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Ap portable upright view of the chest. Elevated right hemidiaphragm is again noted with right basal atelectasis. No convincing signs of pneumonia or overt edema. No large effusion or pneumothorax. Heart size cannot be assessed due to low lung volumes. Mediastinal contour is normal. The imaged bony structures are intact.
<unk>m with tachy, hypotension // eval for afib
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Compared to the prior study, lung volumes are lower and moderate pulmonary edema is slightly worsened. Dual lead left-sided aicd is unchanged in appearance. Cardiomegaly is unchanged. No new focal consolidation or large pleural effusions. No pneumothorax.
<unk>m with cp and edema. evaluate for other acute process.
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Portable ap chest radiograph demonstrates no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is likely exaggerated due to projection. Median sternotomy wires are intact.
dyspnea.
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The heart is normal in size. Each hilum appears mildly enlarged. This appearance may be due to lymphadenopathy or enlarged pulmonary arteries, although lack of enlargement of pulmonary arteries on the lateral view makes some degree of lymphadenopathy perhaps more likely. There are also patchy lower lung opacities bilaterally, probably in the right lower lobe and lingula. Posterior lower lung opacification is better visualized on the lateral view.
fever, chills, headache, and seizure. history of hiv.
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The lungs are clear of focal consolidation. Enlarged hila seen bilaterally as seen on previous exams. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with cough // acute process?
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The lungs are well-expanded and clear. There is no hilar or pleural abnormality. The cardiomediastinal silhouette is stable. Median sternotomy wires, aortic core valve, and prosthetic mitral valve are unchanged. No acute osseous abnormalities are detected. Minimal anterior height loss of multiple thoracic vertebra is unchanged.
<unk>f with increasing dyspnea on exertion // eval for infiltrate and edema
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The cardiac silhouette size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal and the lungs are clear. No pleural effusion or pneumothorax is seen. There are mild degenerative changes in the thoracic spine.
presyncope, no cardiac history.
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The lateral view is somewhat suboptimal due to patient's overlying arm. There are low lung volumes, which accentuate the bronchovascular markings. There is left base retrocardiac opacity with subtle suggestion of air bronchograms, worrisome for pneumonia. There is also blunting of the left costophrenic angle which may be due to a small pleural effusion. There is stable minimal blunting of the right costophrenic angle. No pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Degenerative changes at the glenohumeral joints are partially imaged.
dyspnea, cough, chest pain.
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Ap portable upright view of the chest. An endotracheal tube terminates <num> cm above the carina. An orogastric tube terminates within the stomach, with the side hole just below the diaphragm. There is a new right basilar opacity, likely reflecting a combination of a new moderate right pleural effusion with adjacent compressive atelectasis. The heart is mildly enlarged. There is no pneumothorax or left pleural effusion.
sah // is ogt in place
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The heart is normal in size. The lung volumes are low. The superior vena cava appears distended and there is mild bilateral hilar congestion, all suggesting mild fluid overload. However, the lungs appear otherwise clear. There is no pleural effusion or pneumothorax. The bony structures are unremarkable.
alcohol intoxication presenting with cough after recent fall.
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Pa and lateral chest radiographs demonstrate hyperexpanded and clear lungs without a focal opacity convincing for pneumonia. Cardiomediastinal and hilar contours are within normal limits. A right chest port terminates within the right atrium. There is no pleural effusion or pneumothorax. Mild compression deformity at the thoracolumbar junction is of indeterminate age.
history: <unk>f with hx of pancreatic adenocarcinoma s/p whipple, afib on coumadin presents with <num> day hx of sob and substernal chest pain with tachycardia to the <num>s // please evaluate for pneumonia, volume overload, cardiopulmonary process
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In comparison with study of <unk>, with the chest tube on waterseal, there appears to be a small apical pneumothorax. Otherwise, little change in the appearance of the heart and lungs and the subcutaneous gas and multiple rib fractures.
chest tube on waterseal.
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The cardiomediastinal silhouettes are stable. The hila are unremarkable, although the right hilum is suboptimally assessed. The right suprahilar mass is grossly stable in appearance. Right lung volume loss is unchanged. Left lower lung airspace opacity is only appreciated on frontal projection, and appears new since prior exams. No correlate is identified on lateral view. There is no pneumothorax or pleural effusion.
<unk>m with seizure, rule out infiltrate.
