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As compared to the previous radiograph, the appearance of the mediastinum is constant. Also constant is the size of the cardiac silhouette. However, the vascular diameters increased and the interstitial structures become more visible. Overall, the findings are suggestive for mild-to-moderate pulmonary edema. No pleural effusions. No pneumothorax. Right pectoral port-a-cath in unchanged position.
septic shock, rule out mediastinitis.
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Pa and lateral chest radiograph demonstrates clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits. Visualized osseous structures demonstrates no acute abnormality. There is no pleural effusion or pneumothorax.
<unk>-year-old female with cough.
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There is a small right pleural effusion, slightly increased in size, with associated basilar atelectasis. Stable postsurgical changes are noted within the right hilum, and there is no new focal consolidation. The minimal right pneumothorax is decreased in size. The cardiac and mediastinal silhouettes are unchanged.
<unk>f with recent lobectomy, sob. eval for infiltrate, effusion
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In comparison with the study of <unk>, the monitoring and support devices have been removed except for a right ij sheath. There is a small pneumothorax on the right that appears slightly decreased from the previous examination. Retrocardiac opacification is consistent with substantial volume loss in the left lower lobe.
cabg with tube removal.
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The heart is normal in size. The cardiomediastinal and hilar contours are within normal limits and stable. The pulmonary vasculature is normal. There has been interval removal of a right-sided pigtail catheter. There is a small right pleural effusion and adjacent right basal atelectasis. The left lung is clear. There is no evidence of pneumothorax. The vp shunt is seen unchanged in position.
<unk> year old woman with right thoracentesis // s/p right <unk>
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Midline sternotomy wires are noted, several fragmented as on prior. Cardiomegaly is again noted with hilar congestion and mild pulmonary edema. Right upper lobe rounded lesion is compatible with known malignancy. There is new subtle opacity in the right lower lung concerning for pneumonia. No large effusion. No pneumothorax. Mediastinal contour is stable. Bony structures are grossly intact.
<unk>f with sob, history of lung cancer // eval for pna, infiltrate
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The lungs are clear. The cardiac and mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen.
chest pain. evaluate for enlarged mediastinum.
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The lungs are clear. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen.
chest pain and high blood pressure. evaluate for congestive heart failure.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax. Slight degenerative changes are similar throughout the thoracic spine.
cancer and shortness of breath.
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The heart is moderately enlarged but is similar in size compared to the prior day. There bilateral pleural effusions that are moderate on the left and small on the right. There is pulmonary vascular redistribution. The large bore catheter tip is in the svc. The et tube is <num> cm above the carina. Ng tube tip is in the stomach.
<unk> year old man with esrd who had missed <num> weeks dialysis with concern for volume overload and pericardial effusion // eval interval change of pulmonary edema
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The endotracheal tube terminates <num> cm above the carinal. A left ij catheter terminates at the upper svc. External pacer wires are demonstrated. Since <unk> there has been interval improvement in aeration of the left upper lung zone. Large bilateral pleural effusions and mild central vascular congestion and edema are otherwise unchanged. There is no pneumothorax.
respiratory failure.
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Right hilar mass is stable. Masslike opacity right upper chest laterally, with surrounding zone of postobstructive atelectasis or infiltrate is stable. There is moderate right pleural effusion, with right basilar atelectasis, stable. Minimal atelectasis in the left lower lobe medially, stable. Multiple distended bowel loops in the upper abdomen are again seen. Stable elevation of the right hemidiaphragm, may be secondary to mediastinal tumor invasion, stable. Normal heart size, pulmonary vascularity
<unk> year old woman with right lung mass // shortness of breath
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There is extensive opacification involving the right hemithorax new from <unk>. Opacification involving the left upper lung is similar in appearance to <unk>. Left basilar opacity is also noted and likely represents a combination of atelectasis and effusion. Opacity in the left medial mid lung may correspond to a large bony metastasis seen on prior thoracic spine ct. Cardiac silhouette is unchanged. No pneumothorax. Spinal fusion hardware is again seen.
