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The heart size is normal with a tortuous aorta. There is no focal consolidation concerning for pneumonia or pneumothorax. The previously described right paraspinal lower lobe lesion on pet-ct from <unk> cannot be seen on the current x-ray. No large pleural effusions are identified. Multiple mediastinal and left upper lung surgical clips correlate with findings on the pet-ct.
<unk> year old man with cough and wheeze s/p lung bx. infection, pneumothorax.
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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 wheezing, influenza // eval for infiltrate
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Again, there is no evidence of primary or mediastinal abnormality. There is no radiographic evidence of adenopathy on this study; please refer to recent ct of the chest dated <unk>, which demonstrates left hilar findings. The lungs are well expanded bilaterally with no areas of focal consolidation, masses, lesions, pleural effusion or pneumothorax. The cardiomediastinal silhouette and hilar silhouettes are within normal limits. The pleural surfaces are unremarkable.
<unk>-year-old male with small cell lung cancer, recent chemotherapy and radiation. now presents with fever and positive sputum culture.
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Heart size is normal. Mediastinal and hilar contours are unremarkable. Lungs are hyperinflated. Streaky and patchy bibasilar airspace opacities may reflect infection, atelectasis or possibly aspiration. If there is no pulmonary vascular congestion or pneumothorax. Scarring within the lung apices is unchanged. No acute osseous abnormalities are visualized. Old right-sided rib fracture is again seen.
cough, fatigue, crackles on exam.
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The lungs are now clear without consolidation, effusion, or vascular congestion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified
<unk>f with chills, cough, abdominal pain // eval for pneumonia
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Compared with the prior chest radiographs, there is new subtle opacification in the right lower lung, which correlates with increased opacification in the retrocardiac clear space on the lateral view. Given the clinical history, this is concerning for pneumonia. Cardiomediastinal and hilar silhouettes are normal. No evidence of pneumothorax.
<unk>f with fever and cough. evaluate for pneumonia.
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The lung volumes are low. The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. The bony structures are unremarkable.
chest pain, leukocytosis.
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In comparison with the study of <unk>, there is a little change. Cardiac silhouette is within normal limits and there is no vascular congestion or pleural effusion. Specifically, no evidence of acute focal pneumonia.
sepsis and cough, to assess for pneumonia.
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Portable ap upright chest radiograph was provided. A dual-lead pacer is unchanged with leads extending to the region of the right atrium and right ventricle. There are no definite signs of pneumonia or chf. Subtle hazy opacity in the left lung could reflect mild leftward patient rotation. Cardiomediastinal contour is stable with atherosclerotic calcifications along the somewhat unfolded thoracic aorta. The heart remains mildly enlarged. The bony structures are intact.
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Pa and lateral chest radiographs were obtained. The lungs are well expanded and clear. There is no focal consolidation, effusion, or pneumothorax. Cardiac and mediastinal contours are normal.
cough and fever.
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In comparison with study of <unk>, there is continued enlargement of the cardiac silhouette with evidence of pulmonary vascular congestion and moderate left effusion. Volume loss is seen in the lower lobe on the left.
left effusion versus pulmonary edema.
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The cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Mild s-shaped scoliosis of the thoracic spine is again demonstrated.
<num> weeks of malaise after trip to <unk>.
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Moderate pulmonary vascular congestion persists and has not substantially changed. Moderate cardiomegaly. Likely small left pleural effusion. No pneumothorax. Prior median sternotomy and cabg.
<unk> year old woman with likely heart failure exacerbation now with <unk> after diuresis. need data on volume status. // pulmonary edema?
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Heart size is normal. Mediastinal and hilar contours are within normal limits. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are present.
shortness of breath, productive cough with expiratory wheezing. history of asthma.
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There is a dense right lower lobe consolidation, concerning for pneumonia. Right pleural effusion cannot be excluded. No left pleural effusion or pneumothorax is detected. Heart size is top normal to mildly enlarged, possibly exaggerated by slightly low lung volumes and ap technique.
