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Heart size is normal. Azygos vein is distended and accompanied by mild pulmonary vascular engorgement but no evidence of pulmonary edema. Within the lungs, subtle areas of increased opacity have developed in the left upper and right lower lobes, and are concerning for developing pneumonia in the setting of elevated white blood cell count. There are no pleural effusions. Bilateral rib deformities appear unchanged, including an apparent osteochondroma at the level of the second anterior rib and a healed fracture involving the right sixth posterior rib.
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As compared to the previous radiograph, the patient has undergone a right thoracocentesis. The extent of the right pleural effusion has substantially decreased. A remnant trace effusion is seen in the region of the right sinus. No complications, notably no pneumothorax. Unchanged moderate cardiomegaly, no focal parenchymal opacity suggesting pneumonia.
right-sided pleural effusion after thoracocentesis, rule out pneumothorax.
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As compared to the previous radiograph, the elevation of the left hemidiaphragm has completely resolved. Moderate cardiomegaly with tortuosity of the thoracic aorta. No change in appearance of the lung parenchyma. No change of the hilar structures. No pneumonia, no pleural effusions, no pulmonary edema.
gallbladder mass, preoperative film.
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Following removal of right pleural catheter, there is no evidence of apical pneumothorax. Small pockets of gas in the retrosternal region on the lateral view could potentially represent small loculated hydro pneumothoraces. A multiloculated right pleural effusion has slightly increased in size. Additionally, right juxta hilar and left retrocardiac opacities have slightly worsened. Small left pleural effusion is unchanged. Subcutaneous emphysema in right supraclavicular region is minimally improved.
<unk> year old woman s/p tracheobronchoplasty // r/o ptx post ct removal
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One portable upright ap view of the chest. Moderate cardiomegaly is stable. No evidence of pulmonary edema. The small left pleural effusion has decreased. No right pleural effusion. No opacities concerning for pneumonia. Mediastinal and hilar contours are normal.
chest pressure and crackles, evaluate for pulmonary edema.
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As compared to prior chest radiograph from <unk>, there has been complete resolution of right middle lobe opacity. No new focal consolidations are identified. The cardiomediastinal and hilar contours are within normal limits. There are no pleural effusions. There is no pneumothorax. Visualized osseous structures are grossly unremarkable.
<unk>-year-old male patient with pneumonia. study requested to confirm resolution.
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As compared to the prior study of earlier today, a right pleural catheter has been removed. Small right apical lateral pneumothorax has slightly decreased in size.
<unk> year old man with right ptx after rib fx // r/o ptx post ct removal
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Interval increase in size and density of lobulated, streaky opacities in the right upper and mid lung, compatible with postobstructive atelectasis lymphangitic spread from known non-small-cell lung cancer. The heart size is normal. A small right pleural effusion is possible. No pneumothorax. There is a somewhat ill-defined <num> mm nodular density projecting over the left mid lung which may represent either a new metastasis or nipple shadow.
<unk> year old man with metastatic nsclc, worsening disease, worsening effusion // pleural effusion? thoracentesis possible?
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Patient is status post median sternotomy and cabg.subtle left base retrocardiac opacity may be due to atelectasis and vascular structures although an early consolidation due to infection or aspiration is not excluded in the appropriate clinical setting. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
history: <unk>m with ams and cough, r/o pna // history: <unk>m with ams and cough, r/o pna
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable, with the cardiac silhouette top-normal in size..
history: <unk>f with near syncope, cough, sputum // ? acute cardiopulm process
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The patient is status post sternotomy. There is mild to moderate cardiomegaly. Compared with the prior film, there is new chf, with upper zone redistribution, thickening of the minor fissure, and diffuse vascular blurring. More patchy opacity at the right cardiophrenic region could reflect vascular plethora and atelectasis, but the possibility of an early infiltrate cannot be excluded. Otherwise, no consolidation. No gross effusions.
<unk> year old man with ?aml and worsening <unk> // eval sob, ?fluid overload
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In comparison with study of <unk>, there is some decrease in the patchy opacification at the right base, though mild residual persists. Streaks of atelectasis are seen in the region.
pneumonia.