<unk>m with dyspnea, hypoxia // acute cardiopulmonary disease, history of metastatic lung cancer..
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Pa and lateral views of the chest were provided. The heart appears mildly enlarged, and perhaps minimally increased from the prior exam. There is no overt edema, pneumonia. There is mild indistinctness of the pulmonary hilar vasculature which could indicate mild congestion. No pneumothorax or pleural effusion is seen. Bony structures are intact.
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Small right apical and basilar pneumothorax is not significantly changed compared to the most recent radiograph from <unk>. The previously seen small caliber right pleural catheter on the prior chest radiograph is no longer identified. There are two new larger bore pleural catheters projecting over the right lung base. There has been interval improvement of the small right-sided pleural effusion. The left lung is clear without evidence of focal consolidations. There is mild right basilar atelectasis. The hilar and mediastinal contours are normal.
<unk>-year-old man post medical thoracoscopy and pleurodesis with chest tube insertion on the right, who presents for evaluation of a pneumothorax.
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As compared to the previous radiograph, there is no relevant change. Minimal fluid overload with low lung volumes. Presence of a potential minimal left pleural effusion cannot be excluded. Atelectasis at both lung bases. No pneumothorax. Unchanged alignment of the sternal wires. Unchanged right central venous catheter.
status post cabg, assessment for pleural effusions and pneumothorax.
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Portable supine chest radiograph was obtained. Lungs are low in volume with linear opacities in right lung which could reflect atelectasis or aspiration. There is no pleural effusion or pneumothorax. The et tube is <num> cm above the carina, but given the degree of kyphotic positioning could be in standard position. Nasogastric tube terminates in the fundus of the stomach. Left clavicular fracture and right rib fractures appear chronic.
altered mental status, status post intubation.
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Single frontal view of the chest was obtained. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable. There is slight deviation of the trachea to the right, which may relate to patient's known multinodular thyroid.
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As compared to the previous radiograph, there is no relevant change. Normal lung volumes. Borderline size of the cardiac silhouette. Atelectasis at both the left and the right lung bases. No new parenchymal opacity that would suggest pneumonia. No pulmonary edema. No larger pleural effusions.
stroke, new desaturation, questionable aspiration.
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Cardiac silhouette is enlarged, and accompanied by pulmonary vascular engorgement, mild perihilar edema and probable small pleural effusions. Bibasilar linear atelectasis is present. Additionally, a more focal patchy opacity is present in the inferior lingular region partially obscuring a small portion of the left heart border. Considering clinical suspicion for infection, pa and lateral chest radiographs may be helpful for more complete evaluation of this region when the patient's condition permits.
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The patient has been reintubated. The endotracheal tube projects very high, with the tip currently located <num> cm above the carina. If possible, the device should be advanced by approximately <num>-<num> cm. The other monitoring and support devices, including the chest tubes, are constant. No evidence of postoperative pneumothorax. Unchanged retrocardiac atelectasis, unchanged appearance of the cardiac silhouette. No larger pleural effusions. Post-surgical devices projecting over the left aspects of the thoracic inlet are in constant position.
esophageal cancer, status post minimally invasive esophagectomy, reintubation.
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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 chest pain, arm pain.
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There is slightly increased small right pleural effusion compared to <unk>. Left chest tube is in unchanged position. The small amount of pleural fluid at the left apex is similar to <unk>. Cardiomediastinal silhouette is unchanged and within normal size.
<unk> year old man with loculated pleural effusion s/p new chest tube placement on <unk>. // interval change, please do in am on <unk>
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Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion, focal consolidation or pneumothorax is present. Moderate multilevel degenerative changes are re- demonstrated in the thoracic spine. Cervical fusion hardware is partially imaged.
history: <unk>f with <num>rd degree heart block // eval heart and lungs
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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. Bony structures are unremarkable.
chest pain.
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A left-sided transvenous pacemaker is seen with leads in the standard position. Moderate cardiomegaly is stable. Increased opacity at the bilateral lung bases most likely represents an increase in bilateral small effusions and atelectasis; however, cannot exclude infection. There is no evidence of pulmonary vascular congestion. There is no pneumothorax.
pneumonia, cad. evaluate for pulmonary edema.
