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The cardiac, mediastinal and hilar contours appear unchanged including evidence for prior coronary artery bypass graft surgery and mild cardiomegaly. Dishiscence of the third highest sternal wire appears unchanged. Small pleural effusions are difficult to exclude. In addition to mild vascular congestion, which appears unchanged, there are patchy increased opacities at the lung bases. Pneumonia cannot be excluded although these may be seen with volume loss and atelectasis. Lung volumes are low.
status post fall with rib pain.
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The heart size remains top normal. The mediastinal and hilar contours are unchanged with calcification of the thoracic aorta again noted at the arch. Pulmonary vascular is normal. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. Several compression deformities within the the thoracic spine are similar when compared to the prior ct torso.
seizure.
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Cardiac silhouette is mildly enlarged. The aorta is somewhat tortuous. No focal consolidation is seen. There is no large pleural effusion or pneumothorax. No overt pulmonary edema is seen.
history: <unk>f with h/o afib, now with symptomatic bradycardia with leukocytosis // r/o pneumonia
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Pa and lateral views the chest provided. Cardiomediastinal silhouette is stable. Lungs are clear. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>f with hyperglycemia and cough, evaluate for pneumonia.
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As compared to the previous radiograph, there is no relevant change. Bilateral parenchymal opacities at low lung volumes are constant. Borderline size of the cardiac silhouette with retrocardiac atelectasis. Endotracheal tube and nasogastric tube in situ. No evidence of pneumothorax.
hypoxia, rule out pneumothorax.
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Lung volumes are slightly increased compared with the immediate prior study with unchanged enlargement of the cardiac silhouette and moderate left and small right pleural effusions. Subsegmental atelectasis in the right mid lung and left upper lung are unchanged, allowing for differences in projection. There is no focal consolidation or pneumothorax.
<unk> year old woman with shortness of breath abdominal evaluate effusion.
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Compared with <unk>, i doubt significant interval change. Again seen is an et tube, ng tube and right-sided picc line, nominal in position. Also again seen are low inspiratory volumes, with pronounced patchy opacity at both lung bases. There is mild vascular plethora. While a small amount of layering of fluid cannot be excluded on left, no gross effusion is identified. No pneumothorax detected.
<unk> year old man with pancreatitis, ards, and vap. // please assess for interval change
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Lungs are clear. No signs of pneumonia or edema. No large effusion or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>-year-old female with cough and right-sided chest pain
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Comparison is made to the previous study from <unk>. The tracheostomy and left-sided catheter are unchanged. There is persistent cardiomegaly. There are diffuse parenchymal opacities which are slightly improved when compared to the prior study. There are bilateral pleural effusions as well. No pneumothoraces are seen.
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The lungs are clear of consolidation. Right lung base pulmonary nodule is similar compared to previous exams from <unk>. The cardiomegaly cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>m with left flank pain s/p trauma // eval for left posterior rib injury
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The neoesophagus is distended and predominantly fluid filled, but the degree of distention has decreased compared to the prior radiograph. Nasogastric tube remains in place in the conduit. Moderate right pleural effusion is again demonstrated with adjacent atelectasis in the right middle and lower lobes, slightly worse compared to the prior study. Left basilar atelectasis and effusion are slightly improved. Previously reported bowel herniation within the left hemithorax is again demonstrated with increased distention of bowel loops. This could be more fully evaluated by ct if warranted clinically.
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The heart size is mildly enlarged. The hilar and mediastinal contours are normal. There is a consolidation at the left lung base. There is mild right basilar atelectasis. There is no evidence of pneumothorax. The visualized osseous structures are unremarkable. There is no large pleural effusion.
history of uterine cancer, hypoxia. please evaluate for pneumonia.
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The lungs are normally expanded and clear. Heart size is normal. The mediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. There are large flowing anterior and left lateral osteophytes emanating from the thoracic spine.
