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Ap portable semi upright view of the chest. Lung volumes are low limiting assessment. The previously noted right upper extremity picc line has been removed. There is a left-sided pleural effusion which is at least moderate in size with associated left basal compressive atelectasis. Aside from right basal atelectasis, the right lung appears clear. The heart size cannot be assessed. Mediastinal contour is prominent though unchanged. Bony structures appear intact.
history: <unk>f with dyspnea and wheezing // ?cpd vs change from prior
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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. The imaged osseous structures are intact. There is no free air below the right hemidiaphragm.
<unk>-year-old female with left-sided chest pain, assess for pneumonia.
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Heart size remains mildly enlarged. The aortic knob demonstrates dense atherosclerotic calcifications. Mediastinal and hilar contours are otherwise unchanged. The pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is visualized. There are mild degenerative changes in the thoracic spine.
history: <unk>m with dyspnea
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Pa and lateral views of the chest provided. Midline sternotomy wires and mediastinal clips are again noted. The heart appears mildly enlarged with a left ventricular configuration. No focal consolidation, effusion or pneumothorax. Lung volumes are low, with crowding of bronchovascular markings. No frank edema is seen. Mediastinal contour appears normal. Bony structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with fever.
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As compared to the prior examination dated <unk>, there has been no relevant interval change. There is no consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. The cardiac silhouette is within normal limits.
<unk>m with chest pain // eval heart and lungs.
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Frontal and lateral views of the chest were obtained. The right hemidiaphragm remains elevated and there is persistent right middle lobe atelectasis/scarring. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable with calcification at the aortic knob.
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In comparison with study of <unk>, there is worsening bilateral pulmonary opacifications. Although this could merely reflect worsening pulmonary edema, the possibility of superimposed pneumonia or even ards would have to be considered.
trache placement and vap.
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Frontal and lateral views of the chest were obtained. There is patchy opacity in the right mid to right lower lung which raises concern for infection. No large pleural effusion is seen. There is no evidence of pneumothorax. The cardiac and mediastinal silhouettes are stable, with the aorta tortuous and calcified, and the cardiac silhouette top normal to mildly enlarged.
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Pa and lateral views of the chest were obtained. The cardiomediastinal and hilar contours are stable. There is no pleural effusion or pneumothorax. Mildly prominent pulmonary vasculature suggests a component of mild pulmonary edema. No focal consolidation concerning for pneumonia is present.
fever ,cough.
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There is moderate interstitial pulmonary edema, increased compared to most recent radiograph from <unk>. Small bilateral pleural effusions are unchanged on the right and decreased on the left. The heart is markedly enlarged, not significantly changed. There is a right-sided picc, ending in the mid svc. On the previous radiograph from <unk>, the picc was seen extending into the right internal jugular vein. There is no pneumothorax.
history of end-stage renal disease and chf, presenting with dyspnea. assess for fluid overload.
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Heart size and cardiomediastinal contours are normal. Vague nodular and streaky opacities in the left lower lung are nonspecific, possibly represent early infection or bronchial mucoid impaction. No pleural effusion or pneumothorax.
<unk>f with s/s of bronchits vs. pneumonia // r/o infiltrate
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In comparison with study of <unk>, the costophrenic angles are more sharply seen, presumably related to the upright position of the patient. The left central catheter has been removed. No evidence of acute focal pneumonia or definite vascular congestion.
metastatic pancreatic cancer, on chemotherapy, now with fever.
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The newly placed tracheostomy tube projects over of the tracheal with its distal-most tip approximately <num> cm from the carina. The ett and enteric tube have been removed in the interim. The left picc tip projects over the expected region of the mid to low svc. The patient is status-post median sternotomy. Persistent but improved left lower lobe atelectasis. Mild interval increase in right lower lobe atelectasis. Probable small right pleural effusion. No significant change in mild edema. Cardiomediastinal silhouette is unchanged. No pneumothorax.
<unk> year old man s/p cabg/trach/peg ; evaluate trach position/pulm edema.
