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Compared to the most recent prior film, dobbhoff tube placement has been attempted. Allowing for slightly rotated positioning, the radiopaque portion of the dobbhoff tube overlies the thoracic inlet/superior mediastinum. Because it does not pass distal to the carina, the dobbhoff tube position in relation to the trachea cannot be confidently ascertained. Clinical correlation is therefore requested. Otherwise, i doubt significant interval change.
<unk> year old man with recent dht tube placement. // evaluate placement
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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.
<unk>-year-old woman with shortness of breath. evaluate for pneumonia.
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Pa and lateral views of the chest. No prior. The lungs are clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable. No free air is seen below the diaphragm.
<unk>-year-old female with right upper quadrant pain.
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Hilar engorgement is re- demonstrated with interval increase in interstitial markings since the prior study consistent with moderate pulmonary edema. More focal right base opacity may relate to fluid overload, but underlying infection is not excluded in the appropriate clinical setting. Very trace right pleural effusion is difficult to exclude. No pneumothorax is seen. Cardiac and mediastinal silhouettes are stable. Patient is status post median sternotomy and cardiac valve replacements.
history: <unk>m with chf referred from pcp fo<unk> <unk>lb weight gain, doe, volume overloaded on exam // eval ? cardiomegaly, edema
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The patient is leaning to the right and the right sided lung volume is slightly low. There is mild upper zone redistribution, but i doubt overt chf. There is minimal atelectasis in the right mid and lower zones. Possible trace subsegmental atelectasis the left base. No frank consolidation is identified. No gross effusion. No pneumothorax detected. Heart size is at the upper limits of normal. Cardiomediastinal silhouette is probably unchanged compared with <unk> , allowing for technical differences.
<unk> year old man transferred from osh with cholecystitis and recurrent fevers // pna? consolidation?
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The right chest tube has been removed. There is no pneumothorax. A radiopaque line is noted coursing vertically over the left lateral chest and is likely external to the patient. There is no focal consolidation or pleural effusion. Cardiomediastinal silhouette is normal in size. Radiopaque densities seen on the lateral view near the diaphragm likely represents surgical material from gastrectomy.
chest tube removal. evaluation for pneumothorax.
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There is increased opacity in the left lung base laterally that is most likely atelectasis. Other scattered opacities seen within the right lung base and left midlung are unchanged, possibly residual infection. Bilateral small pleural effusions are again noted. Cardiomegaly and central pulmonary vascular congestion persist. Right jugular central venous catheter has been removed.
<unk> year old woman with history of htn, hld, aortic aneurysm, poorly differentiated lung adenocarcinoma with multiple mets (brain, bone), recently admitted for pathologic l hip fracture s/p orif, admitted from rehab after being found unresponsive with r gaze deviation. now with elevated wbc. // eval interval change
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Pa and lateral chest radiographs were obtained. The lungs are well expanded and clear. There is no focal consolidation, effusion, or pneumothorax. Cardiac and mediastinal contours are normal.
chest pain.
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Pa and lateral views of the chest. There is obscuration of the right heart border with a thin wedge of opacity on the lateral compatible with right middle lobe atelectasis. The lungs elsewhere are clear. Cardiomediastinal silhouette is otherwise unremarkable. No acute osseous abnormality detected.
<unk>-year-old female with cough and dyspnea. left-sided pleuritic chest pain.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with hx of frequent pvcs started on renexa, has return of pvcs; sob, dizziness
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New since the prior radiograph, there is left lower lobe opacification which could represent atelectasis, however aspiration and infection should be considered. No pleural effusion or pneumothorax. Heart size and mediastinal contours are normal.
<unk> year old man with deep brain stimulator now having increasing o<num> requirement // interval change
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Stable cardiac and mediastinal silhouette. Left chest tube in unchanged position. Left apical pneumothorax is unchanged. Left basilar opacity and pleural effusion unchanged. The right lung remains clear.
left pneumothorax. check interval change with chest tube clamped.
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The lung volumes are normal. Normal size of the cardiac silhouette. Minimal atelectasis at the left lung bases. No evidence of pneumonia. No pulmonary edema. Normal hilar and mediastinal structures.
history of positive ppd, evaluation of pulmonary pathology.
