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Mild right base subsegmental atelectasis is seen. There is no focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. There is subtle suggestion of a hiatal hernia. No pulmonary edema is seen.
history: <unk>f with palpitations/ // acute process
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Lung volumes are low accentuating the cardiac silhouette and pulmonary vasculature. Heart size is normal. Cardiomediastinal silhouette and hilar contours are normal. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.
tachycardia and altered mental status.
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Compared with the prior chest radiograph, there is no significant pulmonary vascular congestion. No pleural effusion, confluent focal consolidation, or pneumothorax. Top-normal heart size is unchanged.
<unk>f with sickle cell crisis. evaluate for focal consolidation.
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The heart remains mildly enlarged. The aorta is tortuous with minimal calcifications present. The mediastinal and hilar contours otherwise are unremarkable. Lungs are clear and hyperinflated. No focal consolidation, pleural effusion, pulmonary edema, or pneumothorax is present. No acute osseous abnormalities are detected.
history of cancer with anemia and tachycardia.
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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. There is a very mild reverse s-shaped curvature to the visualized thoracolumbar spine.
chest pain and positive stress test.
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The cardiomediastinal and hilar contours are within normal limits. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax.
<unk> year old man with dementia and altered mental status // please evaluate for evidence of infection.
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The cardiac, mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The chest is hyperinflated. The lungs appear clear. There has been no significant change.
chest pain.
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A left internal jugular catheter terminates within the left axillary vein. There is no pneumothorax. The lung volumes are low, which accentuates the bronchovascular structures. Despite this, there is evidence of mild pulmonary edema and congestion of the central vasculature. Pleural effusions are small if any. There is no pneumothorax. The aorta is very tortuous, and the ascending portion may be dilated. The hilar pulmonary arteries are dilated calcifications are seen within the carotid arteries.
new right internal jugular line placement.
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Frontal and lateral views of the chest. The heart is mildly enlarged. Nodular opacity overlying the right lower lung is likely a nipple shadow. No focal consolidation, pleural effusion, or pneumothorax. No radiopaque foreign body.
<unk>-year-old male with recent aspiration pneumonia, now with wheezing. evaluate for cardiopulmonary process.
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The lung volumes are low. Within the limitations of technique, however, the cardiac, mediastinal and hilar contours appear probably unchanged. There is bilateral perihilar fullness, greater on the left than right, however, with a mild interstitial process, most suggestive of pulmonary congestion. Small pleural effusions are suspected in addition to thickening along the minor fissure. There is no pneumothorax.
substernal chest pressure.
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No previous images are available. There is an increased opacification at the left base, consistent with the clinical diagnosis of pneumonia. However, in the absence of prior images, it is impossible to assess whether there has been any resolution of the inflammatory process.
prior hospitalization for legionella pneumonia, to assess for resolution.
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Portable semi-upright chest radiograph demonstrates perihilar airspace opacities, and a small though increased right pleural effusion. Lung volumes are low. The cardiac silhouette remains moderately enlarged, the mediastinal contours are notable for calcification of the aortic knob and marked central venous engogement.
<unk>-year-old female with recent posterior stemi, with continued hypoxia despite diuresis.
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The patient is status post median sternotomy and aortic valve replacement. Dense mitral annular calcifications are re- demonstrated. The heart remains mildly to moderately enlarged. The mediastinal contours unchanged. Fiducial markers within the right upper lobe with adjacent opacity is compatible with known malignancy. Patchy bibasilar opacities may reflect atelectasis though infection is not excluded. Small pleural effusions are likely present. Numerous clips are demonstrated within the left axilla. No pneumothorax is present. There is no pulmonary edema. A plate with multiple screws span a left clavicular fracture.
recent aortic valve replacement.