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Frontal and lateral radiographs of the chest demonstrate normal heart size, mediastinal and hilar contours. The lungs are clear. No pleural effusion or pneumothorax.
chest pain, evaluate for pneumonia or pneumothorax
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Lung volumes are unchanged compared to the prior study. A nasoenteric tube is in-situ, the tip is not visualized but lies below the left hemidiaphragm. No consolidation, pneumothorax or pleural effusion seen. The cardiomediastinal contour is unchanged.
<unk> year old woman with bilateral intraparenchymal hemorrhages in a vegetative state now with fevers, white count. // evaluate for any interval change, new infiltrate?
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As compared to the previous radiograph, there is a substantial improvement in extent and severity of the pre-existing left upper lobe and right lower lobe opacity. Otherwise, the lung volumes remain low and there is mild fluid overload as well as a borderline size of the cardiac silhouette. No larger pleural effusions. Unchanged position of the hemodialysis catheter in the right internal jugular vein.
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Ap and lateral views of the chest. The lungs are clear of focal consolidation, effusion, or pulmonary vascular congestion. The heart is enlarged, but similar compared to prior. No acute osseous abnormality is identified.
<unk>-year-old female with shortness of breath, now on atrial fibrillation.
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Cardiac and mediastinal contours are normal. Hilar contours are unchanged with fullness of the right hilum compatible with underlying lymphadenopathy as seen on the recent ct. Pulmonary vasculature is not engorged. Diffuse bronchiectasis with bronchial wall thickening and small nodular opacities throughout both lungs are minimally improved compared to the prior radiograph compatible with history of cystic fibrosis. More focal opacity is noted in the left lower lobe, not substantially changed in the interval, compatible with an area of pneumonia. No pleural effusion or pneumothorax is demonstrated. No acute osseous abnormality is detected.
history: <unk>m with cystic fibrosis status post exacerbation
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Ap portable upright view of the chest. Cardiomegaly is again noted with pulmonary vascular congestion and severe pulmonary edema. Small pleural effusion is difficult to exclude. Difficult to assess for underlying pneumonia. No large pneumothorax. Bony structures are intact.
<unk>m with acute respiratory failure // eval for pna
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The lungs are well-expanded and clear. No focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal silhouette, hila, and pleura are normal.
<unk>-year-old woman, total right hip replacement.
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Pa and lateral views of the chest. No prior. The lungs are clear. Costophrenic angles are sharp. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with shortness of breath. evaluate for pulmonary effusion.
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The lungs are slightly hyperinflated with increased ap diameter. A large bulla is seen in the right apex. There is no focal consolidation, pleural effusion or pneumothorax. Heart size is normal. Mediastinal silhouette and hilar contours are normal.
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Frontal and lateral views of the chest were obtained. There is a large area of consolidation in the right lower lobe, highly worrisome for pneumonia. The left lung is essentially clear. There is no pleural effusion or pneumothorax. Cardiac and mediastinal silhouettes are unremarkable.
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Again, there is a calcified lesion projecting over the right breast. This is unchanged from the prior radiograph. There is no pulmonary edema or focal airspace consolidation. The right pleural effusion appears slightly larger in comparison to prior exam. The right hemidiaphragm remains slightly elevated in comparison to the left. There is no left pleural effusion. There is biapical pleural scarring. There is no pneumothorax. The mediastinal contours are normal. The cardiac silhouette is mildly enlarged, and stable.
palpitations.
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In comparison with the study of <unk>, there has been placement of a dobbhoff tube that is coiled within the upper stomach. Persistent opacification at the left base silhouetting the hemidiaphragm.
dobbhoff placement.
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Frontal and lateral radiographs of the chest demonstrate well expanded lungs. There is residual opacification seen in the right mid lung field, and streaks of atelectasis at the right and left mid lung fields. There are no pleural effusions or pneumothoraces seen. The cardiomediastinal and hilar contours are unremarkable.
<unk>-year-old female with a history of pneumonia. evaluate for interval change.
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Frontal and lateral radiographs of the chest show a moderate left pleural effusion obscuring the left hemidiaphragm which is probably unchanged from the supine radiograph of <unk> with the meniscus better visualized on today's upright exam. A small to moderate right pleural effusion is also probably unchanged from the prior radiograph. Associated bibasilar compressive atelectasis is stable. No pneumothorax is present. A right internal jugular central venous catheter has been removed since the prior radiograph. The patient is status post median sternotomy with wires intact. Cardiac silhouette cannot be assessed. The mediastinal contours are within normal limits with calcified aortic knob and deviation of the trachea to the right. A stent is unchanged in position in the midline corresponding to the upper abdominal aorta. Generalized loss of height and kyphosis is noted in the thoracic spine.