<unk>-year-old female with cough, shortness of breath, and abnormal breath sounds.
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Pa and lateral views of the chest. There is no focal consolidation, vascular congestion or pneumothorax. Hazy opacity over the left lower lung laterally. In addition, there is a somewhat <num> cm more focal rounded opacity over the left lower lung on the frontal view only, that was not seen on prior chest radiographs or recent chest ct. The cardiomediastinal and hilar contours are normal. Old right rib fractures noted.
shortness of breath, history of cancer, dvt, evaluate for pneumonia or fluid overload.
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The lungs are once again hyperinflated. The faint opacity over the left lower lobe has resolved. No new opacities are seen. Cardiomediastinal silhouette remains unremarkable. The aorta is again tortuous. Degenerative changes are seen in the spine. No further followup is needed.
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The lungs are well-expanded and clear. The cardiomediastinal silhouette is unremarkable. There is no pleural effusion, pulmonary edema, pneumothorax, or focal consolidation.
history: <unk>m with chest pain // eval for cardiopulmonary process
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The cardiac, mediastinal and hilar contours appear unchanged, including a left ventricular configuration to the heart. Mild unfolding and calcification are similar along the aorta. A streaky left basilar opacity is consistent with unchanged minor atelectasis or scarring. There is no definite pleural effusion or pneumothorax. The chest is hyperinflated. The bones appear demineralized. Mild degenerative changes are similar along the mid to lower thoracic spine.
lethargy.
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Pa and lateral views of the chest were reviewed and compared to the prior studies. A suggestion of bronchial wall thickening is new since <unk>. Otherwise, the lungs are clear without focal consolidations. Normal heart, pleural, and medistinal surfaces.
evaluation for bronchiectasis in a patient with cough and frequent sputum.
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A left pectoral pacemaker seen with transvenous leads in the right ventricle and left coronary sinus. The lungs are clear. The heart is moderately enlarged. No pneumothorax. Mild basilar atelectasis.
<unk> year old woman with crt-p // evaluate for pneumothorax and lead position
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As compared to the previous radiograph, the patient has received a right-sided dialysis catheter. The course of the catheter is unremarkable, the tip of the catheter projects over the cavoatrial junction. There is no evidence of complications, notably no pneumothorax. Mild overinflation. Borderline size of the cardiac silhouette without pulmonary edema. No evidence of tuberculosis or other infectious disease.
admitted for hemodialysis, tb screening.
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Frontal and lateral views of the chest were obtained. The heart is of normal size with stable cardiomediastinal contours. Right perihilar and right perifissural opacities are consistent with the patient's known lung cancer and similar to <unk>. Left apical opacity is also stable and compatible with known apical neoplasm. Blunting of the right costophrenic angle is compatible with a moderate-sized pleural effusion, similar to <unk>. No radiopaque foreign body. Osseous structures are unremarkable.
<unk>-year-old female with history of lung cancer presenting with dyspnea on exertion and cough. rule out acute process.
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There is near complete opacification of the left hemithorax likely reflective of a combination of large pleural effusion and atelectasis. Heart size cannot be assessed due to the presence of the left hemithorax opacification. Dense atherosclerotic calcifications of the thoracic aorta are present. No pulmonary vascular congestion is seen. The right lung is grossly clear. No pneumothorax is noted. No acute osseous abnormalities are visualized.
worsening shortness of breath, fatigue and lethargy.
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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 chest pain // r/o infiltrate
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Ap portable upright view of the chest. There is intubation with the endotracheal tube tip residing approximately <num> cm above the carina. The orogastric tube extends into the upper abdomen though the tip is not within the imaged field. A single surgical clip resides in the left upper quadrant. The lungs appear clear. Calcified mediastinal lymph nodes are noted which likely reflect chronic granulomatous disease. No large effusion or pneumothorax. Bony structures appear grossly intact.
history: <unk>m with ams - intubated assess tube position.
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Stable heart size. Stable retrocardiac opacity. Small left pleural effusion or thickening has improved. Resolved right pleural effusion. Decreased pulmonary vascularity, which is now normal. Sternotomy.