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The heart is at the upper limits of normal size. The mediastinal and hilar contours are unremarkable. There are no pleural effusions or pneumothorax. The osseous structures are unremarkable.
hepatic encephalopathy. question pneumonia.
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In comparison with the study of <unk>, there is little change and no evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion. Extensive hypertrophic spurring in the thoracic spine and evidence of previous surgery in the right shoulder.
persistent fevers and pyelonephritis, to assess for pneumonia.
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Moderate cardiomegaly has been stable compared to exams dated back to <unk>. There has been an interval increase in opacification of the right lung base and a small right pleural effusion with adjacent atelectasis. Small left pleural effusion is persistent. There is no evidence of a pneumothorax. There is mild pulmonary vascular congestion and mild edema. The visualized osseous structures are unremarkable.
history of respiratory distress. please evaluate for pneumonia.
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No previous images. There is substantial widening of the mediastinum consistent with known aortic dissection. Hazy opacification of the left hemithorax suggests layering pleural effusion with some degree of underlying atelectasis. Right lung as visualized is essentially clear.
increasing shortness of breath.
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Frontal and lateral views of the chest. When compared to prior there has been no significant interval change. Prominent interstitial markings are again noted throughout the lungs bilaterally. There is no significant effusion or confluent consolidation. Cardiac silhouette is enlarged but stable. Triple lead pacing device seen with leads in unchanged position. No acute osseous abnormality detected.
<unk>-year-old female with history of chf with worsening shortness of breath.
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Pa and lateral views of the chest were provided. Minimal linear opacity at the left lung base is most compatible with atelectasis, though a very subtle consolidation cannot be entirely excluded. Remainder of the lungs appear clear. No large effusion or pneumothorax. The cardiomediastinal silhouette is normal. Bony structures are intact.
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Heart size is mildly enlarged. The mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. Lungs are clear. No pleural effusion or pneumothorax is seen. No acute osseous abnormality is present.
<unk>f with chest pain. // please evaluate for pneumothorax, occult pneumonia, mediastinal widening
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There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.
history: <unk>f with chest pain // please assess for cardiopulmonary process
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No previous images. There is mild hyperexpansion of the lungs, which raises the possibility of some underlying chronic pulmonary disease. However, no acute pneumonia, vascular congestion, or pleural effusion.
prolonged cough.
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The right suprahilar rounded opacity persists on today's radiograph. There is a questionable retrosternal airspace opacities and a neither opacity projecting anteriorly over the heart on the lateral radiograph. There is no pneumothorax. The heart and mediastinum are within normal limits.
<unk> year old man with pruritis // generalized pruritis. evaluated for mediastinal lad
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The patient is rotated with inferior position of the chin. Compared to <unk>, there is a possible new retrocardiac consolidation. Recommend correlation for infection. There is moderate pulmonary edema. There are small bilateral pleural effusions. No pneumothorax. Unchanged cardiomegaly. The patient is status post median sternotomy and cabg. A left sided pacemaker device is noted with leads terminating in the right atrium and right ventricle.
history: <unk>f with hypoxia, tachypnea // eval for acute process
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The lung volumes are low. There is moderate cardiomegaly with mild pulmonary edema. In addition, relatively extensive bilateral areas of opacities are seen that could be atelectatic, but could also represent pneumonia. These opacities are more severe on the right than on the left. No pleural effusions. A double-lumen left-sided central venous access line.
transfer from outside hospital, history of mitral regurgitation. questionable fluid overload.
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The tip of the right picc line extends to the superior cavoatrial junction. There has been interval removal of the endotracheal and feeding tubes. No focal consolidation, pleural effusion or pneumothorax. The size the cardiomediastinal silhouette is within normal limits.
<unk>m with hemoptysis // eval for consolidation
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The heart size is normal. The hilar and mediastinal contours are normal. The lungs are clear without evidence of focal consolidations concerning for pneumonia. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.
sore throat, cough. please evaluate for pneumonia.