<unk>-year-old female with history of left pleural effusion, here to evaluate for recurrence of pleural effusion.
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Radiograph is centered at the diaphragm and excludes the lung apices. An endotracheal tube terminates approximately <num> cm above the carina, near the inferior border of the clavicular heads. An enteric tube side port is at least <num> cm above the gastroesophageal junction. Lungs are well-expanded, noting mild linear atelectasis in the lateral left lower lobe. Lungs are otherwise clear. Heart size is normal. Cardiomediastinal and hilar silhouettes are unremarkable.
<unk> year old man with post cardiac arrest, concern for pna, now intubated. ogt pulled out in transfer partially? // placement of ogt, ett
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There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
history: <unk>f with palpitations, hr <num> // eval ? edema, cardiomegaly
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The heart size remains mild to moderately enlarged. The aorta is unfolded with mild atherosclerotic calcifications visualized. Pulmonary vascularity is normal. The hilar contours are unremarkable. The lungs are clear. No pleural effusion or pneumothorax is identified. No acute osseous abnormalities detected.
hypertension to a systolic pressure of <num>'s, low oxygen saturation.
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Single ap portable view of the chest is provided. Bibasilar atelectasis, particularly at the right lower lobe, is improved since <unk> but still present. Otherwise, the lungs are clear. Cardiomediastinal silhouette is grossly unremarkable. Mediastinal contours appear normal. No pleural effusion, pneumothorax or opacities concerning for infectious process are present.
<unk>-year-old man, preop prior to laparoscopic cholecystectomy.
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The apices are excluded from the film. Allowing for this, compared to the prior study, there is new patchy opacity at the left base, though the left hemidiaphragm remains visible. Minimal opacity is seen at the right base, improved. Chain sutures are also noted in this location. The cardiomediastinal silhouette is grossly unchanged. Mild vascular plethora is present. Note made of contrast in the transverse colon.
<unk> year old man with ng tube // confirm ng tube placement
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Ap portable supine view of the chest. Endotracheal tube is seen with its tip residing approximately <num> cm above the carinal. Bilateral pulmonary opacities are noted concerning for pneumonia and possible edema. No supine evidence for effusion or pneumothorax the right cp angle is excluded. Cardiomediastinal silhouette is normal. No bony abnormalities. A clip in the right upper abdomen noted.
<unk>f with intubation cardiac arrest // eval ett
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Compared with the prior study, no change in positioning of the right subclavian central line. The moderate right-sided pleural effusion is similar since <unk>. There is likely adjacent compressive atelectasis. Cardiomediastinal silhouette is unchanged.
<unk> year old man with poems and new pleural effusion. evaluate for interval change.
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The lungs are well-expanded and clear. No focal consolidation, edema, effusion, or pneumothorax. The heart is normal in size. The mediastinum is not widened. No acute osseous abnormality.
<unk> year old woman with night sweats and productive cough for about <num> weeks // r/o pneumonia
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In comparison with the earlier study of this date, the right lower lobe collapse is cleared after bronchoscopy with some residual opacification. Right costophrenic angle is now sharply seen. Monitoring and support devices are essentially in good position.
re-positioned tubes.
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Single frontal view of the chest was obtained. Moderate cardiomegaly is similar to <unk>. Left brachiocephalic and svc vascular stents are in similar position to prior. There is calcification of the aortic knob. The pulmonary vascular markings are indistinct, compatible with congestion. There is a vague right lower lobe opacity, which likely represents mild atelectasis. No large pleural effusion is noted. No pneumothorax. Osseous structures appear unremarkable.
<unk>-year-old female with shortness breath. evaluate for pulmonary edema.
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The patient has had recent cabg with intact and aligned sternotomy wires. The left pectoral aicd and left ventricular assist device are unchanged in position. A tracheostomy tube terminates in the mid trachea. A nasogastric tube enters the stomach, tip not visualized. A swan-ganz catheter terminates in the main pulmonary trunk. Increased bilateral airspace opacities are most likely due to worsening pulmonary edema. A persistent retrocardiac airspace opacity is probably due to atelectasis. The main pulmonary artery is prominent as in the past. Marked cardiomegaly despite the projection is unchanged. The small left pleural effusion is unchanged.
