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Pa and lateral views of the chest were provided. The lungs are clear without focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette appears normal. Imaged bony structures are intact. No free air below the right hemidiaphragm. Overlying ekg leads are in place.
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The endotracheal and nasogastric tubes have been removed. A left apical pigtail catheter is unchanged in position. A left subclavian central venous catheter ends in the mid svc. A small left apical pneumothorax is unchanged. The lungs remain clear. The heart and mediastinum are within normal limits despite the projection.
<unk> year old woman with sah s/p fall, left ptx after cvl placement and ct placement. // eval ct placement. please perform cxr at <unk> today (<unk>)
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Interval improvement in right lower lung opacity. There is better aeration in the left lower lobe; however, residual hazy opacity remains which could represent residual atelectasis versus consolidation. The cardiomediastinal silhouette is unchanged. The ng tube is in stable position in the stomach. No pleural effusion or pneumothorax is present.
status post intracerebral hemorrhage with right lower lobe pneumonia. evaluate interval change.
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Pa and lateral views of the chest provided. No picc line is identified. Clips are noted in the upper abdomen. 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 r picc
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The heart is similarly enlarged. The cardiac, mediastinal and hilar contours appear unchanged. The lung volumes are low. Allowing for technique, the lungs remain clear. There are no pleural effusion or pneumothorax.
cough and right-sided chest pain.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. A very mild interstitial process is noted with peribronchial cuffing, which could be seen with airway inflammation, infectious bronchitis or possibly slight fluid overload.
tachycardia and shortness of breath.
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The cardiac, mediastinal and hilar contours are normal. The pulmonary vascularity is normal. The lungs are clear. No pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities.
positive blood cultures and fevers for <num> weeks.
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There is a dense round consolidation in the superior segment of the left lower lobe consistent with pneumonia. No pleural effusion, pulmonary edema or pneumothorax is present. The heart size is normal.
productive cough.
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There has been interval placement of the et tube which terminates <num> cm above the carina. Left picc line terminates in the mid svc. Ng tube terminates in the stomach however its side-port appears to be at the ge junction. Left lower lobe atelectasis has improved. There is new right middle lung atelectasis. A small right pleural effusion is seen.
<unk> year old man being intubated for ect // evaluate et tube placement
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Patient positioning is suboptimal. There are low lung volumes. Bilateral opacities, right greater than left, and indistinct pulmonary vasculature is compatible with mild to moderate pulmonary edema. There are small pleural effusions, left greater than right. Bibasilar atelectasis is worse on the left with obscuration of the left hemidiaphragm, likely a combination of pleural effusion and atelectasis. The cardiomediastinal silhouette and hilar contours are stable. There is prior median sternotomy with partially visualized intact wires. There is no large pneumothorax.
cough, fever. for pneumonia.
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A frontal upright view of the chest was obtained portably. Two images are provided. The first from <time>pm shows the dobbhoff tube coiled within nasopharynx and the second image from <time>pm shows the dobhoff tube following the expected course, ending in the region of the pylorus. Aside from new linear atelectasis at the left lung base, the lungs are clear without focal consolidation, pleural effusion or pneumothorax. Heart size is normal. Mediastinal silhouette and hilar contours are normal.
evaluate dobbhoff placement.
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The endotracheal tube ends <num> cm above the carina. The nasogastric tube has been advanced. Left retrocardiac opacity persists and could represent the large hiatal hernia however infection and aspiration are not excluded. There is no large pleural effusion or pneumothorax. There is no free air beneath the right hemidiaphragm.
<unk>f with intubated, sedated // eval for et tube placement s/p transport
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Left chest wall port is again seen. Relatively low lung volumes are noted but the lungs are grossly clear. The cardiomediastinal silhouette is within normal limits. There is no pneumothorax.
<unk>m with chest pain // acute cardio plum disease
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. There is no pulmonary edema. The cardiac silhouette is not enlarged. The aorta is slightly tortuous.
cough.
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There has been interval worsening of chronic right pleural effusion and right lower lung collapse now with a moderate to large effusion, collapse of the right middle and right lower lobe, and heterogeneous opacity throughout the remainder of the right lung. A <num> cm nodule in the left lung apex is compatible with known malignancy. The remainder of the left lung is clear. Cardiomediastinal contour is not readily assessed due to opacification of much of the right hemithorax. Thoracic stabilization hardware is unchanged in position. Known thoracic vertebral fractures are not well assessed on this a portable frontal radiograph.
hiv, metastatic lung cancer with new shortness of breath and oxygen requirement.