<unk> year old man with nstemi, awaiting cath // pulmonary vascular congestion/pna
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In comparison with the study of <unk>, there is little overall change. Mild atelectatic changes are seen at the left base. However, no evidence of acute focal pneumonia or definite old granulomatous disease.
positive ppd, to assess before starting immunomodulator therapy.
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A portable frontal chest radiograph both again demonstrates a right picc terminating in the mid to low svc, endotracheal tube terminating in the mid thoracic trachea, and enteric tube extending below the diaphragm and off the inferior edge of the image, unchanged in position. An esophageal probe terminates above the thoracic inlet. Heart size is normal and the lungs are well-aerated and clear. The aortic contour is prominent, unchanged and at least tortuous. No focal consolidation, pleural effusion, or pneumothorax is present. The visualized upper abdomen is unremarkable.
evaluate for new infiltrate in a patient with respiratory distress secondary to altered mental status, now intubated and febrile.
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Lung volumes are low with bibasilar atelectasis, more prominent of the left base than the right. There is prominence of the bilateral hila and indistinctness of the pulmonary vasculature suggestive of mild congestive heart failure. No frank pulmonary edema seen. An nasoenteric tube terminates below the left hemidiaphragm, the tip is not visualized on this study. A right internal jugular catheter terminates in the mid svc. No consolidation or pneumothorax seen.
<unk>m p/w cecal s/p ex-lap, r hemicolectomy, end-ileostomy, tc mucus fistula // please confirm ngt placement
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Frontal and lateral views of the chest. The lungs are clear without focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
<unk>-year-old female with chest pain.
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Hazy airspace opacity is noted within the right mid upper lung, seen predominantly on the ap view. The right lung base and left lung are clear. There is no pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.
history: <unk>m with ams and fever. on section <unk> psych // eval for ams, fever
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In comparison to the prior study, the left-sided chest tube is removed. Ekg leads overlie the chest. The cardiomediastinal silhouette is stable, consistent with mild cardiomegaly and a mildly tortuous and calcified aorta. There is mild central pulmonary venous congestion with mild interstitial edema, improved slightly from prior. Left basilar atelectasis is unchanged. There is otherwise no new focal lung consolidation. There is no pneumothorax. There are probably trace bilateral pleural effusions.
<unk> year old woman with unilateral pleural effusion status post chest tube removal.
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Pa and lateral views of the chest were provided. Subtle linear densities within the left lower lung may represent atelectasis, though an early pneumonia would be difficult to exclude in the correct clinical setting. The right lung is clear. No large effusion or pneumothorax. The bony structures appear intact. The cardiomediastinal silhouette appears normal.
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The cardiac, mediastinal and hilar contours are within normal limits. Pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Multiple clips are demonstrated within the right upper quadrant of the abdomen. No acute osseous abnormalities are visualized.
chest pain.
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Frontal and lateral views of the chest are obtained. The lungs are hyperinflated, consistent with chronic obstructive pulmonary disease/emphysema. There is mild left base atelectasis. No definite focal consolidation is seen. There is a subtle opacity projecting over the lateral right upper lobe between the posterolateral right fifth and sixth ribs. While this could be artifactual, underlying pulmonary nodule cannot be excluded and given history of emphysema, nonurgent chest ct is recommended. The cardiac silhouette is top normal to mildly enlarged. The aorta is calcified and tortuous. There is diffuse osteopenia.
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The lungs are normally expanded and clear. The heart is top normal. Mediastinal and hilar contours are within normal limits. There is no pulmonary edema. There is no pleural effusion or pneumothorax.
history: <unk>f with sob, <unk> swelling. // chf
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The cardiac, mediastinal and hilar contours appear unchanged including a large aneurysm arising from the aortic arch as well as cardiomegaly. A moderate-sized hiatal hernia is again present although not as well depicted. There is no definite pleural effusion, although small pleural effusions would be difficult to exclude. This study shows hazy opacification of the right mid-to-lower lung. Opacities are most extensive in the right lower lung.
shortness of breath.