<unk> year old woman with sob. has <unk> of dmt<num>, htn and ckd // r/o pneumonia
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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>m with cough // ?pna
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Low lung volumes are noted with secondary bibasilar atelectasis, left greater than right. The lungs are otherwise clear without large effusion or consolidation. Enteric tube is seen to pass below the diaphragm, tip at the gastric fundus, side-port past the ge junction. Cardiomediastinal silhouette is within normal limits.
<unk>m with new ngt // ngt position
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There is an placement of a right hd dialysis catheter since the prior chest radiograph of <unk>. The cardiac silhouette is top normal in size. The mediastinal contours are within normal limits. There is minimal calcification of the aortic knob. A small amount of right pleural fluid is again seen. No left pleural effusion is seen. There is mild interstitial pulmonary edema and prominence of the pulmonary vasculature. No pneumothorax is seen.
<unk>-year-old man did not finish dialysis today, here to evaluate for fluid overload.
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Endovascular graft in the tortuous descending thoracic aorta has an unchanged configuration since <unk>. Previously described ill-defined opacity in the right lower medial lung, which raised concern for pneumonia has substantially resolved. There are no other new opacities. No pleural effusion. Mild to moderately enlarged heart size is unchanged.
<unk>-year-old woman with persistent fatigue, status post right lower lobe pneumonia, for further evaluation.
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Anterior cervical fusion hardware projects over the neck. Lungs are slightly hyperexpanded similar to the prior study but clear. The heart is not enlarged. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax.
fever and dyspnea. rule out pneumonia.
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Slightly rotated positioning. The tip of the tracheostomy tube lies approximately <num> cm above the carina. The cardiomediastinal silhouette is probably unchanged. Again seen is left lower lobe collapse and/or consolidation, possibly with a small left effusion. Opacity in the right upper zone medially is more pronounced on the current examination. There due to appear to be associated air bronchograms. Opacity at the right base appears improved, with improved visualization of the right hemidiaphragm. A small right effusion remains present. Again seen is the right sided port-a-cath, with tip in the region of the cavoatrial junction. The left ij central line is again seen, with tip over mid/distal svc. Although it is difficult to confirm the patient's position, there is suggestion of left convex rotary scoliosis of the lumbar spine. It remains possible, albeit less likely, that this is an artifact due to positioning. Rounded iatrogenic structure over the left lower abdomen is compatible with a gastrostomy tube.
<unk> year old woman with tracheostomy s/p exchange // interval change
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As compared to the previous radiograph, there is no relevant change. Normal lung volumes, no pneumonia, no pleural effusions, no pulmonary edema. Relatively severe degenerative spine disease. Azygos lobe lobe as normal variant.
evaluation for pneumonia.
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Ap portable upright view of the chest. Lung volumes are low. Overlying ekg leads are present. Allowing for limitations, the lungs are clear. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact.
<unk>f with cough // ?pna
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Portable ap view of the chest provided. Lung volumes are markedly low, though appear clear. Heart size appears enlarged, though this may be due to technique. Mediastinal contour appears grossly within normal limits. Bony structures are intact.
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Cardiomediastinal silhouette is within normal limits. There are no focal consolidations, pleural effusion, or pulmonary edema. There are no pneumothoraces. There are calcifications of the thoracic aorta.
<unk> year old man with stroke going to cea // pre op surg: <unk> (cea)
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As compared to the previous radiograph, there is mild increase in extent of a pre-existing left pleural effusion. Minimal right pleural effusion. Unchanged substantial cardiomegaly with extensive retrocardiac and right basal atelectasis as well as enlargement of the diameter of the mediastinum. The monitoring and support devices are constant.
evaluation for interval change.
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As compared to <unk>. Pulmonary vascular congestion has not changed. Bilateral lower lobe opacities are new. Small bilateral pleural effusions are also new. Cardiac size is top-normal. Multiple h shape vertebral bodies are present.