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In comparison with study of <unk>, the patient has taken a slightly better, though still small, inspiration. The opacification at the left base has decreased, with only relatively mild atelectatic changes. No evidence of pulmonary vascular congestion. Of incidental note is a healed fracture of the distal right clavicle.
hiv, multiple myeloma with fevers.
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Ap and lateral views of the chest. Since prior, there has been interval decrease in degree of interstitial edema. The lungs are clear of effusion. The cardiomediastinal silhouette is stable. Atherosclerotic calcifications are noted at the aortic arch. No acute osseous abnormality is identified noting mild compression of a lower thoracic vertebral body which is unchanged. Surgical clips seen in the upper abdomen.
<unk>-year-old female with fever and lethargy.
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As compared to the previous radiograph, there is no relevant change in appearance of the massive bilateral diffuse parenchymal opacities, consistent with the clinical diagnosis of ards. The endotracheal tube and the nasogastric tube are in constant position. There is absence of larger pleural effusions. Unchanged cardiac silhouette. No pneumothorax.
severe ards, evaluation.
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As compared to the previous radiograph, there is no relevant change. Areas of plate-like atelectasis at both the left and right lung base. Minimal scarring in the left upper lobe. No evidence of acute lung changes, notably no evidence of pneumonia. An area of minimally increased density at the lower aspect of the right hilus is completely unchanged as compared to the previous examination. Substantial scoliosis with subsequent asymmetry of the rib cage. Borderline size of the cardiac silhouette. Tortuosity of the thoracic aorta.
large hiatal hernia with cough, right lower lobe crackles, assessment for pneumonia.
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There is dense consolidation in the right mid to lower lung. The left lung is clear. There is no pleural effusion or pneumothorax. Mild enlargement of the cardiac silhouette is likely due to technique. There is possible right hilar adenopathy. The heart size is normal.
<unk>m with chest pain, cough, congestion, sore throat. evaluate for pneumonia.
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There is interval improvement in aeration of the right lung with a small apical right pneumothorax noted. Right basilar atelectasis is seen. There is a chest tube terminating along the right lung base. Right chest wall subcutaneous emphysema is noted. The left lung is clear, and the heart is stable in size.
<unk>-year-old male with pneumothorax. please evaluate.
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Biapical pleural scarring is noted. Streaky bibasilar atelectasis is noted, more significant on the right. There is no evidence of lobar consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. The descending thoracic aorta is mildly tortuous and contains calcifications. The cardiac silhouette is top normal in size.
history: <unk>f with cp // ? pna
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Since the prior study, there has been interval increased pulmonary vascular engorgement in the left lung. Right airspace opacity persists, concerning for aspiration. Monitoring and support devices are unchanged.
<unk> year old woman with trach in place, h/o mucous plugging, mucous plug on arrival now s/p suctioning // please eval for interval change
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Heart size is normal. Aorta is tortuous. Hilar contours are unremarkable. Pulmonary vascularity is not engorged. Linear opacities in the left lung base are compatible with subsegmental atelectasis. There are low lung volumes. Crowding of the bronchovascular structures is noted. Patchy opacity within the right lung base may reflect an area of atelectasis or infection. No pleural effusion or pneumothorax is identified. Elevation the right hemidiaphragm is noted. Partially imaged are trace density the right upper quadrant of the abdomen.
history: <unk>f with fevers, altered mental status.
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A right internal jugular catheter terminates in the proximal svc. There is persistent visualization of multifocal parenchymal opacities, most confluent in the right mid lung but also affecting the left midlung. There is persistent left lower lobe atelectasis. Although difficult to localize, i suspect there is a small amount of air in the mediastinum. Small left pleural effusion.
<unk> year old man with aortic dissection // s/p ct d/c, r/o ptx
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Ap single view of the chest shows no pnumothorax. Left pleural effusion has minimally increased, now moderate. Right basilar opacity is new, and is suspicious for new focal area of inflammation. Heart size still severely enlarged. All the monitoring and support devices are unchanged.
<unk> years old woman status post sbr, now extubated with right pigtail catheter, assess interval change in left pleural effusion and right pneumothorax.
