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Pa and lateral views of the chest provided. Cervical spine fixation hardware is partially visualized again in the mid-to-low cervical spine. The lungs are clear without focal consolidation, effusion or pneumothorax. The heart and mediastinal contours are normal. Bony structures are intact. No free air below the right hemidiaphragm.
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There is left lower lobe scar present. Lungs and pleural spaces are otherwise clear without pneumothorax or pleural effusions. There are low lung volumes. Heart is slightly enlarged. There is no evidence of pneumoperitoneum. Osseous structures are grossly intact.
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There are low lung volumes. Bibasilar streaky opacities could be due to atelectasis and/ or pneumonia or aspiration. No large pleural effusion is seen. There is no evidence of pneumothorax. The cardiac and mediastinal silhouettes are stable.
history: <unk>m with hypoxia, fever // eval for pna
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Known right apical pneumothorax measures <num> cm, previously <num> cm. Bilateral diffuse lung opacities remain unchanged. Right-sided chest tube tip projects over the mediastinum, appears retracted and minimally coiled in the right pleural space compared to the prior radiograph. Unchanged cardiomegaly and bilateral pleural effusions with elevation of the left hemidiaphragm. No interval change in bony thorax.
<unk> year old woman with chest tube placement on <unk> // eval pneumothorax progression
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Compared to the previous radiograph, there is a very subtle left lower lobe parenchymal opacity with air bronchograms. The opacity is better visible on the lateral than on the frontal image. In the appropriate clinical setting, this opacity is likely to represent pneumonia. No other abnormalities. No pulmonary edema. Normal size of the cardiac silhouette. No pleural effusions. Left pectoral pacemaker.
cough and fever, rule out pneumonia.
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Frontal and lateral views of the chest are compared to previous exam from <unk>. Nerve stimulator device projects over the right chest. Included portion of the leads appears intact. Where seen, the lungs are clear. Cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with nerve stimulator placed. question fracture of wire.
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Single frontal view of the chest was obtained. Right-sided port-a-cath is again seen, terminating in the region of the distal svc. There are low lung volumes. There is a linear left base opacity again seen, which most likely relates to atelectasis. There is new right base patchy opacity raising concern for infection although could also be due to aspiration. The left costophrenic angle is slightly blunted although to lesser extent than on the prior study. No large pleural effusion seen. The cardiac and mediastinal silhouettes are stable.
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Cardiomediastinal silhouette is unchanged. There is no focal consolidation. There is no pleural effusion or pneumothorax. Note is made of bilateral glenohumeral degenerative changes.
<unk>-year-old woman with episode of neck pain, hypoxic to <num>s, evaluate for acute process
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As seen on the lateral view is increased opacity projecting over the ascending aorta which between the two lateral views does slightly change but persist. This likely localizes to the suprahilar region on the left on the frontal view. Elsewhere, lungs are clear, there is no effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. Degenerative changes noted in the spine.
<unk>m with hypotension // evaluate for pneumonia
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In comparison with the study of <unk>, there are lower lung volumes with diffuse areas of increased opacification consistent with the clinical diagnosis of pulmonary edema. Supervening pneumonia would have to be considered in the appropriate clinical setting.
hypoxia and pulmonary edema.
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Ap portable upright view of the chest. The endotracheal tube is seen with its tip residing approximately <num> cm above the carinal. The nasogastric tube extends into the left upper quadrant with its tip in the expected location of the stomach. The lungs appear clear. Heart and mediastinal contours stable. Bony structures appear intact. There is a <num> mm radiopaque density within the soft tissues of the right axilla which likely represents a small foreign body.
<unk>m with intubated // eval tube
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As compared to the previous radiograph, there is no relevant change. The bilateral parenchymal opacities, left more than right, located at the lung bases, constant in appearance. Unchanged size of the cardiac silhouette. Absence of new parenchymal opacities. The vertebral fixation devices are constant. In the interval, the patient has been extubated, but the right internal jugular vein catheter persists.
cad, intubation, respiratory failure, rule out pneumonia.