<unk> year old woman with sickle cell, with chest pain // eval for infiltrates
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Again seen is the ill-defined right upper lobe opacity that is better characterized on the ct from the same day. There continues to be severe cardiomegaly that is unchanged. There is no evidence of flash pulmonary edema
<unk> year old woman with dyspnea, respiratory muscle use, ef <unk>% // please evaluate for flash pulmonary edema
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Lungs are well-expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.
history: <unk>f with seizure, altered mental status // eval for acute process
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Frontal and lateral views of the chest were performed. The lungs are hyperinflated. There is no pleural effusion, pneumothorax or focal airspace consolidation. The cardiac silhouette is top-normal in size but unchanged from prior. The mediastinal contours are unremarkable. There is a moderate kyphosis of the thoracic spine without a discrete compression fracture.
altered mental status, severe diffuse abdominal pain and bilious emesis. evaluate for an acute intrathoracic process.
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The heart is top-normal in size. The aorta is tortuous and shows some mural calcification. The lung volumes are somewhat low which accentuates bronchovascular markings. Given that, there is increased opacity involving the right lower lobe which could represent atelectasis or infection in the appropriate clinical setting. The left lung appears clear. There is no pulmonary edema, pleural effusion or pneumothorax.
<unk> year old woman with cough and dyspnea // r/o infiltrate
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The lungs are clear without evidence of focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is normal. There is no evidence of pulmonary vascular congestion. A focal calcification appears to be within the right breast, unchanged. Surgical clips are noted projecting over the right upper quadrant. No displaced rib fractures are seen.
hypertension, prior rib fracture presents with chest pain. question rib fracture, cardiopulmonary process.
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The heart size is normal. Calcification is noted of the aortic knob with mild unfolding of the descending thoracic aorta. There is a small left pleural effusion versus pleural thickening. There is no right pleural effusion. There is no pneumothorax. Lungs are hyperexpanded with flattened hemidiaphragms and enlarged retrosternal air space, consistent with copd. No focal consolidations concerning for pneumonia. A small opacity in the left mid lung may represent superimposition of shadows. The upper abdomen is unremarkable. Degenerative changes are seen in the thoracic spine.
<unk>f with shortness of breath.
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The heart is mildly enlarged, and emphysema and left upper lobe fibrosis is again seen. The lungs are otherwise clear of focal consolidation, pleural effusion or pneumothorax. There are left axillary surgical clips. The mediastinal contours are normal.
<unk> year old woman with left upper extremity dvt, fever, confluent rash over arm, chest and neck // rule out infectious source
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Ap portable upright chest radiograph provided. Midline sternotomy wires and mediastinal clips are noted. There is mild bibasilar atelectasis. No definite signs of pneumonia or chf. Cardiomediastinal silhouette is normal. Bony structures are intact.
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The lung volumes are normal. There is no pleural effusion, pneumothorax or focal airspace consolidation. Bibasilar opacities are likely atelectasis. The heart is top normal size but unchanged from <unk>. There is no pulmonary edema. The mediastinal and hilar contours are unremarkable.
fever, cough and smoker congestion. evaluate for a pulmonary process.
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The lungs are clear without focal consolidation, effusion, or edema. There is no pneumothorax. Cardiomediastinal silhouette is stable. Prosthetic mitral valve is noted.
<unk>f with chest pain, sob // rule out radiographic causes of chest pain
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In comparison with study of <unk>, there is increased opacification at the right base silhouetting the hemidiaphragm. Some of this may reflect asymmetric pulmonary edema, more prominent on the right. However, in view of the clinical history, aspiration with possible secondary effusion should be seriously considered. Left lung is essentially clear.
acute aspiration.
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The lungs are clear. There is no evidence of pneumonia, pneumothorax, or pleural effusion. Cardiac silhouette is normal in size.
<unk>f with chest pain // eval for infiltrate, widened mediastinum
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The picc line tip is in the upper svc, just past midline. There is a new right middle lobe infiltrate with obscuration of right heart border. There is mild pulmonary vascular redistribution.
picc line placement.
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Pulmonary vascular congestion has increased compared with the prior study with cephalization and no overt edema. Moderate cardiomegaly is unchanged. Pleural effusions, small to moderate on the left and trace on the right have increased compared with the prior study. There is no focal consolidation or pneumothorax. The cardiomediastinal silhouette is normal. Mediastinal widening with leftward deviation of the trachea is unchanged from multiple prior studies and related to enlarged right thyroid lobe.