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Right ij central catheter terminates in the upper svc or at the junction of the svc and brachiocephalic vein. There is persistent moderate to severe pulmonary edema. Moderate right and small left pleural effusions are likely either redistributed or slightly increased with fluid now extending superiorly to the lung apices. Bibasilar opacities persist, likely representing atelectasis though infection cannot be entirely excluded.
history: <unk>m with s/p rij cvl // placement
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Pa and lateral views of the chest provided. The heart is mildly enlarged and central hilar congestion. No convincing signs of edema. No large effusion or pneumothorax. No evidence of pneumonia. Bony structures are intact.
<unk>f with c/o sob with cp on exertion // ? pna vs chf
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Frontal and lateral views of the chest were obtained. Minimal left base atelectasis. No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable, as are the hilar contours.
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The lungs are not completely expanded. There is mild plate like atelectasis at the right lung base. No focal consolidation, pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is unremarkable. The descending aorta is ectatic or tortuous. No acute osseous abnormality.
<unk>-year-old man presenting with shortness of breath; evaluate for pneumonia.
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As compared to the previous examination, there is no relevant change. Status post vats lingulectomy. Clips are visible projecting over the left hilus. The patient is slightly rotated to the left. A faint opacity seen on yesterday's image is no longer present. The left chest tube is in unchanged position. There is a minimal millimetric left apical pneumothorax. Unchanged size of the cardiac silhouette. Unchanged projection of radiodense material over the right upper quadrant.
status post vats, evaluation.
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Pa and lateral radiographs of the chest demonstrate clear lungs. There is mild cardiomegaly. Hilar and mediastinal contours are otherwise normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.
<unk>-year-old man presenting with cough. evaluate for pneumonia.
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The cardiac silhouette remains enlarged. Bibasilar predominant opacities seen on the prior study persists, but appear improved in the interval. Right upper lobe pulmonary nodule seen on ct from <unk> was better assessed on ct. Mediastinal contours are stable. No pleural effusion or pneumothorax.
<unk> year old man with chest pain, palpitations, hx of chf, copd, cad // evaluate for acute process
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As compared to the recent study, there has been little interval change in the appearance of the chest except for slight improved aeration at both lung bases.
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Lung volumes are low. Heart size is mildly enlarged. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. Apart from minimal atelectasis in the lung bases, the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
history: <unk>f with lithium toxicity, altered mental status
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A portable ap radiograph of the chest depicts new diffuse opacification of left lung, likely secondary to mild edema produced by the operation. The left mid lung field is slightly denser, which may represent persistence of the loculated pleural effusions seen on the prior radiograph from <unk>. Two left basilar and one left apical pleural drainage catheters are present. There is a small left pleural effusion and left lower lobe atelectasis. Very mild right lower lobe linear atelectasis or scarring is unchanged. The right lung is otherwise clear. There is no pneumothorax and the heart size and mediastinal contours are unchanged.
evaluate for interval change following left thoracoscopy and lysis of adhesions.
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Mild cardiomegaly is unchanged. There is no pleural effusion or pneumothorax. There is bibasilar atelectasis. There is mild interstitial edema, improved from <unk>. There is no focal lung consolidation. There is calcification of the anterior longitudinal ligament of the thoracic spine consistent with dish.
<unk>-year-old woman with shortness of breath
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In comparison with study of <unk>, the endotracheal tube has been pushed forward and now lies approximately <num> cm above the carina. Slightly better inspiration, but otherwise little overall change in the appearance of the heart and lungs.
abdominal surgery in early mobilization study.
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Heart size remains mildly enlarged. Mediastinal and hilar contours are unchanged, with multiple clips noted in the left posterior mediastinum. Aortic knob is calcified. Hilar contours are unremarkable. There is no pulmonary edema. Small bilateral pleural effusions are again demonstrated with associated bibasilar opacities possibly reflecting atelectasis. Left picc tip remains in unchanged position, terminating in the left brachiocephalic vein. There is no pneumothorax. Cervical spinal fusion hardware is partially imaged.
recent septic right hip with fatigue and anemia.
