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Ap upright and lateral views of the chest provided. Dual lead pacemaker unchanged with leads extending to the region of the right atrium and right ventricle. Midline sternotomy wires are present. Lungs are 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>m with fever, cough, history of endocarditis // pna?
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Pulmonary edema has nearly resolved in the interval and a right pleural effusion is no longer evident. Moderate left pleural effusion persists, and is difficult to compare to the prior study due to positional differences but may be slightly smaller. Bibasilar retrocardiac opacities persist and likely represent atelectasis.
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The lungs are well expanded. Increased interstitial markings are present but there is no focal parenchymal opacity. A right-sided pleural effusion is also present and more evident in the lateral view. Cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax. No rib fractures are present.
<unk>-year-old female with pancreatic cancer status post whipple procedure, on chemo, now presenting with fever following chemotherapy this morning. evaluate for infectious process.
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The heart size, mediastinal, and hilar contours are normal. The lungs are clear without pleural effusion, focal consolidation, or pneumothorax.
<unk>f precautions, g<num>p<num> <num>mo pregnant, cough/fever. possible influenza like illness. evaluate for pneumonia.
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Compared to the previous chest radiograph dated <unk> at <time>, patient is extubated. The previously seen left lower lobe opacity is unchanged. The worsening right lower lobe opacity, based on the timeline, is worrisome for aspiration pneumonia. The pulmonary venous congestion has improved. The heart size is unchanged. There is bilateral pleural effusion. No pneumothorax. No fractures.
<unk> year old woman with cirrhosis and left sided pleural effusion, decreased bs on l base, now extubated but still hypoxic. // interval change in l pleural effusion, opacities, and/or pulm edema?
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Small right apical pneumothorax is unchanged. Right lower lobe atelectasis have increased. Left lower lobe atelectasis have improved. Small bilateral effusions larger on the left side have increased on the right. The upper lungs are clear. Hd catheter is in standard position. Cardiac size is normal. There is no evidence of pulmonary edema. .
<unk> year old woman with adpkd with hypotension and fever s/p chest tube placement // pneumothorax
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Pa and lateral chest radiograph demonstrates clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits. There is no pneumothorax or pleural effusion. No air under the right hemidiaphragm is identified. Visualized osseous structures are unremarkable.
<unk>-year-old female with chest tightness and dyspnea.
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No prior studies for comparison. The heart is enlarged. There is a right-sided dialysis catheter with distal lead tip at the cavoatrial junction. The mediastinum is not widened. The lungs are grossly clear. No pleural effusions are seen. There is a small nodular density seen at the right lower lobe near the cp angle, which is nonspecific but continued attention to this area is recommended to establish if this is a developing infiltrate given the decreased breath sounds on the right.
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As compared to the previous radiograph, there is no relevant change. No acute changes, notably no evidence of pneumonia. Normal size of the cardiac silhouette. No pleural effusions. No pneumothorax. No pulmonary edema.
confusion, evaluation for pneumonia.
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Ap upright and lateral views of the chest provided. A linear focus of scarring is again noted in the left lower lobe. The lungs are clear without focal consolidation, large effusion or pneumothorax. The cardiomediastinal silhouette appears normal. The bony structures are intact. Contrast within bowel loops in the upper abdomen likely related to recent barium exam.
<unk>f with weakness, poor historian.
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As compared to the previous radiograph, there is no relevant change. Normal appearance of the lung parenchyma. No focal or diffuse lung disease. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures. No evidence of pleural effusions or pulmonary edema.
persistent cough, evaluation.
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Frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. The heart is moderately enlarged. There is no pulmonary edema. Pacemaker lead is in place projecting over right ventricle. Right upper lobe vague nodular opacity (described on prior cxrs) corresponds to healing right second anterior rib fracuture, better demonstrated on <unk> ct. Partially imaged upper abdomen is unremarkable.
chest pain.
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Heart size is top normal. The mediastinal and hilar contours are unremarkable. The pulmonary vasculature is not engorged. Streaky opacities in the lung bases likely reflect atelectasis in the setting of low lung volumes. No pleural effusion or pneumothorax is present. Bilateral shoulder prostheses are re- demonstrated.
history: <unk>m with congestive heart failure with ejection fraction of <num>%, now with dyspnea, hypotension, presyncopal
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In comparison with the study of <unk>, there are lower lung volumes. The right ij catheter has been converted to a swan-<unk> catheter with its tip extending beyond the mediastinum on the right to the medial aspect of the right base. Extensive bilateral pulmonary opacifications could reflect worsening effusions and pulmonary edema, though some of the difference may merely be a manifestation of the lower lung volumes.
pneumonia and chf with intubation.
