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Streaky right middle lobe opacity is less conspicuous on today's exam, potentially atelectasis. The lungs are otherwise clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with aids prod cough // r/o infiltrate
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In comparison to <unk> chest radiograph, there is a new small right pleural effusion obscuring the right hemidiaphragm. Additionally, the right pigtail catheter appears to have changed position; some of the side ports are now external to pleural surface resulting in accumulation of the right pleural fluid. There is also interval worsening of the right lower lung atelectasis. The left lung is well-expanded and clear. The right lateral seventh and eighth rib minimally displaced fractures are again seen; there is mild subcutaneous emphysema of the overlying soft tissue. The cardiomediastinal and hilar contours are stable. There is no pulmonary edema or pneumothorax.
<unk> year old woman with ptx with pig tail; please do standing expiratory film // interval change
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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. Stable anterior wedge compression deformity of a mid thoracic vertebral body. No free air below the right hemidiaphragm is seen.
<unk>m with second episode of exertional shortness of breath. // please eval for pulm edema, evidence of copd
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The heart is at the upper limits of normal size. The mediastinal and hilar contours appear stable. Incidental note is made of an azygos fissure, which is a normal variant. Right basilar opacity suggesting atelectasis has cleared. Vague retrocardiac opacity probably referring the left lower lobe persists but has improved. The lungs appear otherwise clear. A right-sided pleural effusion has resolved. A picc line is been removed. Surgical clips again project over each axilla.
fever.
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As compared to the previous radiograph, the moderate cardiomegaly is unchanged. The signs indicative of pulmonary edema, decreased in severity. New retrocardiac atelectasis is visualized. The monitoring and support devices are constant.
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A nasoenteric tube is in-situ, the tip appears to be in the stomach. Prominent loops of what appears be large bowel are seen in the left upper quadrant. Lung volumes are within normal limits. The trachea is central. The cardiomediastinal contour is normal. The heart is not enlarged. No consolidation, pneumothorax or pleural effusion seen.
<unk> year old woman with many underlying psych concerns, eating d/o, pulled ngt now readvanced // ngt in place?
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Pa and lateral views of the chest. There are low lung volumes. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal hilar contours are normal.
dry cough and fevers.
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Multifocal right greater than left parenchymal opacities persist with increased density at the right apex. Large right-sided effusion has increased and the small left effusion is roughly unchanged. There is no pneumothorax. A right internal jugular central venous catheter, left internal jugular dialysis catheter, endotracheal tube, and upper enteric tube are unchanged in position.
hypoxia.
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Cardiac silhouette is mildly enlarged, but interstitial edema has resolved in the interval. Multiple left-sided rib fractures are again demonstrated with associated small left pleural effusion, but there is no evidence of a pneumothorax.
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Lung volumes are normal. Lungs are clear with no focal areas of consolidation to suggest pneumonia. Heart appears mildly enlarged compared to the prior study. There are calcifications within the arch of the aorta. Cardiomediastinal contours are unremarkable. Small bilateral pleural effusions are noted. There is a <num>-mm nodule projecting over the second anterior rib on the right. No pneumothorax.
<unk>-year-old woman with chills and dry cough, admission one month ago with chest x-ray findings of atelectasis, rule out pneumonia.
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Ap and lateral views of the chest were obtained. Lungs are clear bilaterally without focal consolidation, nodules or pulmonary edema. 's' shaped thoracic scoliosis. The aorta is ectatic. The cardiac silhouette is likely slightly enlarged. No pleural effusion or pneumothorax. There is no free air beneath the right hemidiaphragm. No acute osseous abnormality.
lower extremity swelling.
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Pa and lateral views of the chest. No prior. Subtle opacity identified in the right lung laterally. The lungs are otherwise clear without effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits.
<unk>-year-old female with diabetes, hypoglycemia.
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There is no evidence of focal consolidation,pleural effusion,pneumothorax,or frank pulmonary edema. The cardiomediastinal silhouette is within normal limits. There are no granulomas or hilar adenopathy.