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There is new focal consolidation identified at the right lung base. Small bilateral effusions are noted. Cardiac silhouette is enlarged similar to prior. Atherosclerotic calcifications noted at the aorta. Median sternotomy wires and mediastinal clips are again noted.
<unk>m w/pmh cardiac ascites, mds, presenting with productive cough/weakness // ?evaluate for pneumonia
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Left chest wall transvenous pacer/ defibrillator with leads ending in the right atrium and right ventricle. There is no evidence of pneumothorax or pleural effusion. Heart size is mildly enlarged. There is no focal consolidation.
<unk>-year-old woman with cognitive changes and delirium, evaluate for pneumonia.
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The lungs are clear of consolidation or effusion. There is a small right upper lung nodule projecting over the anterior right first rib interspace which was likely present on prior and is unchanged. Cardiomediastinal silhouette is normal. No acute osseous abnormality is identified.
<unk>f with one month of cough/congestion // r/o pneumonia
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. A very mild dextroscoliosis of the t-spine noted. No free air below the right hemidiaphragm is seen.
<unk>f with temp <unk>.<num>, worsening in chronic neuro sx, eval for potential source of infection.
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Pa and lateral views of the chest provided. Increased streaky opacities in the right cardiophrenic/lower lung is likely atelectasis however developing pneumonia cannot be excluded. Lung volumes are low, accentuating the cardiac silhouette and pulmonary vasculature. There is no pulmonary edema. There is no pleural effusion.
<unk>f with palpitations, sob, evaluate for pna, chf
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Frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. The lungs are clear. There is no pneumothorax, vascular congestion, or pleural effusion.
<unk>-year-old male with chest pain.
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Again noted are scattered parenchymal opacities consistent with known multifocal pneumonia. There is also an element of vascular congestion. Bilateral pleural effusions are appreciated and are small in size. Heart remains enlarged. A right-sided picc line is in place. The internal jugular central venous line has been removed. There is no pneumothorax.
recent pneumonia with labored breathing
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Pa and lateral radiographs of the chest demonstrate clear lungs and normal hilar and cardiomediastinal contours. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.
evaluate for pneumothorax in a patient with dyspnea.
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A nasoenteric tube has been inserted with the tip projecting over the stomach. A left internal jugular tunneled catheter tip terminates in the right atrium. A right-sided pleural effusion has increased in size since the preceding exam six days ago. Surgical clips in the right upper quadrant are unchanged. A small left effusion may be present. There is no focal consolidation or pneumothorax.
<unk>-year-old woman status post dobbhoff placement.
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Frontal and lateral radiographs of the chest. The lungs are clear. The heart and mediastinal contours are normal. No pleural abnormality is detected.
melanoma. evaluate for new disease.
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As compared to the previous radiograph, the patient has received a dobbhoff catheter. The tip of the catheter projects over the mid esophagus and the device must be advanced by at least <num> cm to be securely positioned in the stomach. No evidence of complications, notably no pneumothorax. The appearance of the cardiac silhouette and the lung parenchyma, including the previously placed left picc line are constant. At the time of dictation and observation, <time> p.m., on <unk>, the referring physician, <unk>. <unk>, was paged for notification.
dobbhoff tube placement.
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Frontal and lateral views of the chest were obtained. A triple-lead left-sided pacer device is again seen, unchanged in position. The cardiac and mediastinal silhouettes are stable with the cardiac silhouette remaining enlarged. There are trace bilateral pleural effusions stable to possibly minimally decreased as compared to the prior study. Evidence of pulmonary edema is again seen.
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Heart size is top 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. Clips are noted within the right upper quadrant of the abdomen.
history: <unk>f with chest pressure.
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Frontal and lateral views of the chest. The lungs are hyperinflated. There is anopacity projecting over the left lung base on the frontal and perhaps correlates with a vague opacity overly the spine on the lateral. The lungs are otherwise clear of focal consolidation, noting bi-apical partially calcified scarring. Cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications noted at the aortic arch. No acute osseous abnormalities are seen.
<unk>-year-old female with wrist fracture, preop.
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<num> linear bands of atelectasis, new since prior exam. Better inspiration. There are no consolidations. Normal heart size, pulmonary vascularity.