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Pa and lateral views of the chest provided. Lung volumes are low. Allowing for this, 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 cp // evidence of pneumothorax or pneumonia
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The ng tube is coiled in the esophagus. At the time of dictating this study, it had already been re-positioned. The appearance of the lungs is similar compared to the study from earlier on <unk> at <time>.
check ng tube.
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Mild cardiomegaly is unchanged. Thoracic aorta is mildly tortuous. There is no pleural effusion or pneumothorax. There is no focal lung consolidation. Postoperative changes in the right mid lung related to prior wedge resection procedure, accompanied by unchanged pleural and parenchymal scarring. No acute osseous abnormality identified.
<unk>-year-old woman with family is and fever, evaluate for pneumonia.
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As compared to the previous radiograph, the monitoring and support devices are in unchanged position. There is evidence of widespread bilateral severe parenchymal opacities with diffuse distribution. The opacities are unchanged in severity and extent since several previous radiographs, part of which come from outside hospitals. Unchanged moderate cardiomegaly and retrocardiac atelectasis.
bilateral opacities, evaluation for interval change.
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As compared to the previous radiograph, there is mild-to-moderate decrease in extent of the pre-existing right pleural effusion. The effusion, however, are still present but limited on the costophrenic sinuses. A pleural drain is in situ. Moderate atelectasis at the right lung bases. Borderline size of the cardiac silhouette. Minimal enlargement of the pulmonary arteries.
recurrent right effusion, status post pleural drainage.
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Ap single view of the chest has been obtained with patient in semi-upright position. Comparison is made to the next preceding portable chest examination obtained nine hours earlier during the same day. Heart size remains unchanged and not enlarged. Patient remains intubated, the et terminating in the trachea <num> cm above the level of the carina. Previously described right-sided internal jugular approach central venous line in unchanged position. The previously identified malplaced ng tube that reversed in cranial direction has now been adjusted. Density manipulation of the image allows to identify the new ng tube, which passes through the entire esophagus and terminates in the mid portion of the upper abdomen in paravertebral position to the left. It is probably terminating in the stomach including its side port. In response to the given information, there is no conclusive evidence of free abdominal air under the diaphragmatic contours. The validity of such exclusion must, however, be questionable as the patient is in marked tilted position. No pneumothorax is seen in the apical area.
<unk>-year-old female patient with crohn's, hypotension and bowel edema seen on ct, questionable abdominal perforation.
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Pa and lateral views of the chest provided. <num> radiopaque bbs project over the anterior chest, appear external. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. Degenerative changes in the t-spine noted with loss of disc space. No free air below the right hemidiaphragm is seen.
<unk>f with dizziness // eval for pna
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Et tube terminates <num> cm above the carina. Lung volume is improved and bibasilar consolidation is decreased. Pulmonary edema is improved. Cardiomediastinal silhouette is unchanged. Ng tube extends beyond the inferior edge of the film. Free air in the abdomen outlines the transverse colon, which is expected from recent abdominal surgery.
<unk> year old man with ett // ett position
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Opacity over the right lower lung is consistent with recent right lower lobectomy. There is a right-sided chest tube and a small right apical pneumothorax. There are median sternotomy wires and mediastinal clips. There is right chest wall subcutaneous air. The left lung is clear.
<unk> year old man s/p rll lobectomy // post-op, to be done in pacu
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Pa and lateral chest views were obtained with patient upright position. Analysis is performed in direct comparison with the next preceding similar study of <unk>. Position and diaphragms obscure partially the heart silhouette, but significant cardiac enlargement is unlikely. The thoracic aorta is mildly widened and elongated but unchanged in comparison. Pulmonary vasculature is not congested. No signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. No evidence of pneumothorax in the apical area on frontal view. Skeletal structures of the thorax are grossly within normal limits.
<unk>-year-old male patient with cough, history of smoking, evaluate cough.