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Pa and lateral radiographs of the chest demonstrate clear lungs and normal hilar and cardiomediastinal contours. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal. Multiple healed rib fractures are again seen on the right.
<unk>-year-old man with chest pain and cough.
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Compared with the earlier film, the right-sided at tubes have been removed. Chain sutures and a surgical clip are again seen at the right lung apex. No obvious pneumothorax is identified. Subcutaneous emphysema along the lower right chest wall is again noted. Again seen is atelectasis and? Mild patchy opacity at the left base, with slight elevation left hemidiaphragm, similar to the prior film.
<unk> year old man with r hemothorax after ct placement for spont r ptx s/p r vats hematoma evac // post-chest tube pull
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Pa and lateral views of the chest provided. The heart remains mildly enlarged. There is a similar overall pattern of right hilar prominence. No large effusion or pneumothorax. No signs of edema or pneumonia. Left shoulder arthroplasty partially visualized as well as degenerative changes at the right shoulder.
<unk>f with productive cough
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No focal consolidation, pleural effusion, or pneumothorax is seen. Heart and mediastinal contours are within normal limits.
<unk>-year-old male with history of liver transplant, now with fevers.
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Frontal and lateral views of the chest. The right-sided tunneled venous catheter is seen with tip projecting over the mid right clavicle. The lungs are clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. Osseous structures are unremarkable.
<unk>-year-old female with recent tunneled catheter dislodgement. question pneumothorax or hemothorax.
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There has been interval placement of right base chest tube without evidence of pneumothorax and there has been near-complete resolution of the large right pleural effusion. Left pleural effusion is also greatly improved with small to moderate amount of remnant fluid. Pulmonary edema is improved. Bibasilar atelectasis is noted. Right internal jugular catheter, upper enteric tube and left pectoral pacer are unchanged in position.
sepsis and right pleural effusion status post tube placement, evaluate for pneumothorax.
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Heart size is mildly enlarged but unchanged. The aorta is unfolded. Mediastinal and hilar contours are similar with unchanged asymmetric enlargement of the right hilum. There is no pulmonary vascular congestion. Lungs are hyperinflated but clear without focal consolidation. Minimal fluid is seen within the fissures. No large pleural effusion or pneumothorax is otherwise demonstrated.
history: <unk>m with shortness of breath, and history of congestive heart failure, med noncompliance
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Pa and lateral chest radiograph demonstrate clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits. There is no pneumothorax, pleural effusion, or evidence of pulmonary edema. There is no air under the right hemidiaphragm.
<unk>m with shortness of breath
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Endotracheal tube in appropriate position ending approximately <num> cm above the carina. Relative enlargement of the cardiomediastinal silhouette, likely accentuated related to low lung volume. Diffuse increased lung opacity left greater than right lungs, may be related to low volumes however there may be a component of fluid overload. There is no pleural effusion or pneumothorax. Visualized osseous structures are gross unremarkable.
<unk>m with altered mental status, intubated.
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Compared with prior, there has been no significant interval change. Right chest wall port and left chest wall dual lead pacing device are again seen. Partially loculated right-sided pleural effusion persists. Probable small left effusion is partially loculated laterally. Right basilar opacities medially may be due to atelectasis, similar to prior. The cardiomediastinal silhouette is unchanged, mitral valve prosthesis again noted. Surgical clips seen in the right upper quadrant. No acute osseous abnormalities.
<unk>f with dyspnea // eval for pneumonia
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Two frontal images of the chest demonstrate some interval improvement in the right lower lobe opacity. The right upper lobe collection of loculated pleural fluid appears to have increased in size since the previous imaging. Again seen is cardiomegaly. There is no pneumothorax or pleural effusion. Multiple surgical clips are noted in the left axillary region.
<unk>-year-old female with dyspnea and loculated pleural effusion.
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Frontal and lateral views of the chest were obtained. There is right perihilar and right infrahilar/right basilar opacity which may be due to infection, pulmonary hemorrhage, underlying malignancy not excluded. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
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There has been increased volume loss in the right middle lobe. There are also scattered areas of volume loss in the left lower lobe. There small bilateral effusions left greater than right. No pneumothorax is identified.
status post white right wedge resection and chest tube pulled check for pneumothorax.