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Frontal and lateral radiographs of the chest demonstrate well expanded clear lungs. The cardiomediastinal and hilar contours are unchanged. There is no pneumothorax, pleural effusion, or consolidation.
altered mental status.
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette. A density overlying the right mid lung is likely within the soft tissue. A left lower lobe hyperdensity was previously evaluated with ct chest in <unk> and corresponds with a clinical history of retained/dislodged metal forceps tip. The lungs are well-aerated and clear without pulmonary edema or focal consolidation. There is no pleural effusion or pneumothorax.
history of breast cancer with dyspnea on exertion.
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Patient is rotated slightly to the left. Patient is status post median sternotomy. Single lead left-sided pacemaker is stable in position. Bilateral pleural effusions with overlying atelectasis persist. There is moderate pulmonary edema. Marked cardiomegaly persists. Prominence of the hila persists.
history: <unk>f with chf, sob // eval for pulm edema
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Ng tube tip terminates just beyond the ge junction with the side port located in the distal esophagus. Small to moderate left pleural effusion, with underlying collapse and/or consolidation is similar as before. Minimal patchy opacity at the right base, with minimal blunting. Cardiomediastinal silhouette is grossly unchanged.
<unk> year old man s/p primary repair of posterior pyloric channel perforated ulcer // ngt placement
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Portable single frontal chest radiograph was obtained with the patient in upright position. The patient is status post extubation. A right ij terminates in the right atrium. There is significant left lower lobe volume loss with complete obscuration of the left hemidiaphragm and leftward shift of the mediastinum. A lucency is present over the left mid lung, possibly a luculated pocket of air. There is also a moderate left pleural effusion. There is mild right basilar atelectasis with a small layering pleural effusion. Heart size is difficult to assess given parenchymal abnormalities.
patient with right mca infarct, eval for pneumonia.
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As compared to the previous radiograph, there is no relevant change. Moderate scoliosis of the thoracic spine with subsequent asymmetry of the rib cage. Normal lung volumes. No pleural effusions. No focal parenchymal opacity suggesting pneumonia. Normal size of the cardiac silhouette. No hilar or mediastinal abnormalities.
left-sided chest pressure, rule out acute process.
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No previous images. The cardiac silhouette is within normal limits and there is mild tortuosity of the aorta. No evidence of acute pneumonia, vascular congestion, or pleural effusion.
possible gastric malignancy, to assess for pneumonia.
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Ap and lateral chest radiographs. The lungs are clear. Mildly increased interstitial markings are chronic and may represent bronchiolar thickening/inflammation. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
altered mental status. evaluation for pneumonia.
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The lung volumes are low. There is mild right lower lung atelectasis. The heart size is top normal. Mild interstitial pulmonary edema is difficult to exclude. There are no definite pleural effusions. No pneumothorax is seen. A right port-a-cath ends in the mid svc.
altered mental status with mild hypoxia. history of brain malignancy.
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Low lung volumes persist. Left sided dual-chamber pacemaker is re- demonstrated with leads terminating in unchanged positions. Widening of the superior mediastinum is due to low lung volumes and technique. The heart size again is likely top normal, but is accentuated due to poor inspiratory effort. There is crowding of the bronchovascular structures. No overt pulmonary edema is seen. There is likely mild bibasilar atelectasis though assessment for pneumonia is limited on this low lung volume study. No pleural effusion or pneumothorax is present.
headache, lower extremity rash and sepsis.
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Bilateral parenchymal or opacities are noted. Most dense consolidation is identified at the left lung base, which has progressed since prior with silhouetting of the hemidiaphragm. Chronic distortion of the parenchyma markings seen at the right lung base. Cardiac silhouette is grossly unchanged. No acute osseous abnormalities.
<unk>m with sob // eval for pna
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Left lower lobe streaky atelectasis is again present without definite focal consolidation.. Cardiac size is normal. No pleural effusion, pneumothorax, or pulmonary edema is seen.
<unk>-year-old female with chest pain.
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Pa and lateral views of the chest provided. Lungs are clear. Pulmonary vasculature is normal. Cardiomediastinal and hilar contours are normal. Pleural surfaces are normal.