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As compared to the previous radiograph, there is no relevant change. With the right chest tube now clamped, there is no evidence of recurrent pneumothorax. The subtle linear changes caused by the right apical bulla, however, are difficult to differentiate against a small pleural line. Unchanged right lung changes along the major fissure. Unchanged appearance of the cardiac silhouette.
recurrent pneumothoraces, right chest tube, now clamped, evaluation for pneumothorax.
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There has been interval placement of a nasogastric tube which terminates in the mid-esophagus on the initial radiograph, but is advanced on the subsequent radiograph to terminate in the stomach. The moderate right pleural effusion corresponding to the known empyema is unchanged. A right basilar pigtail catheter remains in place with a small amount of loculated air within the pleural space inferiorly. The left lung remains relatively clear. The heart and mediastinum are magnified by the projection.
<unk> year old man with ngt; confirm ngt placement
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Nasogastric tube has been placed with tip and side-hole projecting over the stomach. Cardiomediastinal silhouette, pulmonary vasculature, and aorta are within normal limits. There is no area of consolidation. There is no evidence of pleural effusion. There is no pneumothorax. There are moderate degenerative changes of the acromioclavicular joints bilaterally.
history: <unk>f with ng tube placed // please assess ngt location
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The heart size, mediastinal, and hilar contours are normal. The lungs are clear without pleural effusion, focal consolidation, or pneumothorax.
<unk>f with right arm pain. evaluate for acute process.
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There is continued elevation of the right hemidiaphragm with adjacent right basilar atelectasis. Atelectasis is also noted in the left lung base. Cardiac silhouette size is within normal limits. Mediastinal and hilar contours are unremarkable. No pulmonary edema, focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is detected.
history: <unk>m with cirrhosis and shortness of breath.
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The lungs are well inflated and clear. No pulmonary edema. No pleural effusion or pneumothorax. Stable mild to moderate cardiomegaly. Mediastinal contour and hila are unremarkable. A left pacer device is seen with lead tips in the right atrium, right ventricle and coronary sinus.
<unk>m w/chf please assess for volume status, volume overload.
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The previously seen right apical pneumothorax has resolved. The lungs are well-expanded and clear. Median sternotomy wires appear intact. The cardiomediastinal silhouette is stable. There is no pleural effusion, pulmonary edema, or focal consolidation.
history: <unk>m with hypotension, syncope and fall with head strike, loc. // r/o ich, pneumothorax, pneumonia
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The cardiomediastinal silhouette appears stable. There is evidence of mild cardiomegaly with evidence of slight interval increase in the bilateral pulmonary vascular congestion. The lung volumes are low, however, there appears to be a slight interval increase in linear bibasilar consolidations. The aorta is tortuous. There is no pneumothorax. There is a small left pleural effusion. Visualized osseous structures are otherwise unremarkable.
history of cough and recently noted hyponatremia. right basilar decreased breath sounds. please evaluate.
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The heart is at the upper limits of normal size. There is no pleural effusion or pneumothorax. There is vague opacity obscuring the left cardiac margin, probably within the lingula. Elsewhere, the lungs appear clear. Old remodeled fractures involve the posterior lateral third through fifth ribs on the left only.
altered mental status.
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Extensive left lung pneumonia is unchanged. Right lung is unremarkable. Et tube ends <num> cm above carina. There is ng tube in the stomach and second one just below the gastroesophageal junction. Bilateral jugular line are in adequate position. There is no pneumothorax or pleural effusion.
patient with diabetes, pneumonia, rule out pathology in the right lung field.
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The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
history: <unk>m with hx marginal zone b cell lymphoma, hep c cirrhosis, now with pancytopenia (anc<num>), <num> weeks severe abd pain and wt loss // acute process, recurrence of lymphoma
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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 epigastric discomfort radiating into chest // eval for cardiopulmonary process
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In comparison with study of <unk>, there is little overall change. Relatively low lung volumes with the cardiac silhouette at the upper limits of normal. Mild indistinctness of pulmonary vessels could reflect some elevated pulmonary venous pressure. Atelectatic changes are seen at the right base.
new oxygen requirement.