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Pa and lateral views of the chest. Compared to prior study, there is new mild pulmonary vascular congestion. A left lower lobe heterogeneous opacity is consistent with atelectasis. No evidence of consolidation, pleural effusion, or pneumothorax. The heart size is normal.
postop day <num> fever after a total knee replacement, productive cough, rule out infiltrate.
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Minimal basilar atelectasis is seen. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiac and mediastinal silhouettes are stable with the main pulmonary artery dilated, better assessed on prior ct from <unk>.
history: <unk>m with dyspnea, cough, mild confusion, h/o pulm htn // ? acute cardipulm process
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Ap upright and lateral chest radiograph demonstrates a large left pleural effusion with adjacent atelectasis which is not significantly changed relative to prior study dated <unk>. Imaged lungs are grossly clear without a focal consolidation worrisome for an infectious process. Streaky opacities within the left lung base likely reflects atelectasis. Cardiomediastinal and hilar contours appear grossly stable dose obscured by left pleural fluid.
<unk> year old woman with altered mental status, r/o pna // ?pna
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Linear left basilar opacity is most suggestive of atelectasis. Elsewhere the lungs are clear where not obscured by the left chest wall pacing device. Cardiomediastinal silhouette is within normal limits. Chronic deformity of the left humeral head is only partially visualized.
<unk>f with chest pain // ? pna
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The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
<unk> yo woman with persistent fevers of unclear etiology x <num> weeks. // pneumonia?
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The lungs are clear, the cardiomediastinal silhouette and hila are normal. There is no pleural effusion and no pneumothorax.
<unk>-year-old with left upper quadrant pain. please assess for pneumonia.
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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.
h/o latent tuberculosis, asymptomatic // ? active tb
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Pa and lateral views of the chest provided. A right pleural effusion is better assessed on same-day ct chest on which exam it appeared simple. Right rib deformities are better assessed on outside hospital ct involving the right upper posterior rib arches. No definite left-sided rib fractures are seen. Streaky perihilar opacities may reflect bronchovascular crowding. A component of pulmonary contusion is difficult to exclude on the right. No pneumothorax. Cardiomediastinal silhouette is normal.
<unk>f with rib fractures (l vs r?) // eval for ptx/hemothorax
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The right costophrenic angle is not included. There is streaky density at the left base most consistent with subsegmental atelectasis or scarring. There is no focal consolidation. The heart and mediastinal structures are unremarkable for technique and unchanged. A feeding tube is been inserted and terminates at the level of the diaphragm.
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Left basilar opacity may reflect atelectasis, and the lungs are otherwise clear without focal consolidation, pleural effusion or pneumothorax. There is no overt pulmonary edema. The heart is normal in size. The mediastinal contours are normal. Presumed right lower cervical hardware is visualized.
<unk>-year-old male with leukocytosis and pain. evaluate for pneumonia.
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Cardiomediastinal silhouette is unremarkable. Opacities at the right lung base in the retrocardiac region are new. Severe degenerative change at the right glenohumeral joint is unchanged. There is no pneumothorax.
history: <unk>f with fever // eval for infiltrate
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There is mild cardiomegaly. The mediastinal and hilar contours are normal. There may be a small left pleural effusion. Linear density projecting over the left apex may be concerning for pneumothorax, but was clearly present on the prior study in <unk>. There are expected post-biopsy changes including increased interstitial markings in the left lung field, which may be due to residual edema. Left upper lobe opacity remains, slightly denser and larger with more ill-defined borders than prior, which may be due to minimal hemorrhage post-biopsy.
left upper lobe biopsy, query pneumothorax.
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Slight increase in size of moderate to large right pleural effusion and persistent adjacent atelectasis and/or consolidation in the right mid and lower lung region. Diffuse left-sided airspace opacities have slightly worsened in the interval. Otherwise, no relevant short-interval change.
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In comparison with study of <unk>, the tip of the dobbhoff tube is little changed. The degree of coiling within the stomach is somewhat less. Nevertheless, the tube has extended to slightly past the midline, before coiling upon itself. Lungs remain clear.
dobbhoff partially pulled back, to assess for position.
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Moderate emphysema is unchanged, and lungs are persistently hyperinflated. Previously described left upper lobe opacification and right upper lobe nodule are no longer detected. There is no new focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is within normal limits.
<unk> year old smoker with recent lul pna and ? new rul nodule. reassess nodule, surveillance for resolution prior opacification.