<unk> year old woman with granulomatous mastitis // ? lung tuberculosis or mediastinal <unk> <unk>/w sarcoidosis
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The heart is borderline in size. There is some mild bilateral perihilar fullness suggesting pulmonary venous hypertension but pulmonary edema has resolved. There is streaky opacity at the right lung base suggesting chronic scarring in the right middle lobe as well as unchanged blunting of the right costophrenic sulcus. There is no pleural effusion or pneumothorax. Mild degenerative changes again affect the upper thoracic spine.
cough and shortness of breath.
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The heart size is normal. The mediastinal and hilar contours are unremarkable. Lungs are clear. No pleural effusion or pneumothorax is present. The pulmonary vascularity is normal. No acute osseous abnormalities are identified.
left-sided chest pain for <num> days, worse with inspiration.
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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 chest pain, lh, weakness, diarrhea
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The cardiomediastinal and hilar contours are normal. The lungs are clear and appear improved compared to prior study. There is no pleural effusion or pneumothorax. There has been interval removal of the skin <unk> and abdominal drain.
<unk>-year-old female with a history of pancreatic cancer.
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No pneumothorax is present. On the inspiratory phase, subtle hilar congestion is suspected though this may be technique related. Please correlate clinically. No pneumonia. No pleural effusion. Heart is top-normal in size. Osseous structures are intact.
<unk>f with new onset of l sided back pain w/ sob
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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. There is a subtle fracture at the left anterolateral seventh rib, mildly displaced as well as a possible subtle fracture of the left posterolateral eighth rib. In the absence of priors, this is of indeterminate chronicity.
history of shortness of breath. left-sided rib fracture after falling off of roof three weeks ago. please evaluate.
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In comparison with the study of <unk>, the lungs are clear with no evidence of pneumonia, vascular congestion, or pleural effusion.
lower lobe pneumonia.
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Pa and lateral views of the chest demonstrate interval decrease in size of left pleural effusion, persistent mild pulmonary edema, although perhaps slightly improved since <unk>. Basilar atelectasis is present and possibly a tiny right pleural effusion. No new parenchymal opacity concerning for pneumonia is identified. The heart size is stable. A compression deformity in the lower thoracic spine is stable unchanged.
<unk>-year-old female with heart failure.
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Heart size is mildly enlarged but unchanged. The mediastinal hilar contours are similar. Pulmonary vasculature is not engorged. Patchy and linear opacities are noted within the lingula and right middle lobe, likely reflective of atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
history: <unk>f with presyncope
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There is moderate pulmonary edema. Large right pleural effusion is seen. There is also likely a small to moderate left pleural effusion. Enlargement of the cardiomediastinal silhouette is grossly stable. No pneumothorax is seen.
history: <unk>m with sob, cough // chf?
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Few linear opacities at the right base likely represent atelectasis. No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. Heart and mediastinal contours are within normal limits. Small free intraperitoneal air is likely postoperative.
<unk>-year-old female postoperative day <num> status post abdominal myomectomy, now with fever and bilateral wheeze.
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Pa and lateral views of the chest are provided. Elevated right hemidiaphragm is again noted. There is bibasilar atelectasis again noted. Metallic coils are noted in the right upper quadrant as well as small surgical clips. There is no convincing sign of pneumonia or chf. A tiny right pleural effusion is better assessed on the same day chest ct scan. No pneumothorax is seen. The cardiomediastinal silhouette appears within normal limits. No bony abnormalities are seen.
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Portable supine frontal radiograph of the chest demonstrates a ng tube in the neoesophagus ending just above the suture line. <num> drains are noted projecting over the mediastinum. Widening of the mediastinum is likely related to neoesophagus and recent surgery. Subcutaneous emphysema is noted in the bilateral chest wall. No large pleural effusion or pneumothorax.
status post which esophagectomy, are/a in icu.
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Pa and lateral views of the chest provided.the heart size is normal. There is mild interstitial edema. There is no focal consolidation, effusion, or pneumothorax. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with multiple myeloma with rapid afib and sob // eval pna
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Ap and lateral views of the chest. Right chest wall pacing device is seen with lead tips in the right atrium and right ventricular apex. Where visualized lungs are clear. There is no effusion or consolidation or pulmonary vascular congestion. Mitral annular calcifications are again noted. Cardiac silhouette is stable. No acute osseous abnormality detected. Upper abdominal stent, potentially biliary, is partially visualized.