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Pa and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding a similar study of <unk>. Heart size and mediastinal structures unchanged. The same holds for the previously described left subclavian approach port-a-cath system and a wider caliber double-lumen central line advanced via the right internal jugular vein. The termination point in mid and lower svc is unchanged. When comparison is made with the next preceding study, the pulmonary parenchyma does not demonstrate any new abnormalities and the lateral and posterior pleural sinuses remain free from any fluid accumulation. No pneumothorax has developed in the apical area. Soft tissue structures on the right base are overlying the area and gave concern for possible pleural abnormalities along the right lateral chest wall. For that reason, with recent chest torso ct of <unk> and chest ct of <unk> are reviewed. They did not disclose any intrapulmonary or pleural abnormalities.
<unk>-year-old female patient with past medical history of breast cancer, status post bilateral mastectomies, on chemotherapy, which was complicated by polycythemia <unk> with secondary myelofibrosis. the patient has new chest pain, evaluate for any new chest abnormalities.
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Portable supine frontal view of the chest. There are median sternotomy wires and mediastinal clips from prior cabg. A small left pleural effusion appears decreased since <unk>. There is no pneumothorax. There is bibasilar opacities most likely representing atelectasis; however, no areas of consolidation or pulmonary edema are seen. The heart size is enlarged but stable. The previously seen left apical pneumothorax has resolved.
syncopal episode and recent cabg.
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There has been improved aeration in the right upper lobe at the site of the prior surgery. There remains a moderate-sized pneumothorax; however, this is decreased markedly in size since previous. There is persistent subcutaneous emphysema along the right chest wall. Chest tubes on the right side as well as endotracheal tube are appropriately sited, in unchanged position.
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Linear left basilar opacities are noted. Persistent blunting of the left posterior costophrenic angle suggests persistent small effusion. Elsewhere, the lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities
<unk>m with palpitations // ?pna
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The lungs are clear without focal consolidation concerning for pneumonia, pleural effusion, or pneumothorax. The pulmonary vasculature is not engorged, and there is no overt pulmonary edema. The cardiomediastinal silhouette is within normal limits and unchanged with mild tortuosity of the thoracic aorta. The hilar contours are within normal limits. Chronic compression fractures at the t<num> and t<num> vertebral bodies are unchanged from the prior radiograph and dating back to mri of the lumbar spine dated <unk>.
fever, here to evaluate for pneumonia.
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Heart size is normal. Previously reported widening of the mediastinum has improved, likely due to a tortuous thoracic aorta accentuated by patient rotation. Heart size is normal. Lungs are clear. No focal consolidation, pleural effusion, or pneumothorax is seen. There are no acute osseous abnormalities.
<unk> year old man with widened mediastinum vs rotation on inital cxr. // mediastinum stable or better?
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Moderate cardiomegaly is stable compared to exams dating back to at least <unk>. The hilar and mediastinal contours are normal. Small bilateral pleural effusions are persistent. Opacity at the left lung base, with obscuration of left hemidiaphragm appears similar to the prior exam and is likely secondary to atelectasis, however retrocardiac consolidation on the lateral radiograph appears to have progressed compared to the prior exam from <unk>, and is concerning for pneumonia. There is no evidence pneumothorax. The visualized osseous structures are unremarkable.
history: <unk>m with severe sob. please evaluate for infiltrate.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
<unk> year old woman with aml s/p allo transplant. now with fevers, cough. // cgvhd s/p allo transplant. now with fevers and cough. ? infiltrate
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Pa and lateral views of the chest. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal and hilar contours are normal. No displaced fracture is seen. There is no pulmonary edema.
chest pain.
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Ap portable upright view of the chest. A new right upper extremity picc line is seen with its tip in the mid svc region. There are multiple surgical clips in the level of the gastroesophageal junction and left upper quadrant. Mildly elevated right hemidiaphragm is unchanged. A tiny clip is seen adjacent to the left scapula with a partially imaged left humeral head replacement. The lungs appear clear. No large effusion or pneumothorax. Cardiomediastinal silhouette is normal. Severe right shoulder degenerative disease is noted with areas of periarticular calcifications suggestive of rotator cuff tendinopathy.
<unk>m s/p knee replacement, p/w +blood cultures and leukocytosis, new o<num> requirement // evaluate for infection
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As compared to the previous radiograph, the patient has made a substantially lesser respiratory effort. Therefore, vascular and bronchial structures are crowding throughout the lung. As a consequence, it is difficult to determine whether pulmonary edema is present, but the presence of pulmonary edema definitely would be likely. The most current radiograph would be assessed without comparison. Status post cabg, the sternal wires are in correct alignment. No pleural effusions.
mild dementia and diabetes. evaluation.