<unk> year old woman with myasthenia exacerbation // eval for infection as etiology for myasthenia exacerbation
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Single portable view of the chest is compared to previous exam from <unk>. Right picc is no longer visualized. There are catheters identified in the right upper quadrant. Enteric tubing is faintly visualized into the esophagus, its course not well seen in the stomach liekly due to technique. Rounded radiopacity projects over the left upper quadrant, potentially within g-j tube. The lungs are clear. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with tube coming out of her mouth after vomitting, question foreign body, tube placement. history of recent gj tube.
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Pa and lateral views of the chest are compared to previous exam from <unk>. Biapical scarring is again noted which is partially calcified, more so on the right. The lungs are otherwise clear. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male status post fall with ht and loss of consciousness.
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Single portable ap chest radiograph demonstrates an endotracheal tube. Spinal hardware projects over the anticipated tip of the endotracheal tube. At best the endotracheal tube is <num> cm above the level of the carinal. Patient appears to have her neck flexed in which case endotracheal tube placement is appropriate. An enteric tube descends the thorax in an uncomplicated course, its tip not visualized. Relative to prior examination, the thorax appears unchanged with low lung volumes.
<unk>-year-old female with endotracheal tube placement.
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As compared to the previous radiograph, there is no relevant change in extent and severity of the pre-existing right lower lobe opacity. A subtle new opacity has appeared at the bases of the right upper lobe. In turn, the pre-described left perihilar opacity is minimally decreased in severity and extent. Unchanged position of the pacemaker and its leads. Unchanged mild cardiomegaly. Unchanged bilateral symmetrical apical thickening.
right lower lobe opacity and hemoptysis, evaluation after diuresis.
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Single portable view of the chest. No prior. Relatively low lung volumes are seen. The lungs are clear of confluent consolidation. Cardiomediastinal silhouette is within normal limits for technique, positioning and low lung volumes. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male with stroke history, now with altered mental status and ataxia. question infection.
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There is a streaky left basilar opacity which is most likely due to atelectasis. Known pulmonary nodules are not clearly delineated on this chest x-ray. The lungs otherwise are clear, there is no confluent consolidation or effusion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>m with progressive dyspnea with pulmonary nodules on ct scan // dyspnea
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with hx of cad with chest pain and sob x <num> d // eval effusion, pna
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There is interstitial thickening most prominent at the bases bilaterally. There is also patchy opacification of the right lower lobe. Cardiac enlargement stable. The aorta is calcified and tortuous. The hilar contours are normal. The pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen.
<unk> year old woman with hemoptysis // chf? other cause?
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There has been interval removal of the endotracheal tube and nasogastric tube. Otherwise, left internal jugular central venous line with the tip at the mid brachiocephalic vein and broken sternal wires remain stable. There is new right middle lobe opacity suggestive of a right middle lobe pneumonia. Otherwise, multiple previously visualized cavitated lesions throughout the lungs including cavitated right upper lung lesion are better demonstrated on prior ct from <unk>. Mild improvement in left lung edema. Cardiomediastinal silhouette remains stable.
evaluation of patient with history of afib, ivda, remote tricuspid valve replacement, and endocarditis for interval change.
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Ap upright and lateral views of the chest were obtained. The cardiomediastinal silhouette is stable. There is hazy left basilar opacity which may be due to atelectasis and small pleural effusion. There is blunting of the bilateral posterior costophrenic angles suggesting small bilateral pleural effusions. There may be mild interstitial edema.
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Frontal and lateral views of the chest were obtained. Thoracic kyphosis is accentuated. Mild cardiomegaly is unchanged. Increased pulmonary vascular markings are consistent with very mild pulmonary vascular congestion and diffusely increased interstitial markings are consistent with chronic interstitial disease. No focal consolidation, pleural effusion, or pneumothorax.
<unk>-year-old female with increased confusion. evaluate for infiltrate.
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Midline sternotomy wires are noted. There is right hilar opacity which may be related to reported history of lung cancer. Volume loss in the right lung may reflect prior resection or radiation related changes. Left lung is clear. No convincing evidence for pneumonia, edema, large effusion or pneumothorax. The heart and mediastinal contours are normal. Bony structures are intact.
