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Pa and lateral views of the chest. Low lung volumes. Old left rib fractures are seen. There is increased opacity in the retro cardiac area . It is only seen on the frontal view and may represent crowding of vessels due to poor inspiratory effort; however, cannot rule out pneumonia given patient's clinical symptoms. No pleural effusion or pneumothorax. Cardiac, mediastinal and hilar contours are normal.
<unk>-year-old man with cough and rhinorrhea and chills, hiv, and hep c.
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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. No subdiaphragmatic free air is noted.
history: <unk>m with history of ulcerative colitis presenting with <num> weeks abdominal pain, tenesmus, cramping, bloody stool and moderate dyspnea on exertion
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Pa and lateral views of the chest are provided. There has been interval placement of a dual-lead pacer device with pacer pack in the left chest wall and dual leads extending into the expected location of the right atrium and right ventricle. Cervical fusion hardware is partially imaged in the lower cervical spine. The lungs are clear without focal consolidation, effusion, or pneumothorax. No signs of chf. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm.
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The cardiac silhouette size is normal. Mediastinal and hilar contours are unremarkable. Lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is seen. There are mild degenerative changes in the thoracic spine. Cholecystectomy clips are noted in the right upper quadrant of the abdomen.
transient change in mental status.
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Heart size is mildly enlarged. Mediastinal contours normal. There is no pleural effusion or pneumothorax. Lung volumes are low, but there is no focal consolidation.
<unk>-year-old woman with chest pain cough and shortness of breath, evaluate for acute process.
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Pa and lateral views of the chest demonstrate worsening bibasilar opacities, particularly in the retrocardiac area. There is also a left-sided pleural effusion. The cardiac size is top normal. There is no evidence of pulmonary edema. There is no pneumothorax. Degenerative changes of the spine are again present. There is no intra-abdominal free air. Surgical clips are noted in the left upper quadrant.
transplant patient with fever.
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Pa and lateral views of the chest. There are trace bilateral pleural effusions. The lungs are clear of focal consolidation. The cardiomediastinal silhouette is within normal limits. There is no visualized pneumomediastinum. Hypertrophic changes are seen in the spine without acute osseous abnormality. No free air seen below the diaphragm.
<unk>-year-old male with pain with swallowing after egd.
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As compared to the previous radiograph, there is no relevant change. Moderate retrocardiac atelectasis with small left pleural effusion. Unchanged position of the endotracheal tube and the right-sided picc line. No newly appeared parenchymal opacities. No pneumothorax.
respiratory failure, evaluation for interval changes.
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Ap upright and lateral views of the chest provided. Lung volumes are low. 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 pain, cough
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Multiple right rib fractures are identified as seen on prior ct. Small pneumothorax seen on prior ct is not appreciated on this study. No consolidation or pleural effusion is identified. Cardiomediastinal and hilar silhouette are normal size.
<unk> year old man with rib fxs // rib fxs surg: <unk> (tib/fib)
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Previously noted consolidation in the anterior segment of the left upper lobe has improved when compared to the prior study, with residual opacity noted, compatible with improving pneumonia. Heart size is difficult to assess given the presence of a moderate left and small right bilateral pleural effusions. The effusion on the left has increased in size while the effusion on the right appears relatively unchanged. There is associated bibasilar atelectasis. The mediastinal contours are stable. New ill-defined opacification within the left apex may reflect a new area of infection. The pulmonary vascularity is not engorged. No acute osseous abnormality is seen and there is no pneumothorax.
increasing shortness of breath and sputum production.
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The lungs are slightly hyperinflated which may reflect a component of obstructive lung disease. There is no evidence of pneumothorax or pleural effusions. No focal opacities are seen to suggest pneumonia. The cardiomediastinal silhouette is unchanged. There is tortuosity of the thoracic aorta.
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Heart size is top normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Lungs are hyperinflated with emphysematous changes again noted, most pronounced in the upper lobes. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
history: <unk>m with shortness of breath
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures are unremarkable.
multiple sclerosis, presenting with cough. question infiltrate.
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Pa and lateral chest radiographs were obtained. There are new diffuse bilateral interstitial opacities and bilateral septal thickening. The pulmonary vasculature is engorged and mild cardiomegaly has mildly worsened. There is no focal consolidation, effusion, or pneumothorax.
shortness of breath.