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The cardiomediastinal and hilar contours are normal. There is no pneumothorax. The appearance of the right lung is overall similar with opacification at the right apex and the base. Slightly increased interstitial markings in the left lung may indicate some mild vascular congestion, but this is difficult to determine without a baseline chest radiograph examination. There is no new consolidation concerning for pneumonia.
<unk>m with hcc, weakness and unsteady gait, sob with crackles, cr for effusion.
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Multiple overlying ekg leads are present. Lungs are clear. Cardiomediastinal and hilar contours are within normal limits. There is no pneumothorax or pleural effusion. No free air under the right hemidiaphragm. Degenerative changes at the acromioclavicular joints bilaterally. Cervical hardware is identified.
<unk>f with intermittent episodes of lightheadedness
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As compared to the previous radiograph, there is improved transparency of the left and right lung base, reflecting improved ventilation and decreased size of the pre-existing parenchymal opacities. No new parenchymal opacities. Minimal blunting of the costophrenic sinuses suggests the presence of remnant and small pleural effusions. The monitoring and support devices as well as the pacemaker are constant in course and position.
acute hypoxemic respiratory failure, evaluation for pneumonia.
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There is severe alveolar pulmonary edema, which has significantly progressed compared to the prior radiograph performed yesterday evening. There are no substantial pleural effusions or pneumothorax. Heart size remains enlarged. The left pectoral pacer is unchanged in position with leads terminating in the right atrium, right ventricle and coronary sinus. Median sternotomy wires are intact.
<unk> year old man with sob, hypoxia // please assess for pulmonary edema
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The lungs are clear of focal consolidation, pleural effusion or pneumothorax. There is no pulmonary edema. Prominence of the right pulmonary hilum has been recently assessed on the pet-ct. Previously noted pulmonary nodules are not seen on these radiographs. The heart is mildly enlarged, and there is a right cardiac device with its leads in appropriate position.
<unk>-year-old female with confusion. evaluate for pneumonia.
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Frontal and lateral views of the chest were obtained. The lungs are well expanded and clear without focal consolidation, pleural effusion or pneumothorax. Heart size is normal. Mediastinal silhouette and hilar contours are normal.
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Pa and lateral views of the chest provided. Dense overlying breast tissue somewhat limits assessment. Allowing for this, 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 cough, dyspnea // ?pna
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Frontal and lateral views of the chest were obtained. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
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Frontal lateral chest radiographs demonstrate no interval change in small left pneumothorax. Again seen is a nondisplaced fracture of left <num>th rib. The visualized heart, mediastinal contour and hila are unremarkable. The lungs are notable for bibasilar atelectasis and are otherwise clear.
pneumothorax. assess for progression.
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No significant interval change. Lungs are well-expanded. No focal consolidation, edema, effusion, or pneumothorax. The heart is normal in size. Mediastinal contours are unchanged. Mild s curvature of the thoracic spine is also unchanged. Surgical clips in the left upper and central abdomen are unchanged. No acute osseous abnormality.
<unk>-year-old man with fever. evaluate for pneumonia.
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<num> separate ap views of the chest are presented. On view # <num>, the radiopaque portion of the dobbhoff tip lies beneath the diaphragm. It is difficult to confirm that this is extended beyond the ge junction based on the available view. There is considerable distention of large and small bowel loops, which has been previously investigated. The heart is enlarged,, but unchanged no overt chf frank consolidation or gross effusion is identified. Again seen is increased retrocardiac density, not significantly changed. Minimal blunting of the right costophrenic angle and some patchy opacity in the right cardiophrenic region are similar to the prior film. Old healed right posterior rib fractures noted. Incidental note is made of partially imaged spinal fusion hardware and a ivc filter centered over the midline. (in the ivc based on <unk> ct scan).
<unk> year old man with poor swallowing // dobhoff placement
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Prior pleural effusions have resolved. The lungs are clear without consolidation or edema. Cardiomediastinal silhouette is within normal limits. Prosthetic mitral valve and median sternotomy wires are noted.
<unk>m with sob // pna?