<unk>m with lung cancer on chemo/radiation here w/ bilateral <unk> edema.
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Heart size is normal. Mediastinal and hilar contours are unremarkable. The pulmonary vascularity is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. No acute osseous abnormality is present.
hypoglycemia, altered mental status.
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There is moderate cardiomegaly. Median sternotomy wires and cabg clips are noted. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Lungs are well expanded and clear. Pulmonary vasculature is within normal limits.
weakness and fatigue, evaluate for pneumonia.
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Low lung volumes are again noted. There are subtle opacities over the left lung base, specifically overlying the posterior left <unk> and <num>th ribs which demonstrate subtle contour abnormality suggesting prior fractures. Moderate hiatal hernia is noted. The lungs are grossly clear. There is no effusion. Cardiomediastinal silhouette is within normal limits given low inspiratory effort. No acute osseous abnormality is noted.
<unk>-year-old female with confusion.
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A tiny right apical pneumothorax persists. There is continued evidence of small pleural effusions. Right pleural fluid and may be underlying compressive atelectasis likely accounts for asymmetrically increased density in the lower right chest. The heart and mediastinal structures are unremarkable for technique and unchanged.
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Again there are bilateral pleural effusions, left greater than right, similar in extent as compared to the prior study. There is persistent heterogeneous opacity projecting over the left mid lung, could relate to chronic aspiration. No pneumothorax is seen. The cardiac and mediastinal silhouettes are grossly stable.
history: <unk>m with c/o cough with sob and cp // ? pna
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Pa and lateral views of the chest shows large improvement of bilateral multifocal opacities described on <unk>, with residual atelectasis of the lingula and some residual opacity in the left lung base, likely left lower lobe. Mild eventration of the right hemidiaphragm is new, might be due to some post-inflammatory traction. Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. Mild scoliosis is unchanged.
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No focal consolidation is present. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax.
<unk>-year-old man with chest pain and abdominal pain, evaluate for pneumothorax or other acute process
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Frontal and lateral views of the chest were obtained. The heart is of normal size. The heart apex is silhouetted by a prominent pericardial fat pad. Blunting of the left costophrenic angle is compatible with a small pleural effusion. The right lung appears clear without effusion. No radiopaque foreign body. Osseous structures are unremarkable.
<unk>-year-old female status post pneumonia, now returning with shortness of breath and chest pain. evaluate for infectious process or pleural effusion.
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The lung volumes are chronically low likely due in part to severe thoracic kyphosis. The air spaces appear clear without evidence of pneumonia. The heart is mildly enlarged. The mediastinal and hilar contours are unremarkable. Pleural effusion likely on the left obscures the posterior costophrenic sulcus. As before the thoracic aorta is tortuous. Compression deformities of multiple vertebral bodies are re- demonstrated.
history: <unk>m with cough and sob // eval for pna
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Right pigtail pleural catheter is in place, with a small-to-moderate right apical pneumothorax. Postoperative changes are present in the right juxtahilar region, consistent with recent right upper lobe resection procedure. Within the lungs, mild interstitial edema is present as well as minimal patchy left retrocardiac atelectasis. Mild subcutaneous emphysema is present in the right chest wall.
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Pa and lateral views of the chest. Low lung volumes crowd the pulmonary vasculature and severely limit the examination. Sternotomy wires and mediastinal clips from prior cabg in appropriate position. No pleural effusion or pneumothorax. Low lung volumes accentuate the cardiac size.
cough and left flank pain. evaluate for pneumonia.
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Semi-erect portable view of the chest demonstrates normal lung volumes. Costophrenic angles are not fully imaged, and there is no evidence of large pleural effusion. No pneumothorax or focal consolidation is seen. Aorta a is tortuous. Mild vascular congestion is present, but no edema or cardiomegaly.
chest pain.
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Frontal and lateral chest radiographdemonstrates well expanded and clear lungs. No focal opacity. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. Limited assessment of the upper abdomen is within normal limits.
<unk>-year-old female with intermittent chest pain, dyspnea and wheezing. assess for acute cardiopulmonary process.