<unk>-year-old male with left foot infection, pre-op.
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Pa and lateral images of the chest were obtained. The lungs are clear bilaterally with no areas of focal consolidation or congestive heart failure. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouette is normal. There are no bony abnormalities. There is no free air below the right hemidiaphragm.
shortness of breath and chest pain.
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As compared to the previous examination, there is no relevant change. No evidence of interval pneumonia. No change in extent and severity of the known asymmetric right infrahilar enlargement. No pleural effusions. No pneumothorax. Unchanged left pectoral port-a-cath.
history of interstitial pneumonitis from radiation, cough, evaluation for interval change.
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There is hazy opacity in the infrahilar region on the right. Elsewhere, lungs are clear. Cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion or pneumothorax. No evidence of pulmonary edema. Imaged osseous structures and upper abdomen demonstrate no acute abnormality.
<unk>m with cough x <num> weeks, now blood-tinged sputum // eval for pna or other acute process
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Cardiomediastinal contours are within normal limits for technique. Bibasilar atelectasis has improved, particularly in the left lung base with only linear atelectasis remaining. Partial atelectasis of the right lower lobe has also improved with better visualization of the right hemidiaphragm. Apparent small pleural effusions are not appreciably changed.
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Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. The lungs are hyperinflated but there is no focal consolidation. The thoracic aorta is mildly tortuous.
<unk>-year-old woman with weakness, evaluate for pneumonia
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Mild enlargement of cardiac silhouette is re- demonstrated. Left-sided port-a-cath tip terminates in the lower svc. The aorta remains tortuous. The hilar contours are unchanged, and the pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is seen. Clips are again noted within the left upper quadrant of the abdomen.
altered mental status and prostate cancer.
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Single portable ap supine radiograph demonstrates interval placement of an endotracheal tube, its tip which projects within the right bronchial mainstem. Retraction approximately <num> cm is advised for more appropriate positioning. An enteric tube descends the thorax in uncomplicated course, its tip out of the field of view. There is no pneumothorax. Interval placement of right internal jugular central venous catheter is noted, its tip in the mid svc. Opacification in the retrocardiac region may reflect aspiration new relative to prior study. There is no large pleural effusion. Cardiomediastinal and hilar contours are stable. No evidence of pulmonary edema.
<unk>-year-old female status post endotracheal tube and central line placement.
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As compared to the chest radiograph from the same day, the first side port of the nasogastric tube is in the proximal stomach. Tracheostomy and left internal jugular catheter remain in good position. Moderate pulmonary edema with moderate bilateral effusions are not substantially changed due to changed upright position. Moderate cardiomegaly persists. No pneumothorax.
<unk> year old woman with ng tube // trachea vs esophagus
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Lung volumes remain low. The patient is intubated, the endotracheal tube terminates approximately <num> cm above the level of the carina. A swan-ganz catheter is in-situ, this appears to have been withdrawn slightly when compared to the prior study but appears in appropriate position. There are bilateral chest tubes as well as the mediastinal drain in-situ. A nasogastric tube is unchanged in position. . No pneumothorax or pleural effusion seen. There are patchy airspace opacities throughout both lungs with more prominent on the right than the left likely reflecting asymmetric pulmonary edema. This is grossly unchanged compared to the prior studies.
<unk> year old man s/p mediastinal washout/lvad // follow up edema/effusions
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The heart size remains mildly enlarged but stable. The mediastinal or hilar contours are similar, with tortuosity and diffuse calcifications of the thoracic aorta again noted. As before, there is prominence of the right paratracheal stripe which is attributable to the presence of tortuous vessels and mediastinal lipomatosis as seen on the prior ct of the chest from <unk>. Lateral pleural thickening at the lung bases bilaterally is again noted, unchanged. Streaky airspace opacities in lung bases may reflect atelectasis though aspiration or infection cannot be excluded. No pleural effusion or pneumothorax is visualized. There is no pulmonary vascular congestion. A nephrostomy catheter is noted on the lateral view.
shortness of breath.