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Pa and lateral views of the chest provided. Right port-a-cath is unchanged with catheter tip in the region of the mid svc. Subtle increased opacity along the lateral aspect of the left lung may reflect overlying soft tissues. Otherwise, there is no focal consolidation, large effusion or pneumothorax. Cardiomediastinal silhouette is unchanged. Bony structures are intact. No free air below the right hemidiaphragm.
history: <unk>m with cancer, on chemo, now with inc. weakness
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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.
history: <unk>f with right lower quadrant pain and appendicitis diagnosed at outside clinic // pre-op
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There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size.
history: <unk>f with cough, decreased breath sounds on left // evaluate for acute process
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The lung volumes are low. There is mild cardiomegaly. The hilar mediastinal contours aside from mild tortuosity of the aorta is unremarkable. No definite focal consolidations concerning for pneumonia are identified. There is no large pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.
history of altered mental status. please evaluate for pneumonia.
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Frontal and lateral views of the chest. No prior. The lungs are clear of focal consolidation. The cardiomediastinal silhouette is within normal limits. Hypertrophic changes are seen in the thoracic spine. Osseous and soft tissue structures are otherwise unremarkable.
<unk>-year-old male with altered mental status and hypernatremia. question pneumonia.
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Single portable view of the chest. Exam is limited secondary to body habitus and low inspiratory effort. However, when compared to prior, there is increased right basilar opacity silhouetting the hemidiaphragm suspicious for effusion. There are also hazy opacities in lungs suggesting pulmonary edema. There is no large left effusion. Cardiac silhouette is difficult to assess as its right margin is not visualized.
<unk>-year-old female with hypoxia.
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Pa and lateral views of the chest were obtained demonstrating clear well expanded lungs without focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm.
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The lungs are clear of airspace or interstitial opacity. The cardiomediastinal silhouette is unremarkable. No pleural effusions or pneumothorax. No acute or aggressive osseus changes.
<unk> year old woman with r sided wheezing for a few days, no prior history of asthma, only evident when lying on r // r/o structural lesion
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<num> portable ap view of the chest. The right picc ends in the distal svc. There is minimal atelectasis at the right lung base. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal contours are normal. There are minimal aortic valve calcifications.
fever and hypotension.
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There has been interval placement of a right ij central venous catheter which terminates at the distal svc. Remainder of exam is grossly unchanged.
central venous line placement, evaluate for position.
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Comparison is made to prior study from <unk>. There is again seen a left retrocardiac opacity, likely due to a combination of atelectasis and pleural fluid. A small right-sided pleural effusion is also seen. Tracheostomy and right-sided central line are unchanged in position. There is unchanged cardiomegaly and tortuosity of the thoracic aorta. No pneumothoraces are present.
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs without focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.
right upper quadrant abdominal pain and chills.
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As compared to the previous radiograph, there are ongoing massive bilateral opacities of the lung parenchyma, likely reflecting a combination of pleural effusions and pulmonary edema. The changes have minimally increased on the left and are stable on the right. Also stable is the size of the cardiac silhouette. Healed right rib fracture. Subclavian line in unchanged position.
pulmonary edema
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As compared to prior chest radiograph from <unk>, bilateral alveolar and interstitial opacities appear worsened, however this represents a limited evaluation given change in obliquity and patient's positioning. There is a moderate right pleural effusion. Underlying pneumonia in the right lung however, cannot be excluded. Left hemidiaphragm is not completely visualized, this could be related to increased pleural fluid or due to oblique positioning.
<unk>-year-old man status post <unk>'s with pulmonary edema. please evaluate interval change in pulmonary edema, rule out pneumonia.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. Leftward deviation of the trachea at the thoracic inlet is noted. No acute osseous abnormalities. Surgical clips noted in the right upper quadrant.