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There are new diffuse bilateral pulmonary infiltrates with a small left pleural effusion. The cardiomediastinal and hilar contours are stable, accounting for rightward rotation of the patient. There is no pneumothorax. There is no focal consolidation concerning for pneumonia.
multiple medical problems and stroke.
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An endotracheal tube is <num> cm above the carina. A right-sided central venous catheter terminates in the low svc and is in appropriate position. An enteric tube is seen coiled in the stomach and terminates above the ge junction and should be repositioned before use. Cardiomediastinal and hilar contours are within normal limits and stable. The heart is normal size. Subtle bibasilar opacities, right greater than left most likely represent atelectasis. No evidence of pulmonary edema. No pleural effusion or pneumothorax is seen.
<unk> year old woman with brain death // f/u cxr
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The lung volume is small. No consolidation. There is chronic diffuse opacities, unchanged from prior. No consolidation. No pleural effusions. No pneumothorax. The heart size is normal and unchanged. The mediastinum is normal. No fractures.
<unk> year old man with cough, leukocytosis // any acute intrathoracic process?
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. There is a <num> cm nodule in the left upper lobe. Lungs are otherwise clear, except for bibasilar atelectasis. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. There are degenerative changes of visualized spine.
<unk>f with chills. evaluate for pneumonia.
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There are moderate bilateral pleural effusions with overlying atelectasis, underlying basilar consolidation difficult to exclude particularly on the left. There is pulmonary vascular congestion. No pneumothorax is seen. The cardiac silhouette is mildly enlarged. Mediastinal contours are unremarkable.
history: <unk>m with new onset of afib // eval for pna pulmonary edema
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In comparison with the study of <unk>, there are lower lung volumes. Several streaks of atelectasis are seen at the bases, though no acute pneumonia, vascular congestion, or pleural effusion. Loss of height of several lower thoracic vertebrae again appreciated with kyphotic appearance to the thoracolumbar junction.
cough for two weeks, to assess for pneumonia.
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A right-sided indwelling catheter is present, tip at svc/ra junction. No pneumothorax detected. Note is made of asymmetry in the patient's breast shadows, smaller on the left. There appears to be some increased density over the left lung. Given the density of the left breast on the <unk> ct, it is possible that this is accounted for by increased soft tissue density in the present. In addition, there is a nodular density at the left lung base, projecting adjacent to the left cardiac contour, measuring approximately <num> mm in diameter. Possible right base pulmonary nodules similar to the <unk> film. The cardiomediastinal silhouette is at the upper limits of normal. The right lung is grossly clear. Though the mediastinum appears midline, there does appear to be slight asymmetry in the lungs, slightly larger on the right. No chf or right-sided opacity is detected. No effusion is detected on either side. Punctate density overlying the left neck may represent a small amount of carotid artery calcification.
chemotherapy for breast cancer, presenting with pain crisis. chest, single ap view.
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Ap and lateral views of the chest. Right chest wall dual lead pacing device is again seen. The lungs are clear of focal consolidation, effusion, or pulmonary vascular congestion. Cardiac silhouette is stable in configuration. No acute osseous abnormalities. The degenerative changes again seen at the left shoulder.
<unk>-year-old female with dizziness and hypertension. question cerebellar bleed.
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Ap single portable chest examination with patient in semi-upright position. Comparison is made with the frontal view of the next preceding pa and lateral chest examination. The right-sided rather massive pleural effusion may have increased slightly even when paying attention to possible changes in patient's position. Right lower lung area obscured by the pleural effusion. There are some scattered infiltrates in the left lung base, probably plate atelectasis. There is no evidence of left-sided pleural effusion as the lateral pleural sinus remains free.
<unk>-year-old female patient with stage iv lung cancer, complaining of acute shortness of breath with increased oxygen requirements. evaluate for interval change from prior chest examination, any pleural effusions, increased fluid concerns for pulmonary embolism.
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Ap upright and lateral views of the chest provided. Port-a-cath resides over the right chest wall with catheter tip in the region of the mid svc. The lungs are clear without focal consolidation, large effusion or pneumothorax. The heart is top-normal in size. Mediastinal contours unremarkable. No acute bony abnormalities. No free air below the right hemidiaphragm.