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The lungs are normally expanded without focal airspace opacity to suggest pneumonia. There is mild pleural thickening at the lung apices, likely chronic scarring. The heart is not enlarged. The mediastinal and hilar contours are normal. The aorta is somewhat tortuous. There is no pleural effusion or pneumothorax. There is no pulmonary edema.
chest pain. evaluate for effusion.
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There has been interval placement of a left internal jugular central venous catheter with tip projecting over the mid svc. There is no pneumothorax. Otherwise, there is been no change. Probable moderate right pleural effusion is again seen with vague right upper lung opacity less clearly delineated. Cardiomegaly with mitral annular calcifications. Retrocardiac opacity suspicious for hiatal hernia. Lumbar levoscoliosis is noted.
<unk>f with hypotension // eval line placement, rule-out ptx
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The lungs are clear without focal consolidation, pleural effusion or pneumothorax. The patient is status post median sternotomy and surgical <unk> reflect prior bypass surgery. Biapical pleural scarring is noted. The heart is stable in size. Compression deformity of a lower thoracic vertebral body is stable.
<unk>-year-old female with fall. evaluate for injury.
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There is persistent elevation of the right hemidiaphragm. Mild left basilar atelectasis/ scarring persists without definite focal consolidation seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Persistent anterior wedging of a mid thoracic vertebral body is noted.
history: <unk>m with productive cough, recent fever // ? pneumonia
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Comparison is made to prior radiographs, <unk>. There is a left-sided dialysis catheter with distal lead tip in the right atrium. This is unchanged from the prior study. There are bilateral pleural effusions. The left-sided pleural effusion is moderate in size and has increased since the prior study. Cardiac silhouette is within normal limits. There are no pneumothoraces. There are no signs for overt pulmonary edema.
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Heart size is normal. There are midline sternotomy wires from prior cabg. The aorta is calcified, indicating atherosclerosis. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Low lung volumes. Bibasilar atelectasis. Lungs are clear. No pleural effusion or pneumothorax is seen. There are cholecystectomy clips.
<unk>f with l neck pain and l shoulder pain. evaluate for pneumothorax.
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Moderate cardiomegaly is re- demonstrated. The aortic knob is diffusely calcified. The mediastinal and hilar contours are unchanged. There is mild pulmonary vascular congestion, improved from the prior exam, without overt pulmonary edema. Lungs are hyperinflated without focal consolidation. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. Remote left-sided rib fractures are re- demonstrated.
history: <unk>f with chest pain // eval for acute process
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Frontal and lateral views of the chest were obtained. Scattered areas of linear/plate-like atelectasis/scarring are seen in the bilateral mid to lower lungs. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable and unremarkable.
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The right lung is clear. A stable tiny right-sided pleural effusion is observed, but there is no evidence of right-sided pneumothorax. The patient is status post left total pneumonectomy, with leftward displacement of the mediastinum and a fluid occupied left hemithorax. Multiple rib osteotomies as well as surgical clips are noted in the left side related to surgical procedure. A pigtail catheter has <unk> placed in the interval and ends in the mid left thorax.
<unk>-year-old female status post left pneumonectomy and pigtail placement, now with fevers. evaluate plecement, pneumothorax.
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The lungs are clear without focal consolidation, effusion, or edema. There is no pneumothorax. Mild bibasilar atelectasis is noted. Cardiac silhouette is top-normal in size for technique. No acute osseous abnormalities, at no displaced fractures identified.
<unk>f with multiple falls ecchyomosis around the right orbit // eval for ich nchct eval for orbital fracture right on maxfaceval for trauma/pna for cxreval for fracture c spine
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Ap and lateral radiographs were provided. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable. Rounded density projecting over the midline over the heart shadow is likely the hiatal hernia as seen on prior ct. There are degenerative changes in the thoracic spine. No free air under the hemidiaphragm. No acute fractures.
<unk>-year-old female with afib on coumadin, status post fall with head strike, complains of pain in her right shoulder, cough x<num> days. rule out pneumonia.