<unk> year old woman with <num> days productive cough, low-grade temp, diffuse rhonchi on exam
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Heart size is normal. The aortic knob is calcified. Mediastinal and hilar contours are normal. Pulmonary vasculature is normal. There is minimal atelectasis in the lower lobes. No focal consolidation, pleural effusion or pneumothorax is present. Surgical anchor is seen projecting over the right humeral head. There are mild degenerative changes in the imaged thoracic spine.
history: <unk>f with syncope
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Right-sided port-a-cath is seen with catheter terminating in the low svc, without evidence of pneumothorax. No focal consolidation is seen. . No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with active chemo sob, cough // r/o pna
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The heart size is enlarged, but likely exaggerated due to patient positioning and ap technique. The mediastinal and hilar contours are within normal limits. The right-sided picc tip terminates at the cavoatrial junction, the lung volumes are low but clear of consolidation; the previously described chf looks markedly improved with minimal residua at the right base. There is no pleural effusion or pneumothorax. Supine positioning limits assessment for subdiaphragmatic free air.
<unk>-year-old female with fever, rigid abdomen, and blood in colostomy after bowel resection <unk> days ago.
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Frontal and lateral views of the chest demonstrate top normal heart size and mild unfolding of thoracic aorta. There is no pneumothorax, pulmonary edema, or large effusion. Multilevel thoracic spondylosis is present.
<unk>-year-old female with substernal chest pain and past medical history of congestive heart failure.
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Pa and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding similar study obtained one and a half hour earlier. The findings are completely unchanged. No new pulmonary abnormalities are seen. No pneumothorax has developed, and the lateral and posterior pleural sinuses are free from any fluid accumulation.
<unk>-year-old female patient post-right lung biopsy and fiducial seed placement. now with wheeze and stridor. ? pneumothorax or new effusion.
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Pa and lateral views of the chest provided. A vagal nerve stimulator projects over the left axilla with catheter wire extending to the right base of neck. 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 epilepsy with increased seizure frequency // eval pna
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The cardiac silhouette is enlarged. There is a tiny right sided effusion. There is mild pulmonary vascular congestion with cephalization suggesting fluid overload. Lungs are otherwise clear without consolidations or pneumothorax. A left dual lumen central venous catheter is in place and the tip terminates at the low superior vena cava. No acute bony abnormality.
altered mental status.
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The lungs are underinflated, and there is likely a small right pleural effusion. No focal consolidation to suggest pneumonia. Heart size and mediastinal contours are within normal limits.
<unk>f with reported pneumonia @ osh, poor film quality. likely needing or for leg fracture.
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There is a small to moderate left-sided pleural effusion. Cardiac size remains stable. Ng tube courses into the stomach and off the film. Right-sided picc line terminates in the high svc. There is no evidence of infection. Bibasal atelectasis is present.
<unk>-year-old man status post cabg and laryngectomy. please evaluate for effusion.
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No significant interval change as compared to chest radiograph from <num> day prior. No pulmonary edema, pneumonia, effusions or pneumothorax. Cardiomediastinal silhouette is unchanged. The dual lead pacer is in similar positioning.
<unk> year old woman sp av nodal ablation // pulmonary edema?
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Frontal and lateral views of the chest. The lungs are clear of consolidation or effusion. Cardiomediastinal silhouette is normal. No acute osseous abnormalities detected.
<unk>-year-old male with known pituitary tumor, headache and shortness of breath.
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The patient is status post median sternotomy. The heart is normal in size. The cardiomediastinal and hilar contours are within normal limits. The pulmonary vasculature is normal. The lungs are clear. There is no pleural effusion or pneumothorax identified.
<unk> year old man former smoker (minimal amount) with chronic cough. most likely from ace inhibitor but want to rule out underlying causes. // eval for cause of chronic cough
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Frontal and lateral views of the chest demonstrate fully expanded and clear lungs. Heart is stably mildly enlarged. Mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. There is no intraperitoneal free air. A lucent retrocardiac structure represents a small hiatal hernia.
<unk> year old man s/p laparoscopic nissen fundoplication, evaluate for interval change.
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The lung volumes are low. The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear.
recurrent fever.