<unk>f with fever // eval for pna
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Tip of endotracheal tube terminates <num> cm above the carina, but it has subsequently been withdrawn to a standard position on subsequently dictated chest radiograph under separate clip <unk>. Other indwelling devices are in standard position. Cardiomediastinal contours are stable. Interval improvement in extent of bilateral asymmetrically distributed perihilar airspace opacities, which remain more prominent on the right than the left. These findings are most likely due to asymmetrical pulmonary edema, but followup radiographs after diuresis may be helpful to exclude underlying pneumonia. Left chest tube remains in place with a small apicolateral left pneumothorax. Bilateral pleural effusions are not appreciably changed compared to previous radiograph.
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Pa and lateral views of the chest provided. Retrocardiac opacities compatible with known hiatal hernia. There is mild left basal atelectasis. Otherwise lungs are clear. Cardiomediastinal silhouette is normal. No large effusion or pneumothorax. Bony structures appear intact. No free air below the right hemidiaphragm.
<unk>f with cp and sob // ?pna
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. Multiple right rib deformities are noted with a focal area of right lateral pleural thickening compatible with post-traumatic changes after motor vehicle accident in <unk>.
<unk>-year-old male with one and a half day of hiccups after ortho surgery. evaluate for evidence of acute cardiopulmonary process.
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The lungs are well expanded and clear without focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.
<unk>f with s/p ground level fall.
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Ap and lateral radiographs obtained. Examination is limited by motion and body habitus. Within this limitation, cardiomediastinal and hilar contours are unchanged. Dense calcifications are noted within the aortic arch. Limited assessment of the lung bases due to body habitus on the frontal view. There is no definite opacification evident on the motion-degraded lateral views. No pleural effusion or pneumothorax is present. A wedge deformity of the mid thoracic, age indeterminate.
altered mental status, weakness, and decreased p.o. intake for one week. assess for acute process.
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Semi-upright portable radiograph of the chest demonstrates increased hazy opacification of the right lung which may represent a layering pleural effusion and has increased since the prior study from <unk>. Additionally, a left retrocardiac opacity is present, which may represent atelectasis versus pneumonia. Increased prominence of central pulmonary vasculature may be positional in nature. No overt pulmonary edema is present.
<unk>-year-old man with new tachypnea. evaluation for acute process.
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A right-sided picc line terminates at the lower svc. The heart is mildly enlarged, unchanged since prior. There is atelectasis at the right lung base and note is made of increased interstitial markings. There is a small left-sided pleural effusion. No focal consolidation concerning for pneumonia.
altered mental status. assess for infection.
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There is mild basilar atelectasis. Subtle reticular nodular opacities at the lateral bilateral lung bases may be due to chronic change without underlying infectious process is not excluded in the appropriate clinical setting. No pleural effusion or pneumothorax is seen. The aorta is calcified and tortuous. The cardiac silhouette is top-normal. Anchor screw is noted projecting over the right humeral head.
syncope.
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The heart size is normal. The hilar and mediastinal contours are normal. The lungs are clear without evidence of focal concerning consolidations. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.
history of chest wall pain. please evaluate for rib fracture.
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Endotracheal tube <num> cm above the carina. Left subclavian catheter and right internal jugular hemodialysis catheter well positioned. Bilateral intraparenchymal opacities are improving. Small bilateral pleural effusions are presumed but unchanged.
septic shock, intubated et tube migrated.
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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. No acute rib fracture is identified peer chronic rib deformity at the right fourth lateral arch. No free air below the right hemidiaphragm is seen. Degenerative spurring is seen in the lower t-spine.
<unk>m with pmhx substance abuse presents after assault s/p multiple kicks to head, chest, and abdomen.
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Heart size, cardiomediastinal silhouette and hilar contours are normal. Lungs are clear with interval resolution of the previously noted right middle lobe linear densities. There is no pleural effusion or pneumothorax.
follow up of right middle lobe linear densities.
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There relatively low lung volumes. Bibasilar atelectasis is seen. Bibasilar opacities may be due to atelectasis although underlying mild aspiration is not excluded. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. No evidence of free air beneath the diaphragms.
history: <unk>f with acute hematemesis, epigastric pain // eval for acute abdominal process. attn to free subdiaphragmatic air, epigastric/biliary pathology
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There is a small left pleural effusion with adjacent atelectasis. Prominence of the cardiac silhouette is due to mediastinal fat as noted on the recent chest ct. There is no focal consolidation or pneumothorax. There is no overt pulmonary edema. The thoracic aorta is mildly tortuous.