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In comparison with the study of <unk>, there has been a left thoracentesis with removal of some pleural fluid. No definite pneumothorax. Right lung remains clear and the cardiomediastinal silhouette is stable.
left effusion with thoracentesis.
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Patient had recent sternotomy for cabg and mitral valve repair. Mild-to-moderate mediastinal and cardiac enlargement is stable. Right-sided swan-ganz has been slightly advanced in right pulmonary artery. Lower lobe atelectasis, more prominent on the left side is stable. Pleural effusions are small if any. There is no pneumothorax.
patient with pleural effusion unchanged.
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The lungs remain clear without focal consolidation, effusion, or edema. Moderate cardiomegaly and enlarged pulmonary arteries are again noted. No acute osseous abnormalities.
<unk>f with dyspnea, svt // evaluate for acute process
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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.
cough and fevers.
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As compared to the previous radiograph, the patient has been intubated. The tip of the endotracheal tube projects <num> cm above the carina. Relatively low lung volumes. Borderline size of the cardiac silhouette, mild retrocardiac atelectasis. The presence of a minimal left pleural effusion cannot be excluded.
followup.
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The patient is rotated. The repositioned right ij approach swan-ganz catheter tip now ends in the right pulmonary artery with its tip projecting over the right most aspect of the mediastinal silhouette, and could be pulled back about <num> cm. The right dialysis catheter remains unchanged position with its tip ending in the right atrium. No pneumothorax. Lung volumes remain low. Slight increase dopacity in the left hemithorax may be in part secondary to rotation and redistribution of overall unchanged moderate-to-severe pulmonary edema. Bilateral moderate pleural effusions persist. The heart remains moderately to severely enlarged. The pulmonary arteries are enlarged, suggesting chronic pulmonary hypertension.
<unk> year old man with heart failure and worsening hypotension // pa catheter pulled back. in appropriate position?
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Moderate cardiomegaly is chronic. Mild edema has developed over the past six hours, following engorged hilar and peripheral pulmonary vasculature. Retrocardiac atelectasis is present. There is no pneumothorax. There is no pleural effusion or apical cap. There has been interval placement of a triple-lumen central venous catheter from a right ij approach. Mild s-shaped scoliosis is present in the thoracolumbar spine.
<unk>-year-old female with right ij line placed.
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Frontal and lateral views of the chest are obtained. The patient is rotated to the left and the patient's chin overlies the left lung apex obscuring the view. There are low lung volumes. In the interval since the prior study, there has been development of a small-to-moderate left pleural effusion with overlying atelectasis. Underlying consolidation cannot be entirely excluded. Bibasilar areas of atelectasis are seen. There is mild pulmonary vascular congestion as well. Tips is noted projecting over the right upper quadrant, unchanged in position since the prior study. Left upper quadrant coils/clips are also seen. The cardiac and mediastinal silhouettes demonstrated a top normal cardiac silhouette and a somewhat tortuous aorta.
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In comparison with the study of <unk>, there is probably little change in the degree of pulmonary vascular congestion. Prominence of the right paramediastinal region again suggests lymphadenopathy, as does the filling of the aortopulmonary window. The right basilar opacification is not seen as prominently. Ct again would be recommended to assess for extensive hilar and mediastinal adenopathy.
pulmonary edema.
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Pa and lateral chest radiographs. The left hemidiaphragm is elevated and there is bibasilar atelectasis. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal.
chest pain.
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An enteric tube is seen coiling within the gastric fundus, the tip is not included in this examination. The cardiomediastinal and hilar contours are within normal limits. There is a small left-sided pleural effusion and there is atelectasis of the left lung base. The right lung is clear. There are no focal consolidations. There is no pneumothorax.
<unk>-year-old man with severe esophagitis and esophageal stricture, had egd today for feeding tube placement. study requested for evaluation of feeding tube placement.