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Moderately well inflated lungs with improvement in patchy opacities noted in the left lower lobe with new linear and patchy opacities in the right lower lobe likely subsegmental atelectasis. Improvement in bilateral layering pleural effusions. Cardiomediastinal silhouette appears normal. Right picc terminates slightly beyond the cavoatrial junction, as before. Et tube tip terminates <num> cm above the carina in the midtrachea. Ekg leads overlie the chest wall. Enteric tube traverses below the diaphragm, distal tip not visualized. Visualized bones are unremarkable.
<unk> year old woman with iph // interval changes
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Tracheostomy tube is identified in proper position. There are bilateral parenchymal opacities with most dense consolidation at the left lung base and left mid lung but also seen at the right lung base. There may be a component of left pleural effusion. The cardiac silhouette is upper limits of normal for technique and positioning. Osseous structures are unremarkable.
l<num>f with history of respiratory failure // ?infection
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Lung volumes are low. A subtle opacity is present localizing to the right middle lobe such that a pneumonia cannot be excluded. No pulmonary edema, pneumothorax or significant pleural effusion is seen. The heart size is accentuated by low lung volumes.
chest pain.
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Lungs are well-expanded and clear. Unchanged <num> mm nodule in the left midlung. Cardiomediastinal and hilar contours are unchanged. No pneumothorax, pleural effusion, or consolidation.
history: <unk>m with neck pain and left arm weakness x <num> days // eval for suabcute stroke, pneumonia
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The patient is status post coronary artery bypass graft surgery. The heart is mildly enlarged. The cardiac, mediastinal and hilar contours appear stable. Opacification at the left lung base has substantially improved. A small caliber chest tube at the base of the left hemithorax is not optimally visualized. There is no pneumothorax or pleural effusion.
status post cabg. question pneumothorax.
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The lungs are clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. No pleural effusion, pulmonary edema, pneumothorax, or pneumonia.
<unk> year old woman with chest/back pain and ?decreased breath sounds in the right base. history of asthma. recently returned from trip to <unk>. // r/o pna, effusion
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The lungs are clear and the lung volumes are normal. No pleural effusion, pneumothorax or focal airspace consolidation. Heart is normal in size. Mediastinal and hilar structures are unremarkable.
dyspnea. evaluate for infiltrate, effusion or cardiomegaly.
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Frontal and lateral views of the chest were obtained. Bilateral abandoned pacer leads are again seen. There has been interval removal of a right-sided picc. Patient is status post median sternotomy. There is mild left base atelectasis. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac silhouette is mildly enlarged. The aorta is calcified. No overt pulmonary edema is seen. The right humeral head is high riding, which can be seen in rotator cuff disease. There is diffuse osteopenia.
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The cardiac, mediastinal and hilar contours appear unchanged including moderate tortuosity of the aorta. There is moderate-to-severe relative elevation of the right hemidiaphragm as before. Streaky opacification associated with the elevated right hemidiaphragm would be compatible with chronic atelectasis. In addition, however, there is medial left basilar streaky opacity in the retrocardiac region, for which atelectasis could be considered versus pneumonia in the appropriate setting. Lastly, there is a focal new left mid lung opaciy, potentially a focus of bronchopneumonia. Background mild interstitial abnormality is unchanged and may be associated with slight congestion, although atypical infection could be considered in the appropriate setting.
chest pain and dyspnea.
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Heart size remains top normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>f with chest pain and dizziness
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All lines and tubes are unchanged in positioning. There is new complete left lower lobe collapse. The lungs are otherwise clear. The pulmonary vasculature is normal. The cardiomediastinal silhouette is stable. There is no pleural effusion. There is no pneumothorax.
<unk> y.o woman s/p cardiac arrest intubated // et tube, interval change
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
<unk> year old man with hx copd presents with cough // ?pneumonia
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Frontal radiograph of the chest demonstrates low lung volumes with some associated bibasilar atelectasis. Heart size is top normal. There is no evidence of pneumothorax, focal pneumonia, large pleural effusion, or pulmonary edema. There is elevation of the right hemidiaphragm which may be due to hepatomegaly, contributing to low lung volumes. Biliary stents are seen in the abdomen and ercp stent is seen within the stomach, as before, on biliary catheter check from <unk>.
<unk>-year-old female with liver cancer. increased shortness of breath and oxygen demand.
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Frontal and lateral views of the chest. The lungs are clear of consolidation, effusion or pulmonary vascular congestion. Cardiac silhouette is within normal limits. The aorta is slightly tortuous. There is no acute osseous abnormality.