<unk>m with shortness of breath, evaluate for acute process.
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Patient is rotated to the left.lung volumes are low. There are bibasilar opacities which could be secondary to atelectasis in this setting. Cardiomediastinal silhouette is grossly unchanged. S-shaped thoracolumbar scoliosis is again noted.
<unk>f with epigastric pain // eval for chf/pneumonia
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Compared to prior, there has been no significant interval change. The lungs are grossly clear. The cardiomediastinal silhouette is stable. No acute osseous abnormalities identified.
<unk>m with acute onset l sided chest pain // eval heart and lungs
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Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is identified. No acute osseous abnormality is detected.
history: <unk>m with weakness, assymetric lung exam
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No focal consolidation is seen. Areas of costochondral calcification or re- demonstrated. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Slight prominence of the main pulmonary artery can be seen with pulmonary hypertension.
history: <unk>f with cough and vomiting. // ?pneumonia
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Prior right-sided central venous catheter is no longer seen. There is a moderate left pleural effusion, slightly smaller when compared to prior. There is also a trace right pleural effusion, also decreased. Streaky right basilar opacities are likely secondary to atelectasis. Superiorly, the lungs are clear. Cardiomediastinal silhouette is grossly unchanged although partially obscured. Coronary artery stents are noted as well as mediastinal clips. No acute osseous abnormalities.
<unk>f w/ n/v/d, esrd on t/th/s dialysis, no dialysis since tues <unk> malaise // eval ? fluid overload, occult infection
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The patient is severely rotated on the current study, this limits assessment. The swan-ganz catheter appears broad-based similar in configuration and the ecmo catheter is unchanged in location. The endotracheal tube terminates <num> cm above the level the carina. A nasogastric tube terminates, likely in the stomach. No pneumothorax seen. Apparent hazy opacification of the left lung is likely due to patient positioning. Presumed hero graft in the right axilla.
<unk> year old woman s/p ecmo // eval for pneumothorax
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Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal lung consolidation.
<unk>-year-old man with cough and fever evaluate for pneumonia.
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A left subclavian approach port-a-cath terminates at the cavoatrial junction. Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.
history of all with cough.
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There has been interval removal of a previously seen right-sided central venous catheter. Multiple old left-sided rib deformities are again seen. What appears to be a safety pin overlies the left axilla. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
elevated inr.
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The visualized lung fields are clear without any focal consolidation, pleural effusion or pneumothorax. The cardiac and mediastinal silhouette is unremarkable.
fever status post liver transplant, evaluate for pneumonia, edema or effusion.
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The lungs are well inflated and clear. A right lower lobe calcified granuloma is again noted. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax.
<unk> year old woman with cough, rule out pneumonia.
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As compared to the previous radiograph, no relevant change is seen. Monitoring and support devices are in constant position. Constant appearance of the bilateral severe parenchymal opacities. Lung volumes remain low. No larger pleural effusions are visualized.
ards, respiratory failure, evaluation for interval change.
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Pa land lateral views of the chest. Relatively low lung volumes are seen. The lungs are grossly clear without confluent consolidation or effusion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
<unk>-year-old female with cough, fever, and chills. question pneumonia.
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The lungs are clear without focal consolidation, pleural effusion or pneumothorax. There is no pulmonary edema. The heart is normal in size, and the mediastinal contours are normal.
<unk>-year-old male with new neurological deficits. evaluate for pneumonia or mass.
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Pa and lateral views of the chest provided. Faint linear atelectasis noted in the lower lungs. Otherwise, lungs are clear. No focal consolidation, effusion or pneumothorax. No evidence of pulmonary edema. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. Surgical anchors in the right humeral head noted. No free air below the right hemidiaphragm is seen.