<unk>-year-old female with dyspnea. evaluate for acute cardiopulmonary process.
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Severe cardiomegaly is stable. Pacer leads are in standard position in the right atrium, right ventricle and through the coronary sinus. There is no pneumothorax. There is no pleural effusion. Patient is status post aortic valve and mitral valve repair
<unk> year old man with crt-d icd // lead placement
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An et tube is present. The tip lies approximately <num> cm above the carina. A left-sided picc line is present, tip overlies the mid/ distal svc. The patient is status post sternotomy, with the enlarged cardiomediastinal silhouette, similar to <unk>. There is upper zone redistribution and mild vascular plethora, consistent with chf -- this is similar, possibly slightly improved. Again seen is increased retrocardiac density consistent with left lower lobe collapse and/or consolidation and a small to moderate left effusion. Left hemidiaphragm is obscured. The right base, there is minimal atelectasis and possible minimal blunting the right costophrenic angle.
<unk> year old man with chf and stroke. // pulmonary edema
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The lungs are clear without focal consolidation, effusion, or edema. Hazy opacity at the right cardiophrenic angle is compatible with prominent fat pad seen on ct scan. Azygos fissure is incidentally noted. Cardiac silhouette is within normal limits. No acute osseous abnormalities. Hypertrophic changes are noted in the spine.
<unk>m with viral vs. bacterial infection.// pneumonia
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The cardiomediastinal silhouettes are within normal limits. The bilateral hila are unremarkable. The lungs are clear. There is no evidence of pulmonary vascular congestion. There is no pneumothorax or pleural effusion. There is no free intraperitoneal air.
<unk>m with epigastric pain, known stones, evaluate for pneumothorax.
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Tracheostomy tube remains in place, and cardiomediastinal contours are stable in appearance. Persistent moderate right pleural effusion with adjacent right lower lobe atelectasis and/or consolidation. Slight improvement in left retrocardiac opacity and adjacent small left pleural effusion. Otherwise, no relevant short interval changes.
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There has been interval placement of an endotracheal tube which is seen within the right mainstem bronchus. Appearance of the lungs has not significantly changed. Enteric tube seen with tip in the stomach, side-port in the region of the ge junction.
<unk>m with s/p intubation // tube placement
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Lung volumes are low, and the patient is rotated towards the left. Cardiomediastinal contours are stable allowing for this factor. Linear left basilar atelectasis is present, but there are no focal areas of consolidation to suggest pneumonia. If clinical suspicion persists, consider repeat radiograph with improved technique to more fully evaluate the lung bases.
<unk> year old woman s/p lumbar lami/fusion and i d dural repair now with new fever and cough // r/o pna
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The heart is normal in size. The mediastinal and hilar contours appear unchanged. The lung volumes are low. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures are unremarkable.
pleuritic chest pain.
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As compared to the previous radiograph, the patient has received a left pectoral pacemaker. The position of the pacemaker is unremarkable, the leads are in normal position, one projecting over the right atrium and one projecting over the right ventricle. There is no evidence of pneumothorax. Borderline size of the cardiac silhouette, no pulmonary edema. Known and constant elevation of the left hemidiaphragm.
new pacemaker, evaluation for pneumothorax.
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The lungs are hyperinflated and clear. Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
<unk> year old man with lll pneumonia in <unk>. this is follow up to assure clearance // follow up lll infiltrate
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Ap and lateral views of the chest are compared to previous exam from <unk>. There is elevation of left hemidiaphragm. Minimal left basilar opacity persists and is likely due to atelectasis. The lungs are otherwise clear. Cardiomediastinal silhouette is within normal limits. Hypertrophic changes are seen in the spine. There is no visualized displaced rib fracture on this single chest x-ray. Degenerative changes are noted at the right shoulder.
<unk>-year-old male with fall.
