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Pleurx projects at right lung base; small pleural effusion have slightly improved. Left lower lung atelectasis has almost completely resolved. Mild pulmonary edema has also improved. Moderate cardiomegaly is stable. There is no pneumothorax.
patient with pleural effusion.
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The left-sided pleural effusion is slightly smaller. There is no pneumothorax. The rest of the exam is unchanged. Multiple old fractures as well as abnormalities of the right humeral head are noted.
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Since the prior examination, there has been interval development of opacification within the right lower lobe, some of which demonstrate a nodular configuration. There are no pleural effusions or pneumothorax. There are no other focal areas of opacification. The cardiomediastinal and hilar contours are stable with changes relating to known esophagectomy and neoesophagus formation, and tortuosity of thoracic aorta. Pulmonary vascularity is not increased.
<unk>-year-old male with cough and fever with course right lower lobe breath sounds. evaluate for pneumonia.
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Lung volumes are very low, limiting assessment for pulmonary edema. The right hemidiaphragm is elevated, resulting in increased vascular crowding. The chin and of overlying soft tissues obscure the lung apices. The heart and mediastinum are magnified by the projection.
<unk> year old man with tachypnea, tachycardia. assess for fluid overload.
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Ap and lateral views of the chest were compared to previous chest x-ray from <unk> and older exams dating back to <unk>. Again seen is a large hiatal hernia with air-fluid levels within intrathoracic bowel loops, both on the left and on the right. Where visualized, the lungs are again notable for patchy opacity in the right midlung, grossly uchanged. Assessment for pleural effusions; however, or lower lobe disease is limited secondary to large hernia.
a <unk>-year-old female with tachypnea, status post recent treatment for pneumonia.
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Pa and lateral views of the chest are provided demonstrating clear lungs without focal consolidation, effusion, or pneumothorax. The heart and mediastinal contours appear normal. No signs of pneumomediastinum. The imaged osseous structures are intact. No free air below the right hemidiaphragm.
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Since the prior radiograph performed approximately <unk> min earlier, the dobbhoff tube has been repositioned and now terminates in the stomach. Otherwise, there are no significant changes. Persistent mild interstitial edema. There is opacification of the left lung base, attributable to a small to moderate pleural effusion as well as adjacent atelectasis. No pneumothorax. Stable cardiomegaly.
<unk> year old man with hcap/aspiration s/p dobhoff placement // assess dobhoff placement
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Ap upright and lateral views of the chest. There is mild interstitial pulmonary edema and moderate cardiomegaly. There is no pleural effusion or pneumothorax. There is no focal consolidation.
bradycardia, evaluate for infectious process, cardiomegaly, or effusion.
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In comparison with the study of <unk>, the dobbhoff tube projects over the lower neck presumably in the upper esophagus. This information was telephoned to the clinician by the resident on call. The multifocal bilateral opacifications have somewhat improved and the left picc line remains in place.
dobbhoff tube.
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Endotracheal tube terminates <num> cm above the carina. An enteric tube courses below the diaphragm and terminates in the gastric fundus. There is residual right middle lobe collapse and improved right lower lung collapse. The left lung is clear. No new focal consolidation identified. A small right apical pneumothorax persists.
<unk>-year-old woman with intubation. question tube placement.
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Single portable chest radiograph is severely limited given patient motion. As per technician note, the patient had great difficulty with positioning and following instructions. Within this limitation, the heart is mildly enlarged. There are perihilar opacifications which likely represent severe but improved pulmonary edema, though superimposed pneumonia is not excluded. Likely small bilateral pleural effusions. Severe degenerative changes at the right glenohumeral joint.
dyspnea, decreased breath sounds, evaluate for pneumonia.
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Cardiomediastinal contours are within normal limits and unchanged. Lungs are clear except for nonspecific patchy and linear opacities at the right lung base, which may be due to atelectasis or developing area of infectious pneumonia in the appropriate clinical setting. Mild elevation of right hemidiaphragm is unchanged.
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The lungs are well inflated and clear. The cardiac silhouette remains mildly enlarged. There is no pleural effusion or pneumothorax.
fatigue, history of diastolic heart failure, evaluate for pleural effusion.
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Indwelling support and monitoring devices are unchanged in position, and cardiomediastinal contours are stable. Slight improvement in moderate left and small right pleural effusions with adjacent areas of basilar atelectasis.
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The most recent plain radiographs available are from <unk>. These show that the catheter again extends to the mid to lower portion of the svc. There are increased opacifications at the left base with poor definition of the hemidiaphragm. This suggests layering effusion and volume loss in the left lower lung. Minimal atelectatic changes are seen on the right. No definite vascular congestion.
to assess for change in picc line.
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There is no pneumonia and no atelectasis. The lungs are clear. Mediastinal and cardiac contours are within normal limits. There is no pneumothorax or pleural effusion.
patient with low-grade fevers, pleuritic chest discomfort, recent cholecystectomy, rule out atelectasis.