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Frontal and lateral radiographs of the chest demonstrate increased opacification of the left base, which likely represents atelectasis and pleural effusion, however pneumonia could be considered in the appropriate clinical setting. There is mild pulmonary edema. The cardiomediastinal and hilar contours are unchanged. There is persistent cardiomegaly. No pneumothorax. There has been interval removal of the tracheostomy and right sided internal jugular central venous line. A pacemaker device is present, with a single lead terminating in the region of the right ventricle.
history: <unk>m with chest pain // evaluate for acute process
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In comparison with the study of <unk>, the monitoring and support devices are essentially unchanged. Bilateral opacifications at the bases are consistent with pleural effusions and compressive atelectasis. Some element of elevated pulmonary venous pressure is probably present.
intubation.
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The position of the right pigtail pleural drain is unchanged; also the second right pleural tube is unchanged with tip projected in midthoracic field the consolidation of the right base is increased with persist small pleural effusion there is no pneumothorax. The left lung is mostly clear, except for a small linear atelectasis at the base heart is moderately enlarged
<unk> year old man with right chest tubes. chest tube placement.
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An endotracheal tube has been placed with the tip terminating approximately <num> cm above the carina at the level of the thoracic inlet. An og tube courses below the diaphragm with the tip terminating in the left upper quadrant, likely within the stomach. The cardiomediastinal silhouette is within normal limits. There is no large pleural effusion or pneumothorax. Multiple opacities predominantly in the left mid lung zone may represent multifocal infection or malignancy. There is also retrocardiac opacification and subtle increased density in the right lung base. No acute osseous abnormality is detected.
brain tumor requiring intubation and og tube placement.
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Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. There is slight prominence of the ascending aorta, similar as compared to the prior radiograph from <unk>. Cta torso from <unk> demonstrates a tortuous aorta, which was not frankly dilated. Cardiac and mediastinal silhouettes are stable. Partially imaged on the lateral view is hardware in the lumbar spine, although not well assessed on this study.
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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 man with cough since last week, low o<num> sat // evaluate for pneumonia
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Mild enlargement of cardiac silhouette is present. Mild interstitial pulmonary edema appears slightly progressed compared to the prior study. Trace bilateral pleural effusions are noted. There is no focal consolidation or pneumothorax. The mediastinal and hilar contours are relatively unremarkable. Compression deformity of a mid thoracic vertebral body is unchanged compared to the prior chest radiograph from <unk>. Remote right-sided rib fractures are present. Tips catheter is noted within the right upper quadrant of the abdomen.
fever and hypotension.
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Normal heart size, mediastinal and hilar contours. A left picc ends in the mid svc. No focal consolidation, pleural effusion or pneumothorax.
<unk> year old man with aml, immunocompromised presents with fevers // ?cause of fevers
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There is a small consolidation of the mid right lung most consistent with atelectasis at the base of the right upper lobe. A more medial opacity in the right lung seen on recent ct scan on <unk> is not seen on this exam, however comparison is difficult. The cardiomediastinal silhouette and hilar contours are normal. The pleural surfaces are clear without effusion or pneumothorax.
history of aml. evaluation for infection.
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In comparison to prior chest x-ray of <unk>, there appears to be resolution of prior vascular congestion. There is no consolidation, pneumothorax, or pleural effusion appreciated. The cardiomediastinal silhouette and hilar silhouettes are normal size. There is no acute bony abnormalities nor evidence of acute fracture. Dense aortic arch calcification is noted.
<unk> year old woman with hx of myeloma currently receiving treatment. cxr for shortness of breath. chest xray before vq scan.
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The heart is normal in size. The mediastinal and hilar contours appear normal. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures appear normal.
fever.
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Allowing for differences in technique and projection, there has been little interval change in the appearance of the chest since the recent study except for worsening left retrocardiac atelectasis and/or consolidation.
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Persistent low lung volumes with mild interval improvement in multiple ill-defined bilateral heterogeneous opacities. No cavitation noted. There is a crowded appearance of pulmonary vasculature at the bases and mild cardiac enlargement from low lung volumes. Mediastinal and hilar contours are normal. Stable mild bibasilar atelectasis, left greater than right. No pneumothorax or large pleural effusion.