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Pa and lateral views of the chest provided demonstrate no focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm.
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The lungs are well inflated without focal consolidation, pleural effusion or pneumothorax. There is no pulmonary edema. The heart size is normal. The mediastinal and hilar contours are normal.
<unk>-year-old female with chest pain with radiation to the left arm. evaluate for acute cardiopulmonary process.
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Nasogastric tube and dobbhoff tube both enter the stomach with dobbhoff tube curled within the body of the stomach and nasogastric tube coursing out of view. Endotracheal tube terminates in the mid trachea with unchanged position of right ij catheter. Dense retrocardiac opacity is likely unchanged left lower lobe atelectasis with small-to-moderate right greater than left pleural effusions and mild vascular congestion. Moderate cardiomegaly persists.
<unk>-year-old man with congestive heart failure and gi bleed with afib, intubated, assess dobbhoff tube placement.
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Interval removal of an endotracheal tube is noted. Lungs appear hyperinflated with flattening of bilateral hemidiaphragms. Cardiomediastinal and hilar contours appear stable when compared to recent radiograph dated <unk>. There is no pleural effusion or pneumothorax. Subtle anterior edge compression deformity is noted on lateral radiograph within the distal thoracic vertebral bodies. No acute osseous abnormality is identified.
<unk>-year-old male with headache and facial pain.
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Single ap upright portable view of the chest was obtained. The patient is rotated to the right. The aorta is unfolded. The cardiac silhouette is top normal. Right medial basilar density retrocardiac is nonspecific and could relate to atelectasis, although underlying infection or aspiration is not excluded. No large pleural effusion is seen. There is no evidence of pneumothorax.
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Frontal portable radiograph of the chest demonstrates mild cardiomegaly with moderate bilateral pleural effusions with increase in size of right pleural effusion compared to prior. Pulmonary edema persists. No pneumothorax. Right internal jugular catheter ends in the right atrium
chf exacerbation, evaluate for pulmonary edema.
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Moderate enlargement of cardiac silhouette is unchanged. Mediastinal and hilar contours are grossly stable with diffuse calcification of the thoracic aorta noted. The pulmonary vasculature is normal. Apart from minimal linear atelectasis in the lung bases, the lungs are clear with no focal consolidation, pleural effusion or pneumothorax identified. There are no acute osseous abnormalities. Mild loss of height of a mid thoracic vertebral body appears unchanged.
new onset dizziness after fall catheterization <num> days ago.
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In comparison with the study of <unk>, the monitoring and support devices have been removed. There is elevation of the right hemidiaphragmatic contour with areas of opacification above it. These most likely reflect atelectasis, though in the appropriate clinical setting, supervening pneumonia would have to be considered. The upper lungs are clear and there is no evidence of pulmonary vascular congestion.
ercp, now with fever.
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Evaluation of the chest is limited due to low inspiratory lung volumes and slight patient rotation with resultant prominence of the cardiomediastinal silhouette and lung markings due to under-inflation. Within this limitation, there is no focal consolidation concerning for pneumonia. No large pleural effusion or pneumothorax is detected, although evaluation at the lung apices is limited due to superimposition of cervicocranial soft tissues. Streaky retrocardiac opacities most likely reflect atelectasis in the setting of low lung volumes. The pulmonary vasculature is not engorged and there is no overt pulmonary edema. The cardiomediastinal silhouette is prominent, with unfolding of the thoracic aorta and mild calcification of the aortic knob. The trachea is slightly deviated to the right by the aortic arch. There is no free air beneath the right hemidiaphragm on this semi-erect view.
<unk>-year-old woman with symptoms of tia, here to evaluate for acute cardiopulmonary process.
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The large mass occupying the right hemithorax appears unchanged in size compared to the most recent prior ct torso. Mutliple nodules are better assessed on prior ct torso. There is no acute focal consolidation, pleural effusion or pneumothorax. Heart size is stable and slightly enlarged. There is a left central catheter with the tip terminating in the low svc. Associated rib destruction on the right from the large mass is stable.