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Comparison is made to previous study from <unk>. The spinal hardware is again identified. There is an endotracheal tube whose tip is low, <num> cm above the carina. This could be pulled back an additional <num>-<num> cm for more optimal placement. There is a left-sided central venous catheter with the distal lead tip in the mid svc perpendicular to svc wall, unchanged. There is a nasogastric tube whose side port is below the gastroesophageal junction. There is an area of consolidation at the right base which is more apparent than on the prior study. There is sclerosis of the left humeral shaft with some central lucency. If there is pain in the shoulder, then would recommend dedicated left shoulder radiographs.
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Again seen is increased opacity at the right lung base. Elsewhere, the lungs are clear. The cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications are noted at the aortic arch. Right shoulder arthroplasty is partially visualized.
<unk>f with shortness of breath and tachycardia // eval for pneumonia
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Bilateral airspace opacities are unchanged, with apical sparing bilaterally. The position of the intra-aortic balloon pump is <num> mm from the apex of the aortic arch. Et and enteric tubes are stable in position. Intact median sternotomy wires are noted. Small bilateral pleural effusions are again noted.
cardiac arrest status post intubation, on pressors and on intra-aortic balloon pump. evaluate intra-aortic balloon pump position.
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Compared to prior exam, there has been increase in severity of diffuse alveolar consolidations, particularly in the right apex and entire left lung. Large right consolidation in the right apex displays possible central cavitation. Small bilateral effusions are unchanged. There is no pneumothorax. A right picc is unchanged in position, terminating in the low svc.
crohn's disease status post ileocecectomy, complicated by anastomotic leak and fecal peritonitis, now with respiratory distress.
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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.
left-sided chest pain.
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Ap upright and lateral views of the chest are provided. Tiny surgical clips are again noted in the right axilla. The lungs are clear without focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm.
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An enteric tube courses below the level of the diaphragm and off the inferior aspect of the film. An endotracheal tube ends the mid thoracic trachea. A right ij line ends in the low svc. Lung volumes are low, and there is mild atelectasis at the left lung base, worsened. No pneumothorax. No pulmonary edema.
<unk> year old man with osteomyelitis, mitral valve clot, bacteremia. intubated, with ngt placed // confirm ntg position
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Previous bilateral perihilar parenchymal opacities that were concerning for an infectious process have cleared. No focal consolidation or pleural effusion is seen. The cardiac and mediastinal contours are unchanged from previous radiograph.
<unk>-year-old male with alcoholic hepatitis, possible pneumonia on broad spectrum antibiotics. evaluate for interval change.
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There is a right-sided hemodialysis catheter that terminates in the right atrium. The right hilum appears prominent and comparison should be made with prior studies. Otherwise the cardiopulmonary silhouette is normal in the pleura is unremarkable.
<unk> year old man with esrd and weakness // evaluate for acute process
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Ap upright and lateral views of the chest provided demonstrate clear, well-expanded lungs without focal consolidation, effusion or pneumothorax. The heart and mediastinal contours are normal. No bony abnormalities. No free air below the right hemidiaphragm.
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When compared to prior, there has been no significant interval change. Again seen is retrocardiac opacity with inferior retraction of the left hilum. This has been seen dating back to <unk> and is likely due to scarring. Elsewhere, the lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with cough // pneumonia
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Frontal and lateral views of the chest. No prior. Lungs are clear of confluent consolidation. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are grossly unremarkable.
<unk>-year-old female status post fall with loss of consciousness.
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Pneumoperitoneum, presumably from recent gastrostomy tube placement is unchanged. The tracheostomy tube and left picc are in stable position. Basilar opacification has increased on the right from <unk>. Probable small left pleural effusion is unchanged. The cardiomediastinal silhouette is stable. There is no pneumothorax.
respiratory distress. recent tracheostomy and gastrostomy.
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Ap and lateral views of the chest are compared to previous exam from <unk>. The lungs remain hyperinflated. Mild biapical scarring is noted. There is no evidence of consolidation or effusion. Cardiomediastinal silhouette is stable. Left upper quadrant catheter is partially visualized. Osseous and soft tissue structures are otherwise unremarkable.
<unk>-year-old female with abdominal 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. There is mild rightward convex curvature centered along the mid thoracic spine.
new onset of dizziness, headache, and fall.