<unk> year old man with lvad // check ett
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In comparison with the earlier study of this date, the dobbhoff tube has been advanced with the tip coiled in the upper fundus of the stomach. Otherwise, allowing for differences in patient rotation, there is little change.
<unk>, to assess for ng tube.
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A right internal jugular approach port-a-cath tip terminates in the right atrium. Lung volumes are low. Heart size is normal. Cardiomediastinal silhouette and hilar contours are unremarkable. Linear atelectasis is noted in the right upper lobe. There are small bilateral pleural effusions with adjacent bibasilar atelectasis. The lung apices are clear. There is no pneumothorax.
liver cancer presenting with abdominal distention. infectious workup.
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Pa and lateral views of the chest were provided. The lungs are clear bilaterally without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. The imaged bony structures are intact. No free air is seen below the right hemidiaphragm.
<unk>f with mvc, evaluate for pneumothorax.
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The heart size top normal and stable. Prominence of the pulmonary vessels is seen without evidence of pulmonary edema. There is a small right pleural effusion. No focal consolidations or pneumothorax are seen. Again seen are surgical clips at the right lung apex that are unchanged in position.
<unk> year old man with doe /multifocal alveolar abnormality seen on recent evaluation; recent pe // r/o chf/multifocal alveolar abnormality seen on recent evaluation; recent pe
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Frontal and lateral views of the chest were obtained. There is mild left base atelectasis. Consolidation is difficult to entirely exclude in the appropriate clinical setting. Right lung is clear. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are stable and unremarkable.
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Frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.
history: <unk>f with chest tightness now resolved // evaluate for acute process
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Since <unk> and the insertion of a right pigtail pleural drain, the previously large right pleural effusion has become very small. There is no pneumothorax. Moderate left sided pleural effusion slightly increased. New left perihilar opacification is asymmetric edema or pneumonia. The mediastinal contours are stable in appearance.
<unk> year old man with cll here with pericardial effusion and bilateral pleural effusions // r effusion, s/p pigtail, ?ptx
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Supine portable chest radiograph demonstrates an enlarged cardiac silhouette. Right basilar opacity is noted, which in the proper clinical context, may represent pneumonia. There is no pleural effusion or pneumothorax. An endotracheal tube is seen, terminating approximately <num> cm above the carina. A transesophageal tube is seen terminating in the stomach.
history: <unk>m with s/p cardiac arrest*** warning *** multiple patients with same last name! // eval for tube placement
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There is a right ij that terminates in the distal svc. The patient is status post sternotomy and cabg, with sternotomy wires that appear intact and appropriately aligned. There is an ng tube with the tip in the side hole below the diaphragm. There are surgical clips in the left upper abdomen. The bilateral pleural effusions have improved. There is a small residual left pleural effusion with bibasilar opacification. There is mild vascular congestion. Heart size is normal. The mediastinal and hilar contours are normal. No pneumothorax is seen. There are no acute osseous abnormalities.
<unk> year old man with seizures, very edematous and with crackles on pulmonary exam // assess for pulmonary vascular congestion
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A single portable radiograph of the chest was acquired. An endotracheal tube is appropriately positioned, terminating <num> cm above the level of the carina. An ng tube courses below the level of the diaphragm and out of the field of view inferiorly. Lung volumes are low. There is no focal consolidation. The heart size is borderline enlarged, not significantly changed. There are no pleural effusions. No pneumothorax is seen.
intubated for head bleed, status post tube placement. assess for pneumothorax.
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As compared to the previous radiograph, there is an increase in extent and severity of the pre-existing left basal opacities. Moreover, there is increasing atelectasis in the medial portions of the left lower lobe. The opacities on the right and the size of the cardiac silhouette are not substantially changed. No larger pleural effusions. No pneumothorax.
respiratory failure, evaluation for interval change.
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No left apical pneumothorax. Overall unchanged appearance of the lungs and heart. Stable left lower lung focal consolidation and/or atelectasis. Stable reduced left lung volume. Possible small left pleural effusion, unchanged. Stable cardiomegaly without pulmonary edema. Rij unchanged in position.
<unk>-year-old man with a possible left apical pneumothorax seen on the recent chest x-ray.
