thoracic scoliosis is noted. No new focal consolidation is seen. No pneumothorax is seen. There is slight blunting of the costophrenic angles which may be due to the lungs being hyperinflated, trace pleural effusions not excluded.
history: <unk>f with confusion and jvd*** warning *** multiple patients with same last name! // evidence of pneumonia or effusion
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No displaced rib fractures are detected. The lungs are well expanded without focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiac silhouette, mediastinal and hilar contours are within normal limits. The trachea is midline. There is no free air beneath the right hemidiaphragm.
right chest wall pain status post fall, here to evaluate for fracture.
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Since the prior study, there has been interval placement of a right internal jugular central venous catheter, which terminates in the mid svc. Additionally, a new orogastric tube has been placed, which is not well seen below the level of the midesophagus. Otherwise, the endotracheal tube is unchanged, and in appropriate position. The appearance of the chest is otherwise stable since the prior study, with persistent perihilar airspace opacities and obscuration of the left hemidiaphragm. There is no pneumothorax. Cardiac enlargement is stable.
history: <unk>m with new right ij and ogt // eval new right ij and ogt
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Prominent interstitial markings, clongested pulmonary vasculature are consistent with mild pulmonary edema. There is a mild left pleural effusion and a trace right pleural effusion. A retrocardiac opacity is seen, which may represent atelectasis but cannot exclude aspiration or pneumonia in the right clinical setting. Median sternotomy wires and mediastinal clips are again noted.
history: <unk>f with cough, hx of chf and <num>v cabg pls eval pna vs pulm edema // history: <unk>f with cough, hx of chf and <num>v cabg pls eval pna vs pulm edema
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Single portable radiograph of the chest demonstrates low lung volumes with bibasilar atelectasis with no evidence of large pleural effusions. There is no evidence of pneumothorax or overt pulmonary edema. No definite focal consolidation is seen.
fever and altered mental status.
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The lungs are hyperexpanded. There is interval development of an airspace opacity projecting over the right heart border on the frontal view, which is not confirmed on the lateral view. Chronic appearance of scarring in the right upper and middle lobes is unchanged from prior studies. There is no pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiomediastinal and hilar contours are within normal limits. No acute osseous abnormality is detected.
<unk> year old man with <num> days of cough, phlegm production, chills. // ?infiltrate
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There are persistent bibasilar opacities, which are now worse on the left than on the right, previously worse on the right than on the left. Superiorly, the lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with hypoxia // eval for pna
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The lungs are clear. There is no pleural abnormality. The heart and mediastinal contours are normal.
<unk>-year-old female with chest pain this morning, question acute process.
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The right port catheter is in expected and unaltered position. Heart size is normal. Again seen is paramediastinal fibrosis, likely secondary to prior radiation therapy. The pulmonary vasculature is normal. Underlying emphysematous changes. Again seen are hazy opacities in the right mid and lower lung, which may represent resolving pneumonia. No pleural effusion or pneumothorax is seen. Calcified right lower lobe granuloma best seen on the lateral view near the cardiophrenic angle. No acute fractures. Again seen are left posterolateral thoracotomy rib fractures. Again seen are surgical clips in the left upper quadrant.
<unk>m with squamous cell carcinoma of lung presenting with cough and axilla pain. evaluate for pneumonia or rib fracture
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Frontal and lateral views of the chest were obtained. Dual-lead right-sided aicd is again seen with lead extending to the expected position of the right atrium and right ventricle. The patient is rotated to the right. The cardiac silhouette remains enlarged. The right costophrenic angle is not well assessed due to overlying battery pack; however, a small right pleural effusion may be present. There is minimal central pulmonary vascular congestion. No definite focal consolidation.
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Pa and lateral radiographs through the chest demonstrate clear lungs bilaterally with low lung volumes. Cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion or pneumothorax. Again noted is a left humeral head prosthesis.
<unk>-year-old female with weakness and vague symptoms.
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Single portable view of the chest. Endotracheal tube is seen with tip approximately <num> cm from the carina. Ng tube passes below the inferior field of view. Right subclavian line seen with tip at the ra-svc junction. There is no visualized pneumothorax on these supine films. There is prominence of the upper mediastinum, which could be in part projectional and due to patient positioning. Clinical correlation regarding need for additional imaging suggested. The cardiac silhouette is within normal limits for technique. No acute osseous abnormality is detected.
<unk>-year-old female with new right subclavian line, question position.