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There is no pleural effusion or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size. Mild opacity is identified in the medial right lung base on frontal view obscuring the right cardiac silhouette is likely due to superimposed pulmonary vessels. Mild pleural thickening is noted in the posterior left or right lung base on the lateral view.
history: <unk>f with cough // r/o infiltrate
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Single ap upright portable view of the chest was obtained. An azygos lobe is incidentally noted. There is increased patchy opacity at the left lower lung which could be due to aspiration and/or infection. No pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable.
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There is no pleural effusion, pneumothorax or focal airspace consolidation. The cardiac and mediastinal contours are normal. The hilar structures are unremarkable.
chest pain and cough. evaluate for pneumonia.
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The lungs are well-expanded and clear. The cardiomediastinal contours are unchanged. The aorta is tortuous. There is no pneumothorax, pleural effusion, or focal consolidation.
history: <unk>f with cough and fever. // r/o pneumonia/chf
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Ap single view of the chest has been obtained with patient in upright position. Analysis is performed in comparison with the next preceding ap single view with patient in semi-erect position dated <unk>, but <num> hours earlier. The right-sided chest tube has been removed. No pneumothorax has developed. Mild degree of blunting of the right lateral pleural sinus remains, but no new pulmonary parenchymal abnormalities identified. Left-sided lower rib deformities remain unchanged. No new abnormalities are seen. Rib injury detail was better assessed by preceding chest ct examination. No new pulmonary abnormalities are present, but the left lower lobe atelectasis with crowded vascularity and blunted diaphragmatic contour remains. No pneumothorax on either side in the apical area.
<unk>-year-old female patient with pneumothorax status post removal of right-sided chest tube, evaluate for pneumothorax.
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Right internal jugular central venous catheter remains in the right atrium. Moderate cardiomegaly is unchanged. Lung volumes are slightly improved. There is a new small right pleural effusion. Worsening left lower lobe opacity is most likely atelectasis. New widening of the mediastinum likely reflects vascular engorgement. There is no large pneumothorax.
<unk> year old woman with worsening tachypnea // please evaluate for acute change
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Endotracheal tube is low lying terminating approximately <num> cm from the carina. An enteric tube tip is within the stomach however the side port appears to be at the level of the gastroesophageal junction and should be advanced slightly for optimal positioning. Low lung volumes are present. Heart size appears mildly enlarged, but exaggerated by the presence of low lung volumes. Mediastinal and hilar contours are unremarkable with the widening of the superior mediastinum accounted for by the low lung volumes and supine positioning. Crowding of bronchovascular structures is present without overt pulmonary edema. There is minimal atelectasis in the lung bases, but no focal consolidation. No pleural effusion or pneumothorax is detected on this supine exam. Irregularity of the left seventh lateral rib cortex suggests a nondisplaced fracture.
history: <unk>m with mvc // traumatic injury?
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The heart is moderately enlarged. The aortic arch is calcified. There is cephalization of the pulmonary vascularity with indistinct contours and a mild diffuse interstitial abnormality. A focal component of opacification can be seen in the medial right lower lung, probably within the right lower lobe. There is no pleural effusion or pneumothorax. Mild-to-moderate degenerative changes are noted throughout the thoracic spine.
tachycardia.
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Heart size is normal. Aortic knob calcifications are demonstrated. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is demonstrated. There mild degenerative changes noted in the thoracic spine.
history: <unk>f with shortness of breath, cough, and fever
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The lungs are better expanded compared to the prior exam. No focal consolidation, effusion, pneumothorax, or edema. The heart is top-normal in size. The mediastinum is not widened. The hila are unremarkable. No acute osseous abnormality. Again, a left sided device in the left lateral chest wall with wires tracking up to the neck are unchanged.
<unk>-year-old female presenting with seizure. evaluate for pneumonia.
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Patient has known pathologic diagnosis of pulmonary carcinoid. Patient also has known emphysema. Multiple bilateral lung nodules predominantly in the lower lobes better appreciated on past ct.no focal consolidation. No pleural effusion or pneumothorax is seen. Mild cardiomegaly. Mediastinal contours unremarkable.. Sagittal elongation of upper trachea likely due to goiter and narrowing of lower trachea likely due to chronic cough.