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Frontal and lateral views of the chest were obtained. There are small bilateral pleural effusions, right greater than left, with overlying atelectasis. There is prominence of the central pulmonary vasculature suggesting pulmonary vascular engorgement. Extensive bilateral perihilar opacities have significantly decreased since the prior study. There is marked cardiomegaly. The aorta remains tortuous. No pneumothorax is seen. Degenerative changes are seen along the spine.
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The lungs are well expanded and clear without focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The heart is moderately enlarged, similar to the prior examination. The remainder the mediastinal contours are unchanged.
history: <unk>f with cough // pna
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There is a pigtail catheter seen at the right lung base, which appears unchanged in comparison to the prior chest radiograph. Low lung volumes. There is bibasilar patchy opacification, right worse than left have slightly improved. There is an unchanged small right pneumothorax and small right pleural effusion. Interval decrease in left pleural effusion. . Heart size is stable. The mediastinal and hilar contours are stable.
<unk> year old woman with right pleural effusion s/p chest tube // chest tube placement
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The patient is status post median sternotomy, cabg, and coronary artery stenting. The cardiac, mediastinal and hilar contours are normal. The pulmonary vascularity is normal and the lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
nausea and vomiting. chills.
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As compared to the previous radiograph, there is no relevant change. After biopsy, there is no evidence of pneumothorax. Mild overinflation of the stomach. No pleural effusions.
endobronchial lesion, status post rigid bronchoscopy and biopsy.
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Lung volumes are normal. There is no pleural effusion, pneumothorax or focal airspace consolidation. Scarring is seen at the right lung base. The heart is mildly enlarged. The mediastinal and hilar structures are unremarkable. There is no displaced rib fractures seen. Sternotomy wires and cabg clips are present. A coronary artery stent is noted.
mvc with rib pain on the left.
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Following removal of left chest tube, there is no visible left pneumothorax. Chest radiograph is otherwise similar to recent study performed a few hours earlier.
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The heart is within normal limits in size and there is no vascular congestion or pleural effusion. There is suggestion of some increased opacification posteriorly at the base, though this could well merely reflect pulmonary vessels since the similar opacification is not appreciated on the frontal view.
left chest pain and dullness, to assess for pneumonia.
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Pa and lateral views of the chest provided. There is vague right lower lobe opacity, concerning for developing pneumonia. Rest of lung parenchyma is clear. Moderate cardiomegaly appears chronic. There is no pleural effusion.
<unk> year old woman with cough, fever, sweats
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<num> views of the chest. The study is limited by overlying soft tissues and low lung volumes. Cardiac silhouette is normal size and slightly rotated. Bronchovascular crowding is likely due to poor inspiratory volume. No focal consolidation is seen. No pleural effusion or pneumothorax identified. Spinal stabilization rods across multiple thoracic levels are noted.
new onset diabetes and cough. evaluate for pneumonia.
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Pa and lateral views of the chest. There is a new right hilar opacity compared to prior chest x-ray on <unk>. There are no other areas of consolidation. There is no pleural effusion or pneumothorax. The heart size is normal.
hcc and latent tb, hemoptysis.
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The lungs are hypoinflated, but do not demonstrate any focal opacities. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. The aorta is mildly tortuous.
<unk>-year-old female with chest pain. evaluate for presence of pneumonia.
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The lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
<unk>f with s/p seizure // acute or infectious process
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Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Minimal patchy opacity is seen within the left lower lobe, findings which could reflect early developing pneumonia. Right lung is clear. No pneumothorax or pleural effusion is demonstrated. No acute osseous abnormality is identified.
history: <unk>f with cough, hypoxia
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As compared to prior chest radiograph from <unk>, trace right apical pneumothorax remains. Lung volumes remain low. There are persistent right multilobar opacities and there is pulmonary congestion. Loss of the left hemidiaphragm could be related to a small pleural effusion and volume loss. Retrocardiac air bronchograms could represent pneumonia. Heart is enlarged but stable when compared to prior examination. A right-sided ij central venous catheter tip is seen at the cavoatrial junction.
<unk>-year-old male patient with history of right multilobar pneumonia, right empyema status post chest tube removal with small pneumothorax and tachypnea. study requested for evaluation of reaccumulation of effusion and/or pneumothorax.