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There are low lung volumes. Mild prominence of the central pulmonary vasculature may relate to low lung volumes versus very minimal pulmonary vascular engorgement. No definite focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Suggestion of mitral anulus calcification is seen on the frontal view.
history: <unk>m with ? vascular congestion on previous cxr, c/o mild dyspnea // acute process, attn to edema
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The patient is status post aortic valve replacement. Vague right mid lung opacity has improved somewhat. Chronic-appearing changes in the right lung including right apical pleural thickening, patchy opacities, and rib deformities appear otherwise stable since preoperative radiographs. Patchy left basilar opacity suggesting atelectasis has improved somewhat since the more recent prior radiographs, and a small left-sided pleural effusion appears similar to decreased. Mild degenerative changes are similar along the thoracic spine.
chest pain. patient with history of aortic stenosis, status post aortic valve replacement and bypass graft surgery. patient returns with tachycardia.
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Frontal and lateral radiographs of the chest again demonstrate median sternotomy wires and surgical clips. There has been interval improvement in the right basilar pleural effusion and atelectasis with continued small to moderate left pleural effusion. The remainder of the lung parenchyma is clear with no focal consolidation. The cardiac silhouette is enlarged but stable since the prior radiographs. Aortic valve replacement is again seen. Kyphosis of the thoracic spine is noted and unchanged since prior radiographs.
status post redo sternotomy. evaluate for effusions or pneumothorax.
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Pa and lateral chest views were obtained with patient in upright position. The heart size is within normal limits. No typical configurational abnormalities identified. The thoracic aorta is mildly widened and elongated but no local contour abnormalities or wall calcifications are seen. No mediastinal abnormalities are identified. The 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 pneumothorax in the apical area can be identified on the frontal view. Comparison is made with two previous chest examinations dated <unk> and <unk>. There are no new pulmonary abnormalities. The heart size is stable. Mild widening and elongation of the thoracic aorta existed already earlier and is unchanged.
<unk>-year-old female patient with cough and scattered rhonchi, evaluate for pneumonia.
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As compared to the previous radiograph, there is no relevant change. Borderline size of the cardiac silhouette. Tortuosity of the thoracic aorta. Normal structure and transparency of the lung parenchyma. No evidence of pneumonia. No pleural effusions. Normal hilar and mediastinal structures. Unchanged clips projecting over the upper aspect of the right upper quadrant.
cough and fever, questionable pneumonia.
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Low lung volumes exaggerate the cardiomediastinal contours. Large retrocardiac hiatal hernia is unchanged compared to multiple prior exams. There has been an interval increase in ill-defined, bilateral perihilar opacities, as well as a small right pleural effusion. Mild bibasilar atelectasis has also increased compared to the prior exam. There is no pneumothorax. The visualized osseous structures are unremarkable.
history: <unk>m with shortness of breath, known pneumonia // eval interval change for pneumonia
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The cardiomediastinal and hilar contours are normal. There is no focal consolidation, pleural effusion or pneumothorax.
hypertension. question pneumonia, reason for cough, fever.
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The cardiac, mediastinal, and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. The lungs appear clear.
dyspnea on exertion.
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Support lines and tubes are unchanged in appearance when compared to the prior study. There are persistent multifocal airspace opacities throughout both lungs total relative sparing of the left apex. In addition there are ring shadows and tram-tracking suggests of bronchiectasis, consistent with the patient's known history of cystic fibrosis. No definite pleural effusions. No pneumothorax seen.
<unk> year old man with cf, intubated with recurrent fevers // please assess for interval change
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The lung volumes are low. The heart is borderline in size. The aortic arch is calcified. There is no pleural effusion or pneumothorax. The lungs appear clear.
altered mental status.
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Frontal supine radiograph of the chest. Low lung volumes. The cardiomediastinal silhouette and hilar contours are normal. The lungs are clear. No pleural effusion or pneumothorax. No displaced rib fracture identified.
status post mvc. evaluate for acute traumatic injury.
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The visualized lung fields are clear of any focal opacities, pleural effusion or pneumothorax. The cardiac and mediastinal silhouette is stable.
cough, evaluate for pneumonia or infiltrate.
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Frontal and lateral views of the chest are obtained. Left base opacity is seen, which could be due to a combination of pleural effusion and atelectasis, although underlying consolidation cannot be excluded. The right lung is clear, although a trace pleural effusion would be difficult to exclude. The patient is status post median sternotomy and aortic valve replacement. Cardiac silhouette is top normal to mildly enlarged. Mediastinal contours are stable. The aorta is calcified. Degenerative changes are seen at the acromioclavicular, shoulder joints, and along the spine. Small <num>-mm calcification projecting over the soft tissue along the lateral left humeral head may relate to calcific tendinosis.