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Single frontal radiograph of the chest demonstrates low lung volumes. Stable moderate cardiomegaly accompanied by interstitial edema. Moderate right subpulmonic effusion with associated atelectasis is comfirmed on concurrent abdominal ct. Small left pleural effusion is also noted.
altered mental status and abdominal distention. evaluate for pneumonia and/or fusion.
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Ap views of the chest and pelvis were obtained. This exam is limited by the overlying trauma board. The lungs are well expanded. A small right apical pneumothorax was better seen on susequent chest ct. Chest tubes are present bilaterally. The endotracheal tube terminates <num> cm above the carina. Cardiac and mediastinal contours are normal. There is a bilateral pattern of airspace opacities in the lungs which may reflect pulmonary hemorrhage, pulmonary contusion, or aspiration. Clinical correlation is advised. In addition, there is a lucency projecting over the greater tuberosity of the right humeral head raising concern for an avulsion fracture. This can be better assessed on follow up imaging. Pelvis: there is no displaced pelvic fracture or malalignment. There is no degenerative disease.
trauma
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Pa and lateral views of the chest. There is no focal consolidation. There is no pneumothorax or pleural effusion. The cardiomediastinal silhouette is normal.
<unk>-year-old male with left-sided chest pain. question of pneumothorax.
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Endotracheal tube is noted with the tip projecting over the mid thoracic trachea. There is moderate cardiomegaly, moderate pulmonary vascular congestion and interstitial pulmonary edema. A small-moderate right pleural effusion with adjacent atelectasis is noted. There is no large pneumothorax.
<unk>m with intubated
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Endotracheal tube tip is in standard position, terminating approximately <num> cm from the carina. An enteric tube tip is within the stomach. Heart size is normal. Mediastinal and hilar contours are within normal limits. There is no pulmonary edema. Patchy opacities are noted within the lung bases, which could reflect areas of aspiration or infection. No pleural effusion or pneumothorax is visualized.
intubated.
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A right picc terminates in the lower svc. Very low lung volumes. Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. There is left basilar atelectasis. Lungs are otherwise clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
<unk>-year-old man with picc line. evaluate position.
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The heart is enlarged, and there is moderate pulmonary edema. There is a left retrocardiac opacity with bilateral small pleural effusions. The patient is status post median sternotomy, and a left chest wall cardiac pacing device has its leads projecting over the right atrium and ventricle.
<unk>-year-old male with ventricular tachycardia and shortness of breath. evaluate for pneumonia.
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Patient rotated somewhat to the left. There has been interval placement of an endotracheal tube, as somewhat low in position, terminating <num> cm above the level of the carina. Enteric tube courses below the diaphragm, inferior aspect not included on the image. There increased bibasilar opacities worrisome for bilateral pleural effusions, left greater than right seen overlying atelectasis. Underlying aspiration is not excluded. Cardiac and mediastinal silhouettes are grossly stable.
history: <unk>f with intubation // eval tube
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Lung volumes are low with bibasilar atelectasis, right greater than left. No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. Heart and mediastinal contours are within normal limits.
<unk>-year-old female with concern for pneumonia.
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Cardiomediastinal silhouette is within normal limits. No chf, focal infiltrate, pleural effusion, or pneumothorax is detected. There is no pleural effusion or pneumothorax. Hazy density over both lower lungs relates to the patient's bilateral breast prostheses. The upper portion of an ivc filter and question a balloon from a g-tube are noted. Compared with <unk>, the tracheostomy tube and left subclavian picc line have been removed. The previously seen left base left lung base opacity has resolved.
<unk>f with ?infection // evidence of pneumonia .
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Since chest radiographs obtained in <unk>, no significant changes are appreciated. There may be minimal bilateral hyperexpansion of the lungs. Lungs are clear without focal nodules, consolidations, or effusions. Heart size is normal. Cardiomediastinal and hilar silhouettes are normal. Pleural surfaces are normal.
<unk> year old woman with remote (<unk> yr history) + ppd, now + ppd, b-hcg vaccine as child, r/o active tb // r/o active tb
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The lungs are symmetrically expanded and well aerated without focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiac silhouette is top normal in size. The thoracic aorta is unfolded and tortuous. As a result, the mediastinum appears prominent, but otherwise within normal limits. The trachea is deviated to the right by the aortic arch.
vomiting, here to evaluate for pneumonia.
