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Compared with the prior radiograph, lung volumes have not changed. Heart size, mediastinal, and hilar contours are normal. Left basilar streak of atelectasis is unchanged. Lungs are otherwise clear without effusion or focal consolidation.
<unk> year old woman s/p partial nephrectomy. please evaluate for any abnormalities.
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A port-a-cath terminates in the lower superior vena cava. The cardiac, mediastinal and hilar contours appear unchanged. There is persistent opacity of reticular character with prior bronchial cuffing and probably mild volume loss within the right lower lobe, but this was the case before and appears less severe. An area of right mid lung scarring and nodular appears unchanged. There is no pleural effusion or pneumothorax.
shortness of breath and fever.
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Sternotomy wires and mediastinal clips are noted. There are coronary artery stents. Heart is mildly enlarged but unchanged. There is no evidence for pulmonary edema. Lung volumes are normal. There is no pleural effusion, pneumothorax or focal airspace consolidation worrisome for pneumonia. Mediastinal and hilar contours are unremarkable.
altered mental status. evaluate for pneumonia.
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Lungs are well expanded without any opacities concerning for pneumonia. Right subclavian line ends at lower svc. Heart size, mediastinum and hilar contours are normal. No pleural abnormality.
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The cardiac, mediastinal and hilar contours appear unchanged allowing for differences in technique aside from decreased heart size. Mitral annular calcifications are prominent. The main pulmonary artery contour is again mildly prominent. The aortic arch is calcified. There is no pleural effusion or pneumothorax. Streaky opacities in the left mid lung probably in the lingula and medial right lower lung, probably in the right lower lobe are suggestive of minor atelectasis, although particularly with regard to the latter, an early developing pneumonia is difficult to exclude.
pneumonia.
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There is a new right chest tube in place. There is small right apical pneumothorax, which has increased. Small area right apical opacity, likely postsurgical. Left lung is clear. Right pleural effusion has cleared.
<unk> year old man with spontaneous pneumothorax s/p rul wedge resection // check tube position
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Indwelling support and monitoring devices remain in place, including a left chest tube and left pigtail pleural catheter. There has been apparent slight change in position of the left pigtail pleural catheter including the extrapleural component projecting lateral to the lower left ribs. A moderate left pneumothorax is present with both apical and basilar components. Although the apical component is unchanged, the basilar component appears more prominent than on the prior study. Cardiomediastinal contours are stable in appearance. Multifocal abnormalities throughout the right lung have slightly worsened, and a confluent opacity at the left base is also worse in the interval. These findings likely represent progressive multifocal pneumonia, although co-existing atelectasis is also evident in the right lower lobe. Right-sided loculated pleural fluid and/or thickening appears unchanged. Finally, note is made of a right picc, terminating within the right subclavian vein just beyond the junction with the right axillary vein.
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Superior mediastinum and right apex are somewhat obscured by the patient's chin projecting over this region. Cardiac, mediastinal and hilar contours are unchanged with the heart size within normal limits. The pulmonary vasculature is not engorged. Apart from minimal atelectasis in the lung bases, the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. Posterior spinal fusion hardware is noted at the cervicothoracic junction.
history: <unk>f with failure to thrive, subacute profound fatigue and ams
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Pa and lateral views of the chest. There is mild bibasilar atelectasis. Persistent slight elevation of the right hemidiaphragm. There is no focal parenchymal opacities concerning for pneumonia. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable. Multiple surgical clips in the left upper quadrant.
cough, question pneumonia.
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The cardiomediastinal contours are within normal limits. The bilateral hila are unremarkable. The lungs are clear without focal consolidation. There is no evidence of pulmonary vascular congestion. There is no pneumothorax or pleural effusion.
<unk>f with chest tightness and cough, evaluate for pneumonia.
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Single portable view of the chest is compared to previous exam from <unk>. Exam is limited secondary to portable technique and patient body habitus. There is, however, no visualized large confluent consolidation. Cardiomediastinal silhouette is within normal limits for technique. Median sternotomy wires are noted.
<unk>-year-old female with recent upper respiratory tract infection and fever.
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Single portable view of the chest. No prior. The lungs are clear of focal consolidation noting linear atelectasis at the lung bases bilaterally. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female status post seizure.