<unk>-year-old male with cough and wheezing.
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Frontal and lateral radiographs of the chest show no evidence of pneumonia or pneumothorax at this time. No pleural effusion is present. The pulmonary vasculature is not engorged. The cardiac silhouette is top normal in size, but unchanged. The mediastinal and hilar contours are within normal limits and stable. The aortic knob is partially calcified, with moderate tortuosity of the descending thoracic aorta. S-shaped thoracolumbar scoliosis is again seen on the frontal radiograph.
<unk>-year-old female with palpitations, here to evaluate for pneumonia or pneumothorax.
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Endotracheal tube ends at the carina, but neck is flexed so endotracheal tube should be withdrawn by no more than <num> cm. Right picc ends at the cavoatrial junction. Ng tube extends into the stomach. Interval mediastinal widening likely reflects increased intravascular volume. Low lung volumes. Stable retrocardiac opacity reflects mild left lower lobe atelectasis.
<unk>-year-old woman with cryptococcal infection and acute respiratory failure status post intubation. evaluate for interval change.
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Ng tube extends into the stomach but the location of the tip and side port cannot be determined on this radiograph. Heart size is normal. The mediastinal and hilar contours are normal. Mild elevation of pulmonary venous pressure. No focal consolidation, pleural effusion, or pneumothorax. Bibasilar atelectasis is increased.
<unk> year old man with ng tube placed for meds // eval ng tube position
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The heart size is normal. The cardiomediastinal silhouette and hilar contour is unremarkable. The lungs are clear without consolidation, effusion or pneumothorax. Fixation hardware projecting over the left humeral head is incompletely imaged. No acute bony abnormality is identified.
<unk>'s; presenting with generalized weakness.
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The lungs are well inflated and clear. Elevation of the right hemidiaphragm is stable. No focal consolidation, effusion, or pneumothorax is present. A left internal jugular port-a-cath tip remains in the upper svc. The cardiac and mediastinal contours are normal.
<unk>-year-old woman with history of aml, neutropenia and cough.
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Dual lead left-sided pacer device is stable in position. The cardiac silhouette is moderately enlarged. There are small bilateral, left greater than right, pleural effusions. Left base atelectasis is also noted. No definite focal consolidation to suggest pneumonia. There is no pulmonary edema. The aorta remains calcified.
history: <unk>f with sob, ams // infiltrate
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Ap view of the chest provided. There is persistent elevation of bilateral hemidiaphragms. Lung volumes are still low. Small bilateral pleural effusion is again seen, unchanged from prior study. Left lung base atelectasis is again seen. There is moderate cardiomegaly. Pacemaker lead terminates in the right ventricle, position unchanged since prior study. Enteric tube is seen coursing down the esophagus and becomes out of view.
<unk>m with necrotizing pancreatitis bleeding into pseudocyst
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. There are mild multilevel degenerative changes of the visualized spine.
history: <unk>f with chest pain
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Pa and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding portable single view ap chest examination obtained <num> hours earlier during the same day. The patient's previously described pulmonary congestive pattern as well as the bilateral pleural effusions that blunted the lateral pleural sinuses, more on the right than the left, have markedly improved. The lateral pleural sinuses are almost completely free on the frontal view, but small amount of pleural effusions are still collecting in the posterior pleural sinuses as identified on the lateral view. A previously existing perivascular haze in the lungs has normalized with the exception of a small plate atelectasis on the right lung base. There is no evidence of any discrete local pulmonary parenchymal infiltrates that can be identified as a pneumonitis. No pneumothorax exists in the apical area. The heart size is now close to the normal range and the previously identified cardiac enlargement, exaggerated by the ap portable examination technique, appears to have improved. When review comparison is extended to a pa and lateral chest examination dated <unk>, the chest finding including borderline heart size and absence of significant pulmonary vascular congestion are not too dissimilar.
<unk>-year-old male patient with history of lung malignancy, presently with shortness of breath, evaluate for pneumonia, pulmonary congestion.