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Cardiac, mediastinal, and hilar contours are normal. The pulmonary vascularity is normal. The lungs are clear. No pleural effusion or pneumothorax is identified. No pneumomediastinum is detected. There are no acute osseous abnormalities. There is no free air under the diaphragms.
nausea, vomiting, fevers, vomiting blood.
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In comparison with the study of <unk>, the right ij sheath has been removed. Patient has taken a better inspiration. Cardiac silhouette remains enlarged, though there is no evidence of pulmonary vascular congestion. Small bilateral pleural effusions are seen posteriorly on the lateral view with mild atelectatic changes.
post-operative avr.
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In comparison with the study of <unk>, there is little change. Port-a-cath tip remains in the lower svc. Streak of atelectasis or fibrosis is again seen in the right lower lung. No evidence of acute focal pneumonia.
lymphoma, on methotrexate.
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Single portable view of the chest. The lungs are clear of focal consolidation or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits for technique. Prior distal right clavicular fracture is again seen.
<unk>-year-old female with fevers and altered mental status.
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There has been no significant change since the prior study. Minimal blunting of the posterior costophrenic angles could be due to trace pleural effusions. There is persistent enlargement of the cardiac silhouette. Mediastinal and hilar contours are stable. No definite new focal consolidation is seen. Mild vascular congestion persists. No pneumothorax.
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There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size.
history: <unk>m with ruq ttp, actively n/v in ed // eval ? free air, rll pna
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As compared to the previous radiograph, there is no relevant change. Minimal decrease in severity of the pre-existing pulmonary edema. However, the left and right pleural effusions are unchanged in extent and severity. Unchanged moderate cardiomegaly. No new parenchymal opacities but basal areas of atelectasis persist. Unchanged position of the right internal jugular vein catheter.
pulmonary edema, evaluation.
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The cardiomediastinal silhouettes appear stable. The bilateral hila are within normal limits. Mild hyperinflation, best appreciated on lateral view, again suggests underlying copd, though this is less apparent than on prior study. The lungs are clear without evidence of focal airspace abnormality. There is no evidence of pulmonary vascular congestion. There is no evidence of pneumothorax or effusion. There is mild levoscoliosis of the upper thoracic spine.
a <unk>-year-old man with fever and cough, evaluate for pneumonia or other acute cardiopulmonary process.
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A right chest tube is in place. There is a small apical pneumothorax, unchanged the prior study. There is no evidence of tension. There is no focal consolidation or pleural effusion. The cardiomediastinal silhouette is normal.
<unk>-year-old man with pneumothorax, now on waterseal. evaluate for pneumothorax.
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There is a moderate to large left pleural effusion with overlying atelectasis. The right lung is clear. The size of the cardiomediastinal silhouette is enlarged but unchanged. Multiple compression deformities of the thoracic spine, age indeterminate. Chronic appearing right posterior rib fractures.
<unk> yo female with history of afib on eliquis, osteoporosis s/p r hip replacement and repair, c/b pseudotumor and hematoma s/p recent revision and evacuation who presents with back and leg pain, found to have spinal compression fractures. ? moderate effusion on cxr // ? eval effusion, atelectasis
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The tip of the new right picc line is seen in the mid to low svc. The lungs are clear. The cardiomediastinal silhouette, hila, and pleural surfaces are normal. Prior bilateral shoulder hemiarthroplasty stent are again seen.
picc line // picc line placement
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Lung volumes are slightly low. Heart size remains moderately enlarged with a left ventricular predominance. The mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. Lungs are clear without focal consolidation, although assessment of the lung apices is somewhat obscured by the patient's chin and neck projecting over these areas. No pleural effusion or large pneumothorax is identified. There are moderate multilevel degenerative changes in the thoracic spine.
history: <unk>m with hypoxia
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Compared with the prior radiograph there is mild worsening of pulmonary vascular congestion. No focal parenchymal opacities are identified. Moderate cardiomegaly is grossly stable, as are the mediastinal and hilar contours. There is no pleural effusion or pneumothorax. Right-sided port-a-cath catheter ends in the right atrium.