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Cardiac, mediastinal and hilar contours are normal. Pulmonary vascularity is normal. Mild bibasilar atelectasis is present. There is no focal consolidation, pleural effusion or pneumothorax. No acute osseous abnormalities are detected.
fever and cough.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with acute onset dyspnea and lightheadedness, pls eval for pna or effusion // history: <unk>m with acute onset dyspnea and lightheadedness, pls eval for pna or effusion
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Stable, mild to moderate cardiomegaly. Possible dilation of the ascending aorta. Normal mediastinal and hilar contours. Normal pleural surfaces. Fully expanded, clear lungs. No pneumonia or pulmonary edema.
<unk>-year-old woman with cough for <num> weeks and bibasilar rales. evaluate for acute on chronic chf or pneumonia.
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In comparison to the chest radiographs obtained <unk>, innumerable pulmonary masses and nodules have decreased in size. No new opacities or consolidations. Heart size is top-normal. Cardiomediastinal hilar silhouettes are unchanged. No pleural effusions or pneumothorax.
<unk> year old man with renal cell cancer metastatic to lung and brain, previous ip procedure to open r bronchus intermedius now with chronic cough and l sided inspiratory wheeze // pneumonia, evidence of progression of metastases airway obstruction
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The heart is at the upper limits of normal size. The descending aorta is moderately tortuous. A prominent pericardial fat pad projects along the cardiac apex. There is no pleural effusion or pneumothorax. The lungs appear clear aside from streaky right mid lung opacities suggesting minor atelectasis or minor fissural thickening. There is mildly exaggerated kyphotic curvature centered along the lower thoracic spine and a mild anterior wedge compression deformity that appears chronic. The mid-to-upper thoracic spine is mildly lordotic.
fever.
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In comparison with the study of <unk>, the monitoring and support devices remain in place except for a pigtail catheter at the left base. Continued low lung volumes. Pulmonary vascular congestion persists. There are bilateral pleural effusions with compressive atelectasis. Mitral valve annulus calcification is again seen.
respiratory failure.
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Pa and lateral views of the chest provided. Evaluation is somewhat limited due to large body habitus and resultant underpenetration. Allowing for this, there is persistent prominence of the cardiomediastinal silhouette. There is mild to moderate pulmonary edema with hilar congestion. No large effusion or pneumothorax is seen. Bony structures are intact.
<unk>m with sob // eval chf
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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 copd, left sided back pain down left arm // eval for large mass
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A moderate right pleural effusion is new compared to the most recent prior study <unk> <unk>. There is associated opacification at the right lung base, not seen on the prior study. Chronic atelectasis and scarring of the right upper lobe and perihilar opacities radiating from the hilum are unchanged. The left lung remains clear of focal consolidation. Kerley b lines in the left lung base suggests minimal interstitial edema. The cardiomediastinal contours are similar given that the right aspect of the heart is obscured by opacity. No pneumothorax is appreciated.
history of lung cancer and pleural effusion, now with worsening dyspnea.
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Single ap view of the chest provided. The patient has known left scapula and left lower rib fractures better evaluated on prior chest ct. Patient is status post median sternotomy. Moderate bibasilar atelectasis is unchanged. Moderate cardiomegaly is unchanged. Pulmonary edema and pulmonary vascular congestion is worsened.
<unk> year old man with new hypoxia, fever in setting of hypertension // eval for pulm edema
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear.
hemoptysis.
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There is new opacity at the left base obscuring the left heart border, most consistent with a left lower lobe pneumonia. The remainder of the lungs are clear. No other consolidation is identified. There is no pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal silhouette is unremarkable.
fever and new productive cough.
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Lungs are hyperinflated with severe emphysematous changes. There is scarring more pronounced at the right apex. There is bibasilar atelectasis. A <num> cm rounded opacity in the right lower lung appears new since prior study. No large consolidation is identified. The cardiac silhouette is within normal limits. There is no pleural effusion or pneumothorax.
<unk>-year-old woman with syncope, evaluate for pneumonia.
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As compared to the previous radiograph, there is minimal improvement in ventilation of the right upper lobe. Otherwise, the pre-existing parenchymal opacities are constant in appearance. Despite a nasogastric tube, there is overinflation of the stomach. No larger pleural effusions are seen.
ards, evaluation.