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There has been interval placement of a right picc line with tip terminating in the right ventricle. The cardiomediastinal and hilar contours are normal. Increased interstitial markings are again noted, indicative of chronic lung disease. Persistent lateral right base increased density may be slightly increased compared to prior, but a right mid lung density is new. Additionally, vague increased density over the right upper lung is also new. There is no pneumothorax or pleural effusion.
right picc line placement.
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Radiograph is centered at the diaphragm, including portions of the medial right lung, left lung, and upper abdomen. An enteric tube descends to the level of the gastroesophageal junction, then turns and ascends to the level of the midesophagus. Increased, small left pleural effusion. Otherwise, no significant change compared to <num> hours prior.
<unk> year old man s/p ngt placement // evaluate placement of ngt
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The heart is mildly enlarged. There is a small left effusion. There are hazy bilateral alveolar infiltrates which could be due to a diffuse infectious process. Given the underlying new history of leukemia, followup is recommended after treatment
<unk> year old woman with suspected new diagnosis acute leukemia with fever, hypoxia and tachycardia. // please evaluate for pneumonia
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The cardiomediastinal and hilar contours are stable. There has been interval slight decrease in the now small right pleural effusion, and the left pleural effusion has remained stable. The bilateral perihilar pulmonary consolidations are improved, but not resolved on the current study. Atelectatic changes at both lung bases are also present.
anca vasculitis with bilateral pulmonary infiltrates, assess interval change.
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Pa and lateral views of the chest provided. Cardiomegaly is noted. Underpenetration in the setting of large body habitus limits assessment. No convincing evidence for pneumonia. No overt chf no large effusion or pneumothorax. Difficult to exclude mild congestion/edema. Mediastinal contour appears grossly within normal limits. Bony structures are intact.
<unk>f with ?rll on pcxr, called by rads and rec'ed to do rpt pa/lat to eval
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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 fever. evaluate for pneumonia.
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Stable cardiomediastinal appearance. Dense retrocardiac opacification likely represents a combination of a stable moderate left pleural effusion and atelectasis. Trace right pleural effusion noted. Linear density within the right middle lung consistent with atelectasis. No pneumothorax evident. Sternotomy sutures are midline and intact.
recent ascending aortic arch repair, now with chest and back pain, please evaluate for widened mediastinum or infiltrate.
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The radiograph was obtained in a slightly lordotic position. There is mild left lower lobe atelectasis but no focal parenchymal opacities concerning for pneumonia. Cardiomediastinal and hilar contours are unremarkable. No pleural effusion or pneumothorax is present. There is no evidence of subdiaphragmatic free air.
<unk>-year-old female with worsening abdominal pain. evaluate for abdominal free air.
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In comparison with the study of <unk>, there is little overall change. Again there is evidence of median sternotomy and esophagectomy with pull-through procedure and stable post-operative appearance of the cardiomediastinal contours. Monitoring and support devices remain in standard position with no evidence of pneumothorax. Continued pulmonary vascular congestion with bilateral pleural effusions and underlying compressive atelectasis.
anastomotic leak after surgery, to assess for pneumonia.
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There has been interval placement of a right-sided chest tube is seen terminating in the right mid lung field. The right lung has almost completely reexpanded, and there is only a small residual apical right pneumothorax without evidence of tension physiology. Subcutaneous emphysema is seen in the soft tissues along the lateral right thorax. Several regions of patchy airspace opacities within the right middle and lower lobes may represent atelectasis versus post-reexpansion edema. There is no evidence of pleural effusion or pulmonary edema. The cardiomediastinal silhouette is stable. Redemonstrated is an endotracheal tube terminating <num> cm above the carina. A nasogastric tube is seen coursing out of view of the radiograph.
recent tension pneumothorax, now status post chest tube.
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The lungs are clear. No edema, effusion, focal consolidation, or pneumothorax. The cardiomediastinal silhouette is overall unchanged with normal heart size. The descending thoracic aorta is slightly tortuous or ectatic, similar to the prior exam. Moderate aortic knob calcifications are unchanged. Mild dextroconvex scoliosis of the thoracic spine may be positional. Degenerative changes of the shoulders and ac joints are moderate.
<unk>-year-old man presenting with weakness. evaluate for pneumonia.