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Given for differences in marked rotation, tracheostomy tube remains in good position. Moderate left-sided effusion is largely unchanged with associated retrocardiac opacity. Mild vascular congestion also persists, and given for differences in technique has not significantly changed. Mild to moderate cardiomegaly. Support devices are unchanged.
<unk> year old man with dress, high fevers // ? ett, lung fields
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Extensive subcutaneous emphysema is seen throughout the chest wall bilaterally and extending into the neck and abdominal wall bilaterally. Right-sided chest tube is noted with tip terminating near the right lung base. The heart size is normal. The aorta is tortuous. Pneumomediastinum is noted. Hilar contours are unremarkable. No shift of mediastinal structures is noted. There is no pulmonary vascular congestion. Assessment of the lung parenchyma is limited due to the extensive subcutaneous emphysema. There is a suggestion of a right basilar patchy opacity peripherally, which is nonspecific. Small right apical pneumothorax is likely present. Assessment for left-sided pneumothorax is limited, though a small left apical pneumothorax may be present. Displaced right <unk> posterior rib fracture is noted.
chest tube placement.
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The left picc line may be traced to the origin of the left brachiocephalic, but the tip is not be visualized. There is worsening bibasilar opacification. The upper lung zones are clear. There is no pneumothorax. The cardiomediastinal and hilar contours are stable.
<unk>-year-old with abdominal surgery with productive cough and leukocytosis.
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Single portable view of the chest. The lungs are grossly clear. There is no evidence of confluent consolidation or pulmonary edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
<unk>-year-old male with shortness of breath.
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Endotracheal tube is noted in the region of right mainstem bronchus and retraction by <num> cm would be recommended for optimal positioning. The et tube appears properly positioned on the followup radiograph at <time> am however and no adjustment is needed at this time. The heart appears moderately enlarged but stable. Mild bibasilar atelectasis is noted along with mild vascular congestion. Otherwise, the lungs are clear. Postsurgical changes are noted in the lower cervical spine. Known t<num> vertebral body fracture is not well evaluated on this study.
endotracheal tube positioning.
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Lung volumes are decreased compared to the previous examination. Heart size appears mildly enlarged, slightly increased from prior, likely related to the decreased lung volumes. Mediastinal and hilar contours are unremarkable. Mild pulmonary vascular congestion appears new in the interval. More focal patchy opacity is seen within the medial right lung base, which could reflect atelectasis, but infection is not excluded in the correct clinical setting. No pleural effusion or pneumothorax is identified. No acute osseous abnormalities are present.
history: <unk>m with hypoxia
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Left greater than right bibasilar opacities are more conspicuous as compared to the prior study, while could are be due to progression of chronic change, infectious process is of concern. No large pleural effusion is seen although trace pleural effusion be difficult to exclude. No pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Thecal catheter is grossly stable in position.
history: <unk>f with productive cough, new o<num> requirement // acute process? pna?
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Other than lower lung volumes, no significant interval change in the radiographic appearance of the chest. Linear opacities in the left lung base, are consistent with atelectasis, unchanged. No focal consolidation, edema, effusion, or pneumothorax. The heart is normal in size. Surgical clips projecting over the left abdomen abdomen and tube over the right upper abdomen are unchanged.
<unk> year old man with fever, cough \; evaluate for pneumonia.
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Frontal and lateral views of the chest were obtained. A right chest wall port catheter terminates in the mid svc. The heart is of normal size. A right cardiophrenic angle mass correlates to a heterogeneous mass seen at this location on <unk> and in not appreciably changed allowing for differences in modality. The lungs are clear. No pleural effusion or pneumothorax.
<unk>-year-old male with liver malignancy, needing confirmation of port placement.
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Heart size is normal. There is unchanged mediastinal shift to the right. No focal consolidation, pleural effusion or pneumothorax.
<unk>f with general malaise, cough, n/v, concern for pna vs aspiration // <unk>f with general malaise, cough, n/v, concern for pna vs aspiration
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. Right chest wall single lead pacing device is seen with lead tip at the right ventricular apex. No acute osseous abnormalities. Anterior cervical fixation hardware is visualized.
<unk>f with sob // r/o acute process
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Single supine ap portable view of the chest was obtained. Patient's overlying chin partially obscures medial lung apices. There are low lung volumes. Bibasilar atelectasis is seen. There is slight central pulmonary vascular prominence which may be due to vascular engorgement. No definite focal consolidation is seen. There is no large pleural effusion. Patient is status post median sternotomy. The cardiac silhouette is top normal to mildly enlarged. Aorta is calcified and tortuous.