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Heart size remains mildly enlarged with tortuosity of the thoracic aorta. Central pulmonary vasculature is engorged with increased reticulation compatible with mild pulmonary edema. Lungs are otherwise clear. Pleural surfaces are clear without effusion or pneumothorax. A right internal jugular wide-bore dialysis catheter terminates in the right atrium, unchanged from prior.
history of chf, presenting with shortness of breath.
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Frontal and lateral views of the chest demonstrate well expanded clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.
history diabetic ketoacidosis. evaluate for pneumonia.
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Interval removal of right ij catheter sheath. Mild to moderate cardiomegaly is larger today than on prior postoperative imaging. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Moderate right pleural effusion has increased. Moderate bibasilar atelectasis is improving on the left. Small effusion on the left persists. There is no pneumothorax. Upper lungs are clear.
<unk> year old man // eval effusion
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There is a small residual right apical pneumothorax measuring <num> mm. The two right chest tubes are in unchanged position. There is a stable right loculated pleural effusion and left small pleural effusion. The patient has a history of surgery with suture line and chronic changes in the right upper lung. The mediastinal and cardiac contours are unchanged. Stability of the calcified lymph nodes in mediastinum.
patient with worsening of shortness of breath, history of pneumothorax.
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Lung volumes are low. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. The imaged upper abdomen is unremarkable. The bones are intact.
history: <unk>m with sob // eval for ptx or infiltrate
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Multiple nodules are again seen, some of which are calcified granulomas, and better assessed on ct chest from <unk>. Mild left linear basilar atelectasis is seen. Otherwise, the lungs are clear with normal volumes. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. No pneumothorax, pleural effusion, pulmonary edema, or pneumonia. Note is made of an azygos fissure.
<unk> year old woman with sense of limited ability to take full breath and aching left back // r/o effusion/atelectasis/abnormality
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Ap and lateral views of the chest. The lungs are clear without focal consolidation, effusion, or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits for technique. No acute osseous abnormalities identified. Please note lateral view is limited secondary to patient's arm being down by his side.
<unk>-year-old male with altered mental status.
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Pa and lateral chest radiographs demonstrate no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Posterior skin lesion is again visualized on lateral view.
cough and fever. evaluation for pneumonia.
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Mediastinal and hilar contours are unremarkable. Heart size is top normal. Left lower lung opacification is identified, concerning for pneumonia. Broad-based rounded opacification along the lateral wall of the right lower lung is likely pleural based possibly representing a lipoma. Please correlate with prior cross-sectional imaging. Multilevel degenerative change detected.
hypoxia, fluid overload.
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Lung volumes are low. Heart size is normal. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax.
history: <unk>m s/p fall, hx of diarrhea, no abd pain; no cough/sob/cp //
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In comparison with the study of <unk>, there has been placement of a dual-channel pacemaker with leads extending to the region of the right atrium and apex of the right ventricle. No evidence of pneumothorax or other acute cardiopulmonary disease.
pacemaker placement.
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In comparison with the study of <unk>, there is substantial increase in the opacification involving the left hemithorax. However, there is also increased opacification of engorged pulmonary vessels on the right, suggesting that much of the change on the left may reflect pulmonary venous congestion rather than necessarily worsening pneumonia. A lateral view would be helpful for further evaluation.
hemodialysis with shortness of breath.
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A single left basal pleural or diaphragmatic calcification has been stable since <unk>. Mild calcifications in the aortic knob are clinically insignificant. Small epicardial fat pad. Moderate thoracic vertebral body compression fracture is new since <unk>. There is no obvious protrusion of the vertebral body into the spinal canal. The lung volumes are normal. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures. No pneumonia, no pulmonary edema. No pleural effusions.
<unk> year old woman with <num> weeks cough, wheezing, non-smoker, h/o colon cancer resected in <unk>, no lymph node involvement. recent colonoscopy no current tumor. // r/o pneumonia or metastatic disease.
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Frontal and lateral radiographs of the chest were acquired. The lungs are clear. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen.
left-sided chest pain. evaluate for acute process.
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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> year old man with dyspnea, increased wob on exam // effusion, consolidation
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Cardiomediastinal silhouette is stable. There is no pleural effusion or pneumothorax. There is no focal lung consolidation. A linear right middle lobe opacity is unchanged compared to prior peer
<unk>-year-old woman with chest pain, evaluate for acute process.
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As compared to the previous radiograph, there is no relevant change. No evidence of pneumonia. Borderline size of the cardiac silhouette without pulmonary edema. Bilateral central venous access lines in unchanged position. No evidence of pleural effusion.
cll, evaluation for pneumonia.