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Left subclavian catheter ends in the lower svc. Right ecmo cannula is in unchanged position. Left pleural drain is in unchanged position. Endotracheal tube ends <num> cm above the carina and could be advanced by <num> cm to achieve standard placement. Ng tube coils in the stomach. Normal mediastinal and hilar contours. Normal heart size. Stable, bilateral pleural effusions, moderate on the right and small on the left. Atelectasis is considerable in the left lower lobe, stable since at least <unk> and is probably worsening on the right.
<unk>-year-old man admitted after a motor vehicle accident, now on ecmo. evaluate for effusion.
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The heart size is normal. The hilar mediastinal contours are normal. A right-sided port-a-cath terminates in the mid svc. No focal consolidations concerning for pneumonia are identified. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.
<unk>m transferred from osh without cxr imaging but with read of pneumonia.
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Cardiac silhouette size is top normal. Aorta is tortuous and demonstrates mild atherosclerotic calcifications diffusely. Hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormality is detected.
history: <unk>f with right shoulder pain, chest pain
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Portable ap upright chest radiograph obtained. Patient rotated to the right. There are unchanged midline sternotomy wires, fragmented in part. There is pulmonary edema, which appears slightly worsened from prior exam. The overall cardiomediastinal silhouette is unchanged. No large effusion or pneumothorax seen. Hardware is noted in the right proximal humerus.
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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 x <num> month, intermitted no sob // eval for pna
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In comparison with the earlier study of this date, there is continued cardiomegaly with vascular congestion and bilateral layering pleural effusions with compressive atelectasis at the bases. Probably little overall change given the difference between the pa and portable studies.
chf, to assess for change.
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Compared to the prior study, the lung volumes are lower. There is mild pulmonary vascular re-distribution and increased opacities at both bases. It is unclear if the opacities at the bases are due to volume loss or infiltrate. Compared to the prior study, the appearance of the lower lobes is slightly worse.
wheezing ?consolidation.
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Pa and lateral chest radiographs were obtained. The lungs are well inflated and clear. No focal nodule or consolidation is present. There is no effusion or pneumothorax. The cardiac and mediastinal contours are normal.
<unk>-year-old male with nonradiating chest pain, question acute process.
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Moderate cardiomegaly with left ventricular predominance is re- demonstrated. Mediastinal and hilar contours are unchanged. Mild pulmonary vascular congestion is demonstrated. Streaky opacities in the lung bases likely reflect areas of atelectasis without focal consolidation. No large pleural effusion or pneumothorax is present. Multiple remote right-sided rib fractures are again noted.
history: <unk>f with shortness of breath, cough
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The cardiac, mediastinal and hilar contours are unchanged, with the heart size within normal limits. Mild calcification of the aortic knob is present. The lungs are clear. The pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
confusion and cough.
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Ap upright and lateral views were obtained. Cardiomediastinal and hilar contours are stable. There is no pleural effusion or pneumothorax. Bibasilar consolidations are nonspecific.
altered mental status.
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The heart is at the upper limits of normal size with a left ventricular configuration. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax. Slight wedging of three lower thoracic vertebral bodies appears unchanged. Mild degenerative changes are similar along the lower thoracic spine.
chest pain. history of coronary stents.
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There has been interval placement of right-sided picc line whose distal tip projects over the upper svc. There are no focal lung consolidations. There is no pulmonary vascular congestion. There is no pneumothorax or effusion.
s/p ex-lap,takedown of ec fistula, sbr // confirm picc placement
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Compared to the prior study there continues to be near complete opacification of the left lung. There has also been interval increase over the past <num> days in the amount of alveolar infiltrate on the right
<unk> year old woman with severe multifocal pneumonia // ? interval change
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Moderate cardiomegaly is exacerbated by ap technique and likely unchanged. The mediastinal and hilar contours are unremarkable. A small bilateral pleural effusions. Left retrocardiac opacity projects over the spine on the lateral radiograph. There is no pneumothorax. There are calcified pleural plaques bilateraly. There are notable degenerative changes at the acromioclavicular joints.
fever and shortness of breath. evaluate for pneumonia, congestive heart failure exacerbation or acute changes.