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Ng and et tube have been removed. Left subclavian picc ends in lower svc. Lung volume is still low with interval increase of right lower lobe opacification for increased consolidation and pleural effusion and highly suspicious for pneumonia. Linear atelectasis at the left lung base is stable. Diffuse increased opacity in the upper lobes is related to mild vascular congestion. Heart size is minimally enlarged since prior cxr. There is no pneumothorax.
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Consolidation in the right lung is again seen. There is now more evident retrocardiac opacity as well. Cardiac silhouette is enlarged but similar compared to prior.
<unk>m with dyspnea // r/o chf
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Portable upright ap chest radiograph shows left internal jugular tunneled hemodialysis catheter with the tip at the level of the right atrium. No new lung parenchymal consolidation or mediastinal change is seen. Small right pleural effusion may be present but the blunted lateral cp angle there is not different compared to <unk>. Old healed proximal right humeral fracture.
<unk> year old man with esrd now s/p tunneled hd cath placement <unk> c/o reproducible chest pain // ptx? cardiopulmonary process?
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Cardiac size is normal. Widened mediastinum is stable. The lungs are clear. There is no pneumothorax or pleural effusion.
<unk> year old man with lung cancer sp mediastinoscopy // ptx, effusion
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Portable single frontal chest radiograph was obtained with the patient in upright position. A right chest tube remains in place without pneumothorax. There is interval development of a right basilar consolidation with an associated small pleural effusion. There is also a small left pleural effusion. There is no pulmonary edema. The cardiomediastinal silhouette is stable.
patient status post thoracoscopy, eval interval change.
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Comparison is made to prior study from <unk>. The heart size is normal. Lungs are clear. Bony structures are intact. There are some degenerative changes of the thoracic spine, best seen on the lateral view.
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An endotracheal tube terminates <num> cm above the carina. Lung volumes are low with bibasilar atelectasis. Linear density projecting over the lateral left heart border may reflect a dense focus of linear atelectasis or pleural plaque. There is an apparent <num> cm cavitary lesion with a relatively thick rim in the lateral mid left lung. Mild cardiomegaly with pulmonary vascular congestion. The <num> most superior median sternotomy wires are fractured in multiple places. Pleural effusions are small, if any.
<unk> year old man s/p cardiac arrest now intubated // evaluate et tube
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Single portable view of the chest. No prior. The lungs are clear. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male with head strike and confusion.
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Pa and lateral views of the chest. The lungs are clear without focal consolidation or effusion. The cardiomediastinal silhouette is normal. No acute osseous abnormalities. There is no free intraperitoneal air below the diaphragm.
<unk>-year-old male with upper abdominal pain.
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Again marker cardiomegaly is seen with no significant change to the size of the heart. Increased pulmonary vascular congestion is noted particularly in the right lung. Retrocardiac opacity likely due to atelectasis. Probable bilateral pleural effusions. Et tube is above the carina and ng tube is in the stomach.
<unk> year old man intubated for sepsi // leak on ett cuff
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Exam is limited secondary to technique and overlying trauma board. Endotracheal tube is seen. It's tip is estimated at <num> cm from the carina however the carina is not clearly delineated. The orogastric tube is seen with tip in the gastric fundus. Portion of the right lung is excluded from the field of view. Where included the lungs are clear of large confluent consolidation. Cardiomediastinal silhouette is grossly within normal limits. No displaced rib fracture identified.
<unk>-year-old male found unresponsive with altered mental status. et tube placement. og tube placement.
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In comparison with the earlier study of this date, there is essentially no change despite the multiple right chest tubes. Large apical pleural space is again seen at the top of the collapse right upper lobe. No change in appearance of the midline structures or in the extensive subcutaneous gas on the right.
post-surgery with persistent air leak, now with apical chest tube.
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Lung volumes are relatively low. Surgical chain sutures project over the right mid lung. Nodular opacities project over the lungs bilaterally compatible with known metastatic disease although given differences in technique these have likely enlarged. Ill-defined opacity also noted in the retrocardiac region with lack of clear delineation of the descending thoracic aorta, compatible with enlarged mass since prior. No acute osseous abnormalities. No free intraperitoneal air. Surgical clips project over at the lower neck.