<unk>-year-old man with fever, assess for acute intrathoracic process.
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The heart size is top normal with mild tortuosity of the thoracic aortic arch. The mediastinal silhouette and hilar contours are otherwise unremarkable. Low lung volumes accentuate the cardiopulmonary vasculature. The lungs are clear. There is no pleural effusion or pneumothorax.
hypertension, chf with recurrent lower extremity cellulitis, presenting with asymmetric leg swelling and shortness of breath.
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Mild cardiomegaly is unchanged. There is mild atelectasis at the lung bases. Otherwise, there is no focal consolidation. No pneumothorax.
history: <unk>f with <unk> weeks of fatigue, increased sputum // eval ? occult infection
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Single semi-erect frontal view of the chest was obtained. The right lung is clear. Patchy left base opacity most likely represents atelectasis, though underlying aspiration is not entirely excluded. No pleural effusion or pneumothorax is seen. No pulmonary edema is seen. The cardiac silhouette is top normal. The aorta is calcified and tortuous.
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Dual lead left-sided pacemaker is stable in position. There is a moderate to large left pleural effusion with overlying atelectasis. Left base consolidation is not excluded. Mild right base atelectasis is seen. The patient is somewhat rotated. Cardiac and mediastinal silhouettes are grossly similar compared to the prior study.
history: <unk>m with confusion // eval for pna
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Cardiac size is normal. Aside from retrocardiac opacities, the lungs are clear. There is no pneumothorax. There is a small left effusion. Pneumoperitoneum is again noted. Tracheostomy tube is in standard position. Right central catheter tip is in the cavoatrial junction.
<unk> y/o f s/p pedestrian struck p/w admitted to the ticu with bilateral iph w/sah and <num>mm of midline shift and right temporal bone fracture. // ?infiltrate
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Lungs are relatively hyperinflated. No focal consolidation is seen. There is no pleural effusion or pneumothorax. Cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with cough // ?pna
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There is no focal consolidation, pleural effusion, or pneumothorax. Cardiomediastinal silhouette is top normal. Osseous structures are intact.
wheezing and congestion, rule out acute process.
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Heart size is mildly enlarged. The mediastinal and hilar contours are normal. Pulmonary vascularity is is normal. <num> mm nodular density in the right mid lung field likely reflects a calcified granuloma. Streaky retrocardiac opacity could reflect atelectasis, but infection is not completely excluded. Linear opacities in the right lung base likely reflect subsegmental atelectasis. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
chest pain.
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The lungs are clear. There are no pleural effusions or pneumothoraces. The cardiomediastinal silhouette is enlarged. The patient is status post median sternotomy. A pacer is seen with battery pack in the upper abdomen. A mitral valve replacement is seen.
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Improving bilateral asymmetrically distributed alveolar opacities, with residual opacities most prominent in the left perihilar region and in the periphery of the right mid and lower lung. Cardiac silhouette is mildly enlarged. Small-to-moderate right pleural effusion has slightly improved. No visible pneumothorax.
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Cardiac, mediastinal, and hilar contours are within normal limits. There is no evidence for pulmonary consolidation, pulmonary edema, pleural effusion, or pneumothorax. Mild dextroconvex curvature of the thoracic spine is again noted.
history: <unk> with chest pain and history of pulmonary embolism. evaluate for infiltrate, pneumonia.
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Pa and lateral views of the chest provided. There is borderline hyperexpansion of the lung fields. 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.
history: <unk>f with cad s/p angioplasty <num> week ago now with chest pain // assess for pulmonary edema or pneumonia
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Pa and lateral views of chest. Once again identified is left-sided volume loss from the prior left upper lobectomy. There is a leftward shift of the mediastinal structures. The previously seen area of ground-glass with peribronchiolar consolidation on the ct appears to be relatively stable given differences in modality from <unk>. A nodular opacity at the right lung base is likely nipple shadow, but can be followed on a subsequent exam.
shortness of breath
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Pa and lateral chest radiographs were obtained. Breast shadow projects over both lung bases. Despite this limitation, the lungs are clear. There is no nodule, consolidation, effusion, or pneumothorax. The heart and mediastinal contours are normal. The right posterior sulcus is blunted. Both costo-phrenic angles are sharp.