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Heart size is normal. Aortic knob is calcified. Patient is status post esophagectomy and gastric pull-through with unchanged appearance of the mediastinum compared to the previous radiograph. Worsening patchy opacities are noted in both lung bases, findings which could reflect aspiration. Small right pleural effusion is also noted. Lungs are hyperinflated with emphysematous changes re- demonstrated. No pulmonary edema is seen. No pneumothorax is present. There are no acute osseous abnormalities visualized.
history: <unk>m status post endoscopic esophageal stent removal today now with fever and rigors
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Trauma board and other overlying structures limit assessment. The lungs are grossly clear without pleural effusion or pneumothorax. The heart and mediastinal contours are unremarkable. No displaced rib fractures are identified.
mvc
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Pa and lateral views of the chest were provided demonstrating no focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is normal. Bony structures are intact. There is no free air below the right hemidiaphragm. Dish-related changes of the mid t-spine noted.
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The lungs are moderately well inflated with bilateral lower lobe patchy opacities that may represent atelectasis versus consolidation. Aspiration pneumonitis is a consideration in the right clinical setting. Mild cardiomegaly and aortic knuckle calcification. No pleural effusions. Ekg leads overlie the chest wall. Visualized bones are unremarkable.
<unk> year old woman with acute onset of afib with rvr. // please evaluate for worsening pna or new aspiration
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Heart size is mildly enlarged. The mediastinal and hilar contours are unchanged. Pulmonary vasculature is normal and the lungs are essentially clear without focal consolidation. No pleural effusion or pneumothorax is present. No acute osseous abnormality is detected.
history: <unk>f with chest pain, history of vasculitis
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Lungs are well inflated and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. Visualized upper abdomen is unremarkable. Osseous structures are grossly intact. A spinal stimulator device is again noted projecting over the lower thoracic spine.
new onset ruq pain, occasional sob since surgery <num> week ago, evaluate for pneumonia.
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Cardiac silhouette is upper limits of normal in size. Diffuse combined alveolar and interstitial edema are present, with slight change in distribution reflecting positional differences, but overall no change in severity. Moderate layering pleural effusions are also demonstrated.
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As compared to the previous radiograph, the patient has received a nasogastric tube. The tip of the tube is coiled at the level of the gastroesophageal junction. The device needs to be repositioned. No complications. Moderate cardiomegaly with mild fluid overload but no overt pulmonary edema. Atelectasis at both the right and the left lung bases. No pneumothorax.
status post nasogastric tube placement.
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On the background of emphysema there has been minimal interval increase of bilateral diffuse reticular opacities with a perihilar predominance when compared with recent radiograph. There is a focus of more confluent consolidation in the right lower lobe. There is no pleural effusion or pneumothorax. Mild-to-moderate cardiomegaly is stable.
<unk>-year-old female with recent pneumonia, now with respiratory distress. evaluate.
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The right costophrenic angle is no longer blunted. There is minimal streaky density at the right base consistent with scarring or subsegmental atelectasis as before. The patient is status post median sternotomy and mvr. Mediastinal structures are unchanged. A right subclavian catheter remains in place. It terminates in the region of the lower superior vena cava. The bony thorax is grossly intact.
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The cardiac, mediastinal, and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. A small hyperdense nodule projecting over the right upper lung suggests a small unchanged granuloma. Otherwise, the lung fields appear clear. Bony structures are unremarkable.
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 single view chest examination of <unk>. The heart size remains normal. Thoracic aorta moderately widened and rather markedly elongated but no local contour abnormalities are present. The pulmonary vasculature is not congested. Irregular peripheral pulmonary vascular distribution persists and coincides with low positioned and flattened diaphragms, all suggestive of rather advanced copd. Acute parenchymal infiltrates cannot be identified. There exists a right-sided chest wall deformity with multiple partially old rib deformities related to preceding traumata. Comparison is made with the next preceding chest examination of <unk>. The at that time moderately dislodged rib portions belonging to the sixth and seventh right-sided rib anteriorly appear now in more proper anatomic alignment. There is increasing soft tissue density surrounding these skeletal structures which probably caused by local pleural reactions as true osseous callus formation cannot be expected as yet.no pneumothorax or pulmonary infiltrates can be identified observe also that previous chest examination indicated new trauma on <unk> but apparently also preexisting multiple rib deformities of older nature.