<unk>-year-old female with bibasilar crackles.
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Heart size is normal. Cardiomediastinal silhouette and hilar contours are unchanged. There is mild bibasilar atelectasis as well as linear atelectasis along the minor fissure. Incidental note is made of an azygos fissure. Lungs are otherwise clear. There is no pleural effusion or pneumothorax.
fever.
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In comparison with the earlier study of this date, there has been placement of an endotracheal tube with its tip approximately <num> cm above the carina. Otherwise, little overall change with continued evidence of left pleural effusion and basilar atelectasis and possible elevation of pulmonary venous pressure in this patient with enlargement of the cardiac silhouette.
respiratory failure, for et tube placement.
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There are low lung volumes. This accentuates the cardiac silhouette size which is likely within normal limits. There is crowding of the bronchovascular structures with mild pulmonary vascular congestion noted. The mediastinal contours are within normal limits. Streaky opacities within the lung bases bilaterally likely reflect atelectasis. No pleural effusion or pneumothorax is identified. No acute osseous abnormalities seen.
altered mental status with fever.
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Chest radiograph centered at thoracoabdominal junction was obtained for assessment of a nasogastric tube, which courses well below the diaphragm within the stomach. Overall appearance of the chest is similar compared to the recent study performed several hours earlier. Within the imaged portion of the abdomen, diffuse haziness is present suggesting possible ascites.
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Right lower chest tube has been removed. Single right chest tube remains. No definite pneumothorax. Decreased right basilar opacity. Stable small right pleural effusion. Stable left basilar consolidation, small left pleural effusion. Remainder of left lung well-aerated. Elevated right hemidiaphragm, stable. Mildly distended bowel loops upper abdomen.
<unk> year old man with empyema and pna s/p vats decortication and chest tube placement // post chest tube removal
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In comparison with the study of <unk>, there is little overall change. With the chest tube on waterseal, there is no evidence of pneumothorax. Bilateral pulmonary opacifications persist.
thoracotomy with ct to water seal.
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Single semi-erect portable view of the chest is provided. There are low lung volumes exaggerating the heart size, although it is enlarged nonetheless. Opacities in the left lower lung base are retrocardiac atelectasis. There is no definite concerning opacity for an infectious process. A comminuted fracture of the right humerus is again seen.
<unk>-year-old female on dialysis. rule out infiltrate.
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Single frontal view of the chest demonstrates ng tube traversing below the diaphragm with side port below the ge junction. The lung volumes are low, accentuating moderate cardiomegaly. There is atherosclerotic calcification in the aortic arch. The mediastinal and hilar contours are within normal limits. There is no pneumothorax, vascular congestion, or pleural effusion.
<unk>-year-old female with the stroke status post ng tube placement.
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Right indwelling port catheter tip terminates at the cavoatrial junction. Lungs are fully expanded and clear. There is no focal consolidation, effusion, or pneumothorax. Mediastinal and hilar contours are normal. Heart size is normal.
<unk> year old man with lymphoma, now with coughing and uri symptoms // rule out pneumonia
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Frontal and lateral views of the chest were obtained. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is seen.
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Ap portable upright view of the chest. Right ij access dialysis catheter again seen with tip extending into the right cavoatrial junction. There is mild pulmonary vascular congestion and probable mild interstitial pulmonary edema. There is no focal consolidation concerning for pneumonia. No large effusion or pneumothorax. The cardiomediastinal silhouette is unchanged. Bony structures are intact. Vascular calcifications are present.
<unk>f with ams // eval for pna
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The lungs are clear without focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. Mild blunting of left costophrenic angle likely represents focal atelectasis versus scarring. The cardiomediastinal silhouette is within normal limits.
<unk>f with <num> wks worsening sscp, radiation to back, substernal burning // eval ? edema, effusion
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As compared to the previous radiograph, the monitoring and support devices are in unchanged position. Low lung volumes without evidence of pneumonia. Areas of mild atelectasis are seen at both lung bases. No larger pleural effusions. No pneumothorax. Moderate cardiomegaly.
questionable pneumonia, new white blood cell count.