<unk>-year-old woman with atypical chest pain, cough. evaluate for infectious process.
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Pa and lateral views of the chest were reviewed. The heart size is normal. There may be left hilar lymphadenopathy. Obscuration of the left heart border with a focal, almost mass-like opacity in the lingula has the suggestion of an air fluid level, concerning for cavitation. More diffuse increased interstitial markings in the left upper lobe are also present. The right lung is clear. There is no pleural effusion or pneumothorax.
weakness, confusion.
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Endotracheal tube is low lying, with tip approximately <num> cm from the carina. Lung volumes are low. Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. Patchy retrocardiac opacity may reflect atelectasis though infection or aspiration cannot be excluded. No large pleural effusion or pneumothorax is identified. No acute osseous abnormalities are detected.
history: <unk>f with intubated
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Portable supine ap chest radiograph was provided. The aicd noted with leads extending into the region of the right atrium and right ventricle. The heart appears enlarged though better assessed on same-day chest ct. Lower lung opacities are also better assessed on same-day chest ct given the low lung volumes on this chest radiograph. The endotracheal tube is seen with its tip residing approximately <num> cm above the carina. The ng tube extends into the mid esophagus - advancement is recommended for more optimal positioning. Otherwise, no change from prior.
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Right upper extremity picc ends in the low svc. Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. No focal lung consolidations seen.
<unk>m with picc in rue // eval for picc line placement .
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Pa and lateral views of the chest. No prior. The lungs are clear of focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with syncope and shortness of breath.
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There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal contour is normal. The thoracic spine appears demineralized. Substantial level scoliosis is present. The upper abdomen is unremarkable.
<unk>f with chest pain, evaluate for pneumothorax.
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Lung volumes are low limiting evaluation. The heart size appears grossly stable allowing for slight differences in technique. There is prominence of the right pulmonary hilum which is of unclear etiology. Mild ground-glass opacity is seen within the lungs which could reflect a component of mild edema. No large effusion or pneumothorax is seen. The mediastinal contour appears unchanged. No bony abnormalities.
<unk>f with dchf here w/ fatigue and vague complaints.
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Heart size is mildly enlarged but unchanged. The mediastinal hilar contours are similar. Pulmonary vasculature is normal. Retrocardiac streaky opacity is not substantially changed, likely atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. Lateral pleural thickening versus extrapleural fat is noted bilaterally, unchanged. Mild degenerative changes are noted in the thoracic spine.
history: <unk>m with confusion // evaluate for pneumonia
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Pa and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding similar study of <unk>. Comparing the frontal views, the chest findings are grossly unaltered. The on next previous examination diagnosed tiny remnant of pneumothorax in the left apical area is again observed and constitutes a linear density running parallel at <num> mm distance from the apical skeletal chest wall. Review of chest ct of <unk> and also old chest ct from <unk> demonstrated that the patient had some old apical scar formations, which match the linear density. A significant pneumothorax can be ruled out. It can be stated, however, that there exists a mild blunting of the left posterior pleural sinus, indicative of a small pleural effusion. This was also present on the preceding chest examination, lateral view. On the chest examination of <unk>, the posterior pleural sinus was free.
<unk>-year-old female patient status post trauma with left-sided small apical pneumothorax, now hypotensive, evaluate for interval change in pneumothorax or other acute process.
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Ap single view of the chest has been obtained with patient in semi-upright position. Comparison is made with the next preceding similar study dated <unk>. There is no significant interval change in comparison with the previous study. The mostly loculated pleural effusions persists in the right hemithorax. General volume loss on the right side, but no increased mediastinal shift. No remaining apical pneumothorax can be seen. A small loculated pneumothorax exists on the right base in alignment with the draining chest tube. No new abnormalities in the left hemithorax. No pulmonary vascular congestion in the accessible areas.