<unk>-year-old female patient with multiple rib fractures, evaluate rib fractures.
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A small right effusion and right basilar consolidation are unchanged. Left chest tubes remain in the pleural space. Right internal jugular line remains at the cavoatrial junction. Endotracheal tube is at the mid clavicular heads. Orogastric tube is in the stomach. Right rib fractures and thoracic spine hardware are unchanged.
<unk>-year-old man with thoracic spine osteomyelitis and epidural abscess. evaluate for interval change.
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The tracheostomy tube is in unchanged position. Unchanged moderate cardiomegaly, unchanged moderate left pleural effusion with left basal consolidation. Unchanged scarring at the right lung base. Otherwise, the right lung is unremarkable. On the left, there is no evidence of newly appeared parenchymal opacity suggesting pneumonia.
respiratory failure, elevated white blood cell count.
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Heart size is mildly enlarged. The aorta is slightly tortuous with atherosclerotic calcifications noted at the knob. The pulmonary vasculature is not engorged. The hilar contours are normal. Lungs are clear without focal consolidation, pleural effusion or pneumothorax. <num> mm calcified granuloma is seen in the left upper lobe. There are no acute osseous abnormalities. Remote right distal clavicular fracture is noted.
history: <unk>m with syncope
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The lungs are well expanded. A vague opacity in the right middle lobe is seen only on the frontal projection without correlate on the lateral projection. No focal consolidation, effusion, or pneumothorax present. The cardiac and mediastinal contours are normal.
<unk>-year-old woman with history of sts of left upper extremity.
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Compared with prior radiographs performed on same day on <unk> at <time>, there is increased aeration in the left upper lung zone and resolution of previously seen mediastinal shift status post bronchoscopy. There is mild pulmonary edema bilaterally. A right-sided moderate pleural effusion is unchanged from prior. A small left-sided pleural effusion is slightly increased from radiographs on <unk>. There is no pneumothorax. An et tube is in standard position. A left ij central catheter and left picc are unchanged in position. An ng tube passes below the level of the diaphragm and out of view.
<unk> year old woman with hypercarbia and hypoxemia. intubated <unk> in morning, bronchoscopy performed immediately after intubation. significant mucus plugging. fevers and elevated wbcs // check ett position, evaluate for infiltrates and/or edema.
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Right chest tube remains in place with persistent moderate to large loculated right pleural effusion, but no visible pneumothorax. Cardiomediastinal contours are stable in appearance. Mild pulmonary vascular congestion is present. Improving aeration at both lung bases likely due to improving atelectasis.
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Heart is upper limits of normal in size. Mediastinal and hilar contours are within normal limits. Lungs and pleural surfaces are clear. Degenerative changes are present in the spine.
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Right tunneled catheter is intact and terminates in the appropriate positions. The lungs are fully expanded and clear. Cardiomediastinal and hilar silhouettes are normal. Pleural surfaces are normal.
<unk> year old woman with scheduled ecp // please check placement of tunneled cathether, two out of three ports with no blood return
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Ap view of the chest. Patient could not tolerate the lateral view. Compared with prior, there has been interval improved aeration at the left lung base. There may be small persistent effusion with blunting of the lateral costophrenic angle. Elsewhere the lungs are clear. The cardiomediastinal silhouette is stable. Median sternotomy wires are again noted. Orthopedic hardware is seen at the proximal right humerus. Old left lateral lower rib fracture is noted.
<unk>-year-old female with fever and leukocytosis.
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The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The heart is normal in size with normal cardiomediastinal contours.
fever, assess for pneumonia.
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As compared to the previous radiograph, the monitoring and support devices are in standard position. As dictated, is in unchanged position. Small left pleural effusion is unchanged, no relevant change as compared to the previous examination.
intubation, bilateral chest tubes, evaluation.