<unk>f with ruq pain, wbc <unk>, ttp, equivocal us // eval ? rll pna, effusion
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Frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.note is made of a calcified granuloma in the right upper lung.
history: <unk>m with fever <num> and tachy to <num>s, pls eval for pna // history: <unk>m with fever <num> and tachy to <num>s, pls eval for pna
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Support and monitoring devices are in standard position except for a left picc with a relatively low position in the proximal right atrium. Cardiomediastinal contours are stable allowing for lower lung volumes on the current study, and note is made of removal of endotracheal tube. Worsening patchy bibasilar opacities probably represent atelectasis, but coexisting aspiration is possible in the appropriate clinical setting. Lungs are otherwise clear except for a small calcified granuloma at the right apex.
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There has been prior median sternotomy and coronary bypass surgery. Marked enlargement of cardiac silhouette is stable in accompanied by upper some vascular redistribution without overt pulmonary edema. No focal areas of consolidation are identified within the lungs, and there are no pleural effusions. Permanent pacemaker and right picc are unchanged in position.
<unk> year old man with acute on chronic chf with fever <num> overnight // evaluate pna
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One portable ap upright view of the chest. Sternotomy wires are seen in the appropriate position. There are multiple mediastinal clips from prior cabg. Bilateral peribronchial cuffing and predominantly central confluent opacities consistent with pulmonary edema has progressed compared to <unk>. There are bilateral pleural effusions, left greater than right. No pneumothorax.
status post cabg, evaluate for effusion.
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Compared to the previous radiograph, a pre-existing left apical pneumothorax is completely resolved. There is a normal post-surgical appearance of the left lung, including elevation of the left hemidiaphragm with clips projecting over the left lung base. A pre-existing post-surgical discontinuation of the sixth left rib is slightly more evident than on the previous image. Unremarkable right lung.
left thoracotomy, left upper lobectomy, evaluation for interval change.
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The lungs are normally expanded and clear. The cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. There is no pleural effusion or pneumothorax. There are few prominent loops of small bowel in the left upper quadrant.
fever. evaluate for pneumonia.
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The cardiac silhouette is enlarged. Lung volumes are decreased with associated crowding of the bronchovascular structures. There is also bibasilar atelectasis. No focal consolidation is identified. There is no pneumothorax in this portable chest radiograph.
history: <unk>m with ? septic unknown source unable to give history // evaluate for pneumonia
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The heart size, mediastinal, and hilar contours are normal. The lungs are clear without pleural effusion, focal consolidation, or pneumothorax.
<unk>m with cp. evaluate for acute process.
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Ap upright and lateral views of the chest provided. Cardiomegaly again noted. Mediastinal contour remains stably prominent. Lung volumes are low without convincing evidence for pneumonia or edema. No large effusion or pneumothorax is seen. Cardiomediastinal silhouette appears normal. No acute bony abnormalities.
<unk>m with ams // acute process
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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
chest pain after cocaine use.
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Portable upright view of the chest demonstrates nasogastric tube coiled within the esophagus. Lung volumes are low. Confluent consolidations in the lower lobes bilaterally are new since <unk> exam. No pleural effusion is seen. There is no pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Ascending aorta is mildly tortuous. Heart size is normal. There is no pulmonary edema.
patient with small bowel obstruction. assess for ng tube placement.
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The heart size is moderately enlarged. The aorta is tortuous with calcifications noted at the aortic knob. The pulmonary vasculature is normal. There is no focal consolidation, pleural effusion or pneumothorax identified. Mild loss of height of several mid thoracic vertebral bodies is noted.
tachypnea, unresponsiveness.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with weakness, nausea, inability to tolerate po // ?pneumonia
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Chest pa and lateral radiograph demonstrates stable examination with a left basilar chest tube is in unchanged position. Note chest tube tip terminates several centimeters superior to the loculated small left pleural effusion. Unchanged left basilar pleural thickening is evident. Stable retrocardiac opacity, likely reflects a combination of effusion and atelectasis. Right lung is clear. No pneumothorax evident.
left-sided pleural effusion with chest tube in place, currently waterseal, please evaluate pleural effusion.
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Portable ap upright chest radiograph provided. Clips in the right axilla are noted. The lungs are clear and well inflated. No signs of pneumonia or chf. No pleural effusion or pneumothorax. The cardiomediastinal silhouette appears normal. No bony abnormalities are seen.