<unk>-year-old male with history of aml, presents with pneumonia, acute kidney injury and increasing oxygen requirement. assess for pulmonary edema.
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There is increased ill-defined opacity in the left lung base, which likely reflects increased moderate left pleural effusion. Increased retrocardiac opacity in the left lung base is likely atelectasis related to extubation. There is no pneumothorax. Et tube , ng tube and mediastinal drains have been removed. Cardiomediastinal silhouette has normal postop appearance. Right jugular swan-ganz catheter is in unchanged position and terminates at proximal right pulmonary artery. Sternotomy wires are intact.
<unk> year old man with s/p mvr // eval ptx
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As compared to the previous radiograph, the patient has been extubated and has received a tracheostomy tube. The position of the tube is unremarkable, the nasogastric tube has also been removed. The other monitoring and support devices are in constant position. No evidence of complications, notably no pneumothorax. Mild intestinal overdistention.
seizures and prolonged intubation, status post tracheostomy.
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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 // r/p pneumonia
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The lungs are clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is normal.
<unk>m with cough and right cw pain // eval pneumonia or pneumothorax
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The cardiomediastinal and hilar contours are within normal limits. The lungs are mildly hyperinflated. The lungs are clear without focal consolidation, pleural effusion or pneumothorax.
history: <unk>f with lower posterior chest discomfort // r/o atelectasis/ ptx
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The frontal view is slightly limited due to lordotic positioning. Heart size is normal. The aorta is tortuous but unchanged. The hilar contours are normal. The pulmonary vascularity is not engorged. No focal consolidation, pleural effusion or pneumothorax is identified. Vp shunt catheter is seen coursing along the left neck and left chest into the left upper quadrant of the abdomen. No acute osseous abnormalities are detected.
hip fracture.
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Right internal jugular central venous catheter tip terminates in the mid svc, similar from prior. Lung volumes remain low. Heart size is borderline enlarged. Mediastinal and hilar contours are unchanged. Crowding of the bronchovascular structures is re- demonstrated, and mild pulmonary vascular congestion may be present. Patchy opacities in the lung bases are compatible with areas of atelectasis. No large pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities.
history: <unk>m with hypotension
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Frontal and lateral chest radiographs demonstrate an interval increase in opacity in the right lower lung, without air bronchograms to signal consolidation. A small nodular opacity overlying the left third posterior rib was not present on chest cta on <unk>. Emphysema is severe, and a cluster of ring shadows in the right apex are bullae with thickened walls. Heart size is normal, peripheral and hilar pulmonary vessels are not engorged, and mediastinal contours are unremarkable. There is no effusion or pneumothorax.
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Endotracheal tube is seen, terminating approximately <num> cm above the level of the carina. The patient is rotated to the right. Dense right lower paratracheal opacity measuring <num> point <num> by <num> cm may represent a calcified node. No focal consolidation is seen. There is no large pleural effusion. There is calcified and tortuous. The cardiac silhouette is top-normal to mildly enlarged. Multiple old left-sided rib fractures are seen.
history: <unk>f with intubated transfer. // eval for tube placement
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The lung volumes are low. The heart appears mildly enlarged but difficult to judge in the setting of low lung volumes. The mediastinal and hilar contours are unremarkable. There are patchy streaky opacities at the lung bases that can probably be attributed to atelectasis. At the extreme left lung apex there is a nodular focus that measures approximately <num> mm in diameter, potentially a lung nodule, although other possible explanations include subpleural scarring or a bony excrescence. The possibility of a lung nodule needs to be considered, however. There is no pleural effusion or pneumothorax. Bony structures are unremarkable.
episode of throat tightness and shortness of breath.
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Cardiac silhouette size is borderline enlarged. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. Minimal patchy atelectasis is seen in the lung bases without focal consolidation. No pleural effusion or pneumothorax is present. Reported rib lesion is not clearly identified on these radiographs. No acute osseous abnormality is seen.
history: <unk>m with chest pain radiating to the back, reported lesion on left rib diagnosed last week at outside hospital
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. Mid thoracic dextroscoliosis is noted. No acute osseous abnormalities.
<unk>f with mitral valve mass, low grade temp // pna? pulm edema?
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The heart size is mildly enlarged. Aortic knob is calcified. The mediastinal and hilar contours otherwise are unremarkable, and no pulmonary vascular congestion is present. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. There are low lung volumes noted. There are no acute osseous abnormalities.
weakness.