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Patient is status post median sternotomy and cardiac valve replacement. Dual lead left-sided pacemaker is stable in position. There has been interval decrease in bilateral pleural effusions with are now trace in extent. Bibasilar opacities has decreased in the interval.the cardiac silhouette remains enlarged. The aorta is calcified and tortuous.
history: <unk>f with pna // acute process
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Pa and lateral views of the chest provided demonstrate a right arm picc line again noted with its tip in the expected region of the superior vena cava. There is complete resolution of the left pleural effusion. The lungs appear clear. Cardiomediastinal silhouette appears essentially normal. No pneumothorax. Bony structures are intact.
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Ap supine portable view of the chest was provided. There has been interval intubation with the et tube tip positioned approximately <num> cm above the carina. There is an ng tube which has been placed with its tip residing in the left upper abdomen. No supine evidence for pneumothorax. Retrocardiac consolidation is evidenced by air bronchograms. Otherwise, the lungs are clear. There has been no significant change in the cardiomediastinal silhouette. The known osseous injuries involving the manubrium, right ribs, t<num> and t<num> are poorly visualized.
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The cardiomediastinal silhouette is normal. The lungs are clear without focal consolidations, pleural effusion, or pneumothorax. The hila and pleura are unremarkable. There are surgical clips located in the left upper quadrant that are unchanged in position from previous studies. There is moderate to severe thoracic scoliosis which distorts the mediastinal anatomy. Right chest central venous access port catheter tip terminates in the right atrium.
<unk> year old man with hx of lymphoma. febrile neutropenia. please r/o pna. // <unk> year old man with hx of lymphoma. febrile neutropenia. please r/o pna.
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Single ap view of the chest demonstrates a small right pleural effusion with adjacent atelectasis. The tracheal air column appears uninterrupted. The remainder of the lung fields are clear. Hilar, mediastinal, and cardiac contours are normal. No pneumothorax.
food bolus possibly in airway.
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Lung volumes have improved since yesterday's exam. The bilateral hila remain indistinct. The mediastinal contour is slightly narrower. No new consolidation, effusion, or pneumothorax is present. A nasoenteric tube extends inferiorly out of the field of view.
<unk>-year-old woman with alcoholic cirrhosis, persistent altered mental status, and fever.
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Heart size is normal. The mediastinal contours are unremarkable, and the hila appear stable. Patchy ill-defined opacity in the left lung base is concerning for infection in the correct clinical setting. Trace left pleural effusion is present. The right lung appears grossly clear. No pneumothorax is seen. There are no acute osseous abnormalities.
liver disease with abnormal labs.
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Cardiac silhouette is upper limits of normal in size and accompanied by new pulmonary vascular congestion and interstitial edema. A more confluent area of airspace opacity in the right infrahilar region could reflect dependent pulmonary edema or other process such as aspiration or developing infectious pneumonia. Bilateral hilar and mediastinal lymphadenopathy are in keeping with known diagnosis of sarcoidosis.
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Compared to the most recent radiograph at <time>, there is no significant interval change. There is no pneumothorax. Supporting tubes and lines are in stable position. Subtle interstitial opacities are unchanged. There is no pleural effusion.
<unk> year old man with hypoxia. concern for pneumothorax.
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Frontal and lateral radiographs of the chest demonstrate well expanded and clear lungs. Incidental note is made of a pneumatocele at the left lung base. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation. There is pes excavatum.
<unk>-year-old female with cough, fever, back pain. evaluate for pneumonia.
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Heart size is normal. The aorta is tortuous. Diffuse atherosclerotic calcifications are seen within the aorta. Hilar contours are normal. The lungs are hyperinflated suggestive of copd. Minimal blunting of the costophrenic angles on the frontal view may suggest trace pleural effusions or pleural thickening. No focal consolidation or pneumothorax is present. No pulmonary edema is demonstrated.
history: <unk>f with shortness of breath
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Cardiomediastinal contours are normal. The lungs are clear. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable the picc line has been removed
<unk> year old man with chills, elevated crp // r/o pna, infectious process
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No lung volumes are stable. No evidence of appreciable vascular congestion. The cardiomediastinal and hilar contours are stable. A moderate-to-large hiatal hernia is present. The pleural surfaces are normal. Interval removal of right ij catheter. No evidence of pneumothorax.