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Pa and lateral upright chest radiograph demonstrates clear lungs bilaterally. Focal consolidation is identified. There is no pleural effusion or pneumothorax. Cardiomediastinal and hilar contours are unremarkable. Visualized osseous structures demonstrates no acute abnormality.
<unk>-year-old female with recent assault and rib pain on right side.
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Pa and lateral views of the chest were provided. The lungs are clear bilaterally. No focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. The imaged osseous structures are intact. No free air below the right hemidiaphragm.
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Cardiac silhouette is moderately enlarged with a large and tortuous thoracic aorta without focal aneurysmal segment. Hilar contours are normal. Lungs are clear. There is no pleural effusion or pneumothorax. Symmetric bilateral apical pleural thickening is noted.
new diagnosis of copd.
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As compared to the previous radiograph, there is no relevant change. No acute lung changes such as pneumonia, pulmonary edema or pleural effusions. Borderline size of the cardiac silhouette. Unchanged position of the pacemaker leads. No pneumothorax.
preoperative chest x-ray.
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Single frontal view of the chest was obtained. New right pigtail catheter projects over the lateral aspect of the right pleural cavity. Right pleural effusion has decreased, now moderate. Moderate left pleural effusion is unchanged. Widening of the vascular pedicle suggesting pulmonary vascular congestion is similar to prior. Right picc terminates in the mid svc.
<unk>-year-old female with bilateral effusions status post right chest tube placement.
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The lungs are clear without focal consolidation or effusion. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified. Right lateral rib fractures appear old.
<unk>m with ams and cough // eval for pneumonia
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Compared to chest radiograph from <num> hours earlier, there has been interval placement of a orogastric tube that passes into the stomach and out of view. No evidence of pneumothorax. Bibasilar opacities have minimally improved. The contribution of asymmetric edema and pneumonia to these opacities is hard to say. There is little change otherwise.
<unk> year old man with new og placement // og confirmation
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In comparison with the study of <unk>, the right basilar hydropneumothorax is probably unchanged. Extensive subcutaneous emphysema persists along the lateral chest wall and extending into the neck. Bilateral heterogeneous pulmonary opacifications are little changed.
subcutaneous gas.
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As compared to the previous radiograph, the signs of mild-to-moderate pulmonary edema are constant. Due to patient rotation, a faint opacity in the right upper lobe is better seen than on the previous radiograph. Bilateral symmetrical apical scarring is present. The pre-existing opacity at the left lung base is minimally decreased as compared to previous image. Moderate cardiomegaly. Unchanged tortuosity of the thoracic aorta.
crackles and history of chronic heart failure, questionable pulmonary edema.
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No previous images. The heart is normal in size and there is no vascular congestion or pleural effusion or acute focal pneumonia. No evidence of rib fracture or pneumothorax, though if occult fracture is of serious concern, dedicated rib views could be obtained.
lower left rib pain.
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Clear infiltrate or pulmonary abnormalities have improved since the last radiograph with significantly improved aeration of the lungs. Cardiac size remains normal. An ng tube is seen coursing into the stomach and off the view of the film. A right-sided picc terminates at the caval atrial junction.
<unk> year old man with ?ards/pna // progression //<unk> year old man with ?ards/pna
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Pa and lateral views of the chest were obtained. Lungs are clear and well expanded without focal consolidation, effusion, or pneumothorax. The heart and mediastinal contour appears normal. The bony structures are intact. Of note, no displaced rib fractures are seen. There is a mild dextroscoliosis of the spine with its apex at l<num>-<num> level.
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Et tube ends in the lower trachea. Left ij central venous catheter ends in the mid to lower svc. Nasogastric tube courses below the hemidiaphragm, tip not visualized. The left costophrenic angle has been excluded from the field of view. Left-sided chest tube is unchanged in position. A partially imaged vp shunt catheter has no kinks or discontinuities along its imaged course. There is no pneumothorax. Small subcutaneous emphysema is unchanged. The previous left basilar airspace opacity has cleared, and may have been due to atelectasis. Mild vascular engorgement without frank edema is unchanged. The cardiomediastinal silhouette is normal despite the projection.