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Cardiac silhouette size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormality is visualized. An electronic device is noted projecting over the left anterior chest wall.
history: <unk>m with cough, abnormal lung sounds
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The lungs are low in volumes, giving appearance of vascular crowding. No focal consolidation is seen with mild retrocardiac atelectasis. There is no pneumothorax. No pleural effusion is identified. The heart is top normal in size.
<unk>-year-old male with altered mental status. assess for pneumonia.
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The heart size is normal. Mediastinal and hilar contours are unremarkable, and the pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities detected.
fever with diabetic ulcer and suspected osteomyelitis.
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The patient is status post median sternotomy and cabg. The cardiac silhouette is mildly enlarged. The aorta is tortuous. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. No pulmonary edema is seen.
right hip fracture, preop chest radiograph.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. Mild biapical pleural scarring is unchanged. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>f with presyncope
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Lungs are fully expanded and clear. No pleural abnormalities. Heart size is normal. Cardiomediastinal and hilar silhouettes are normal.
<unk> y/o <num>wks pregnant with sob, chest pain on exertion // r/o pulmonary edema, cardiomegaly
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The lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen. Radiopaque density overlying the left heart border is external to the chest wall.
history: <unk>m with palpitations, afib // eval for pna
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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. A moderate interstitial abnormality is a finding that could be seen with severe airway inflammation, atypical pneumonia or possibly pulmonary edema, although without specific signs of the latter.
shortness of breath.
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Low lung volumes are present. The cardiac silhouette size is borderline enlarged. However this is likely accentuated due to low lung volumes. The mediastinal contour is relatively similar compared to the previous exam. There is mild cephalization of the pulmonary vascular markings due to supine positioning, but no pulmonary edema is seen. Patchy opacities in the lung bases most likely reflect atelectasis. Blunting of the costophrenic sulci bilaterally is chronic, and appears to relate to chronic pleural thickening. No pneumothorax is identified. There are no acute osseous abnormalities detected. Excreted contrast from recent ct scan is noted within the right collecting system.
leukocytosis, cough.
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The nasogastric tube now extends to the stomach, though the side hole is within the distal esophagus. This should be pushed forward several centimeters if possible.
ng tube.
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In comparison with the study of <unk>, there is decreased opacification at the right base. This could reflect improving atelectasis or effusion, though it also could be a manifestation of a more erect position of the patient. The opacification at the left base persists, consistent with pleural effusion and volume loss in the left lower lung. In the appropriate clinical setting, supervening pneumonia would have to be considered.
chf, to assess for improvement.
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Frontal ap upright and lateral radiographs of the chest were obtained. The left hemidiaphragm and left hilus are markedly elevated due to collapse or prior resection of the left upper lobe.with left lung volume loss. A rim-calcified structure projecting over the left lung apex is most likely an artery. The right lung is hyperinflated due to emphysema. No definite consolidation is seen to suggest pneumonia. No significant pleural effusion or pneumothorax is detected. The cardiac silhouette is distorted by the left hemidiaphragmatic elevation. The thoracic aorta is calcified.
status post fall with head strike, here to evaluate for infectious process.
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Ap upright and lateral views of the chest provided. There is retrocardiac density with air-fluid levels compatible with known hiatal hernia. The lungs are clear without signs of aspiration or pneumonia. No pleural effusion or pneumothorax is seen. Heart and mediastinal contours are normal. Bony structures are intact.
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Since <unk>, the right lung has new opacifications in the mid to lower lung field with increased basilar atelectasis, concerning for pleural effusion. Left retrocardiac and basilar atelectasis is increased. Bilateral atelectasis. Unchanged moderate to severe cardiomegaly. Positioning of temporary pacemaker wire is seen in the rv. The tip of an endotracheal tube is seen <num> cm above the carina. No pneumothorax.