<unk> is a <unk> y/o <unk> speaking f hx of chf, dm, ckd (born w/one kidney), htn, hld, hx of lung cancer s/p bilateral upper lobectomies and copd who presents with chest pain x<num> days and found to have nstemi taken to the cath lab found to have <unk>% left main disease. // pulmonary edema
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Frontal and lateral radiographs of the chest demonstrate top normal heart size. Tortuous aorta. Left basilar opacity could represent atelectasis; however, pneumonia is also possible. No pneumothorax or pleural effusion
weakness cells and shortness of breath. evaluate for pneumonia.
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The cardiomediastinal and hilar contours are within normal limits. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. A metastatic lucent lesion of the right seventh rib is re- demonstrated.
<unk>f with sob, metastatic renal cell carcinoma.
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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.
chest pain.
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There is increased bronchovascular markings bilaterally. No consolidation. The heart size is enlarged. The mediastinum is normal. No pleural effusion. No pneumothorax. No fractures.
<unk> year old woman pre op for right cea // pre op surg: <unk> (cea)
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<num> cm left paracardiac round opacity described on <unk> exam is persistent. The lungs are otherwise clear. Mediastinal and cardiac contours are normal. There is no pleural effusion or pneumothorax.
a week of severe left-sided chest pain radiating to the back with tenderness to palpation on exam, reported dyspnea. assess cardiopulmonary disease.
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The lungs are well-expanded and clear. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable.
<unk>f w/dizziness. assess for cardiopulmonary process.
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Patient is status post median sternotomy and cabg. <num> battery pack is seen overlying the left lower chest. Cardiac and mediastinal silhouettes are stable. Right base opacity is stable, possibly atelectasis although underlying infection not excluded. Interval removal of right-sided chest tube. No pneumothorax is appreciated on the current study.
<unk> year old man s/p chest tube pull, r/o pneumothorax // <unk> year old man s/p chest tube pull, r/o pneumothorax
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Right pigtail pleural catheter remains in place. Previously reported right pneumothorax is no longer evident, but a small right pleural effusion and minimal right basilar atelectasis are not appreciably changed. Within the left lung, there is a persistent focus of linear atelectasis or scar of the lung base.
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Frontal and lateral views of the chest are obtained. There are slightly low lung volumes. Mild bibasilar atelectasis is seen. No definite focal consolidation is seen. There is no large pleural effusion or pneumothorax. Multiple old right-sided rib fractures are again seen. The cardiac and mediastinal silhouettes are stable. Evidence of a hiatal hernia is again seen with air-fluid level seen on the lateral view. Hardware is partially imaged. Compression deformities at the thoracolumbar junction are stable.
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Heart size is top normal. The mediastinal silhouette and hilar contours are unremarkable. Lungs are clear. There is no pleural effusion or pneumothorax. The visualized osseous structures are grossly unremarkable.
atraumatic right rib pain.
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A right-sided port-a-cath is again seen, terminating at the cavoatrial junction. There has been interval placement of a nasogastric tube which courses below the diaphragm, inferior aspect not included on the image. Due to overlying external artifact, it is difficult to exclude a right apical pneumothorax. No large pneumothorax is seen, however. There is no focal consolidation or large pleural effusion. The cardiac and mediastinal silhouettes are unremarkable. The aorta is calcified and tortuous.
likely sbo status post ng tube, evaluate 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.
<unk>-year-old female with chest pain.
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Cardiac silhouette size is mildly enlarged. The aorta remains tortuous. Pulmonary vasculature is not engorged. Lungs are hyperinflated without focal consolidation. No pleural effusion or pneumothorax is seen. No acute osseous abnormality is visualized.
history: <unk>m with history of schf presents with shortness of breath/wheezes from<unk> clinic.