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As compared to the previous radiograph, there is no relevant change. Normal lung volumes. No pleural effusions. No focal parenchymal opacity suggesting pneumonia. No pulmonary edema. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures.
four weeks of fever and cough, rule out pathological changes.
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The lungs are clear with no evidence of a consolidation or effusion. There is no pneumothorax. Cardiomediastinal silhouette is normal.
fever.
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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 // r/o infiltrate
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There are a few opacities in the left lung base with increased density over the lower thoracic spine on the corresponding lateral view, which appear slightly linear. No pleural effusion or pneumothorax is present. The pulmonary vasculature is essentially within normal limits. The cardiomediastinal and hilar contours are also within normal limits. A right healed rib fracture is incidentally noted.
recent surgery, now with post-op fever, here to evaluate for pneumonia.
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There is a moderately displaced mid sternal fracture with posterior displacement of the inferior fracture fragment. There is no pneumothorax or pleural effusion. No displaced rib fracture is seen. There is no focal consolidation or pulmonary edema. The cardiomediastinal silhouette is normal.
<unk>m w/sternal pain after cpr, evaluate for sternal fracture.
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The lungs are clear of focal consolidation or effusion. There is no pneumothorax. There is loss of the right heart border which is likely due to mild pectus deformity. No acute osseous abnormality is identified.
<unk>-year-old male with palpitations and chest pain, likely secondary to anxiety. no shortness of breath or dyspnea. question pneumothorax.
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The lungs are well expanded. There is moderate pulmonary edema. The cardiac silhouette is mild to moderately enlarged.there is a possible small pericardial effusion. No pleural effusion or pneumothorax is seen.
history: <unk>m with chf and cardiomyopathy, b/l crackles at lung bases // concern for chf exacerbation, ?pleural effusions
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As compared to the previous radiograph, the left-sided chest tube has been removed. There is no evidence of left pneumothorax. Low lung volumes. Status post extubation and removal of the nasogastric tube. The right internal jugular vein catheter remains in situ. Moderate atelectasis at the left lung base. Borderline size of the cardiac silhouette. No pulmonary edema. No other acute changes.
status post cabg, removal of chest tube, rule out pneumothorax.
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Pa and lateral views of the chest compared to previous exam from <unk>. The lungs remain clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with chest pain.
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The lungs are mildly hyperinflated. There is an opacity in the middle lobe, likely corresponding to a combination of known atelectasis and right pleural effusion, worse from <unk>. No pneumothorax. Heart is mildly enlarged but unchanged. Mediastinal and hilar contours are unremarkable.
weakness. rule out infectious process.
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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> yom with chest pain x <num> days.
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In comparison with the earlier study of this date, there has been placement of an endotracheal tube with its tip approximately <num> cm above the carina. Diffuse bilateral pulmonary opacifications persist with unchanged moderate cardiomegaly.
stroke.
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There are vague opacities in the left mid and right lower lungs, which suggest pneumonia or potentially aspiration pneumonitis. The heart is probably at the upper limits of normal size. The mediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
altered mental status.
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Frontal and lateral chest radiographs demonstrate well-defined <num> mm density projecting over the left <unk> lateral rib most likely granuloma. Lungs are otherwise clear without focal consolidation. No pleural effusion or pneumothorax. Normal heart size. Large anterior posterior diameter consistent with hyperinflated lungs. Incidental note of eventration of the left diaphragm as well as rim calcified nodule in the region of the left thyroid gland. This finding correlates with thyroid ultrasound in <unk> showing left-sided rim calcified nodules.
<unk>-year-old female with cough. evaluate for pneumonia or mass.
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The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
history: <unk>f with palpatations // eval for infiltrate
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Frontal and lateral views of the chest demonstrate a left pectoral dual-channel aicd device with leads terminating in the right atrium and right ventricle. Massive cardiomegaly is unchanged. There is mild central vascular fullness without frank edema. There is no pneumothorax, consolidation or pleural effusion. Trace bibasilar subsegmental atelectasis may be present. Median sternotomy wires are unchanged, with the most superior wire disrupted.
<unk>-year-old male with shortness breath. question acute process.