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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 dizziness // r/o pneumonia/chf
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Right picc line is unchanged in satisfactory position. Compared with most recent prior radiograph, there is increased opacity at the right base consistent with a right lower lobe pneumonia. The right upper lobe opacity is stable or slightly improved. There is no change in the cardiomediastinal silhouette. No pneumothorax is present.
aml with fevers, shortness of breath. evaluate for 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, as are the hila contours. No displaced fracture is seen. The focus of superior right lower lobe opacity seen on subsequent chest ct is not appreciated on this less sensitive study.
syncopal episode last night.
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There are low lung volumes. Perihilar opacities and indistinct pulmonary vasculature is consistent with mild to moderate pulmonary edema. There are bilateral pleural effusions. Opacity in the right lung base with air bronchograms concerning for possible pneumonia. Opacity in the left lung base may represent atelectasis, but cannot exclude pneumonia in the right clinical setting. No there is no pneumothorax. The cardiomediastinal silhouette is obscured by the pleural effusions.
history: <unk>m with cp and chf and severe as pls eval for worsening chf vs pna // history: <unk>m with cp and chf and severe as pls eval for worsening chf vs pna
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Frontal and lateral radiographs of the chest show minimal interval improvement in wedge-shaped opacification of the right lung base projecting anteriorly over the heart on the corresponding lateral radiograph, which may represent partial right middle lobe collapse. No pleural effusion or pneumothorax is present. The pulmonary vasculature is not engorged. The cardiac silhouette is normal in size. The mediastinal and hilar contours are unchanged and within normal limits. Eventration of the right anterior hemidiaphragm is stable.
<unk>-year-old male with recent pneumonia, here to evaluate for resolution.
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Again seen is a left chest cardiac device with associated single lead appearing intact, and unchanged appropriate orientation projecting over the approximate location of the right ventricle. This appearance is similar in comparison to prior radiograph from <unk>. Again seen are multiple median sternotomy wires and mediastinal surgical clips. Mild cardiomegaly is stable. The bilateral hila are unremarkable. There are low lung volumes. The lungs are clear. There is no evidence of pulmonary vascular congestion. There is no pneumothorax or pleural effusion.
<unk>m with icd firing, evaluate pacemaker leads.
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Pa and lateral chest radiographs. Median sternotomy wires are intact. Mediastinal clips are again noted. Opacity projecting over the anterior inferior chest on the lateral view only has no correlate other than fat on ct abdomen pelvis from <unk> which included this level. Otherwise, the lungs are clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
left-sided weakness and jaw pain.
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The initial radiograph of <time> shows interval removal of the nasogastric tube. Sternotomy wires are intact and aligned. Bilateral pigtail catheters are unchanged in position. An endotracheal tube terminates at the level of the clavicles. A left ij central venous catheter terminates at the junction of the brachiocephalic vein and svc. There is no pneumothorax. Moderate right and small left layering pleural effusions are slightly increased on the right. Moderate cardiomegaly despite the projection is also unchanged. An unchanged retrocardiac airspace opacity may either be due to infection or atelectasis. The followup radiograph of <time> shows interval placement of a feeding tube, which enters the stomach. Aeration at the left lung base continues to improve. There is no other significant interval change.
<unk> year old man s/p cardiac surgery with pna, now s/p drainage of effusions // size of effusions, chest tube position, infiltrate quality <unk> year old man with new dobhoff tube // new dobhoff tube position
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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 unremarkable.
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Frontal radiograph of the chest demonstrates unchanged moderate left pneumothorax. The position of the catheter tip is also unchanged as well as the appearance of the heart and lungs.
assess pneumothorax in comparison to the prior radiograph.
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Ap portable upright view of the chest. The heart is mildly enlarged. An ill-defined retrocardiac left basilar opacity can reflect any combination of patient positioning, atelectasis, and small effusion, though focal consolidation cannot be excluded. There is no pneumothorax or right effusion. A right-sided thoracostomy tube is present. A nasogastric or orogastric tube appears to terminate at the level of the diaphragm.