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The lungs are clear without focal consolidation. No pulmonary edema. No pleural effusion or pneumothorax is seen. The cardiac silhouette is unremarkable. Widened mediastinum has improved since <unk>. Symmetric extrapleural fat bilaterally. Previous left seventh rib fracture is noted
<unk> year old man with ams and wheeze // evaluation for consolidation
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As compared to the previous radiograph, the patient was intubated. The tip of the endotracheal tube projects <num> cm above the carina. The course of the nasogastric tube is unremarkable, the tip is not included on the image. The patient has also received a right internal jugular vein catheter with the tip projecting over the lower svc. The multifocal predominantly nodular opacities in both lungs are unchanged as compared to the previous examination. No pleural effusions.
endotracheal tube placement.
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The lung volumes remain low. There is interval improvement in aeration of the left lung with decreased size of left pleural effusion from <unk> and significantly decreased from <unk>. A left pleural pigtail catheter is in similar position. A smaller right pleural effusion is unchanged. No pneumothorax is seen. There is improved but persistent mild left pulmonary edema, likely related to reexpansion. The cardiomediastinal contours are exaggerated by low lung volumes but likely within normal limits.
left pleural effusions, status post chest tube placement on <unk>, here to evaluate for interval change.
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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. The right picc line is in unchanged position. The pleural effusion on the left has minimally decreased. The right lung base is better ventilated than on the previous image. Unchanged appearance of the cardiac silhouette.
endotracheal tube placement. evaluation.
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Portable ap upright chest radiograph obtained. The endotracheal tube is seen with its tip residing just <num> mm above the carina. Retraction by at least <num>-<num> cm is advised. The ng tube courses into the left upper abdomen with its tip not within the imaged field. The heart is moderately enlarged. The lungs appear grossly clear. Bony structures appear intact.
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Supine portable chest radiograph shows radiodense line of nasogastric tube which can only be visualized to the level of the fourth thoracic vertebra. Central pulmonary vascular congestion and some air space consolidation appear increased compared to yesterday's study. Note is again made of multiple left-sided rib fractures.
<unk>-year-old man with fall and intracranial hemorrhage. new ng tube placed. evaluate ng tube placement.
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There is a <num> mm round opacity projecting over the left lower lung, which likely represents a nipple shadow. Otherwise, the lungs are hyperinflated but clear. No focal consolidations. No pulmonary edema. Normal appearance of the cardiomediastinal silhouette. No pleural effusion. No pneumothorax. Degenerative changes are seen within the right shoulder. There is pectus excavatum.
history: <unk>m with chest pain // ?pneumonia
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Allowing for differences in technique and projection, there has been little change in the appearance of the chest since the recent study, except for slight improved aeration at the left lung base and associated apparent slight decrease in size of a small left pleural effusion.
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Enteric tube seen in the region of the inferior mediastinum and cannot be seen more inferiorly secondary to overlying soft tissues. Lungs are grossly clear. Old posterior right rib fracture is identified. The cardiomediastinal silhouette is within normal limits. Colonic interposition seen underneath the right hemidiaphragm. Air-filled loops of bowel seen underlying the left hemidiaphragm.
<unk>m with abd pain // ?pna
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A left-sided port-a-cath terminates immediately above the cavoatrial junction. The cardiac, mediastinal and hilar contours appear stable. There is a new large lobular pleural-based opacity occupying the left mid to lower hemithorax suggesting an extensive loculated pleural effusion. There is a small free-flowing pleural effusion on the right although the right pleural effusion has decreased. Elsewhere, the lungs remain clear. Surgical clips project over the right upper quadrant.
shortness of breath and hypoxia.