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The patient is status post avr. A small amount of free air in the left lower hemithorax is new with suggestion of deep sulcus sign. The left internal jugular venous catheter tip position is unchanged when accounting for differences in technique and lower lung volumes. Small to moderate edema and pulmonary vascular congestion. Enlarged cardiac mediastinal silhouette overall unchanged and within limits postoperatively. A chest tube projects over the left hemithorax. Median sternotomy wires appear intact.
<unk> year old woman s/p avr/cabg // eval for pneumothoraces s/p vats procedure
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Right pleural effusion with overlying atelectasis appears increased as compared to the prior study right base opacity may be due to pleural effusion and atelectasis underlying consolidation is not excluded. The cardiac silhouette remains enlarged. Patient is status post median sternotomy and cardiac valve replacement. There is concern for a small right apical pneumothorax, present on prior studies, but slightly more conspicuous than on the most recent prior.
history: <unk>m with pleural effusion and chest pain // eval for worsening effusion
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The heart size is within normal limits. Mediastinal contour is grossly unchanged, with known lymphadenopathy better demonstrated on the previous ct. The hilar contours are unchanged. Pulmonary vasculature is normal. Lung volumes are low with mild bibasilar atelectasis. Previously demonstrated pulmonary nodules on ct are not visualized on the current radiograph. No focal consolidation, pleural effusion or pneumothorax is visualized. There are mild degenerative changes noted in the thoracic spine.
history: <unk>m with prostate cancer presents with fatigue and shortness of breath
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Mild heterogeneous opacities are seen in the bilateral lung bases. The cardiac silhouette is top-normal in size. There is no pneumothorax or pleural effusion. Endotracheal tube ends <num> cm from the carina. Enteric tube courses into the stomach.
history: <unk>m with ams ich*** warning *** multiple patients with same last name! // ett placement s/p transfer
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There has been interval development of callus formation around the left-sided rib fractures in the eighth, ninth and tenth left ribs; the eighth rib fracture is persistently displaced with overlapping fragments. There is loosening of some of the screws in the left rib fixation hardware, some of which appear lifted away from the plates, particularly in the fifth and sixth ribs. A screw projects over the left lateral chest wall, possibly represent dislodged lateral-most screw from the left fifth rib fixation hardware. No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. Heart and mediastinal contours are stable with aortic tortuosity.
<unk>-year-old male with left-sided chest pain, post-traumatic.
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All previous supporting lines and monitoring devices have been removed except for a right ij introducer sheath. Median sternotomy wires are intact, and the cardiac silhouette is mildly enlarged postoperatively with mild vascular congestion. Bibasilar atelectasis and associated pleural effusions are seen. No focal consolidation is seen, and no pneumothorax is seen following chest tube removal.
<unk>-year-old man status post cabg, evaluate pneumothorax status post is to preclude.
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A right-sided chest tube is in unchanged position. A right-sided port-a-cath terminates at the cavoatrial junction as before. An enteric tube terminates just past the ge junction. The cardiomediastinal and hilar contours are within normal limits. Previously seen perihilar edema has improved from the prior examination. A left basal opacity is decreased in size from the prior examination consistent with pleural effusion and left lower lobe collapsed. Mild right basal atelectasis.
<unk>m s/p minimally invasive three hole esophagectomy for lower scc, t<num>n<num>m<num>,iib, s/p neoadjuv chemort // interval assesment
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In comparison to the prior study of <unk>, the patient has been extubated and the ng tube has been removed. The right-sided chest tubes are unchanged in position. There is mild alveolar pulmonary edema, not significantly changed from prior. Additionally, opacification of bilateral lung bases is probably due to pleural effusions, best appreciated on the lateral view. There is a new <num>mm right apical pneumothorax with no evidence of tension. Cardiomediastinal silhouette remains enlarged. The aortic endovascular graft is visualized. Some subcutaneous emphysema is noted along the right lateral chest wall.
<unk> year old man with hypoxia, esophageal perforation s/p repair // eval for pulm edema, pleural effusion
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Ap and lateral views of the chest show moderate lung volumes without consolidation or nodule. Linear opacity in the mid right lung is consistent with surgical suture from prior study. Healed rib fractures are in the posterior arch of the seventh and eighth left rib. The heart is normal. Severe s-shaped scoliosis. No pleural effusion or pneumothorax.