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In comparison with the study of <unk>, there is again a small apical pneumothorax on the left. Continued enlargement of the cardiac silhouette with three-channel pacer device and mild elevation of pulmonary venous pressure. Retrocardiac opacification is consistent with some volume loss in the left lower lobe.
leukocytosis and elevated temperature.
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Ap portable upright view of the chest. Left upper extremity access picc line is now seen with its tip projecting over the left clavicular head/neck, approximately <unk>-<num> cm retracted from its previous location. Lungs remain clear. Clips are seen projecting over the right humerus.
<unk>m with picc line reported to be <num>cm out
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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. The bony structures are unremarkable.
chest pain.
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Severe cardiomegaly and tortuous aorta are unchanged. The main pulmonary arteries are enlarged. Mild pulmonary edema has improved. Biapical scarring is again noted. The lungs are hyperinflated consistent with emphysema. Bilateral effusions are small.
<unk> year old man s/p cardiac cath and stent placement recently treated for influenza and pna now with increased cough and l lung rhonchi // pna?
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A very large right pleural effusion has increased in size from the prior radiograph, and occupies almost the entirety of the right hemithorax with only a small amount of residual aerated right upper lobe at the apex. A small-to-moderate left pleural effusion has only slightly increased in size from the prior radiograph and is associated with adjacent atelectasis at the left lung base.
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There is an increase in opacity at the right perihilar region. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable. Left-sided pacer with leads in appropriate position. Partially demonstrated is a surgical neck fracture of the proximal right humerus, better evaluated on the prior exam from <unk>.
history: <unk>f with ams, hypotension // infiltrate
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The lungs are well-expanded and clear. The cardiomediastinal silhouette is unchanged, with multiple mediastinal vascular clips, median sternotomy wires, and a dual lead pacemaker device unchanged in position, terminating in the right atrium and right ventricle. There is no pleural effusion, pneumothorax, pulmonary edema, or focal consolidation concerning for pneumonia.
history: <unk>m with chest pain // ?pna
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Moderate cardiomegaly is unchanged. Calcifications in the aortic knob are once again re- demonstrated. There is central pulmonary vascular predominance with cephalization with mild interstitial edema. There are tiny bilateral pleural effusions. Previously seen increased opacities in the right base have improved. A calcified granuloma in the left lung is unchanged. There are subtle bibasilar densities which could represent atelectasis. There is no pneumothorax.
ascites. evaluate for pleural effusions.
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Frontal and lateral views of the chest were obtained. There is increased opacity along the right mid-to-lower lateral hemithorax, which may relate to prior trauma/rib fractures, possible pleural thickening. The patient is rotated in position. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The aorta is calcified and tortuous. The cardiac silhouette is mild-to-moderately enlarged. No overt pulmonary edema is seen. A punctate radiopaque structure projecting over the soft tissue just adjacent to the lateral humeral head may relate to calcific tendinosis.
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No focal consolidation, pleural effusion, or pneumothorax is seen. There is pulmonary vascular congestion without overt edema. Heart size is mildly enlarged. Aorta is tortuous.
<unk>-year-old female with chest pain and shortness of breath.
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There is a hazy, heterogeneous opacity in the right lower lobe which may represent infection, tumor infiltration, atelectasis, or a combination of all three. Widening of the mediastinum is caused by the patient's known malignancy. The left lung and upper right lung are mostly clear. There is no pneumothorax. A right pleural effusion is undoubtedly present.
<unk>-year-old man with a history of lung cancer presenting with chest pain.
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Cardiomediastinal contours are stable. Lungs and pleural surfaces are clear with no new areas of consolidation to suggest a site of pneumonia.
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Sutures are noted in the left lung apex. Otherwise, the lungs are clear without focal opacity, pulmonary edema, or pneumothorax. Blunting of the left costophrenic angle on the lateral view suggests a trace pleural effusion. No right-sided pleural effusion is demonstrated. The cardiac and mediastinal contours are normal. No acute osseous abnormalities seen.
history: <unk>m with chest pain, dyspnea
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Cardiac silhouette remains enlarged. Asymmetrical biapical pleural and parenchymal opacification is unchanged since recent study of <num> day earlier, and is more prominent on the right than the left, with associated upper lobe volume loss. Nonspecific patchy bibasilar lung opacities are also unchanged.