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Frontal and lateral radiographs of the chest demonstrate a right lower lobe consolidation. The heart is not enlarged. The aorta is tortuous. There is no pneumothorax or pleural effusion.
syncope. evaluate for pneumonia.
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Heart size is normal. Mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are detected.
palpitations, lightheadedness.
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Since the thoracentesis, the left pleural effusion has essentially resolved. There is an area of consolidation in the left mid-lung region that obscures the left heart border, suggesting possible lingular pneumonia. This was seen on the prior radiograph this morning, but was partially obscured by the effusion. There is also a vertical line in the peripheral of the left hemithorax that mimics a loculated pneumothorax but there or are pleural markings beyond this line. No apical pneumothorax. Cardiomediastinal silhouette is stable. No acute osseous abnormalities.
<unk> year old woman with recurrent left effusion s/p <unk> // ? ptx
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As compared to the previous radiograph, there is no relevant change. Constant position and course of the monitoring and support devices. Mild cardiomegaly without overt pulmonary edema. No pleural effusions. No focal parenchymal opacity suggesting pneumonia.
intubation, rule out pneumonia.
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Cardiac silhouette size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Lungs are hyperinflated but clear without focal consolidation. No pleural effusion or pneumothorax is demonstrated. No acute osseous abnormalities are detected. Clips from prior cholecystectomy are noted in the right upper quadrant of the abdomen. Dextroscoliosis of the thoracolumbar spine is again noted. No subdiaphragmatic free air is present.
history: <unk>f with epigastric pain
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Frontal and lateral views of the chest are obtained. Linear opacities in the right lower lobe likely represent subsegmental atelectasis or scarring. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The hilar contours are stable. Mild cardiomegaly which is grossly unchanged from comparison study.
<unk>f with shortness of breath // eval for pna
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Ap upright and lateral views of the chest were provided. Midline sternotomy wires and mediastinal clips are again noted. The lungs are clear without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm.
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Dual lead left-sided pacer is seen with leads extending the expected positions of the right atrium right ventricle. The cardiac silhouette is moderately enlarged. Central pulmonary vascular engorgement and moderate pulmonary vascular congestion are seen. There may be very trace pleural effusion but no large pleural effusion is seen.
history: <unk>m with cp // eval for effusion
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As compared to the previous radiograph, the lung volumes have slightly decreased. As a consequence, the pre-existing areas of plate-like atelectasis at both lung bases have increased in extent. Otherwise, no abnormalities are seen. No pulmonary edema, no pleural effusions. No pneumonia. Normal size of the cardiac silhouette.
cirrhosis, acute encephalopathy, evaluation.
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Pa and lateral views the chest were viewed. The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Streaky opacities in the left lower lung are again noted, which may represent atelectasis or scarring. Pulmonary vasculature is within normal limits.
general malaise.
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<num> views of the chest demonstrate clear lungs. The cardiac, hilar, and mediastinal contours are normal. No pleural abnormality is seen.
chest pain and dyspnea.
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Heart size is normal. Mediastinal and hilar contours are unremarkable. Lungs are clear and the pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
fever.
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Pa and lateral images of the chest. The lungs are well expanded. There is bibasilar atelectasis, but the lungs are otherwise clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is enlarged, is similar to prior exams. Left pacemaker is noted with intact lead in appropriate position.
fever and dyspnea, history lung cancer.
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A single portable semi-erect chest radiograph was obtained. A retrocardiac opacity continues to progress since <unk>. Additional pulmonary opacity in the left lower lobe is now more apparent. No new effusion or pneumothorax is present. The cardiac contours are unchanged. An enteric catheter side hole is seen projecting over the stomach.
<unk>-year-old woman with history of squamous cell cancer, status post multiple rounds of radiation, now with respiratory acidosis.
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Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are hyperinflated but otherwise clear without focal consolidation, pleural effusion or pneumothorax. No acute osseous abnormality is visualized.
history: <unk>f with chest pain
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Pa and lateral views of chest were obtained demonstrating clear well expanded lungs without focal consolidation, effusion, or pneumothorax. The heart size and mediastinal contour appear normal. Bony structures are intact. There is no free air below the right hemidiaphragm.
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Heart size is normal. Mediastinal and hilar contours are within normal limits. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are present.
chest pain.