<unk>m with cough and shortness of breath
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In comparison with the study of <unk>, there has been the development of a substantial right pleural effusion. Compressive atelectasis is present at the base and there is no appreciable shift of midline structures to the opposite side. No vascular congestion or acute focal pneumonia. There is extensive opacification involving the liver, consistent with a huge calcified mass.
decreased breath sounds on the right, to assess for pleural effusion.
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In comparison with study of <unk>, the questioned area of opacification in the right upper lobe laterally is not definitely appreciated. No acute pneumonia, vascular congestion, or pleural effusion.
copd with possible opacity on prior study.
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The lungs are clear without focal consolidation, effusion, or edema. Moderate to large hiatal hernia is noted with an air-fluid level. No acute osseous abnormalities.
<unk>m with vomiting x<num>-<num> times
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Both lungs are well expanded and clear. No opacities concerning for pneumonia or atelectasis or pulmonary edema. Mild right middle lobe bronchiectasis demonstrated on prior chest cts is not well appreciated on chest radiograph. There is no pleural effusion. Heart size is normal. Mediastinal and hilar contours are unremarkable.
<unk>-year-old woman with <unk> but now worsening cough, shortness of breath, to rule out pneumonia.
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Ij catheter tip is unchanged. Worsening pulmonary vascular congestion likely reflecting volume overload. Cardiomediastinal silhouette is notable for interval bulging of the left pulmonary outflow tract reflecting pulmonary arterial dilatation. This can be due to extensive vascular congestion and volume overload or perhaps embolic phenomena leading to acute increase in pulmonary pressures which needs to be correlated clinically. Heart size is top normal. No significant pleural effusions and no pneumothorax.
a <unk>-year-old man status post kidney transplant with new onset shortness of breath, possible fluid overload?
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Pa and lateral views of the chest were provided. Midline sternotomy wires and mediastinal clips are noted. There is spinal fusion hardware along the lower thoracic spine extending to the upper lumbar spine. Mild bibasilar platelike atelectasis is noted. There is no focal consolidation to suggest pneumonia or contusion. No pneumothorax or pleural effusion. Cardiomediastinal silhouette is normal. No definite acute fractures are identified.
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Moderate left pleural effusion and left lower lobe atelectasis are unchanged and left trans subclavian right atrial ventricular pacer leads, continuous from the left pectoral generator pharyngeal. There is no pneumothorax or mediastinal widening. Right lung is clear.
<unk> year old man with status post ppm // evaluate for lead placement
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Single semi-erect ap portable view of the chest was obtained. There are relatively low lung volumes, which accentuate the bronchovascular markings at the lung bases. Given this, no focal consolidation, large pleural effusion, or evidence of pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable. No overt pulmonary edema is seen.
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Lungs are fully expanded and clear. There is no focal consolidation, effusion, or pneumothorax. Mediastinal and hilar contours are normal. Heart size is normal.
<unk> year old woman with cough/sob/decr basilar bs // r/o basilar pna
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Lung volumes are low accentuating the cardiac silhouette and pulmonary vasculature. Heart size is top-normal with mild unfolding of the thoracic aorta. Hilar contours are unremarkable. There are probable trace bilateral pleural effusions. Similar left retrocardiac density. Lungs are otherwise clear. There is no pneumothorax.
<unk> year old man with metastatic melanoma and new cough. // pneumonia?
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Frontal and lateral radiographs of the chest demonstrate low lung volumes with a mildly enlarged heart. Mediastinal and hilar contours are normal. Mild pulmolnary vascular congestion without overt pulmonary edema is again noted. The lungs are clear. No large pleural effusion or pneumothorax. No displaced rib fracture identified. A vagal stimulator is again noted.
hypothermia, evaluate for pneumonia.
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Cardiac silhouette size is normal. The aorta is mildly tortuous. Mediastinal and hilar contours are otherwise unremarkable. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Pulmonary vasculature is normal. No acute osseous abnormalities present.
history: <unk>f with left sided chest pain // eval for widened mediastinum
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As compared to the previous radiograph, there is no relevant change. The lung volumes remain low. There is no evidence of focal parenchymal opacities suggesting pneumonia. Minimal areas of atelectasis at the lung bases are constant. Unchanged size and shape of the cardiac silhouette. No larger pleural effusions.
status post hepatic lobectomy, evaluation for pneumonia.