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Left moderate pleural effusion has significantly improved after thoracocentesis and is now minimal. There is no pneumothorax. Right pleural effusion is small. Distal end of the pleurx is still hard to assess. The patient is known with bilateral multiple nodules secondary to metastasis from breast cancer. Left-sided port-a-cath ends at the cavoatrial junction.
malignant pleural effusion and left thoracocentesis.
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No obvious acute fracture is seen although clinical concern is high, ct is more sensitive. Chronic deformities at the bilateral distal clavicles. There is minor basilar atelectasis without definite focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. No overt pulmonary edema is seen.
history: <unk>m with <unk> s/p fall, ?b/l rib pain, no obvious crepitus or deformity // ?obvious fx
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Lung volumes are normal. The small consolidative opacity projecting just superior to the minor fissure is unchanged, however a larger region of heterogeneous opacification in the right lung base has enlarged since <unk>, consistent with progression of one site of multi focal pneumonia. . There is no pleural effusion or pneumothorax. Cardiomediastinal and hilar structures are normal.
<unk> year old woman with follicular lymphoma, presented with dyspnea post rituximab // please eval for edema or other abnormality
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As compared to the previous radiograph, there is no relevant change. Heavily calcified costochondral junctions. Overinflated lung parenchyma on both the frontal and lateral radiographs. The right pectoral port-a-cath is in situ. Normal size of the cardiac silhouette. Moderate tortuosity of the thoracic aorta. No pleural effusions. No pneumonia, no pulmonary edema.
history of mds, evaluation for pneumonia.
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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.
tachycardia. low-grade temp. question pneumonia.
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An interstitial abnormality has improved substantially. There is suggestion of persistent reticulation in the lower lungs, however, which suggests underlying interstitial disease, as was reported previously. There is no focal opacification suggestive of pneumonia. The cardiac, mediastinal and hilar contours appear unchanged. Although difficult to exclude, there are no definite pleural effusions. There is no pneumothorax.
dyspnea.
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Heart size is normal. The mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
history: <unk>f with hypoxia, fever
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A single-lead pacemaker terminates in the right ventricle. The heart is mildly enlarged. The mediastinal and hilar contours appear unchanged. There are substantial probably moderate and possibly large bilateral pleural effusions with associated basilar opacification, probably due to atelectasis and more dense and confluent on the left than right. Aerated lung parenchyma shows interstitial changes suggesting mild-to-moderate pulmonary edema. There is no pneumothorax.
hypotension.
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Frontal and lateral views of the chest were performed. The lungs are clear. There is no pleural effusion, pneumothorax or focal airspace consolidation. The cardiac and mediastinal contours are normal. The hilar and pleural structures are unremarkable. The imaged upper abdomen is normal.
upper abdominal pain, evaluate for infiltrate.
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There are low lung volumes, which accentuate the bronchovascular markings. The cardiac silhouette remains enlarged, stable as compared to prior. The mediastinal contours are stable. The hilar contours are stable. No focal consolidation, pleural effusion or evidence of pneumothorax is seen. There is no overt pulmonary edema.
chest pain and tightness.
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Heart size is top-normal. Mediastinal contours are unremarkable. Pulmonary vasculature is engorged. Streaky left basilar opacity likely reflects area of atelectasis. No focal consolidation, pleural effusion, or pneumothorax is identified. Moderate multilevel degenerative changes are seen in the thoracic spine.
history: <unk>f with fall, headstrike, atrial fibrillation with rvr
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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.
history: <unk>m with dyspnea
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Hyperinflated lungs and upper lobe predominant vascular deficiency suggest emphysema. There is no focal consolidation, effusion, or pneumothorax. Mildly increased heart size and mild vascular engorgement without overt pulmonary edema suggest early cardiac decompensation. Mediastinal and hilar contours are stable.
productive cough x <num> days. // rule out pneumonia
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The patient is status post median sternotomy. A left -sided dual-chamber pacemaker device with leads terminating in the right atrium and right ventricle is unchanged. The cardiac, mediastinal and hilar contours are stable, with tortuosity of the thoracic aorta again noted. Mild calcification of the thoracic aorta is also redemonstrated. The heart size is not enlarged. The pulmonary vascularity is normal and the lungs are clear. Mild elevation of the left hemidiaphragm is chronic. No pleural effusion or pneumothorax is identified. No acute osseous abnormalities seen.
altered mental status and fevers.