<unk> year old man diabetes with cough, fever, sob // possible interval development of infiltrate c/w pneumonia? that would support diagnosis of bacterial pneumonia (since ed did portable and also patient got ivf since presentation) vs. different pattern that may suggest viral illness
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The endotracheal tube terminates <num> cm from the carina. An enteric tube courses below the diaphragm and outside of the field view. There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. Low lung volumes cause bilateral subsegmental atelectasis. The cardiomediastinal silhouette is normal.
<unk>m with trauma, intubated, evaluate endotracheal tube placement.
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Stable mild cardiomegaly accompanied by pulmonary vascular congestion and mediastinal vascular distention. Subtle interstitial opacities were more fully characterized on recent cta of the chest of <unk>. Patchy atelectasis is present in the right lung base adjacent to a mildly elevated right hemidiaphragm. No definite pleural effusion or pneumothorax.
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The heart is top normal in size. Pulmonary vascular congestion without overt pulmonary edema. There is a sigmoidal shaped opacity projecting from the left heart border ending in a triangular opacity projecting over the fourth rib anteriorly in the left lung. No pleural effusion or pneumothorax.
history: <unk>m with esrd on hd, dyspnea // eval for acute process, attn to chf
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Pa and lateral views of the chest were obtained. Port-a-cath resides in the right chest wall with right subclavian access and tip in the region of the svc unchanged. There is no sign of pneumonia or chf. No pleural effusion or pneumothorax is seen. Cardiomediastinal silhouette is stable. Dextroscoliosis of the t spine is again noted.
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Supine portable ap view of the chest was provided. The endotracheal tube is seen with its tip residing <num> cm above the carina. The ng tube is seen with its tip in the left upper abdomen. A left chest tube is in place. Subcutaneous emphysema is noted along the left base of neck and chest wall. Subtle air lucency adjacent to the aortic knob is compatible with pneumomediastinum. Lower lobe consolidation is evidenced by retrocardiac consolidation containing a single air bronchogram. No discernable pneumothorax is seen. No definitive rib fracture is identified.
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Frontal and lateral views of the chest were obtained. Right-sided port-a-cath is again seen, unchanged in position, likely terminating at the cavoatrial junction/proximal right atrium. The lungs remain hyperinflated and relatively lucent, consistent with copd with likely underlying emphysema. Bilateral nipple shadows should not be mistaken for pulmonary nodules. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. Left apical pleural thickening/possible small amount of fluid along the left apical region is stable since the prior study. Cardiac and mediastinal silhouettes are unremarkable with the right-sided cardiac silhouette not well assessed due to it being likely projecting behind the spine, but the findings are stable.
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Moderate cardiomegaly is again noted as well as significant tortuosity of the aorta, particularly at its distal descending portion. The lungs are clear without consolidation, effusion, or edema. No acute osseous abnormalities.
<unk>m with new onset exertional dyspnea, fatigue // eval for acute process, pulm edema
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Frontal and lateral views of the chest. Moderate cardiomegaly and mediastinal contours are stable. Severe enlargement of the left atrium is unchanged. No focal consolidation, pleural effusion, or pneumothorax.
cough with low-grade fevers.
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Lung volumes remain low. In the bilateral basal airspace opacities over improved somewhat with increased aeration particular the right lung base. Linear atelectasis at the left costophrenic angle. No pleural effusion seen. No pneumothorax seen.
<unk> year old man with pe, rll opacity // progression of pna
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Ap upright view of the chest low lung volumes are present. Right basilar patchy opacity is worrisome for pneumonia. Minimal left basilar patchy opacity may reflect atelectasis. The cardiomediastinal silhouette is normal. Pulmonary vasculature is normal. No pleural effusion or pneumothorax. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
history: <unk>m with <num> days cough
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Please note indication was for small bowel obstruction but a chest radiograph was ordered. Small left pleural effusion identified with bibasilar opacifications. Findings are somewhat similar to <unk> radiograph and likely chronic, though cannot exclude an infectious process. Cardiomediastinal contours are unremarkable. No pneumothorax or pneumoperitoneum evident. No osseous abnormality identified.
multiple small bowel obstructions, nausea and vomiting for one day. please evaluate for small bowel obstruction.
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Moderate cardiomegaly is unchanged. The mediastinal and hilar contours are unremarkable. The distal tracheal stent is re- demonstrated but poorly visualized. There is no pulmonary vascular congestion. Linear opacities within the lung bases likely reflect atelectasis. No pleural effusion, focal consolidation or pneumothorax is identified.
hypoxic.