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Endotracheal tube has been withdrawn slightly but still appears low in position, terminating at the carina. Recommend withdrawal by approximately <num> cm for more optimal positioning. Enteric tube continues to course below the level of the diaphragm, inferior aspect not included on the image. There are low lung volumes. Cardiac and mediastinal silhouettes are stable. Spinal hardware is again seen. No large pleural effusion or pneumothorax. No definite focal consolidation.
history: <unk>f with ett tube readjusted since intubation confirm ett placement // eval ett tube placement
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Ng tube passes beyond the ge junction into the stomach with the tip not visualized. The lungs are clear, the cardiomediastinal silhouette and hila are normal aside from mild cardiomegaly. There is no pleural effusion and no pneumothorax.
<unk>-year-old with bowel obstruction. ng tube placement.
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The lungs are well expanded and clear. The cardiomediastinal silhouette, hila, and pleural surfaces are normal. There is no pericardial calcification.
<unk> year old woman with anterior chest pain known mild pericarditis // check cardiac size and check lungs
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In comparison with study of <unk>, the monitoring and support devices remain in place. There is again some enlargement of the cardiac silhouette with layering right pleural effusion and compressive atelectasis at the base. Opacification at the left base is consistent with some volume loss in the left lower lobe and small pleural effusion. Pulmonary vascularity is difficult to assess, though it may be mildly elevated.
fluid overload.
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Pa and lateral views of the chest provided. Lungs remain hyperinflated. Tiny clips again noted projecting over the chest wall. There is new consolidation in the anterior left mid lung concerning for pneumonia. Otherwise lungs appear clear. No pleural effusion or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact.
<unk>f with cough // evaluate for pneumonia
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Since prior, heart is mildly bigger and bilateral lung opacities are more pronounced suggesting mild heart failure. Right chest tube has been removed and there is no pneumothorax. A presumed left pleural effusion is not substantial. Temporary pacing wire and endotracheal tube are unchanged in position.
<unk> year old woman s/p avr and ct removal, assess for pneumothorax.
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The lungs are well expanded and clear. Moderate cardiomegaly is stable from <unk>, and there are no secondary signs of acute decompensation. The mediastinal contours, hila, and cardiac borders are stable. No pneumothorax or pleural effusion. A moderate hiatal hernia is noted.
<unk> year old woman with history of chf, here with acute cough, asymmetric breath sounds diminished in l lower lobe // assess for pneumonia, pulm edema or pleural effusion
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Frontal and lateral views of the chest were obtained. Heart size and cardiomediastinal contours are normal. Linear opacity in the right lower lung is consistent with atelectasis. No focal consolidation, pleural effusion, or pneumothorax.
<unk>-year-old female with history of dvt, now with left leg pain and chest pressure.
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Interval placement of a right internal jugular central venous catheter terminating within the proximal right atrium. There is no evidence of focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. The cardiomediastinal silhouette is within normal limits.
history: <unk>f with sepsis and new r ij // eval r ij placement
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There is been interval placement of a left-sided chest tube with pigtail formed along the periphery of the left mid lung field. Previously noted large pneumothorax has slightly decreased in size with improved aeration of the atelectatic left lung. Previously noted mild rightward shift of mediastinal structures has nearly completely resolved. The right lung remains emphysematous and hyperinflated. No pleural effusion or new focal consolidation is demonstrated. Heart size is normal. No pulmonary edema is seen. Extensive subcutaneous emphysema is noted along the left lateral chest, new in the interval, related to chest tube placement.
history: <unk>m with left pneumothorax status post pigtail placement
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The patient is status post median sternotomy and cabg. Mild to moderate enlargement of cardiac silhouette is unchanged. The aortic knob remains calcified. There is worsening pulmonary edema which is now mild in extent. A moderate to large right pleural effusion appears relatively unchanged compared to the prior exam. There is continued right basilar opacification which may reflect compressive atelectasis though underlying infection cannot be excluded. No pneumothorax is identified, and a left-sided pleural effusion is not noted.
possible myocardial infarction and aspiration.