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Pa and lateral chest radiographs demonstrate no focal consolidation, pleural effusion, or pneumothorax. A nodular opacity identified in <unk> is no longer seen. The cardiomediastinal silhouette is within normal limits.
abdominal pain.
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Frontal and lateral views of the chest were obtained. Catheter overlying the right hemithorax is seen coursing from the neck over the chest into the abdomen crossing midline, may represent a vp shunt. There is minor left basilar atelectasis. No focal consolidation seen. No pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. The lungs are hyperinflated suggesting emphysema. No pleural effusion or pneumothorax is seen.
<unk>m with sob // sob
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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. Mediastinal and cardiac contours are normal. A left bracheocephalic vein stent is stable.
headache.
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The lungs are hyperexpanded with flattening of the hemidiaphragms and increase in the retrosternal space. The heart is not enlarged. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. There is no airspace opacity to suggest pneumonia.
<unk> year old woman with <num> days of cough, sob, wheezing, +sick contact. was in <unk> // pneumonia
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Study somewhat limited by lordotic positioning and the patient's chin obscuring assessment of the lung apices. Low lung volumes are present. This accentuates the size of the cardiac silhouette which is likely within normal limits. Mediastinal contours are unchanged. Crowding of the bronchovascular structures is noted as a result of low lung volumes. No overt pulmonary edema is seen though mild pulmonary vascular congestion is not excluded. Streaky bibasilar airspace opacities which are more pronounced in the left lung base may reflect atelectasis. Infection is not excluded. No large pleural effusion or pneumothorax is seen. Multilevel degenerative changes are seen within the thoracic spine.
fevers and altered mental status.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs volumes are low, but lungs are grossly clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
<unk> year old man with several days of intermittent sharp chest pains // r/o abnormality
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Ap portable upright view of the chest. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact.
<unk> year old man with chest pain and dyspnea
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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. A left subclavian port-a-cath terminates in the low svc.
<unk>f with fever, tachycardia, decreased rll breath sounds // ?pna
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The cardiac, mediastinal and hilar contours are normal. The lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
cough and fever.
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Pa and lateral views of the chest provided. Lungs are clear. Pulmonary vasculature is normal. Heart size is normal. Mediastinal and hilar contours are normal. There are no pleural effusions. Intrathecal devices is noted, one in mid thoracic and one in lower. Previously in <unk>, both leads terminated in the mid thoracic spine, and in <unk> there was only one lead in the mid thoracic spine.
<unk> year old woman with arthralgias, evaluate for hilar <unk> or infiltrate
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As compared to the previous radiograph, the extent of the pre-existing known right apical pneumothorax is unchanged. The bases of the right lung shows a minimally increasing pleural effusion. The displaced rib fractures are constant in appearance. Constant soft tissue air collections bilaterally. The left lung and the cardiac silhouette appear unchanged.
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No focal consolidation or pleural effusion, or evidence of pneumothorax is seen. Incidental note is again made of an azygos lobe. The cardiac and mediastinal silhouettes are stable and unremarkable.
chest pain.
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The lung volumes are low which causes crowding of the bronchovascular structures. Within this limitation the lungs are clear and there is no pulmonary vascular congestion, pleural effusion or pneumothorax. The cardiac and mediastinal contours are stable.
<unk>-year-old woman with cough. evaluate for pneumonia.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable.
history: <unk>f with tachycardia // eval for pna
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Again seen is a right ij swan-ganz catheter, with tip overlying the right pulmonary artery. I doubt significant interval change in position. Slight differences in relation to the vertical portion of the catheter in the ivc, compared to the prior film, may be accounted for by differences in the patient positioning. However, when compared to the film from <unk>, the tip of the swan-<unk> catheter is more distal. No pneumothorax is detected again seen is a left-sided pacemaker/ defibrillator device with lead tips over the right atrium and right ventricle and with additional lead unchanged. There is marked cardiomegaly, similar to the prior film. There is upper zone redistribution. Possible mild interval increase in degree of pulmonary vascular plethora. No focal consolidation or gross effusion is identified.