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In comparison with the study of <unk>, there is continued enlargement of the cardiac silhouette. Relatively mild pulmonary vascular congestion without pleural effusion or acute focal pneumonia.
acute mi, to assess for pulmonary edema.
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Lung volumes are low with bibasilar volume loss and obscuration of the right hemidiaphragm laterally, likely representing a small infiltrate in this region. This has progressed since the prior film from four days ago. The upper lungs are clear. There is minimal pulmonary vascular re-distribution.
large pe, question intrathoracic bleed.
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The lungs are hyperinflated. Biapical scarring is noted. Left pleural effusion is moderate in size with associated compressive lower lobe atelectasis. Overall appearance is similar to prior. Mediastinal contours are unchanged. Heart size is grossly stable, however obscured by the left pleural effusion. Osseous structures are intact. No pneumothorax.
history: <unk>m with hypotension, weakness // worsening bleed? pulm edema? pulm effusion?
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There is no radiographic evidence of free intraperitoneal air. Overall, the exam is relatively similar to the recent study except for slightly lower lung volumes and development of minor bibasilar atelectasis.
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Heart size and cardiomediastinal contours are normal. Lungs are clear without focal consolidation, pleural effusion or pneumothorax. Eventration of the right hemidiaphragm is similar to prior. T<num> vertebral body compression fracture appear stable.
<unk> year old woman with dyspnea // dyspnea cough
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Portable upright frontal view of the chest. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. The large hiatal hernia, better seen on the prior barium esophagram is again seen. The aortic knob is calcified. The cardiac and mediastinal contours are unchanged. There is a paucity of gas in the upper abdomen but no free air is seen. No acute osseous abnormality is seen.
abdominal pain and abnormal ekg.
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In comparison with the study of <unk>, the monitoring and support devices remain in place. The picc tip probably extends into the right atrium. Retention balloon about the et tube again is relatively distended. Bibasilar atelectatic changes are again seen. Dilatation of gas-filled loops of bowel persists.
cerebral palsy with ileus, to assess for pneumonia.
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No old films available for comparison. The heart is mildly enlarged. There is mild pulmonary vascular redistribution. The right hemidiaphragm is mildly elevated. There is no focal infiltrate or fusion.
sudden onset of 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.
history: <unk>f with chest pain // acute process?
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Single supine portable view of the chest. No prior. The lungs are grossly clear. Cardiomediastinal silhouette is within normal limits for technique. There is no visualized displaced rib fracture.
<unk>-year-old female status post fall with rib pain and oxygen requirement.
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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. A metallic aortic stent is partially seen in the upper abdomen. Calcified nodular structures projecting over the left hemidiaphragm on the frontal projection likely correspond with calcified granulomas.
<unk>m with ams // r/o pna
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<num> views were obtained of the chest. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The heart and mediastinal contours are unremarkable.
fever and cough recently returned from <unk>.
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Indistinct pulmonary vascular markings are seen bilaterally. There is no confluent consolidation or effusion. Cardiomegaly is similar compared to prior. Nodular density projecting over the anterior left first rib is compatible with pulmonary nodule seen on prior ct. No acute osseous abnormalities.
<unk>f with h/o hn coming in with fever and cough // fever with cough, r/o pna or infiltrate
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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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The lungs are hyperinflated and clear. No pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable. There are moderate to severe degenerative changes in the thoracic spine
history: <unk>f with cough/dyspnea // acute process
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In comparison with the study of <unk>, the endotracheal tube has been removed. Continued enlargement of the cardiac silhouette with indistinct pulmonary vessels suggesting elevated pulmonary venous pressure. Basilar opacification persist, especially on the left, is most consistent with atelectasis and effusion. However, in the appropriate clinical setting, supervening pneumonia would have to be considered.
fever and bronchial breath sounds, to assess for pneumonia.
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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.
<unk>-year-old female with inspiratory upper chest pain and dyspnea. evaluate for pneumonia.
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There are bibasilar opacities concerning for aspiration/ infection. The cardiomediastinal silhouette and hilar contours are stable. There is no pleural effusion or pneumothorax. There is a healed right mid clavicular fracture.
<unk>-year-old male with alcohol intoxication, vomiting, evaluate for aspiration.