<unk> year old woman w/ anemia s/p pea arrest. // interval change
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Frontal and lateral views of the chest demonstrate top normal cardiomediastinal silhouette allowing for low lung volumes. There is evidence of prior coronary arterial bypass surgery. Median sternotomy wires are intact. The lungs are clear with the exception of trace atelectasis in the left base. There is no pneumothorax, vascular congestion, or pleural effusion. Dense sheet-like calcifications are seen about the abdominal aorta. There is moderate lower thoracic and lumbar spondylosis. Right glenohumeral degenerative changes seen with subchondral cystic changes.
<unk>-year-old male presents with chest pain. question wide mediastinum.
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Lung volumes are low. The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. There is linear bibasilar atelectasis with otherwise clear lungs. No definite consolidation is identified. There is no pleural effusion or pneumothorax.
<unk>m with subglottic stenosis p/w acute onset dyspnea // evaluate for pna
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Mild-to-moderate pulmonary edema has worsened since this morning. Cardiomegaly is severe in this patient with dual-lead pacemaker. The distal end of the jugular line is hard to assess due to the superimposed pacemaker. Pleural effusions are small if any. There is no pneumothorax.
patient with left foot amputation, shortness of breath.
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Frontal and lateral views of the chest. Top-normal heart size is similar to prior. Mediastinal contours, including engorgement of the vascular pedicle, are stable. Pulmonary vascular markings are indistinct, consistent with mild pulmonary edema. Small retrocardiac opacity may represent either atelectasis or consolidation. No pneumothorax or large pleural effusion.
left-sided chest pain.
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Ap single view of the chest has been obtained with patient in upright position. Comparison is made with the next preceding similar study of <unk>. The chest findings are completely unaltered and thus, there is no evidence of any pulmonary congestion, acute infiltrate or pleural effusion.
<unk>-year-old male patient with fevers, evaluate for pneumonia.
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The lungs are clear with no evidence of consolidations, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. No acute fractures are identified.
evaluation of patient with status post assault with chest pain.
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Endotracheal tube ends approximately <num> cm from the carina, just above the level of medial heads of the clavicles. Consider advancing the et tube by another <num> cm for a better seating. Bilateral lungs are remarkable for mild pulmonary vascular congestion, prominent bilateral hila and azygos vein which is likely from volume overload, given clinical setting. Heart size is top normal. No pneumothorax or pleural effusion.
status post intubation, assess for the endotracheal tube. patient has history of alcoholic cirrhosis, upper gi bleed.
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There is prominence of the pulmonary vasculature, consistent with pulmonary congestion. Bibasilar opacities most likely represent atelectasis. There may be small pleural effusions. There is no pneumothorax. The cardiomediastinal silhouette is normal. The bones are intact.
<unk>-year-old with dyspnea, question acute cardiopulmonary process.
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Frontal and lateral views of the chest. Lower lung volumes seen on the current exam with crowding of the bronchovascular markings. There is, however, no evidence of consolidation, effusion or pulmonary vascular congestion. The cardiac silhouette is unchanged given differences in inspiratory effort. No acute osseous abnormality is identified.
<unk>-year-old female with lower extremity edema and left lower extremity pain.
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Patchy opacities in the right lower lung with corresponding linear opacities projecting over the lower thoracic spine are likely secondary to subsegmental atelectasis, although an infectious process cannot be excluded. The lungs are otherwise clear. The heart size is top normal. The mediastinal contours are unchanged. There are no pleural effusions. No pneumothorax is seen.
fevers with history of sarcoidosis. evaluate for pneumonia.
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Minor bibasilar atelectasis is seen. There is no focal consolidation. No pleural effusion or pneumothorax is seen. There is linear atelectasis or scarring at the right lung base, unchanged. Mild cardiomegaly is stable. The aorta is mildly tortuous, with calcifications seen at the aortic knob.
<unk>f w/ delirium vs dementia. please eval for cardiopulm etiology
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No focal consolidation is seen. There may be subtle bronchial wall thickening which can be seen in small airways disease. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
history: <unk>f with cough, fever // please eval for infectious process
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The lungs are clear. There is no pneumothorax or pleural effusion. Cardiomediastinal contours are normal. Mild spinal degenerative changes are present.