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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. Slight elevation of the left hemidiaphragm due to gaseous distention of the stomach is noted.
left chest pain after motor vehicle collision
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Heart size is top normal. The mediastinal and hilar contours are unremarkable. No pulmonary edema is present. There is no focal consolidation, pleural effusion or pneumothorax. Streaky left lower lobe opacity may reflect atelectasis. No acute osseous abnormalities seen.
history: <unk>f with blast crisis
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Frontal and lateral views of the chest were obtained. Lucency in the upper lung zones, right more than left, is compatible with severe emphysema. Linear opacities in the lower lungs are likely due to compression of vessels with areas of linear scarring and a bandlike scar in the right middle lobe, similar to the prior ct. There is no focal consolidation, pleural effusion, or pneumothorax. Heart size is normal. Median sternotomy wires are intact after cabg. Cardiac and mediastinal silhouette and hilar contours are stable.
copd, bronchiectasis with episodes of fatigue and dyspnea.
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As compared to the previous radiograph, the patient has been intubated. The tip of the endotracheal tube projects <num> cm above the carina. The course and position of the left picc line is unchanged. Lung volumes have slightly decreased. As a consequence, there is mild widening of the right aspects of the mediastinum. The pre-existing small right basal atelectasis is constant. Mild retrocardiac atelectasis. Mild cardiomegaly without signs of overt pulmonary edema.
intubation, endotracheal tube placement.
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Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is seen. There is no overt pulmonary edema.
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As compared to the previous radiograph, no relevant change is seen. Right pectoral port-a-cath. Moderate cardiomegaly. Mild atelectasis at the left lung bases, potentially combined with a minimal left pleural effusion. Moderate tortuosity of the thoracic aorta. No pneumonia, no pulmonary edema.
fever, rule out pneumonia.
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Frontal and lateral radiographs of the chest were acquired. Patchy right lower lobe opacities are suggestive of atelectasis. The lungs are otherwise clear. The heart is mildly enlarged. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen. The trachea is normal in course and caliber.
new-onset atrial fibrillation. evaluate for fluid overload.
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In comparison with the earlier study of this date, the right ij sheath has been removed. The patient has taken a better inspiration. Mild opacification at the bases is consistent with atelectatic change. Again, there is substantial enlargement of the cardiac silhouette without appreciable vascular congestion, suggesting underlying cardiomyopathy.
possible pneumonia.
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Support and monitoring devices are in standard position, and cardiomediastinal contours are stable allowing for patient rotation. Interstitial edema has slightly improved. Persistent left retrocardiac opacity, most likely due to atelectasis, with adjacent small left pleural effusion. Apparently increasing small-to-moderate right pleural effusion, although differences in positioning may contribute to this apparent change.
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Endotracheal and enteric tubes, as well as a catheter projecting over the lower thoracic spine remain in unchanged positions. Left-sided dual-chamber pacemaker device is re- demonstrated with leads in similar positions. The patient is status post median sternotomy, cabg, with coronary artery stenting noted. Cardiac and mediastinal contours are unchanged. Lung volumes are low, but slightly improved compared to the most recent previous study, with crowding of bronchovascular structures but no overt pulmonary edema. Patchy opacities in the lung bases are re- demonstrated, likely areas atelectasis as these findings were not present on the initial radiographs. No pneumothorax is present.
history: <unk>m with concern for early ards // lung field opacity, pneumonia?
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Frontal and lateral views of the chest were obtained. Subtle patchy opacity projecting adjacent to the left ventricular apex on the frontal view, not well substantiated on the lateral view, is most likely artifactual, however, if the patient has site of pain projecting over the left lower hemithorax, an evolving consolidation cannot be excluded. The right lung is clear. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable and unremarkable.