<unk>-year-old woman with right-sided decreased breath sounds, cough and history of chronic lung disease, assess for pneumonia.
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Pa and lateral views of the chest provided. The lungs are clear. No convincing evidence for pneumonia. No pleural effusion or pneumothorax. Cardiomediastinal silhouette is stable. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>f with cough, right sided low chest pain.
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Frontal and lateral chest radiograph demonstrates well expanded and clear lungs. There is no focal consolidation or pleural effusions. No pneumothorax is identified. The cardiomediastinal and hilar contours are within normal limits. The tip of a hickman catheter is seen within the right atrium unchanged in position when compared to radiograph dated <unk>.
<unk>-year-old male with history of aml. status post stem cell transplant with atypical chest pain.
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As compared to the previous radiograph, the lung volumes show substantially improved ventilation. The heart continues to be moderately enlarged, but there is no evidence of pneumonia or aspiration. No pleural effusions. Subtle pleural scars at the left lung base are seen in unchanged manner. A right picc line and the nasogastric tube are in unchanged position.
high aspiration risk, rule out pneumonia.
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Pa and lateral chest radiographs were provided. Lungs were well expanded. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. The bones are intact.
history of dyspnea and chills, question pneumonia.
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Left pectoral pacemaker leads end in the expected locations of the right atrium and right ventricle. Mild opacity in the right mid lung is new from <unk> and may represent developing infection in the appropriate clinical setting. Pulmonary vasculature is within normal limits. Heart size is normal. The aorta appears slightly larger than in <unk>, which probably due to patient rotation. There is no pneumothorax. Blunting at the left costophrenic sulcus is similar to the prior study. In the left lower lung, a <num>cm nodular opacity likely representing callus formation at a healing rib fracture.
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The lungs are well expanded and clear. There is no focal consolidation, effusion, or pneumothorax. Cardiac and mediastinal contours are normal. Surgical clips project over the breasts and axilla on the lateral view. There are no vertebral body compression fractures visualized.
pleuritic back pain, history of breast cancer.
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Lung volumes are low. No focal opacities are present. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
patient with dizziness. evaluate for acute cardiopulmonary process.
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No previous images. The cardiac silhouette is within normal limits. There is mild engorgement of pulmonary vessels, though this could merely reflect the high-flow state of pregnancy. No evidence of pulmonary edema, pleural effusion, or acute pneumonia.
preeclampsia, to assess for pulmonary edema.
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Comparison is made to previous study from <unk>. There has been development of a large right-sided pleural effusion since the previous study. Post-surgical changes described within right upper lobe are seen. There are also bullous changes seen within the right upper lung. The heart size is enlarged but stable. There is prominence of the interstitial markings on the left mid to lower lung fields as well as a small left-sided pleural effusion and a left retrocardiac opacity. There are no pneumothoraces.
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Patient had a superior segment sparing right lower lobectomy of a congenital bullous anomaly several days ago. The extent of consolidation and volume loss in the remaining lower right lower lung which increased between <unk> and <unk> has been constant since <unk>. There is probably a very small right pleural effusion. Tiny right apical pneumothorax is unchanged. Peribronchial infiltration in the left lower lobe persists following clearing of previous left lower lobe consolidation but should be monitored to detect any pneumonia.
history: <unk>f with ?rll pna on osh cxr pls repeat ap/lat to eval // history: <unk>f with ?rll pna on osh cxr pls repeat ap/lat to eval
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Bilateral pulmonary opacities appear stable, allowing for differences in technique. Mediastinal structures are unchanged. An endotracheal tube and picc remain in place. The feeding tube has been withdrawn and repositioned. It now terminates below the diaphragm off of the bottom of the image.
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Ap and lateral images of the chest. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
abdominal pain.
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Ap upright and lateral views of the chest provided. Subtle opacity abutting the left heart border may represent a prominent fat pad or atelectasis. There is no convincing evidence for pneumonia. No pleural effusion or pneumothorax. Cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with pna
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Ap upright and lateral views of the chest provided. Patient is slightly rotated to his left side somewhat limiting assessment. The lungs appear clear without focal consolidation, large effusion or pneumothorax. The heart appears mildly enlarged mediastinal contour appears normal. Bony structures are intact.