<unk> year old man with ptx // eval chest tube and ptx
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In comparison with the study of <unk>, there is little overall change. Unchanged enlargement of the cardiac silhouette with bilateral pleural effusions and compressive atelectasis at the bases. Unchanged pulmonary vascular congestion. Triple channel pacer device remains in place with leads in good position in the right atrium, right ventricle, and coronary sinus distribution. Right picc line terminates in the lower svc. Median sternotomy wires are intact.
<unk> year old man with chf s/p r bka // assess interval changes post diuresis
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Heart size within normal limits. Mediastinal and hilar contours unremarkable. No evidence for pulmonary edema, pulmonary consolidation, pleural effusion, or pneumothorax. Severe bilateral glenohumeral osteoarthritis. Degenerative changes in the thoracic spine.
<unk>m with chest pain. evaluate for pneumonia.
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A right single chamber pacemaker lead terminates in the right ventricle. A left swan ganz catheter tip is seen proximal to the right pulmonary artery. Et tube terminates <num> cm above the carina. Corevalve appears in adequate position. The heart is top normal in size. The hilar and mediastinal contours are within normal limits. The lungs are well expanded and clear. There are no pleural effusions or pneumothorax.
<unk>-year-old male patient status post corevalve. study requested for evaluation of line placement.
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Patient is rotated to the right. Within this limitation, the lungs are clear. The cardiomediastinal silhouette is within normal limits. <num> keys project over the right hemithorax which are presumably external to the patient. Osseous structures are unremarkable.
<unk>f w/chest pain // <unk>f w/chest pain
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Since the prior study be swan-ganz catheter has been withdrawn and is now positioned centrally within the right main pulmonary artery. An intra-aortic balloon pump is unchanged in position compared to the prior study. Moderate cardiomegaly and pulmonary vascular congestion persists without frank pulmonary edema. A right-sided picc terminates in the mid svc.
<unk> year old man with chf with iabp and swan. swan has been retracted // ?swan placement
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In comparison with the study of <unk>, there is little interval change. Continued pleural thickening with evidence of previous surgery and cervical fusion and port-a-cath. No evidence of acute focal pneumonia or vascular congestion.
tracheobronchoplasty, to assess for pneumonia.
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Ap portable upright chest radiograph provided. The lungs are hyperinflated with stable linear densities in the lower lungs likely representing plate-like atelectasis or scarring. No large effusion or pneumothorax is seen. The cardiomediastinal silhouette appears stable with top normal heart size. Bony structures appear intact. No free air below the right hemidiaphragm. Chronic-appearing left posterior upper rib deformities are present.
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There is severe consolidation in the right lower lobe with worsened pleural effusions bilaterally. There is also mild pulmonary edema. There is no pneumothorax. The cardiomediastinal and hilar contours are stable.
<unk>-year-old with gram-negative rod sepsis and bilateral pleural effusions.
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Lung volumes are low. There is moderate cardiomegaly and generalized increase in interstitial structures, the fissures, suggesting mild-to-moderate interstitial lung edema. At the time of dictation and observation, <time> a.m., on <unk>, referring physician, <unk>. <unk> was paged for notification.
chronic heart failure.
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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.
<unk> year old woman with severe asthma, current flare, some diminished breath sounds on the left. // r/o pna
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Cardiomediastinal contours are normal. The lungs are clear. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable
<unk> year old woman with chronic upper back pain x <num> months, smoking history // eval for abnormality
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The lungs are clear. There is no focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with presyncope // eval for widened mediastinum
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Mild enlargement of cardiac silhouette is present. The aorta is diffusely calcified and tortuous. The pulmonary vasculature is not engorged. Patchy opacities in lung bases likely reflect areas of atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. Moderate degenerative changes are noted in the thoracic spine. Bilateral remote posterior rib fractures are noted.
history: <unk>m with lethargy
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In comparison with study of <unk>, there is no convincing evidence of acute focal pneumonia. There is, however, an area at the right base that could represent an area of early coalescence and, in the appropriate clinical setting, be a manifestation of early pneumonia.
dysphagia, to assess for aspiration.
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The endotracheal tube is positioned high, approximately <num> cm from the carina. An enteric tube courses below the diaphragm with the tip out of the field of view. The lung volumes are low. Bibasilar atelectasis is unchanged. Since the prior exam, there has been a slight interval worsening of the vascular congestion and mild pulmonary edema. There is no opacity to suggest pneumonia. No pleural effusion or pneumothorax is identified. Widening of the mediastinal contours is unchanged, and likely due to mediastinal fat, as seen on the prior ct. The heart appears slightly larger.
history of diarrhea and malaise, now with cardiac arrest. evaluate for of volume overload.