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Right picc tip terminates in the proximal right atrium. There are low lung volumes. Mild cardiomegaly is unchanged. The aorta is tortuous and calcified, unchanged. The hilar contours are stable, and no pulmonary vascular congestion is noted. Patchy opacities within the lung bases have improved compared to the prior study, with residual interstitial opacity is in the left lung base likely reflective of atelectasis but infection is not excluded. No pneumothorax or pleural effusion is identified. There are multiple surgical <unk> projecting over the left axilla.
likely sepsis.
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The heart is normal in size. The descending thoracic aorta is tortuous. There is no pleural effusion or pneumothorax. The right hemidiaphragm is mildly elevated. The lungs appear clear.
dizziness.
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In comparison with the study of earlier in this date, the nasogastric tube has been pushed forward so that the side hole is below the esophagogastric junction. There is mild asymmetry of opacification at the bases. The increased opacification on the right could merely reflect atelectasis, though in the appropriate clinical setting, supervening pneumonia should be considered.
nasogastric tube placement.
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Comparison is made to prior study from <unk>. There is cardiomegaly which is stable. There is prominence of the pulmonary interstitial markings suggestive of pulmonary edema and this is stable. There are small bilateral pleural effusions. Overall, there has been no interval change.
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As compared to the previous radiograph, there is a minimal increase in size of the cardiac silhouette. Mild tortuosity of the thoracic aorta. Normal appearance of the lung parenchyma. No evidence of pneumonia, no pleural effusions. No pneumothorax.
epilepsy, evaluation for pneumonia.
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There is a small to moderate right pleural effusion with fluid tracking along the minor fissure. There is adjacent right lower lobe atelectasis. The left lung is clear. No interstitial pulmonary edema. The heart is mildly enlarged.
<unk> woman with stage v ckd, iddm, htn here for initiation of hd // needs cxr for outpatient dialysis setup
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There is a persistent right apical pneumothorax. No focal consolidation, pleural effusion, or pulmonary edema is detected. Heart and mediastinal contours are within normal limits.
<unk>-year-old female with left pneumothorax, now with chest tube to waterseal.
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As compared to the previous radiograph, there is better visibility of the subdiaphragmatic areas. A slightly hyperinflated colonic loop is seen at the level of the right upper quadrant. However, there is no evidence of free intra-abdominal air on the current radiograph. If the clinical presentation persists, however, an alternative imaging technique with higher sensitivity such as an abdominal radiograph or a ct should be considered. The lung volumes remain low. Moderate cardiomegaly without pulmonary edema.
abdominal pain after colonoscopy, evaluation for free air under the diaphragm.
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Dense consolidations are noted in the retrocardiac left lung base, as well as ground-glass opacities within the left upper lung. A mechanical heart valve is present, along with mild cardiomegaly and aortic calcifications. Calcific densities also project over the cardiac silhouette, location of which is uncertain. A left pleural effusion is likely. The right hemi thorax is grossly clear. There is no pneumothorax.
<unk>f with hypoxia // eval for pna, edema
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The lungs are well expanded. A subtle opacity is seen in the right lung base which likely reflects atelectasis but cannot exclude aspiration or pneumonia in the right clinical setting there is no pleural effusion or pneumothorax. There is severe cardiomegaly, slightly increased from prior exam.
history: <unk>f with tachycardia, palpitations // eval for cardiomegaly, consolidation
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There is a right picc, which terminates in the mid svc. All other lines and tubes in standard positions, with the ett <num> cm from the carina, unchanged. Low lung volumes. Linear retrocardiac atelectasis or scarring is long-standing. Mild cardiomegaly is stable. Change in the mediastinal contour surrounding the aortic knob is probably due to patient rotation. The pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen.
<unk>f w/ acute right mca stroke s/p tpa at osh, intubated for angioedema. underwent angio at <unk> without intervention, subsequently found to have hemorraghic conversion and acute right <unk> infarct. patient course c/b femoral pseudoanerurysm s/p thrombin injection. // follow up
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Single frontal view of the chest demonstrates a right picc with tip at the caval-brachiocephalic junction. An enteric tube traverses below the diaphragm into the stomach and out of view. There is now complete opacification of the right hemithorax with left shift of the trachea and cardiomediastinal silhouette, consistent with a large pleural effusion. The left lung is decreased in volume but relatively well aerated. There is no large effusion on the left. Limited view of the right humerus raises question of osseous demineralization.