<unk> year old man with hx of multi focal neuro endo tumors; // new baseline to cut down on cts
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Pa and lateral views of the chest were obtained. Lung volumes are low. Cardiomediastinal silhouette is unremarkable. Linear atelectasis in the lingula is noted. There is no focal consolidation, pleural effusion, or pneumothorax.
<unk>-year-old woman with shortness of breath, evaluate for pneumonia.
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Frontal and lateral chest radiographs were obtained. The lungs are fully expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax.
patient with elevated prolactin and cervical lymphadenopathy, identify hilar lymphadenopathy.
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Comparison is made to previous study from <unk>. There is an endotracheal tube whose distal tip is <num> cm above the carina. There is a left-sided central catheter with distal tip in the proximal right atrium, stable. There is a left retrocardiac opacity and bilateral pleural effusions, left side worse than right. A small focal area of consolidation within the right mid lung zone. Continued attention to this area is recommended on subsequent exams. This may be related to the chest tube placement. The right-sided chest tube tip is again seen in the apex of the lung. There are no pneumothoraces identified.
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Endotracheal tube is heading into the right mainstem bronchus and should be withdrawn approximately <num> cm for more optimal positioning. Enteric tube courses below the diaphragm, out of the field of view. There are low lung volumes and basilar atelectasis without definite focal consolidation. No pleural effusion or pneumothorax is seen. Small <num> mm rounded calcified nodule projecting over the lateral right mid lung most likely represents a calcified granuloma.
history: <unk>f with massive upper gi bleed, hx varices, hx tips // ett position? ogt position? active extrav from esophagus or stomach on cta
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Interval increase in small right pleural effusion, some which appears loculated, with pigtail pleural catheter again seen in the lateral right mid hemithorax. A small left pleural effusion appears smaller compared to exam from <unk>, however, this may be due to a more erect position. The heart size is unchanged. No pneumothorax or pulmonary edema.
<unk> year old woman with parapneumonic effusion // evaluate chest tube
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In comparison with the study of <unk>, the lungs are clear. There is no evidence of vascular congestion, pleural effusion, acute focal pneumonia, or pneumothorax.
multiple rib fractures after mvc.
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Single upright portable frontal radiograph of the chest demonstrates low lung volumes, with no evidence of pneumothorax, large pleural effusion, or overt pulmonary edema. Low lung volumes accentuate the bilateral pulmonary vasculature, with hazy opacity about the infrahilar right lung, possibly due to aspiration or infection. No acute osseous injury is detected. The heart size is mildly enlarged. Calcifications are noted in the aortic arch.
<unk>-year-old female with possible aspiration.
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The lungs are hyperinflated but clear of focal consolidation. Linear bibasilar opacities are most suggestive of atelectasis. The cardiomediastinal silhouette is within normal limits. Tortuosity of the descending thoracic aorta is noted. No acute osseous abnormalities identified.
<unk> year old woman with bl sdh's // pr eop surg: <unk> (l crani sdh evacuation)
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No previous images. The heart is normal in size and there is no evidence of vascular congestion, pleural effusion, or acute focal pneumonia.
chest pain, to assess for pneumonia.
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The endotracheal tube terminates <num> cm above the carina. An orogastric catheter extends to at least the level of the stomach. The heart size is top-normal. There is central pulmonary vascular congestion with moderate edema, particularly at the right base, which is similar to the <unk> examinations. A small right pleural effusion is unchanged. There is no pneumothorax.
acute respiratory failure, post intubation, with septic shock.
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Port-a-cath is unchanged in position with its tip in the region of the mid svc. Scattered airspace opacities most pronounced in the left mid to lower lung are new from prior and concerning for pneumonia. No large effusion or pneumothorax. Cardiomediastinal silhouette is unchanged. Bony structures are intact.
<unk>-year-old female with shortness of breath. assess for pneumonia.