<unk>-year-old female patient with stage iv breast carcinoma, now with recurrent right-sided effusion status post chest tube placement, evaluate for interval changes.
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Right basilar hydropneumothorax is similar. No definite apical component. Loculated pleural fluid or thickening right costophrenic angle. Right picc line, stable. Tracheostomy. Right chest tube. Small left pleural effusion is stable. Normal heart size, normal pulmonary vascularity. Stable mild right perihilar infiltrate. Postoperative changes in the upper lungs. Percutaneous gastrostomy
<unk> year old woman with lung cancer s/p resection. r chest tube clamped. // please perform xray at <time>. right chest tube clamped. please eval for pneumothorax
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Pa and lateral chest radiographs were provided. Again seen is a large paramediastinal opacity, similar to the previous exam. A right pleural effusion is again noted. Increased right basilar opacity may represent increasing effusion or pneumonia. The left lung is relatively clear with pleural plaques, unchanged since the previous exam. Cardiomediastinal silhouette is unchanged.
history of lung cancer presenting with shortness of breath, tachycardia and hypoxia. question pneumonia.
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Intact midline sternotomy wires and mediastinal clips. The lungs are mildly hypoinflated with vascular crowding. No pleural effusions or pneumothorax. Stable top-normal heart size. Mediastinal contour and hila are otherwise unremarkable. Tortuous aorta noted. Mild kyphosis as well as chronic right rib cage deformity is seen. Visualized upper abdomen is within normal limits.
<unk>m with concern for pneumonia. assess for pneumonia.
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Single ap upright portable view of the chest was obtained. Per the radiology technologist, these are the best radiographs obtainable. Patient stated he would pass out if standing and has a sling. Left side of the aicd is again seen with leads in stable position. The cardiac silhouette remains markedly enlarged. There is prominence of the central pulmonary vessels. There is likely a trace left pleural effusion. No definite focal consolidation is seen. Mediastinal and hilar contours are stable.
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A new right internal central jugular venous catheter terminates at the upper superior vena cava. There is no evidence for pneumothorax. The heart is moderately enlarged, as before, and the patient is status post coronary artery bypass graft surgery. There is new patchy opacification of the left lung base, suspected to represent a combination of pleural effusion and atelectasis. The right lung remains clear.
central line placement after recent sigmoid colectomy.
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No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No overt pulmonary edema is seen.
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Pa and lateral views of the chest. There is new consolidation on the left localizing to both the upper and lower lobes compatible with pneumonia. The right lung is essentially clear. Cardiomediastinal silhouette is within normal limits. Old healed left side rib fractures are noted.
<unk>-year-old male with fever x<num> day.
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Overall lung volumes are low. , exaggerating the cardiac profile and central vasculature. There are bibasilar patchy opacities consistent with mild edema. There are probable tiny bilateral pleural effusions. No pneumothorax.
<unk>m with chest pain status post cardiac arrest with cpr // chest pain
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In comparison with the study of <unk>, there is little change. The left chest tube remains in place and there is no evidence of pneumothorax or recurrent pleural effusion. Increased perihilar opacification again is consistent with post-obstructive pneumonia. The right lung is hyperexpanded and clear and there is no evidence of vascular congestion.
post-obstructive pneumonia and pleural effusion with left chest tube in place.
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Cardiomegaly is accompanied by enlargement of the central pulmonary arteries. Lungs are well-expanded and clear. No pleural effusion.
<unk> year old woman with sle/esrd hd will be in <unk> requires utd cxr pre hd there. // assess for evidence mass/effusion/granulomatous dz.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The aorta is tortuous. The cardiac silhouette is not enlarged. No evidence of free air is seen beneath the diaphragms.
history: <unk>m with abdominal pain // free air in abdomen?
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Right-sided port-a-cath tip terminates at the junction of the svc and right atrium. Heart size is normal. The aorta remains tortuous. The mediastinal and hilar contours are otherwise unchanged. The pulmonary vasculature is normal. Chain sutures are seen within the right lung base compatible with prior middle and lower lobe wedge resections. Apart from scarring within the right lung base, the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen.
fever.