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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. Mild degenerative changes are noted in the imaged thoracolumbar spine.
<unk>m with chest pain, please eval for mediastinal widening
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
<unk> year old man with neck/jaw/chest pain, ear fullness, recent uri // acute cardiac/pulmonary process
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There are low lung volumes, which accentuate the bronchovascular markings. Given this, no definite focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are grossly unremarkable.
history: <unk>f with right sided shoulder pain and substernal chest pain // ? infiltrate ?pnuemothorax
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There is mild indistinctness of the right heart border, which may be better evaluated with a pa and lateral series. Mild central peribronchial thickening may indicate bronchial inflammation. Cardiomediastinal silhouette is normal. No pleural effusion or pneumothorax.
history: <unk>f with asthma exacerbation. evaluate for pneumonia.
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The quality of the examination is improved as compared to the previous image. Multiple vertebral fixation devices and post-surgical clips. A right dialysis catheter is unchanged. Moderate cardiomegaly, unchanged bilateral parenchymal opacities, but no newly appeared opacities. No overt pulmonary edema. No pleural effusions. No pneumothorax.
history of aml, evaluation for interval change.
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Single portable view of the chest. Prior right picc is no longer visualized. Lower lung volumes seen on the current exam. Retrocardiac opacity on the left could be due to a subpulmonic effusion or potentially atelectasis/infection. Linear right basilar opacity suggestive of atelectasis versus scarring. Superiorly, the lungs are clear of consolidation. The cardiomediastinal silhouette is difficult to assess given overlying density at the left lung base.
<unk>-year-old female with hypoxia and tachycardia.
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Frontal and lateral views of the chest were obtained. The examination is essentially unchanged. There are slightly low lung volumes. Given this, minimal left base atelectasis is seen. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac silhouette is not enlarged. The aorta is calcified and tortuous.
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As compared to the previous radiograph, the picc line has been pulled back. The line is now in correct position, with the tip projecting over the inflow tract of the right atrium. Otherwise, the radiograph is unchanged, with small lung volumes, moderate cardiomegaly, atelectasis at both lung bases, left more than right, and likely small left pleural effusion.
picc line placement.
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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. No pulmonary edema is seen. The patient is status post median sternotomy and cabg. Left-sided <num> lead pacemaker is stable in position.
history: <unk>m with sob.
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As compared to the previous radiograph, there is unchanged evidence of bilateral pleural calcifications and massive scarring. Normal appearance of the cardiac silhouette. No change in appearance of the lung parenchyma.
copd, evaluation for pneumonia.
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The inspiratory lung volumes are appropriate. No focal consolidation concerning for pneumonia, pleural effusion, or pneumothorax is detected. There is faint increased opacity in the medial left lung apex compared to the right. The pulmonary vasculature is not engorged and there is no evidence of pulmonary edema. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits. Note is made of a healed but non-united fracture of the distal end of the right clavicle, which is unchanged from prior examinations. There is no evidence of bridging callus across the fracture line. Mild degenerative changes are noted in the thoracic spine.
preoperative evaluation prior to neurosurgery.
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Lungs: the lungs are well inflated. There is no consolidation. Pleura: no pleural effusion is seen. Heart: the heart is not enlarged. Mediastinum and hila: there is no mediastinal mass. Osseous structures: the osseous structures are normal for age. Other findings: venous access device is again noted
<unk> year old man with a history of aml sp allo transplant now with fever. please evaluate for infiltrate. // <unk> year old man with a history of aml sp allo transplant now with fever. please evaluate for infiltrate.
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In comparison with the study of <unk>, there is more fluid at the left base. There is an adjacent area of relative lucency, though it is similar to the appearance of the lung above a thin line of opacification, which most likely represents a displaced fissure relating to the prior surgery. The right lung is essentially clear.
thoracentesis, to assess for pneumothorax.
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Ap upright and lateral views of the chest provided. Right ij access dialysis catheter is again seen with its tip in the low svc. Lungs remain clear though coarsened lung markings again noted. No large effusion or pneumothorax. Cardiomediastinal silhouette is unchanged. Bony structures are intact.
<unk>f with altered mental status, bruising to forearms
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There is interval placement of an endotracheal tube which terminates approximately <num> cm above the carina. Since the recent prior, and there is interval development of opacities at the lung bases, with lower lung volumes than on the recent prior study. Gaseous distention of stomach is also noted.