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Again seen are extensive bilateral pulmonary opacities with some improvement in aeration of the right lung compared to the prior exam. Although this may be due to asymmetric pulmonary edema, pneumonia cannot be excluded. A right internal jugular central line terminates at the mid svc. The heart remains severely enlarged. The left pleural effusion has resolved.
history of respiratory distress following renal transplant, evaluate for interval change.
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The lungs are hyperinflated but clear without focal consolidation or edema. Cardiomediastinal silhouette is stable. No acute osseous abnormalities. Hypertrophic changes noted in the spine.
<unk>m with dyspnea // r/o chf
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The lungs are clear. There is no pleural effusion, pneumonia, pulmonary edema or pneumothorax. Cardiac size is normal. No bony abnormalities are detected on these non-dedicated views.
neck pain and pleuritic chest pain. question pneumothorax.
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Ng tube is coiled in the esophagus and should be repositioned. The remainder of the chest appears normal. This was called to the neurology resident covering the service at the time of dictating this report. At that time it had already been removed.
seizures fever and increased retreated t evaluate ng tube placement.
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In comparison with study of <unk>, there is continued enlargement of the cardiac silhouette with evidence of pulmonary vascular congestion. Monitoring and support devices remain in place. Opacification in the retrocardiac area silhouetting the hemidiaphragm is consistent with some combination of pleural effusion and volume loss in the left lower lobe. In the appropriate clinical setting, supervening pneumonia would have to be considered.
fever, to assess for pneumonia.
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Pa and lateral views of the chest provided. Lungs are hyperinflated and hyperlucent compatible with known underlying emphysema/copd. No focal consolidation is seen to suggest pneumonia. No large effusion or pneumothorax. No edema or congestion. The heart and mediastinal contours appear normal and stable. Bony structures are intact.
<unk>f with weakness and dizziness. requires infectious workup. // ?pneumonia
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There is left apical scarring, better evaluated on ct chest on <unk>.the lungs are otherwise clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
<unk> year old woman with persistent cough. // please evaluate.
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Frontal and lateral views of the chest are compared to previous exam from <unk> and <unk>. The lungs are hyperinflated, but remain clear. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with intermittent chest pain.
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Again visualized are bilateral heterogeneous parenchymal opacities, involving the left lung greater than right, with mid and lower lung predominance. This has decreased in comparison to the prior radiograph but increased in comparison to the more recent prior ct. Cardiac silhouette appears normal. Median sternotomy wires appear unchanged. Surgical clips are seen in the right upper lobe with adjacent scarring.
cough and shortness of breath.
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As compared to the previous radiograph, there is increased opacity at the left lung base and increased blunting of the left costophrenic sinus. Effusions are consistent with the presence of pneumonia and an associated small pleural effusion. The findings are supported by ct examination performed on <unk>. The right lung is unremarkable, the tracheostomy tube is in normal position.
increased sputum, possible left lower lobe pneumonia, evaluation.
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The lungs are fully expanded and clear. Previously seen retrocardiac opacity on lateral view has resolved. There is no pleural abnormality. The cardiomediastinal silhouette is unremarkable. Severe right convex scoliosis is stable.
<unk> year old man with recent multifocal pna, reassess // reassessment of multifocal pna
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Frontal and lateral views of the chest. Compared to prior, there has been interval enlargement of the right-sided pleural effusion. There is a persistent left-sided effusion which is grossly unchanged. Superiorly, the lungs demonstrate mildly indistinct pulmonary vascular markings suggesting vascular congestion. Cardiomediastinal silhouette is unchanged, at least moderately enlarged. Chronic changes seen at the shoulders bilaterally. Mid thoracic vertebral body severe compression deformity is again noted.
<unk>-year-old female with dyspnea and history of chf.
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As compared to the previous radiograph, there is no relevant change. No evidence of pneumonia on the current image. Mild overinflation with flattened hemidiaphragms and mildly enlarged cardiac silhouette with tortuosity of the thoracic aorta. No pleural effusions. No pneumothorax. No pulmonary edema.
dementia, presenting with acutely worsening paranoia, questionable pneumonia.