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No focal opacity to suggest pneumonia is seen. No pneumothorax or pulmonary edema is present. There is no significant pleural effusion. The heart size is mildly enlarged as compared to more remote examinations, though not substantially changed from the prior exam of <unk>.
nausea and vomiting.
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Pa and lateral views of the chest provided. Lung volumes are low. Lungs appear clear. 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 <num> week of dental infection draining pus upper right molars, worsening now with face and neck swelling, not improving on augmentin
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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. Moderate enlargement of the cardiac silhouette is unchanged from the prior exam. The mediastinal and hilar contours are normal. Atherosclerotic calcifications are noted within the aortic arch.
shortness of breath.
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Moderate cardiomegaly is slightly improved from <unk>. Improved vascular congestion with no focal consolidation, pleural effusion or pneumothorax.
patient with systolic chf evaluate for interval change.
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Endotracheal tube tip terminates approximately <num> cm from the carina. Heart size is top normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. Streaky atelectasis is evident in the left lung base. Lungs are hyperinflated. No focal consolidation, large pleural effusion, or definite large pneumothorax is seen.
history: <unk>m with intubation
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The lungs are clear of focal opacities concerning for an infectious process. There is no pleural effusion, pneumothorax or pulmonary edema. Cardiac size is top normal.
pre-op.
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The lungs are clear. There is minimal right basal pleural thickening which is probably not significant. There is no pleural effusion or pneumothorax. The mediastinal and cardiac contours are unremarkable.
patient with severe spinal stenosis, needs pre-op chest x-ray.
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There is minimally increased streaky density in the lower right lung, most apparent on the pa view. The left lung appears clear. The lungs are somewhat hyperexpanded as before. The heart is within normal limits in size. The aorta is calcified. Old rib fractures are again demonstrated on the left.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>m with dizziness, headache
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Chest pa and lateral radiograph demonstrates unchanged prominent reticular interstitial pattern with areas of lucency consistent with history of known fibrosis. Given lung tissue abnormalities, assessment for subtle focal opacities is difficult; however, there appears to be increased opacification obscuring the left heart border which could reflect a developing infectious process versus acute exacerbation. The aorta is tortuous. Otherwise, the mediastinal, hilar, and cardiac contours are unremarkable. No pleural effusion or pneumothorax evident. Right-sided port-a-cath is identified with tip in the distal superior vena cava. Degenerative changes are noted at the right acromioclavicular junction.
idiopathic pulmonary fibrosis and metastatic adenocarcinoma of unknown origin, admitted with severe hydronephrosis and acute renal failure with new cough, please evaluate for infiltrate.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
<unk> year old woman with two weeks of cough, wheeze and doe; crackles at bases // assess for pneumonia or other
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. There is a small left posterior diaphragmatic hernia versus eventration. The heart size is normal and the mediastinal contour is unremarkable. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with chest pain. rule out pneumonia.
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Lung volumes are low with elevation of the right hemidiaphragm. No pleural effusion, no pneumothorax and the cardiomediastinal silhouette is normal. There is mild vascular prominence due to low lung volumes.
<unk>-year-old woman with seizures, please assess for acute process.
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The patient is intubated. The tip of the endotracheal tube projects <num> cm above the carina, the tube could be advanced by <num>-<num> cm. The nasogastric tube shows a normal course, tip of the tube projects over the pyloric region. The lung volumes are low. There is an atelectatic opacity at the right lung base. Minimal blunting of the right costophrenic sinus, potentially caused by a minimal pleural effusion. On the current radiograph, there is no evidence of a pleural effusion. No evidence of rib fractures. Clips projecting over the left upper quadrant.
splenic rupture, questionable progression of pneumothorax.
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Frontal and lateral views of the chest were obtained. There has been interval removal of a right-sided drain/chest tube with right chest wall subcutaneous emphysema seen, likely post-procedural. Minimal blunting of the right costophrenic angle may be due to a trace right pleural effusion. There is mild lingular and left lower lobe atelectasis which has improved in the interval. Mild right base atelectasis is seen. There is persistent mild elevation of the right hemidiaphragm.