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In comparison with the earlier study of this date, the right pigtail catheter has been removed. There is no evidence of pneumothorax or increased effusion.
pleural effusions, with a pigtail catheter removed on the right.
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Lungs are hyperexpanded. Significant increase in central consolidation in the right lung and less in the left lung. Although these are dense consolidations, the sequence of events suggest pulmonary edema and heart failure as patient developed increased vascular congestion, <unk> b-lines, and then pulmonary edema since <unk>. There is no pneumothorax and no large pleural effusions. Cardiac size is enlarged but unchanged. Sternotomy wires again noted.
<unk> year old man with hypoxemia, mild hemoptysis // etiology of hypoxemia and hemoptysis; interval change of opacities and effusion
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Frontal and lateral views of chest were obtained. Cardiomegaly is mild and similar to prior. Small right apical scarring is stable. Lungs are otherwise clear without focal or diffuse abnormality. No pleural effusion or pneumothorax. The osseous structures are unremarkable. The catheter of a left chest wall port terminates in the right atrium.
chest pain yesterday, now with weakness. evaluate for infiltrate.
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Ap upright portable chest radiograph obtained. Midline sternotomy wires are noted. Lungs appear clear. No large consolidation, effusion or pneumothorax is seen. There is partial visualization of the left humeral head which appears markedly irregular with deformity not fully assessed. Otherwise, the bony structures appear intact.
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The lungs are clear without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>f with cp. // eval for cause of cp
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Upright ap and lateral views of the chest provided. The lungs are clear. No focal consolidation, large effusion or pneumothorax is seen. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f s/p unwitnessed fall, concern for rib fx, underlying pna.
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As compared to the previous radiograph, there is a status post thoracocentesis. The chronic pleural and parenchymal changes at both lung bases, right more than left, are constant. There is no evidence of newly appeared opacities or increasing pleural effusion. The extent of the pleural and parenchymal changes is also constant on the lateral view. No change in appearance of the heart and the mediastinum. No acute changes such as pulmonary edema or pneumonia.
left pleural effusion, status post thoracocentesis, evaluation for interval change.
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Frontal and lateral radiographs of the chest demonstrate well expanded lungs. The cardiomediastinal and hilar contours are unremarkable. There is no chf, pneumothorax, pleural effusion, or consolidation. A marker overlies the upper abdomen anteriorly near the lower left lung. No displaced rib fractures identified on these long technique films. No basilar atelectasis is seen.
history: <unk>f with rib pain // r/o fx
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In comparison with the study of <unk>, there is little change in the appearance of the right upper lobe bullous changes with continued hyperexpansion of the lungs consistent with emphysema. No evidence of acute focal pneumonia or vascular congestion.
copd and ethanol abuse with cough, to assess for aspiration pneumonia.
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Et tube is in new position with the tip <num> cm above the carina. Chest radiograph is otherwise unchanged from earlier the same day. There are low lung volumes likely due to poor inspiration which result in some vascular crowding. There is bibasilar atelectasis. Cardiomediastinal silhouette is unchanged.
<unk>-year-old female with et tube adjustment requiring evaluation of new et tube location.
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The lungs are grossly clear without focal consolidation based on exam with rotation to the right. Pulmonary vascular congestion is mild. The cardiomediastinal silhouette is widened but similar when compared to previous exam.
<unk>f with sob hypoxia // sob
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As compared to the previous radiograph, the left picc line has been pulled back. The tip of the line now projects over the mid svc. There is no evidence of complications, notably no pneumothorax. Otherwise, normal chest radiograph.
abdominal pain, assessment for mass.
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Clear lungs bilaterally without pleural effusion or pneumothorax. Stable moderately enlarged heart and left ventricle. Mild vascular engorgement with normal mediastinal contour and hila. No bony abnormality.
female with chf. assess for interval change.
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No focal consolidation is seen peer there is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with diffuse wheezing // pneumonia?
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There is a large right pneumothorax with collapse of the right lobe. There is also a small right pleural effusion. Minimal to no tension is identified. The left lung is clear. The cardiac and mediastinal silhouettes are unremarkable.
hemopneumothorax outside hospital study.