<unk> year old man with heart failure and a swan in place after several exams today // any change in the position of the swan?
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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 is identified. The osseous structures are unremarkable. No radiopaque foreign bodies.
<unk>-year-old female with chest pain. rule out acute process.
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There are relatively low lung volumes. Patchy bibasilar opacities are seen, pneumonia is not excluded in the appropriate clinical setting. Differential diagnosis includes pneumonia and/ or atelectasis. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. Mediastinal contours are unremarkable.
history: <unk>m with fever and sob // eval pneumonia
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Patient is status post median sternotomy. Right-sided picc terminates at the cavoatrial junction. A feeding tube courses below the diaphragm, out of the field of view. No focal consolidation is seen. There is no pleural effusion or large pneumothorax. Previously seen right apical pneumothorax is not appreciated on the current study. The cardiac and mediastinal silhouettes are while.
<unk>m s/p multiple abdominal surgeries presenting with fever and tachycardia // <unk>m s/p multiple abdominal surgeries presenting with fever and tachycardia
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The heart is normal in size and there is no evidence of vascular congestion, pleural effusion, or acute focal pneumonia. No gross evidence of rib fracture or pneumothorax. On one view, there is slight impression on the right side of the lower cervical trachea. This raises the possibility of thyroid enlargement.
chest trauma, to assess for injury.
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A single supine view of the chest demonstrates interval placement of a left central venous catheter with tip at the ra/svc junction. There is no pneumothorax. Low lung volumes are noted with crowding of the bronchovascular markings. No confluent consolidation identified, although there may be mild interstitial edema.
<unk>-year-old female with central line placement.
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Left-sided aicd/pacemaker device is noted with intact leads in the right atrium and right ventricle. The patient is status post median sternotomy and cabg. Heart size is mildly enlarged, though probably accentuated due to the presence of low lung volumes. There is crowding of the bronchovascular structures but no overt pulmonary edema is seen. Patchy opacities in the lung bases are similar compared to the prior exam, likely reflecting atelectasis in the setting of low lung volumes. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
pain at the site of pacer in the left chest.
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Pa and lateral views of the chest were obtained demonstrating clear lungs. Lung volumes are somewhat low. No pneumothorax or pleural effusion seen. Cardiomediastinal silhouette is normal. No definite displaced rib fractures are seen.
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In comparison to <unk> study the cardiomediastinal silhouette is stable. The hila and pleura are unremarkable. Again seen are multiple left-sided rib fractures and a displaced left clavicular fracture. There is a line along right apical lung which could represent a small pneumothorax though likely could be a finding secondary to displaced rib fragments. There is left basilar atelectasis with overlying opacity which could represent developing superimposed pneumonia in the right clinical setting.
<unk> year old man with rib fx and l ptx // questions to be answered: eval for interval change of ptx vs pna
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Pa and lateral views of the chest provided. Volume loss in the right lung with suture material near the right hilum reflects prior right lower lobectomy. The lungs are clear without focal consolidation, large effusion or pneumothorax. Cardiomediastinal silhouette is normal. Right upper rib deformity and resection likely reflect prior thoracic surgery. No acute bony abnormalities seen.
<unk>f with history of lung cancer s/p r lower lobectomy presenting w/ <num> month of fatigue and supposed pleural effusion.
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The lungs are clear. No consolidation. The hila and pulmonary vasculatures are normal. No pleural abnormalities or pneumothorax. The cardiomediastinal silhouette is normal. No fractures.
<unk> year old man with etoh withdrawal // interval changed
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A left-sided icd remains in unchanged position. Cardiac silhouette remains mildly enlarged with mild fluid overload without overt interstitial edema. There remains a moderate right-sided pleural effusion slightly increased from prior examination as well as a small remnant left-sided pleural effusion with <num> drainage catheters at the left lung base are unchanged in position from prior exam. There is no pneumothorax. Bibasilar left greater than right atelectasis is unchanged.
coronary artery disease status post cabg with recurrent pleural effusion status post left pleurx placement. now with hypertension. exclude pneumothorax or pneumonia.