<unk> year old man with esophageal cancer sp mie // ptx
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Left-sided port-a-cath is in stable position in the distal svc. There has been interval removal of a endotracheal tube and enteric tube. Extensive bilateral airspace opacities are unchanged in extent from this morning. There is no pneumothorax. Small bilateral pleural effusions are unchanged.
<unk> year old woman with recent extubation, breast ca with mets to lung, now with tachypnea and wheeze // ?interval change
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As compared to the previous radiograph, the patient has received a new permanent left pectoral pacemaker. The lead position is, as expected, in the right ventricle and the right atrium. There is no evidence of complications, notably no pneumothorax. No pneumonia. The lateral projection shows known dorsal pleural effusions.
evaluation for lead position.
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No radiopaque foreign body is identified in the imaged portion of the chest or upper abdomen to suggest an ingestion of swallowed dentures. However, only the uppermost portion of the abdomen was included on the study, and dedicated abdominal radiograph may be helpful if there is concern for foreign body in the large or small bowel. In the imaged portion of the neck, two partially imaged cylindrical radiodense foreign bodies are evident, overlying the inferior aspect of the mandible, and may potentially be related to dental hardware, cervical spine hardware, or a structure external to the patient. Dedicated neck imaging could clarify the location if it remains unknown clinically. Within the imaged portion of the chest, an asymmetrical <num> cm diameter opacity is seen at the right apex above the level of the right clavicle overlying the fourth posterior rib level. On the single view, it is uncertain whether this is a lung nodule or an abnormality of the rib. Moderate cardiomegaly is accompanied by mild pulmonary vascular congestion and minimal interstitial edema.
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Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal lung consolidation.
<unk> fever, headache, pharyngitis, low blood pressure, leukocytosis, evaluate for pneumonia.
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The lungs are hyperexpanded. There is a possible developing opacity in the right mid lung zone. There is no pulmonary edema. Blunting of the right costophrenic angle is likely due to the small pleural effusion, which was better assessed on the lateral chest radiograph from one day earlier. There is no definite left pleural effusion. There is no pneumothorax. The cardiomediastinal silhouette is normal. The slight apparent enlargement of the heart is likely due to the ap technique.
history: <unk>m with worsening tachycardia, rising lactate // presence of developing pna presence of developing pna worsening tachycardia and rising lactate. evaluate for pneumonia.
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Mild cardiomegaly is similar to prior. Lung volumes are low, crowding bronchovascular markings. Streaky bibasilar opacities are most consistent with atelectasis. No substantial pleural effusion or pneumothorax.
<unk>m with chest pain, tachycardia
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On this post-surgical film, a small right pleural effusion is noted. In addition, there is subtle lucency below the right hemidiaphragm, theoretically concerning for free abdominal air. The presence of abdominal air, however, has been excluded with an abdominal decubitus radiograph. The lung volumes are low. Moderate cardiomegaly with enlargement of the left ventricle, but no evidence of pulmonary edema or pneumonia. No pneumothorax.
spine surgery, evaluation for fluid overload.
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As compared to the prior examination, there has been no significant interval change. There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema identified. Stable, mild cardiomegaly is noted. The aorta is slightly tortuous. Mediastinal and hilar contours are otherwise stable.
diastolic dysfunction, now with shortness of breath.
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Comparison is made to prior study from <unk>. There is again seen a right-sided central venous line, a left picc line and a left-sided chest tube, stable. There are again seen diffuse airspace opacities bilaterally, more confluent in the left lung and at the right base. These appear stable. No pneumothoraces are identified on either side.
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There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is remarkable for left ventricular configuration of the heart in a mildly tortuous thoracic aorta. There is no free air are identified be low the diaphragm.
history: <unk>f with cp radiating to back after egd yesterday. // eval for mediastinal air, air under diaphragm
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Frontal and lateral views of the chest. Linear bibasilar opacities are most suggestive of atelectasis in the setting of low lung volumes. Superiorly, the lungs are clear. Blunting of the posterior costophrenic angles may be due atelectasis or small effusions. Cardiomediastinal silhouette is within normal limits. Degenerative changes noted in the spine. Surgical clips identified in the upper abdomen.
<unk>-year-old female with chest pain.
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Comparison is made to prior study from <unk>. There is a tracheostomy, there is a right ij central line. There is a left-sided aicd. These are all unchanged in position. There has been improvement in pulmonary vascular edema since the previous study. The heart size remains enlarged. There are no pneumothoraces. There are likely small bilateral pleural effusions.