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Frontal and lateral views of the chest demonstrate normal lung volumes. There is no focal consolidation, pleural effusion or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Descending aorta appears slightly tortuous. Aortic arch calcifications are seen. Heart is normal in size. There is no pulmonary edema.
hyperglycemia and elevated white blood cell count. assess for infection.
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The inspiratory lung volumes are appropriate. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. There is no evidence of pneumomediastinum. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits.
chest pain after repeated vomiting, here to evaluate for evidence of pneumomediastinum or pneumothorax.
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Cardiac silhouette size is normal. The mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Lungs are hyperinflated but clear. No pleural effusion or pneumothorax is present. No acute osseous abnormality is identified.
history: <unk>f with elevated d-dimer
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As compared to the previous radiograph, there is marked improvement of the pre-existing right parenchymal opacity. On the left, there is unchanged evidence of moderate retrocardiac atelectasis, potentially combined to a minimal left pleural effusion. Unchanged status post cabg with stable size of the cardiac silhouette and stable sternal wires.
dyspnea, evaluation for interval change.
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There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
history: <unk>f with ruq vs lower thoracic pain // eval ? rll effusion, pathology
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There is extensive chronic interstitial abnormality. There is no new focal airspace consolidation. The hilar and cardiomediastinal contours are normal. There is no pneumothorax. There is no pleural effusion. Pulmonary vascularity is normal.
<unk>-year-old woman with a history of uip the common presenting with worsening dyspnea and left-sided crackles on exam.
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As compared to the prior examination dated <unk>, there has been no relevant interval change. There is no evidence of focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are detected.
history: <unk>m with chest pain, pleuritic, radiating to his back // evaluate for acute process
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The lungs are well expanded. There is a vague opacity in the right lower lobe, which has been present intermittently on prior studies. Although this may represent postinflammatory changes, pneumonia can not be entirely excluded. Clinical correlation and follow up imaging would be advised especially if the patient's symptoms persist. There is no pulmonary edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
history: <unk>m with dyspnea // eval for pneumonia
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Frontal and lateral views of the chest. Lateral view is somewhat limited exam due to patient's arms being down by his side. The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities detected.
<unk>-year-old male with new confusion, status post surgery.
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In the interval, the patient has undergone anterior discectomy and anterior fusion from c<num>-c<num>. The lungs are clear, the cardiomediastinal silhouette and hila are normal. There is no pleural effusion or pneumothorax.
<unk>-year-old with chest pain.
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Incomplete inspiration causes crowding of pulmonary vasculature. The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax. There is no pleural effusion. Pulmonary vascularity is normal.
<unk>-year-old man presenting with chest pain and dyspnea for <num> hours, second visit for same symptoms in the last <num> days.
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Right picc with distal tip terminating in the upper svc, unchanged from previous examination. No pneumothorax, mediastinal widening, or pleural effusions. The lungs are well expanded and clear. The hila and cardiac borders are normal.
<unk> year old man with picc from outside // check placement please
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The lungs are clear without focal consolidation, pleural effusion or pneumothorax. There is no pulmonary edema. The heart is normal in size, and the mediastinal contours are normal.
<unk>-year-old female with confusion. evaluate for infectious process.
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Frontal and lateral views of the chest. Slightly lower lung volumes are seen on the current exam. There are small bilateral effusions, larger on the left than on the right, perhaps minimally enlarged compared to prior on the left. There is no confluent consolidation. The cardiomediastinal silhouette is top normal in size. Atherosclerotic calcification is seen at the aortic arch.
<unk>-year-old female with shortness of breath with chest and abdominal pain.
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Right-sided central venous catheter tip terminates in the mid svc. Cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities present.
acute renal failure, central line placement.
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Lungs are well-expanded and clear. Cardiomediastinal and hilar contours are unchanged. Heart is top-normal in size. No pneumothorax, pleural effusion, or consolidation.
history: <unk>f with palpitaions // r/o acute process
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Lung volumes are low. Heart size is normal. Mediastinal and hilar contours are unremarkable. Lungs are clear. No pleural effusion or pneumothorax is seen. No acute osseous abnormality is identified.
acute onset chest pain.