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In comparison with study of <unk>, there is little interval change. Monitoring and support devices remain in place. There is some retrocardiac opacification which appears to be more prominent over the lower left lung, though the configuration raises the possibility of it being external to the patient. However, if there are appropriate clinical symptoms, the possibility of supervening pneumonia should be considered.
sdh with intubation.
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Ap upright and lateral radiographs were obtained. The lungs are well expanded. There is minimal atelectasis at the right base. There is no consolidation, effusion, or pneumothorax. Mild cardiomegaly is unchanged. Dual lead pacing leads project over unchanged positions. Upper lumbar spine fusion hardware is intact with severe degenerative changes seen in the imaged thoracolumbar spine. Rib fractures of the posterior <unk> and <num>th ribs are old and show evidence of healing. There is no displaced rib fracture. Severe bilateral glenohumeral degenerative changes are present.
fall and laceration.
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There has been interval removal of a left central venous line. As compared to prior examination dated <unk>, there has otherwise been minimal interval change. Redemonstrated is blunting of the left cpa and flattening of the lateral aspect of the left hemidiaphragm, likely secondary to small pleural or parenchymal scar. There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema identified. The heart size is normal. Mediastinal and hilar contours are normal.
persistent asthma, rule out pneumonia.
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Mild enlargement of cardiac silhouette with a left ventricular predominance is noted. The aortic knob demonstrates mild atherosclerotic calcifications. Mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Minimal subsegmental atelectasis is noted in the left lung base. Lungs are otherwise clear without focal consolidation. No pleural effusion or pneumothorax is present. No acute osseous abnormalities seen.
chest pain and shortness of breath.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. There is subtle thickening of the pleural fat at the left lower lateral hemi thorax. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with c/o cough and cp // ? pna
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No focal consolidation, pleural effusion, or pneumothorax is seen. Heart and mediastinal contours are within normal limits.
<unk>-year-old female with productive cough.
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Portable frontal radiograph of the chest demonstrates a left chest tube in unchanged position. Small bilateral pleural effusions are not significantly changed from prior. Unchanged right picc and left pacemaker. The left lung perihilar opacities are not significantly changed. There is increased opacity at the right lung base which could reflect aspiration or pneumonia in the correct clinical setting.
mssa empyema with rising leukocytosis, left chest tube in place. evaluate for redevelopment of pleural effusion, evidence of infiltrate.
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There is mild cardiomegaly. Lungs are clear. No focal consolidation, pleural effusion, or pneumothorax. Degenerative changes of the thoracic spine are noted. No compression deformities. Limited view of the upper abdomen is unremarkable. No subdiaphragmatic free air.
history: <unk>f with epigastric pain. evaluate for cardiopulmonary process.
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The chf findings may be slightly improved. Otherwise, i doubt significant interval change. Again seen is the right-sided chest tube. No large right effusion. No obvious pneumothorax identified. Right lower chest wall fractures again noted. Cardiomediastinal silhouette is similar to the prior film, with prominence of the right paratracheal soft tissues again noted.
<unk> year old man with r hemopneumothorax // compare to prior
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Pa and lateral views of the chest provided. Hardware partially imaged in the cervical spine. There is mild interval progression of interstitial lung disease with slightly increased peripheral reticulation as compared with most recent prior imaging studies. Difficult to exclude a superimposed pneumonia though none is clearly seen. No large effusions or pneumothorax. Cardiomediastinal silhouette is stable. Bony structures appear grossly intact.
<unk>m with sob, history of interstitial lung disease.
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The heart size is within normal limits. The cardiomediastinal contours show no abnormalities. The lungs are clear. There is no pleural effusion or pneumothorax. Anterior cervical fusion plate is present.
<unk>-year-old male with palpitations.
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There is mild pulmonary vascular congestion. There is a new opacity at the right lung base which may be asymmetric vascular congestion versus pneumonia in the appropriate clinical setting. Significantly increased size of the cardiac silhouette may partly be due to ap, supine, and lordotic positioning and cardiomegaly in the setting of heart failure however a pericardial effusion may be considered in the appropriate clinical setting. There are small bilateral pleural effusions. There is no pneumothorax.
<unk> year old man with gastric cancer, h/o septic pulmonary emboli now short of breath. // please evaluate for etiology of shortness of breath.