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Transverse cardiomegaly. Unfolded, tortuous thoracic aorta. No airspace consolidation. Small to moderate bilateral pleural effusions. No overt pulmonary edema. No pneumothorax. Spondylotic changes of the thoracic spine.
<unk> year old woman with decreased breath sounds b/l at bases // r/o consolidation / effusion
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As compared to the previous radiograph, there is no relevant change. The monitoring and support devices are in constant position. Minimal fluid overload, mild atelectasis at both the right and the left lung bases. Moderate cardiomegaly without pleural effusions. No pneumothorax.
persistent ventilation, evaluation 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>f with vertigo/lightheadedness
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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. The bony structures appear within normal limits.
anorexia nervosa presenting for medical stabilization.
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As compared to the previous radiograph, the intragastric portion of the nasogastric tube has slightly changed in position. The tip is now more proximal, with a coiling at the level of the gastric fundus. The tip is directed towards the gastroesophageal junction. Repositioning of the device might be considered. Otherwise, the radiograph is unchanged. No evidence of pneumonia or pulmonary edema. Areas of atelectasis at both lung bases are constant in appearance.
emesis, evaluation for nasogastric tube position.
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Again seen dual lead left-sided pacemaker is similar in position.the cardiac and mediastinal silhouettes are stable. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax.
history: <unk>m with cough and low-grade fever for the past <num> days. // ? pneumonia
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Low lung volumes contribute to the exaggerated cardiac size although it is still mildly enlarged. The aorta is tortuous but stable. No pleural effusion, pneumonia or pneumothorax. Difference in densities between hila, right greater than left, are explained by calcifications of right hilar nodes as seen on the ct from <unk>.
chest pain.
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As compared to the previous image, there is no substantial change. Slightly reduced lung volumes with retrocardiac atelectasis but without evidence of pneumonia. No pulmonary edema. A soft tissue density contour in right paramediastinal location, not visible on the previous image, is likely vascular in origin. This could be clarified by a ct examination of the mediastinum. Normal size of the cardiac silhouette. Moderate tortuosity of the thoracic aorta.
cough and shortness of breath, rule out pneumonia.
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A single portable frontal chest radiograph was obtained. Extensive airspace consolidation with air bronchograms involves the right upper and lower lobes, obscuring a known underlying mass. There is no effusion or pneumothorax. Cardiomegaly and aortic arch calcifications are mild.
shortness of breath.
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The left hemidiaphragm is elevated with associated mild atelectasis in the left lung base, similar to prior exams. Otherwise, the lungs are well expanded and clear. The cardiomediastinal silhouette is stable from multiple prior exams. There is no pleural effusion or pneumothorax.
<unk>f with ams // eval for pna, eval for bleed
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Single frontal view of the chest was obtained. The lungs are hyperinflated with flattening of the diaphragms, suggesting chronic obstructive pulmonary disease. There is linear right basilar atelectasis/scarring. Relative lucency of the upper lungs also suggests presence of pulmonary emphysema. Skinfold is noted overlying the left upper hemithorax. No pneumothorax is seen. There is no pleural effusion. The aorta is calcified and tortuous. The cardiac silhouette is not enlarged. There is no pulmonary edema.
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As compared to the previous radiograph, there is no relevant change. The patient has received a right picc line. The tip of the line projects over the mid svc. The course of the catheter is unremarkable, there are no complications, notably no pneumothorax. Borderline size of the cardiac silhouette, no acute lung changes.
picc line placement.
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In comparison with study of <unk>, there are slightly lower lung volumes. No evidence of acute pneumonia, vascular congestion, or pleural effusion.
post-operative fever.
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Compared with the prior study, mild cardiomegaly and hilar silhouettes are unchanged. Lobulated right hemidiaphragm is noted. Faint right basilar opacity is likely a combination of atelectasis and pleural fluid. No pneumothorax. Note is again made of the calcified left hilar node.
<unk>f with altered mental status. cad risk factors and twi, suspicion also high for occult infection. evaluate for pneumonia or edema.
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Better aeration of the right lung with persistent right lower lobe atelectasis at the base. <num> right chest tubes in place. No pneumothorax. Cardiomegaly as previously
<unk> year old man with pna and empyema s/p vats decortication w/ <num> chest tubes placed // <num> chest tubes in place
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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 pulmonary edema is seen.
history: <unk>f with l arm pain, jaw pain and sob this morning. pt took nitro and symptoms resolved, but nagging pain left in chest. // sob, rule out pulmonary problems.