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Comparison is made to previous study from <unk>. There is a right ij central line with distal lead tip in the mid svc. There is cardiomegaly which is stable. There is atelectasis at the lung bases. There are small bilateral pleural effusions. There is coarsening of the bronchovascular markings without overt pulmonary edema or definite consolidation.
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Two chest tubes are in place in the left hemithorax, with a small, partially loculated left pleural effusion and adjacent left basilar atelectasis and/or consolidation. Within the right hemithorax, a confluent area of opacity in the right infrahilar region has worsened in the interval and may reflect atelectasis with or without co-existing pneumonia. Small right pleural effusion is new.
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A left retrocardiac opacity is new since <unk>, concerning for consolidation. Biapical scarring is unchanged. The cardiac and mediastinal contours remain within normal limits. A left-sided pacemaker projects leads into the right atrium and ventricle. There is no pneumothorax.
cough.
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There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. The imaged upper abdomen is unremarkable. The bones are intact.
<unk>m with fever on chemo diffuse b cell lymphoma // ? pna
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There is no focal consolidation, pleural effusion or pneumothorax. Relatively nodular right apical scarring is again noted. The cardiomediastinal silhouette is normal. The imaged upper abdomen is unremarkable. The bones are intact.
<unk>f with multiple myeloma on chemo with nonproductive cough and fatigue // r/o pna
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Portable ap chest radiograph. Lung volumes are low and there is consolidation at the left base. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
hypoxia in the setting of overdose.
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Frontal and lateral views of the chest were obtained. Low lung volumes results in bronchovascular crowding and bibasilar atelectasis. There is no focal consolidation, pleural effusion or pneumothorax. Heart size is normal. Mediastinal silhouette and hilar contours are normal. No acute osseous abnormality is identified. There is no free air under the diaphragm.
epigastric pain.
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Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable. The hilar contours are stable.
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The endotracheal tube ends <num> cm above the carinal. The nasogastric tube ends in the stomach. There are patchy opacities throughout the right lung and a probable moderate right pleural effusion. There are few scattered opacities in the left lung base. The cardiac and mediastinal contours are normal. Spinal hardware is noted.
<unk>-year-old man intubated. evaluate for pneumonia. pna?
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There is a small to moderate right pleural effusion with adjacent atelectasis. Vague opacity at the left lung base laterally on the frontal view is compatible with previously seen metastatic lesion. Vague right upper lung opacities with some adjacent linear opacities air seen in the region of previously characterized metastatic foci as well. More dense right perihilar opacity better characterized by prior ct as metastatic disease. There is an additional lesion abutting the descending thoracic aorta in the retrocardiac region, also present on prior ct scan. Cardiomediastinal silhouette is grossly unchanged. Surgical clips project over the left chest wall. Mild height loss of lower thoracic vertebral body is unchanged from prior ct. There is no free intraperitoneal air visualized.
<unk>m with ruq rib pain +<unk>'s // eval for pnaeval for acute chlocysitis
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There is a right upper lobe opacity, similar to the pet ct from <unk>, consistent with radiation changes or metastatic tumor spread. This is significantly progressed since <unk>. The cardiomediastinal silhouette and hila are normal. No pleural effusion or pneumothorax.
<unk>-year-old with dyspnea.
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A portable upright radiograph the chest demonstrates clear lungs and normal hilar and cardiomediastinal contours. There is no pneumothorax or pleural effusion. Pulmonary vasculature is normal. There is no pneumoperitoneum. A left chest wall port catheter terminates at the cavoatrial junction.
sudden onset severe abdominal pain. evaluate for free air in the abdomen.
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The lungs are clear without consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Hypertrophic changes are noted in the spine.
<unk>f with vomiting // evaluate for acs
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Relatively low lung volumes are seen. Irregular opacity projecting over the left upper lung as well as bibasilar opacities are similar compared to prior x-ray. Findings may be due to combination of atelectasis or chronic changes from prior infection. The cardiomediastinal silhouette is unchanged. No acute osseous abnormalities.
<unk> year old man with cough // evaluate for pneumonia