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Heart size remains moderately enlarged. Mediastinal and hilar contours are unchanged and within normal limits. The pulmonary vascularity is within normal limits. Patchy retrocardiac opacity is re- demonstrated as seen on the recent ct, and appears improved compared to the prior exams likely reflective of improving pneumonia. No pleural effusion or pneumothorax is seen. Minimal right basilar streaky opacity is compatible with atelectasis. No pneumothorax or pleural effusion is demonstrated. No acute osseous abnormalities are noted.
pneumonia seen in the lower lobe on recent ct.
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A left-sided chest tube is in place. When compared to the films from <unk> and <unk>, there appears to have been progressive retraction of the tip of the left chest tube, moving closer to the left chest wall. There is background copd with hyperinflation, parenchymal scarring, and prominent areas of hyperlucency in both lung apices/upper zones, in the right lung laterally, and at the right lung base. There is probable bullous change at both apices. In the setting, it would be difficult to exclude a pneumothorax. Nonetheless, there is curvilinear lucency around the periphery of the left upper zone medially and laterally, likely continuing into the left along apex, consistent with a small to moderate size pneumothorax. This is similar, but probably slightly larger, compared to <unk>. Again seen is subcutaneous emphysema along the left upper and mid chest. No left-sided basilar pneumothorax is detected. Of note, however, though there is opacity at the left lung base consistent with a small to moderate effusion and underlying collapse and/or consolidation, new compared with <unk>, though similar to <unk>. In addition, the left hemidiaphragm is elevated, but unchanged. Incidental note is made of clips in the right upper quadrant and soft tissue anchors over the right shoulder.
<unk> year old woman with spontaneous pnx // interval change
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The lungs are well-expanded and clear. No focal consolidation, edema, effusion, or pneumothorax. The heart is normal in size. The hila are unremarkable. No acute osseous abnormality.
<unk>-year-old woman presenting with chest pain.
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Lungs are well inflated and clear bilaterally with no evidence of masses, lesions, pleural effusions or pneumothorax. The cardiomediastinal silhouette is within normal limits. Hila are unremarkable with no evidence of adenopathy. Pleural surfaces are unremarkable. No osseous abnormalities are identified.
<unk>-year-old female with leukemia, status post transplant, on high-dose immunosuppression, now with productive cough and upper respiratory symptoms.
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A new pigtail catheter projects over the right mid to lower lung. Increased rightward midline shift of the trachea and mediastinum suggests interval decrease in the size of a large right pleural effusion causing near complete opacification of the right lung without compensatory re-expansion of the right lung. Right upper lung aeration is slightly increased. There is no pneumothorax. The left lung remains clear.
<unk>m with s/p chest tube, evaluate for chest tube
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The patient has now been extubated. The ng tube is been removed. The right internal jugular vein swan-ganz catheter tip lies within the mediastinal contours and appropriately positioned in the main pulmonary artery, slightly more proximal than previously. Aeration of the lungs has improved. Interval improvement in right pleural effusion, now minimal in size. Left pleural effusion has resolved. The heart remains moderately to severely enlarged, overall unchanged. Pulmonary vascular congestion is mild and improved. No pneumothorax.
<unk> year old man with acute heart failure vs. septic shock // interval change?
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Pa and lateral views of the chest provided. Midline sternotomy wires and mediastinal clips are again noted. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Unchanged compression deformities noted in the lower t-spine. . No free air below the right hemidiaphragm is seen.
<unk>m with weakness, productive cough
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Low bilateral lung volumes. Bibasilar opacities likely reflect atelectasis. A small left pleural effusion is suspected. No pneumothorax identified. The gastric tube extends into the stomach. The size of the cardiomediastinal silhouette is within normal limits
<unk> yo h/o hiv, prostate ca and rectourethral fistula s/p lap colostomy, suprapubic tube, and cystoscopy, readmit w severe constipation, persistent sinus tachycardia, s/p ngt replacement // pls evaluate for acute intrathoracic process
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The right-sided picc line tip terminates at the lower svc. There is enlargement of the cardiac silhouette with pulmonary edema. There is obscuration of the diaphragmatic contours, consistent with bilateral pleural effusions and there is compressive atelectasis at the lung bases. There is no pneumothorax.
<unk>-year-old female patient with tachypnea and hypotension. study requested for evaluation of pulmonary edema.