<unk>m with weakness, on chemo // eval for any infiltrates
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The lungs are clear. There is no evidence of pneumonia. The cardiac and mediastinal contours are normal. There are no pleural effusion and no pneumothorax. The subclavian line on the left side is in adequate position in the lower superior vena cava.
patient with aml and neutropenic fever, rule out pneumonia.
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Ap upright and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with chest pain
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The patient has undergone bronchoscopy. There is no post-procedure pneumothorax. The ventilation of both lung bases, evident on the left than on the right, has improved. Otherwise, no relevant changes. Unchanged size of the cardiac silhouette. Unchanged course and position of the monitoring and support devices.
post cabg, respiratory insufficiency, evaluation for post-procedure pneumothorax.
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The lungs are relatively hyperinflated. No focal consolidation is seen. There is no pleural effusion or pneumothorax. Cardiac and mediastinal silhouettes are unremarkable. No pulmonary edema is seen.
history: <unk>f with new onset atrial fibrillation, syncope // evaluate for acs, pulmonary edema
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Comparison is made to previous study from <unk>. There is a dual-lead right-sided pacemaker with lead tips within the right atrium and right ventricle. The heart size is within normal limits. There has been mild improvement of the bilateral pleural effusions. There remains a left retrocardiac opacity. There is no overt pulmonary edema or pneumothoraces.
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The patient's known dominant right upper lobe mass is difficult to completely ascertain; however, there are clearly parenchymal abnormalities within the lungs in the right upper lobe, left upper lobe as well as probable right lower lobe, better appreciated on the chest ct. There is no evidence of pneumonia. There may be a small right pleural effusion. The cardiac size is normal. The aorta is tortuous. No pneumothorax.
known lung cancer. repeat evaluation.
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Following right thoracentesis, a right pleural effusion has substantially decreased in size with only a small residual effusion remaining. There is a probable tiny right apical pneumothorax. Heterogeneous opacities in the right mid and lower lung likely represent reexpansion edema in the setting of recent large volume thoracentesis.
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The lungs are clear without consolidation or edema. There is no pneumothorax of pleural effusion. The previously seen lingular pneumonia has resolved. The cardiomediastinal silhouette is normal. The osseous structures are unremarkable.
chest pain. evaluate for acute process.
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In comparison with the earlier study of this date, the tip of the orogastric tube is extremely difficult to identify. It extends at least into the pyloric region where it takes a downward curve at the level of the iliac crest on the right. Endotracheal tube remains in good position. Bilateral pulmonary opacifications are again consistent with substantial layering effusions, compressive atelectasis at the bases, and elevated pulmonary venous pressure.
ng tube placement.
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. There has been interval removal of a right-sided picc line since <unk>. No evidence of subdiaphragmatic free air.
<unk>-year-old male with multiple myeloma on chemo with chills, nausea, vomiting.
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Cardiac silhouette size is normal. Mediastinal and hilar contours are unchanged with known mediastinal lymphadenopathy better appreciated on the prior ct. Pulmonary vasculature is normal. No focal consolidation, pleural effusion, or pneumothorax is present. Scarring within the lung apices appears unchanged. No acute osseous abnormality is detected. Oral contrast material seen within the splenic flexure.
history: <unk>f with history of pelvic malignancy, lymph nodes, now with fever. please compare to ct chest
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The cardiac, mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. The lungs appear clear. Prior healed rib fractures are noted on the left. A severe thoracolumbar vertebral compression fracture, probably t<num>, shows no evidence for change. There is, however, below that level, moderate to severe new subchondral sclerosis at the level below, probably l<num>-l<num>, suggesting coinciding degenerative change, with milder changes at the intervening level, likely t<num>-l<num>.
weakness and minimally responsive.
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The endotracheal tube ends <num> cm above the carina. An orogastric tube ends off of the radiograph. Pulmonary vascular congestion is new since <unk>. Bibasilar opacities are most consistent with atelectasis. The cardiac and mediastinal contours are stable. Three sternotomy wires are fractured, unchanged since <unk>. No pleural effusion or pneumothorax identified.
<unk> year old man s/p stemi, c cath <unk>, intubated for procedure. evaluate endotracheal tube placement.