<unk>-year-old male with hcc and failure to thrive, status post picc placement.
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Diffused increased interstitial markings are most prominent within the left lower lobe, in correlate with subpleural fibrosis on the reference ct abdomen and pelvis examination. Increased lung volumes may explain the apparent improvement in the diffuse interstitial abnormality, or alternatively, that the patient may have been in mild pulmonary edema yesterday. Bilateral hilar enlargement may be secondary to lymphadenopathy or dilated pulmonary arteries. There is no lobar consolidation, pneumothorax, or large pleural effusion. The heart size is top-normal. The thoracic aorta is heavily calcified.
history: <unk>f with preop for ccy // evidence of infection
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No previous images. Left chest tube is in place and there is opacification at the left base consistent with pleural fluid and atelectatic change. In the appropriate clinical setting, supervening pneumonia would have to be considered. No definite evidence of pneumothorax. There is hyperexpansion of the lungs suggesting chronic pulmonary disease in this patient with a previous cabg and dual-channel pacer. Of incidental note are several old healed rib fractures on the right.
hemorrhagic left effusion
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Portable single frontal chest radiograph was obtained. The lungs are fully expanded and clear. The heart size is normal. Widening of the right paratracheal stripe may reflect mediastinal adenopathy. There is no pleural effusion or pneumothorax.
patient with stemi, now with leukocytosis and low-grade temps. rule out infectious process.
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The cardiomediastinal and right hilar contours are normal. Prominence of the left hilum is noted. There is no pleural effusion or pneumothorax. The lungs are well-expanded and clear without focal consolidation concerning for pneumonia. Pulmonary vascularity is within normal limits. The upper abdomen is unremarkable. No acute osseous abnormality detected.
<unk>f with likely leukemia // r/o adenopathy, effusion
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The heart size is normal. Mediastinal and hilar contours are unremarkable. The pulmonary vascularity is normal. Chain sutures in the left lung base are re- demonstrated compatible prior wedge resection. Lungs are clear without focal consolidation otherwise. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
metastatic melanoma to the brain and altered mental status.
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As compared to the previous radiograph, the patient has received a new nasogastric tube. The course of the tube is unremarkable, the tip of the tube is barely visible on the image and appears to project over the middle parts of the stomach. No evidence of complications. The other monitoring and support devices are constant. Constant large right-sided pleural effusion with subsequent areas of atelectasis at the right lung bases. Unchanged mild cardiomegaly.
likely aspiration pneumonia, nasogastric tube placement.
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Cardiac size is normal. The lungs are clear. There is no pneumothorax or pleural effusion.
<unk> year old woman with acute liver failure and fevers // r/o pneumonia
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Biapical opacities, left more than right, has completely resolved. There is no new lung opacification. Mediastinal and cardiac contours are normal. There is no pleural effusion or pneumothorax.
patient with recurrent eosinophilic pneumonia in upper lobes. assess for any regression on prednisone.
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Enteric tube is in appropriate position. Endotracheal tube terminates approximately <num> cm above the level the carina. No pleural effusion or pneumothorax is seen. There appears to be mild right infrahilar bronchial thickening. Subtle opacity at the medial right lower lung may be due to overlap of vascular structures and atelectasis however, developing consolidation possibly due to infection or pneumonia and could be present. Attention at followup. The cardiac and mediastinal silhouettes are stable. No overt pulmonary edema is seen.