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Low lung volumes are present, which accentuates the size of the cardiac silhouette which appears moderately enlarged, not substantially changed from the prior study. The aorta is mildly unfolded with atherosclerotic calcifications noted diffusely. Hilar contours are similar with no evidence for pulmonary vascular congestion. Patchy opacities in the lung bases may reflect atelectasis. No pleural effusion, focal consolidation or pneumothorax is detected. There are no acute osseous abnormalities.
history: <unk>m with dyspnea
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Single ap upright portable view of the chest. External artifact overlying the right chest makes evaluation slight suboptimal. Lung volumes are relatively low. There is prominence of the bilateral pulmonary vasculature, worrisome for pulmonary edema. More focal areas of patchy opacity in the right lung as compared to the left could be due to asymmetric pulmonary edema, but infection or aspiration or not excluded in the appropriate clinical setting. No large pleural effusion is seen although a small pleural effusion is difficult to exclude. There is no evidence of pneumothorax. Cardiac silhouette is top-normal to mildly enlarged. Mediastinal contours are grossly unremarkable.
history: <unk>f with sob // eval for consolidation
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Pa and lateral views of the chest provided. Lungs are hyperinflated. There is prominence the central perihilar vessels compatible with central vascular congestion and mild pulmonary interstitial edema. There is blunting of the posterior costophrenic angles, appreciated on lateral view, likely representing bilateral trace pleural effusions. There is no focal consolidation. Cardiomediastinal silhouette is stable from most recent chest radiograph. There is no pneumothorax. There is no acute osseous abnormality.
history: <unk>m with ams // pneumonia?
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Frontal and lateral views of the chest. The lungs are clear of consolidation or effusion. Mild biapical scarring is seen. There is no pneumothorax. The cardiomediastinal silhouette is within normal limits. Scattered atherosclerotic calcifications noted at the aortic arch. No displaced rib fracture identified. Degenerative changes seen at the right shoulder and in the thoracic spine. Surgical clips seen in the right upper quadrant.
<unk>-year-old male with left rib pain status post fall.
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Elevation of the right hemidiaphragm is seen. Prominence of the perihilar vasculature suggests moderate pulmonary vascular congestion. There is increase in left mid to lower lung opacity which may be related to worsening pulmonary vascular congestion in combination with left-sided pneumonia. No large pleural effusion is seen although a small left pleural effusion be difficult to exclude. Cardiac and mediastinal silhouettes are stable.
<unk> year old man with chf and nstemi // evaluation of pulmonary edema
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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 fall at home. low back pan and right subscapular pain and abrasions
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Lung volumes are decreased, leading to crowding of the bronchovascular structures. Linear, bibasilar atelectasis is seen. Otherwise, there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette are unchanged in appearance. Calcifications are noted at the aortic arch. No free air is seen beneath the right hemidiaphragm.
history: <unk>f with abdominal pain, brbpr, hx of perforated viscous // upright chest: evaluate for abdominal free air
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As compared to the previous radiograph, there is no relevant change. The monitoring and support devices are in constant position. There are unchanged bilateral pleural effusions, moderate cardiomegaly, signs of mild-to-moderate pulmonary edema and areas of relatively extensive atelectasis. No new parenchymal opacities. No pneumothorax. Unchanged mediastinal contours.
history of ards, status post gastric perforation. evaluation.
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old male with chest pain and palpitations.
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Low lung volumes are noted along with obscuration of the left costophrenic angle, likely representing a pleural effusion. There is mild pulmonary vascular congestion. The right ij catheter terminates in the right atrium. There is no focal consolidation or pneumothorax. Median sternotomy wires and aortic valve replacement are noted. There is no change in the cardiomediastinal silhouette.
recent aortic valve replacement. evaluation for effusion.
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As compared to <unk>, endotracheal tube terminates <num> cm from the carina. The nasogastric tubes is curled in the known large hiatus hernia containing the majority of the stomach as well as loops of transverse colon. Right ij catheter is in the right atrium. Moderate pulmonary edema has increase since the prior. Small bilateral effusions are stable. No pneumothorax.
<unk> year old woman with ett, pulmonary edema // pna, edema