<unk> year old man with prolonged cough // ?consolidation
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Compared to the prior study, lung volumes are low and there is now a small left pleural effusion. There is no focal consolidation or pneumothorax. The cardiomediastinal silhouette is unremarkable. A g-tube is partially imaged. Bony structures are intact.
<unk>-year-old man with c. diff sepsis, status post volume resuscitation, evaluate for acute cardiopulmonary process.
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Left base and lingular atelectasis/ scarring is seen without definite focal consolidation. There is also minimal right base atelectasis. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. Mediastinal contours are unremarkable.
history: <unk>f with confusion // pna
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Patient's overlying chin partially obscures the lung apices. Given this, right apical opacity may relate to apical pleural thickening although a subtle underlying consolidation is not excluded. Ap lordotic view would be helpful for further evaluation. No definite consolidation seen on the lateral view. There is no pleural effusion or pneumothorax. The cardiac silhouette is top-normal to mildly enlarged. Mediastinal contours are unremarkable. While the osseous structures of the spine are not well assessed, there appears to be possible subtle compression deformities, not well assessed. Degenerative changes are partially imaged at the shoulder joints.
history: <unk>f with fractured tibia, has "chronic r apical pneumo per nursing home recrord // pre-op cxr, ptx?
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Cardiomediastinal and hilar contours are stable. There is a new left pleural effusion and a new right basilar opacity which may represent atelectasis or aspiration. There is no pneumothorax. Ng tube is seen with tip terminating in the stomach.
new ng tube placement.
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A right-sided picc terminates in the mid svc, unchanged in position compared the prior study. Lung volumes are slightly low resulting crowding of the pulmonary bronchovascular markings and an apparent mild increase in heart size. No pneumothorax, consolidation or pleural effusion seen. Visualized bony structures are unremarkable in appearance.
<unk> year old man with picc in right arm. // please assess picc line.
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The patient is somewhat rotated to the right. There is extensive airspace opacity projecting over the left lung, predominantly the mid to lower lung, with also some involvement of the upper lung. No large pleural effusion is seen. There is no pneumothorax. The cardiac and mediastinal silhouettes are grossly stable given differences in patient positioning. Evidence of hiatal hernia it is re- demonstrated. Left-sided chronic rib deformities in the upper left hemi thorax are redemonstrated.
history: <unk>m with sob and fever // eval pneumonia
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Median sternotomy wires are intact. Endotracheal tube terminates <num> cm above the carina. Nasogastric tube extends below the diaphragm. Right internal jugular venous catheter is in unchanged position, terminating at the cavoatrial junction. There is stable, severe cardiomegaly. Stable enlargement of the thoracic aorta. Apparent interval increase in size of bilateral, large pleural effusions is likely secondary to semi-erect positioning. No pneumothorax. Stable severe, right convex thoracic scoliosis.
<unk>-year-old woman status post exploratory laparotomy for small bowel obstruction, now with a postoperative re-intubation. evaluate for interval change.
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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 ped struck. l periorbital ecchymosis/swelling. l shoulder ecchymosis and tenderness
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Ap upright and lateral views of the chest provided. A right upper lobe mass is again seen measuring approximately <num> x <num> cm, concerning for primary lung malignancy as seen on recent prior chest ct exam. Please correlate clinically. There is no new consolidation, large effusion or evidence of pneumothorax. Cardiomediastinal silhouette is unchanged. Bony structures appear intact.
<unk>f with s/p fall hypoxic // ptx?
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No previous images. Cardiac silhouette is within normal limits and there is no evidence of vascular congestion, pleural effusion, or acute focal pneumonia.
shortness of breath.
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There is an opacity in the left lower lobe that is only appreciated on the lateral view, and is suspicious for pneumonia. No other focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
history: <unk>m with dyspnea // r/o acute process
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The heart is normal in size. The hilar and mediastinal contours are normal. The lungs are clear. There is no evidence of aspiration. A focal area of right bronchial wall thickening is noted, this however represents a nonspecific finding. There are no pleural effusions or pneumothorax.