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Ap portable supine view of the chest. <num> discrete round metallic densities project over the heart, likely external. The endotracheal tube is seen with its tip positioned <num> cm above the carina. The ng tube passes into the left upper abdomen. There is a linear density in the left lower lung which may represent atelectasis. Adjacent vague opacity is also noted, possibly representing aspiration or pneumonia. The right lung is clear. No supine evidence for effusion or pneumothorax. The cardiomediastinal silhouette appears grossly unremarkable. No acute bony injuries.
<unk>m with s/p intubation // tube placement
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The patient is leftward rotated limiting the evaluation. The et tube is <num> cm from the carina. Enteric tube courses into the stomach. Opacity at the left base may reflect pleural effusion and/or aspiration. The lungs are otherwise clear. There is no pneumothorax. Heart size is normal. Mitral annular calcification is noted.
history: <unk>m with intubation, seizure // evaluate et tube placement, for aspiration
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Ap and lateral views of the chest. No prior. The lungs are clear of focal consolidation. There is some blunting of the left posterior costophrenic angle, which could be due to atelectasis or small effusion versus small bochdalek hernia. Cardiomediastinal silhouette is within normal limits given significant rotation to the right. Degenerative changes noted at the acromioclavicular joints bilaterally. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male with fever and productive cough. question pneumonia.
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There has been interval placement of bilateral chest tubes. A small left-sided pneumothorax is noted. The endotracheal tube, nasogastric tube, and right-sided central venous catheters are in unchanged position. The cardiomediastinal silhouette is unremarkable. There is significant improvement in pulmonary edema with near resolution of left mid lung opacity. Post chest tube placement, bilateral pleural effusions have decreased significantly in size.
<unk>-year-old woman with stage iiic serous fallopian tube carcinoma s/p debulking in <unk> with no subsequent chemotherapy, who was admitted <unk> for expedited cancer staging/imaging and workup/treatment of anorexia. pt developed worsening respiratory failure, now with bilateral pleural effusions // please eval for pneumothorax
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Frontal and lateral radiographs of the chest demonstrate clear lungs. The mediastinal and cardiac contours are normal. No pleural abnormality is detected. Scoliosis of the upper thoracic spine is noted.
evaluate for malignancy.
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Pa and lateral views of the chest. No prior. The lungs are clear. There is no effusion or pneumothorax. Cardiomediastinal silhouette is normal. No free air is seen below the diaphragm.
<unk>-year-old male with epigastric pain.
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Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vascularity is normal. Lungs are clear. No pleural effusion or pneumothorax is visualized. No acute osseous abnormalities are detected.
chest pain.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with palpitations // eval for pna
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Patient is status post placement of a right pleural pigtail catheter with interval improvement in the right pneumothorax. There is a persistent tiny right lateral pneumothorax and a possibly loculated component at the right apex. A right ij terminates in the proximal right atrium. Bibasilar prominent interstitial markings are compatible with known pulmonary fibrosis. There is also some focal scarring at the right upper lobe. The cardiomediastinal silhouette and hilar contours are stable. Patient is status post median sternotomy with a fractured first wire. There is no pleural effusion.
<unk>-year-old man now tachycardic, known right pneumothorax. evaluate for tension pathology.
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Ap portable upright chest radiograph was provided. Midline sternotomy wires and mediastinal clips are again seen. Overlying ekg leads are present. The lungs are clear bilaterally without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette appears stable and within normal limits. Bony structures are intact.
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Pa and lateral views of the chest provided. Vague reticular opacities are noted primarily in the mid to lower lungs which could reflect an atypical infection. No lobar consolidation, effusion or pneumothorax. No overt signs of edema. Bony structures are intact. Heart and mediastinal contours appear normal.
<unk>f with cough, fever // evaluate for pneumonia
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The heart is mildly enlarged, and the aorta is tortuous. Patchy opacities in the lung bases are compatible atelectasis. Two calcified nodular opacities in the upper lobes measuring <num> mm likely reflect calcified granulomas. No pulmonary edema is present, and there is no pleural effusion or pneumothorax. No acute osseous abnormality is seen. Dextroscoliosis of the thoracic spine is present.
acute chest pain.