<unk>m with sob, crackles // eval infiltrate, chf
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Right picc line terminates in the mid svc. The ng tube appears to be coiled within the midline and must be removed for re-attempt at placement. There is a right-sided ij which terminates in the upper svc. Moderate left pleural effusion is persistent. There is small bibasilar atelectasis. Mild pulmonary edema is unchanged. Moderate cardiomegaly is stable. There is no evidence of pneumothorax.
history of ng tube placement. please check placement.
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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. Again seen is partial resection of the sixth posterior rib on the left. No free air below the right hemidiaphragm is seen.
history: <unk>m with hyperglycemia // ?cpd
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The lungs are well expanded. There is an opacity in the right lung base consistent with pulmonary contusion seen on cta. The right costophrenic angle is not imaged, but otherwise there is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
trauma
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Ap upright and lateral views of the chest are obtained. Lungs are essentially clear bilaterally without definite signs of pneumonia or chf. No pleural effusion or pneumothorax is seen. Cardiomediastinal silhouette appears grossly unremarkable. Degenerative changes are noted in the t-spine with small endplate spurs noted. No free air below the right hemidiaphragm is seen.
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There is a right central venous catheter which terminates in the right atrium. There has been interval removal of the left internal jugular central venous catheter. There continues to be mild pulmonary edema, and there are small bilateral pleural effusions. No focal consolidation or pneumothorax is seen. The cardiac silhouette is stable in size and mildly enlarged.
<unk>-year-old female with unresponsive episode. please assess for cardiopulmonary process.
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Frontal and lateral views of the chest are obtained. Mild right base atelectasis is seen without discrete focal consolidation. The left lung is clear. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
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The cardiac silhouette remains mildly enlarged. The mediastinal and hilar contours are within normal limits. Previously noted opacity within the right upper lobe has somewhat improved with residual linear opacities likely reflecting subsegmental atelectasis. Additionally, aeration of the left lung base is improved and subsegmental atelectasis in the left lower lobe is noted. No pleural effusion or pneumothorax is identified. Inferior vena cava filter is partially imaged.
hemodialysis line which was pulled.
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In comparison with study of <unk>, there is no evidence of pneumothorax. Continued low lung volumes may accentuate the prominence of the transverse diameter of the heart. Opacification at the left base most likely reflects a combination of volume loss in the left lower lobe with pleural effusion, though in the appropriate clinical setting, supervening pneumonia would be difficult to exclude. Severe rotary scoliosis convexed to the left is again seen. The left ij catheter has been removed.
respiratory distress with unsuccessful catheter placement, to assess for pneumothorax.
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As compared to the previous radiograph, there has been a left thoracotomy. The patient is intubated. The tip of the endotracheal tube projects <num> cm above the carina. There are three chest tubes insitu in the left hemithorax. A small air collection is seen in the soft tissues. Cardiac small lucency could indicate a minimal pleural air collection. No larger pleural effusions. Relatively extensive left upper lung parenchymal opacity and consolidation. Unchanged normal size of the cardiac silhouette.
left thoracostomy evaluation.
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Lines and tubes: et tube terminates <num> cm above the carina. Right-sided central line is unchanged in position terminating at the cavoatrial junction. Enteric tube terminates in the stomach. Ekg leads overlie the chest wall. Lungs: moderately well inflated with improving pulmonary edema. Pleura: improving pleural effusion on the right. No pneumothorax. Mediastinum: there is no cardiomegaly. Mediastinal silhouette is within normal limits. Bony thorax: no interval change
<unk> year old woman with hypoxic respiratory failure, intubated // progression of edema
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Compared to <unk>, moderate cardiomegaly is unchanged. The aorta is tortuous and calcified, indicating atherosclerosis. There is an unchanged large hiatal hernia. The mediastinal and hilar contours are unchanged. The pulmonary vasculature is normal. Lungs are clear. There is blunting of the left costophrenic angle, concerning for a small effusion, unchanged. No right pleural effusion. No pneumothorax. There are no acute osseous abnormalities.
<unk>-year-old woman with subdural hematoma. evaluate for pneumonia.
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The heart is mildly enlarged. The mediastinal and hilar contours are within normal limits. Lungs are clear. There is no focal consolidation, pleural effusion or pneumothorax.
history: <unk>m with sob // edema?