<unk>m w/ iph and now w/ fevers // ? interval change
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Patient is status post median sternotomy, cabg and cardiac valve replacement.no focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Coronary artery calcification is noted. Some degenerative changes are seen along the spine.
history: <unk>m with c/o weakness // ? pna
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The enteric tube ends in the stomach. The endotracheal tube ends <num> cm from the carina in appropriate position. The aortic valve is stable in position. A vague opacity overlying the right lower lung may represent a pleural effusion layering posteriorly since the patient is supine. However this may also represent a consolidation representing pneumonia.
history: <unk>m with sob // eval effusion
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Heart size is top normal with mildly tortuous thoracic aortic arch. Hilar contours are unchanged. Again identified is a widespread ground-glass opacity involving most of the right upper lobe and right middle lobe and left lung base, similar compared to a ct examination from one day prior given difference in technique. Again appreciated is small right-sided pleural effusion. Again identified is a roughly <num> cm left upper lobe nodule as seen on recent ct examination. The remainder of the left lung field is otherwise clear. There is no pneumothorax.
dyspnea.
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Orogastric tube ends into the stomach; however, its distal end is looped. Minimal bibasilar opacity is probably atelectasis. No discrete opacities concerning for pneumonia. The heart size is top normal, mediastinal and hilar contours are unremarkable. Diffuse soft tissue opacity in the left upper mediastinum and tracheal deviation to the right side, probably from multinodular goiter is longstanding and stable. No pleural effusion.
<unk>-year-old woman with nasogastric tube for shortness of breath, to assess for nasogastric tube placement.
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Large left upper lobe opacity worrisome for left upper lobe mass, with underlying atelectasis/collapse. There is a small left pleural effusion. No right pleural effusion is seen. There is no evidence of pneumothorax. The cardiac silhouette is top-normal in size. No pulmonary edema is seen.
history: <unk>m with arf, hypoxia // eval for pulm edema
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In comparison with the earlier study of this date, the nasogastric tube that has replaced the dobbhoff tube extends to the lower portion of the body of the stomach. Little change in the appearance of the heart and lungs.
ng tube placement.
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There is bilateral lower lobe atelectasis and the lungs are otherwise clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.
a <unk>-year-old man with altered mental status. evaluate for pneumonia.
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Heart size is enlarged. No large pleural effusion or pneumothorax. Previously seen right basilar opacity improved. There is no evidence of focal consolidation. Transvenous pacing wires unchanged in location within the right atrium and right ventricle.
<unk>m with 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>f with <num>d cough, sore throat, tachypnea
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The cardiac, mediastinal and hilar contours appear unchanged. There is no evidence of mediastinal air. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures are unremarkable.
dysphagia and retching.
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Frontal and lateral views of chest demonstrate volume loss at both bases with areas of compressive atelectasis a small infiltrate could be present, however most of the appearance is likely due to volume loss. The upper lungs are clear. The heart is upper limits normal in size. There is a mild scoliosis convex right in the thorax.
fever and abdominal pain postop.
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As compared to the previous radiograph, the upper left chest tube has been pulled back. The sidehole is now outside the thoracic cavity. The position of the tube should be corrected. Massive air collection in the soft tissues. No safe evidence of pneumothorax. Bilateral areas of atelectasis that are unchanged. Unchanged known left rib fractures.
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Lung volumes are normal. There is no focal consolidation, pleural effusion or pneumothorax. Mild generalized bronchial wall thickening suggests underlying asthma or bronchial inflammation. Mediastinal contours are within normal limits. Heart size is top-normal.
<unk>-year-old female with right-sided chest pain.
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The patient is status post median sternotomy and cabg. There is mild basilar atelectasis without definite focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top normal to mildly enlarged. The aorta is calcified and tortuous.
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An endotracheal tube terminates <num> cm above the carina. A right subclavian catheter terminates in the mid to lower svc. Nasogratric tube terminates in the gastric fundus. As compared to prior chest radiograph, there has been no significant change. Cardiomediastinal and hilar contours are within normal limits. Lungs are essentially clear. Note is made of a small granuloma in the lateral aspect of the left upper lung. There are no pleural effusions or pneumothorax.
<unk>-year-old female patient status post cardiac arrest, intubated, bilateral rib fractures, small right-sided pneumothorax. study requested for evaluation of interval change.