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The lungs are clear. Cardiomediastinal silhouette and hilar contours are unremarkable. No pleural effusions or pneumothorax.
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Frontal and lateral views of the chest were obtained. The heart is of normal size with normal cardiomediastinal contours. The lungs are clear without focal or diffuse abnormality. No pleural effusion or pneumothorax. Osseous structures are unremarkable. No radiopaque foreign body.
chest pain. evaluate for infiltrate.
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The lungs are clear of focal consolidation, pleural effusion or pneumothorax. The lungs are hyperinflated likely reflecting chronic pulmonary disease. The heart size is normal. The mediastinal contours are normal.
<unk> year old woman with peripheral eosinophilia. evaluate for mass or pneumonia.
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The heart size is top normal. The lungs are mildly hyperexpanded with flattened diaphragms and slightly increased ap diameter. There is no suspicious mass, focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.
<unk> year old woman with persistent cough // lesions? lesions?
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Pa and lateral views of the chest. No prior. The lungs are clear. The cardiomediastinal silhouette is normal. The osseous and soft tissue structures are unremarkable. No free air is seen below the diaphragm.
<unk>-year-old female with two weeks of burning epigastric right upper quadrant pain. vomiting after meals.
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Evaluation of the lateral views is limited due to patient's arm positioning. The lung volumes are low which causes apparent enlargement of the cardiac silhouette. The aorta is slightly unfolded. The lungs are clear without focal opacity, pleural effusion or pneumothorax. There are degenerative changes in the right acromioclavicular and coracoclavicular joints.
<unk>-year-old woman with hypertension and altered mental status. evaluate for pneumonia.
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs, which are clear. Flattened diaphragms are suggestive of emphysematous disease. There is no focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable. Air-filled colon is seen above the liver in the right upper abdomen. There is no evidence of intraperitoneal free air.
cough, fatigue, vomiting, left flank pain.
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A right-sided internal jugular port-a-cath terminates in the mid svc. The cardiomediastinal contour is unchanged compared to the prior study with borderline cardiomegaly. Previous median sternotomy noted and calcification aortic arch. There are peripheral subpleural reticular opacities at the lung bases suggestive of interstitial lung disease. This is similar in appearance when compared to the prior study. No pneumothorax or pleural effusions seen. Minimal right basilar atelectasis. There has been prior aortic valve replacement. The bones are diffusely demineralized.
<unk> year old woman with hodgkin lymphoma on chemo, new non-productive cough, c/f pna // pna,
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In comparison with the study of <unk>, there is no evidence of pulmonary edema. Continued elevation of the left hemidiaphragm with mild bibasilar atelectatic changes. Cardiac size appears to be stable, and dual-channel pacemaker device remains in place.
mi with fluid therapy, to assess for pulmonary edema.
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Enteric tube courses below the diaphragm out of the field of view, but side port is at the ge junction; recommend advancement so that it is well within the stomach. Cardiac and mediastinal silhouettes are stable with the cardiac silhouette enlarged. Mitral annulus calcification is noted. Subtle right mid to lower lung mild opacity may be due to atelectasis although underlying aspiration is not excluded. No lobar consolidation seen. No pleural effusion or pneumothorax. The bones are diffusely osteopenic.
history: <unk>f with ich transfer, ams, intubated // eval for acute process, et tube position
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Pa and lateral chest radiographs demonstrate bilateral chest tubes have been removed. Small left apical pneumothorax is seen. Allowing for differences in patient positioning, this is not significantly changed from <time> a.m.. The cardiac and hilar, and mediastinal contours are normal. The vascular pedicle appears normal. Small pleural effusions probably contain blood as seen on ct. There is no focal consolidation. Subcutaneous emphysema of both hemithoraces is again noted.
stab wounds with bilateral pneumothoraces. chest tubes removed. evaluation for pneumothorax.