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The patient is status post median sternotomy and mediastinal surgical clips reflect prior bypass surgery. There is a right internal jugular dialysis line terminating along the proximal right atrium. A right lower lobe consolidation is better seen on the dedicated chest ct obtained the same day. The heart is normal in size, and there is no pleural effusion, pneumothorax or pulmonary edema. Surgical anchors are noted along the right humerus. There are no displaced rib fractures.
<unk>-year-old male with right great toe and right rib pain status post fall. the patient is on plavix. evaluate for fractures or head bleed.
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Moderate enlargement of the cardiac silhouette is increased compared to the previous radiograph. Mediastinal contour is unremarkable. There is mild pulmonary vascular congestion, as seen previously. New ill-defined focal opacity is seen within the right upper lobe concerning for pneumonia. Patchy opacities in the lung bases likely reflect areas of atelectasis. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. Multiple remote appearing bilateral rib fractures are present.
history: <unk>f with fever, tachycardia // eval for consolidation
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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. A moderately displaced fracture is noted to the mid shaft of the left clavicle, age indeterminate. Similarly, multiple contiguous posterior left-sided rib fractures are chronic appearing, but age indeterminate given the lack of comparison study.
<unk> year old woman presenting with etoh intoxication and s/p fall onto her chest (has chest wall pain). // ?rib fracture or trauma
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No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac silhouette is top normal. The mediastinal contours are unremarkable.
cough and chest pain.
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Lines and tubes: endotracheal tube is <num> cm above the carina, in unchanged position. Enteric tube traverses below the diaphragm, distal tip not visualized. Left picc terminates at the cavoatrial junction. Lungs: the lung volumes are low, however compared to the prior radiograph there is interval improved aeration. Persistent right upper and bilateral lower lobe linear and patchy opacities with interval improvement. Pleura: there is no pleural effusion or pneumothorax mediastinum: no change in cardiomediastinal silhouette. Bony thorax: no interval change.
<unk> year old woman intubated with ongoing fevers, h/o recurrent aspiration pnas. // ?pna
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Moderate cardiomegaly with left ventricular configuration. There is increased retrocardiac density, though no apparent effacement of the diaphragm. The possibility of left lower lobe collapse and/or consolidation cannot be entirely excluded. Curvilinear density overlying the left are border raises the question of an effusion. No pneumothorax. Sternotomy wires are intact.
history: <unk>f with weakness // pna?
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Frontal and lateral views of the chest. Apparent interval enlargement of the heart may be due to differences in technique. Left lung base opacity is unchanged and consistent with a fat pad. No focal consolidation, pleural effusion, or pneumothorax. Wedging of a mid thoracic vertebral body and endplate sclerosis of upper thoracic vertebral bodies are unchanged.
<unk>-year-old female with chest pain.
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There is moderate right pleural effusion, stable. Right basilar opacification, stable, likely atelectasis. Small anterior pneumothorax is decreased. Decreased left basilar atelectasis. Very shallow inspiration.
<unk> year old man with anterior hydropneumothorax // please do cxr with patient erect (sitting straight up) at <unk> pm, thank you
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In comparison with the earlier study of this date, the tip of the endotracheal tube measures approximately <num> cm above the carina. Nasogastric tube and right ij catheter remain in place. The overall appearance of the heart and lungs is essentially unchanged.
intubations with bloody airway secretions.
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In comparison with the study of <unk>, there is little change in the appearance of the substantial pleural effusion on the left and a small pleural effusion on the right. Otherwise, little change.
recurrent pleural effusion.
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Again seen is a large left upper lobe mass with elevation of left hemidiaphragm, largely unchanged from the prior study. Multiple small nodules and coarse reticulations particularly in the right lower lung are concerning for metastases with lymphangitic extention. The previously seen pulmonary edema is improved. No pleural effusions are seen and there is no pneumothorax.
history of copd, lung cancer and multifocal pneumonia. evaluation for interval change.
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Normal heart size, mediastinal and hilar contours. No focal consolidation, pleural effusion or pneumothorax. Surgical clips are noted in the left upper quadrant.
<unk>m with sickle cell, back pain // ?acute chest