<unk>m with resp failure // eval for tube placement
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There are relatively low lung volumes. The cardiac and mediastinal silhouettes are likely exaggerated by ap supine, ap technique, however, if there is concern for acute mediastinal process, chest ct is more sensitive. The cardiac silhouette is mildly enlarged. There is mild pulmonary edema. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen.
altered mental status.
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Frontal and lateral chest radiographs demonstrate low lung volumes, accentuating the pulmonary vasculature. There is no effusion or pneumothorax. The heart size is accentuated by portable technique. The mediastinal contours are unremarkable.
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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>m with history of shortness of breath and knwn asthma // role put pneumonia
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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>f with chest pain
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The lungs are well inflated and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are stable. There is no pleural effusion or pneumothorax.
<unk>f with cough, sob, hypoxia on doxycycline for outpatient treatment. evaluate for consolidation.
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No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with chest pain // r/o ptx
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Frontal and lateral views of the chest. The lungs are clear. The cardiomediastinal silhouette is normal. Hypertrophic changes seen in the spine.
<unk>-year-old male with chest pain.
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Moderate to large right pleural effusion with overlying atelectasis is seen, underlying consolidation not excluded. The left lung is grossly clear. No left pleural effusion is seen. There is no pneumothorax. Cardiac mediastinal silhouettes are grossly stable given partially obscured by the right sided opacity.
history: <unk>f with fever, weakness, cough // infiltrate
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Left pectoral pacemaker has leads terminating in the right atrium and right ventricle. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. The heart is not enlarged. The mediastinal and hilar contours are normal.
lethargy and leukocytosis. evaluate for pneumonia.
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The catheter of a right chest wall port terminates in the upper svc. Heart size and cardiomediastinal contours are normal. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax. No displaced rib fracture is identified.
history: <unk>f with bilateral rib pain
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Pa and lateral chest radiographs demonstrate clear lungs. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
cough and dyspnea. history of hiv.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
<unk> year old man with suicidal ideation and needs medical clearance for psych placement // please evaluate for any evidence of infection
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As compared to the previous radiograph, the pre-existing interstitial opacities in both lungs have decreased. There is increased radiolucency of both lungs. However, a zone of relatively increased density remains visible at the bases of the right upper lobe. In addition, there is peribronchial cuffing and mild widening of the vascular structures, potentially reflecting mild fluid overload. No pleural effusions. Unchanged size of the cardiac silhouette. The healed rib fractures on the left and the left femur fracture are constant in appearance.
alcohol withdrawal, seizures, evaluation for pneumonia.
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Pa and lateral views of the chest. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal hilar contours are normal.
cough, dyspnea on exertion and multiple uris symptoms.
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Comparison is made to previous study from <unk>. Azygos lobe is seen. The lungs are grossly clear. There is no focal consolidation, pleural effusion or signs for overt pulmonary edema. Old left clavicular fracture is seen and it is healed. Heart size is normal.
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The cardiac, mediastinal and hilar contours appear stable. A small right apical pneumothorax appears unchanged. A small right-sided pleural effusion is not well assessed, being largely subpulmonic. Streaky right lower lung opacification suggests atelectasis, similar to findings on the recent prior chest ct. However, more diffuse opacification has improved since the prior radiographs. Non-displaced fractures of the right posterior fourth and fifth ribs are visible.
known hemothorax with worsening shortness of breath.
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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>f with recurrent high fevers for <num> week
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In comparison with the earlier study of this date, the right ij catheter has been removed. The bilateral pleural effusions with compressive atelectasis at the bases again seen, more prominent on the left. Monitoring and support devices remain in place.
colitis, to assess for new abnormality in the chest.
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In comparison with the study of <unk>, there is little interval change. The endotracheal tube and nasogastric tube remain in place with the sideport of the nasogastric tube at about the level of the esophagogastric junction. This should be pushed forward if possible for optimal positioning. No evidence of acute pneumonia or vascular congestion. Bilateral apical pleural scarring is again seen, as are several old healed rib fractures on the right.
copd with cardiac arrest.