<unk>-year-old female patient with ethanol intoxication, withdrawal. study requested for evaluation of aspiration.
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Frontal and lateral radiographs of the chest demonstrate well expanded lungs. There is slight increase in markings at the bilateral lung bases, unchanged from the prior exams. There is stable relative elevation of the left hemidiaphragm. The heart is top normal in size. The cardiomediastinal and hilar contours are unchanged. There is no pneumothorax, pleural effusion, or focal consolidation.
cough and shortness of breath. evaluate for cardiomegaly for acute pulmonary process.
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The cardiomediastinal and hilar contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax.
<unk>-year-old female with cough and dyspnea.
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Comparison is made to previous study from <unk>. There is a right-sided central line with distal lead tip in the proximal right atrium. Heart size is within normal limits. There are low lung volumes. There are diffuse airspace opacities bilaterally likely due to fluid overload; however, overlying infection is not entirely excluded. Surgical clips in the right upper abdomen are seen.
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Lung volumes are low and there are compressive changes in both lower lungs. There is dense retrocardiac opacity that could be due to volume loss/ infiltrate/ effusion. There is mild pulmonary vascular redistribution. The right subclavian line is unchanged
<unk> year old woman with metastatic breast ca, malignant pericardial effusion, now febrile to <num> // eval for pna
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In comparison with the study of <unk>, there is increasing opacification at the bases, especially on the right, most likely reflecting pleural effusion and volume loss in the lower lung. Some dilatation of bowel loops persists, though less than on the previous study. Nasogastric tube remains in place in the upper portion of the stomach. Gas is again seen around the right kidney.
duodenal perforation with progressive hypoxia.
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The cardiac, mediastinal and hilar contours are normal. The lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. There is no acute osseous abnormality.
dyspnea, cough, back pain.
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The aorta is tortuous and calcified, causing rightward displacement of the trachea. The lungs are clear without focal consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes and pleural surfaces are normal.
<unk>f w/ hypoxia. evaluate for pneumonia.
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The cardiomediastinal silhouette and pulmonary vasculature are normal. The lungs are clear. There is no pleural effusion or pneumothorax.
history: <unk>f with cough // eval for infiltrates
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There has been no significant change since the prior radiograph with continued cardiomegaly and moderate pulmonary edema. There continues to be right atelectasis and right upper and midlung opacities. The support devices are in stable position with the left picc terminating in the upper svc.
<unk> year old man with volume overload with trache.
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Right base atelectasis is seen. Left base opacity may be due to atelectasis and overlying soft tissue, but underlying consolidation due to infection and/or aspiration not excluded. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. The right humeral head appears inferiorly subluxed in relation to the glenoid which could be due to true subluxation versus a joint effusion.
history: <unk>f with schizoaffective disorder presents with abdominal pain, somnolence, brbpr. // please assess for acute abnormality
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Frontal and lateral radiograph of the chest were acquired. Lung volumes are slightly low, causing crowding of the bronchovasculature. There is minimal right lower lung atelectasis. The lungs are otherwise clear. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen. Multilevel degenerative changes of the thoracolumbar spine are noted. Anterior wedging of an upper lumbar vertebral body is not significantly changed compared to ct from <unk>. Surgical clips are noted in the right upper abdominal quadrant. Suture anchors are seen in the left humeral head.
unwitnessed fall two days ago, presenting with bradykinesia for the past month as well as neurological complaints at home including multiple falls and possible drooling. assess for acute intrathoracic process.
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Pa and lateral views of the chest demonstrate background pulmonary fibrosis, as before with decreased volume of right pleural effusion and persistence of left pleural effusion with bibasilar atelectasis. There is no pneumothorax. Although no focal consolidation is identified, an underlying infectious process in the setting of atelectasis and pulmonary fibrosis cannot be completely excluded. Multiple wedge compression deformities within the thoracic spine were present previously.
shortness of breath bilateral lower extremity swelling.