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Left-sided picc terminates in the low svc without evidence of pneumothorax. There is persistent blunting of the left costophrenic angle suggesting small pleural effusion with possibly overlying atelectasis. Right base opacity persists, possibly minimally improved. No large pleural effusion seen on the right. No overt pulmonary edema. Stable cardiac and mediastinal silhouettes.
history: <unk>f with hypotension // ?pna, also confirmation of picc placement
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Swan-ganz catheter is again seen terminating in the right upper lobe pulmonary artery in non standard placement. Left transvenous pectoral pacer defibrillator device lead projects over the right ventricle terminating midline closer to the tricuspid valve. The heart is severely enlarged, unchanged compared to prior study from <unk>. The mediastinal silhouette is unremarkable. There is no focal consolidation or pulmonary edema. There is no pneumothorax or pleural effusion.
<unk> year old man with hfref, presented with cardiogenic shock, now on tailored therapy // assess pa cath position
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The cardiomediastinal silhouette and pulmonary vasculature are normal. The lungs are clear. There is no pleural effusion or pneumothorax.
history: <unk>m with ? basal ganaglia hemorrhage // ? extension of hemorrhage
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Et tube ends at the carina and has to be pulled back at least <num> cm. Right lower lung consolidation due to aspiration or atelectasis has slightly improved. Left lower lung consolidation is unchanged. There is no pneumothorax or pleural effusion. Mediastinal and cardiac contours are normal. Ng tube is in the stomach. Left subclavian line is in adequate position.
patient with intubation, pneumonia, brain lesion?.
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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. Pectus excavatum deformity of the sternum noted.
<unk>m w/ <num>d h/o headache, chills malaise // eval for pnm, effusions
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Portable semi-upright radiograph of the chest demonstrates increased opacification at the bilateral bases, which may represent atelectasis, aspiration, or pneumonia in the appropriate clinical setting. The heart remains enlarged. Probable small left pleural effusion. No pneumothorax. Endotracheal tube ends <num> cm from the carina.
history: <unk>f with intubation // ?tube placement
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Pa and lateral views of the chest. Left chest wall port is seen with catheter tip in the mid svc. Mild biapical scarring is noted. The lungs are otherwise clear without consolidation or large effusion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities detected.
<unk>-year-old male with history of appendiceal adenocarcinoma on chemotherapy.
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Portable ap upright chest radiograph provided. When compared with a prior ct of the abdomen and pelvis dated <unk>, a curvilinear calcification projecting over the left lung base corresponds with a partially calcified left ventricular aneurysm. Overall appearance is unchanged from prior exam dating back to <unk>. There are low lung volumes which somewhat limit the evaluation, though allowing for this there is no focal consolidation, effusion or pneumothorax. The heart size is enlarged. The mediastinal contour is stable. The imaged osseous structures are intact. An aicd is again seen with leads extending to the region of the right atrium and right ventricle.
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The lungs remain clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
<unk>-year-old female with productive cough.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There is no pleural effusion or pneumothorax. No acute fracture is identified. Minimal wedging of a mid thoracic vertebral body is probably chronic.
syncope and fall. question injury.
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Pa and lateral views of the chest provided. Port-a-cath resides over the right chest wall with catheter tip extending to the low svc. Mild cardiomegaly is again noted with mild interstitial pulmonary edema. No effusions or pneumothorax. No convincing signs of pneumonia. The mediastinal contour is stable. Bony structures are intact.
<unk>f with unresponsive episode // eval for pna
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Lordotic positioning. Et tube tip lies at the lower level the clavicular heads, approximately <num> cm above the carina. An ng tube is present, tip over gastric fundus. A left sided port-a-cath tip overlies the right atrium. Multiple leads overlie the chest. Again seen are increased interstitial markings diffusely in both lungs and also confluent opacities, most pronounced in the right upper and right infrahilar regions and in the left mid zone and retrocardiac region. These are similar to the prior study. A right pleural effusion is slightly larger. The left effusion is similar to the prior study.
<unk> year old man with pancreatic cancer // ett position
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The lungs are mildly hyperinflated but clear. There is no pleural effusion, pneumothorax or focal airspace consolidation. The cardiac and mediastinal contours are normal. The hilar structures and pleural surfaces are normal. The imaged upper abdomen is unremarkable. There are no acute osseous abnormalities.
asthma and cough. evaluate for pneumonia or interstitial lung disease.