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Frontal and lateral views of the chest were obtained. There is increased basilar opacity, particularly on the right, and findings could be due to pneumonia. No pleural effusion or pneumothorax is seen. There are surgical clips/fiducial markers projecting over the right upper hemithorax with underlying scarring/opacity seen. Correlate with history of prior procedure and prior radiographs since <unk> to assess for interval change. Biapical pleural thickening is seen. The cardiac silhouette is top normal. The aortic knob is calcified.
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The et tube and bilateral chest tubes have been removed. The right ij line tip is in the svc. Sternal wires and mediastinal clips are again seen. There region of the lungs is improved compared to prior and there is improvement in the vascular redistribution. There focal areas of atelectasis in the lower lobes which are similar to prior. There small bilateral pleural effusions
<unk> year old man with cabg // r/o ptx, s/p ct d/c
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The appearance of the large bore catheter are with stent is unchanged. There is volume loss most marked in the retrocardiac region is similar in appearance compared to prior an underlying infiltrate in the retrocardiac region cannot be excluded. This also increased opacity at the right base slightly more prominent than prior.
<unk> year old man with somolence, hypoxia, minor crackles // r/o acute pna
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Since <unk>, the tip of an endotracheal tube is seen <num> cm above the carina. Bibasilar opacities are worse in the right and unchanged in the left, and probably represent pneumonia. Hyperinflated lungs are compatible with copd. Mild left atelectasis is unchanged. Heart size is normal. All other support devices are unchanged. No pneumothorax or pulmonary edema.
<unk> year old man with reintubation // re-intubated
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On today's examination, no suggestion of mediastinal widening. The mediastinal reflections are all visualized. The mild peripharyngeal soft tissue thickening described on a ct examination from <unk> is not visible on the current image. Borderline size of the cardiac silhouette. No pneumomediastinum. Normal appearance of the lung parenchyma. No pleural effusions. No pneumothorax.
cellulitis of the anterior neck, evaluation for mediastinal widening.
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Pa and lateral views of the chest. The lungs are clear of consilidation. Rounded calcific density at the right lung base may be a calcified granuloma. The cardiomediastinal silhouette is normal. No acute osseous abnormality is identified.
<unk>-year-old male with lightheadedness.
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As compared to the previous radiograph, the lung volumes remain low. Also unchanged is the moderately enlarged cardiac silhouette and the massive tortuosity of the thoracic aorta. In addition, the mild pleural thickening at the lateral aspects of the right lung base are also constant. The lateral radiograph displays minimal atelectasis in the retrocardiac lung areas but no signs of pulmonary fibrosis. Large perihilar vessels indicate mild and probably chronic fluid overload. An apparently normal contour of the seventh right rib is caused by the inferior angle of the scapula. No pneumothorax, no pleural effusions.
copd, atrial fibrillation, evaluation for amiodarone toxicity.
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Endotracheal tube tip is <num> cm above carina. Enteric tube tip is in the mid stomach. Right ij central line tip is in the low svc. Improved bilateral perihilar infiltrates. Stable left basilar consolidation. Probable small left pleural effusion. No pneumothorax. Shallow inspiration accentuates heart size, pulmonary vascularity
<unk> year old man with cirrhosis and renal failure s/p intubation // ett placement
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As compared to the previous radiograph, the patient has developed small bilateral pleural effusions and mild-to-moderate pulmonary edema. At the time of dictation and observation, <time> a.m., <unk>, the referring physician, <unk>. <unk>, was paged for notification. Mild cardiomegaly persists. No pneumothorax.
non-small cell lung cancer, pulmonary edema. evaluation.
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Pa and lateral chest views were obtained with patient in upright position. The heart size is within normal limits. No configurational abnormality is identified. Unremarkable appearance of thoracic aorta. No mediastinal abnormalities are present. The pulmonary vasculature is not congested and no signs of acute or chronic pulmonary infiltrates can be seen. The lateral and posterior pleural sinuses are free from any fluid accumulation. No evidence of pneumothorax in the apical area. Skeletal structures of the thorax are characterized by multiple deformities in bilateral location.they have the appearance of healed rib fractures with callus formation and are located on the frontal view in the lateral aspect of ribs #<num>, <num>, <num> and <num>. On the left side, similar injuries exist, however, slightly less marked and involve again ribs #<num> through <num>. The kyphotic curvature of the thoracic spine is unremarkable on the lateral view and there is no evidence of any vertebral body compression fracture. There is also evidence of an old fracture in mid portion of the left clavicle again with bridging callus. Our records do not include a previous chest examination available for comparison.
<unk>-year-old male patient with past history of homelessness, screening for tb prior to discharge on request of next care facility.
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Lung volumes are low, accentuating the hilar structures with bibasilar atelectasis and small right effusions. Biapical pleural thickening is noted. The heart is mildly enlarged. There is no pneumothorax or focal consolidation.
history: <unk>f with shoulder and abdominal pain // eval for e/o of free air under diaphragm or other acute process
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Pa and lateral views of the chest provided demonstrate no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm.
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Frontal and lateral views of the chest demonstrate normal lung volumes. Right middle and lower lobe opacities are better seen on the ct exam of the same date. There is no pleural effusion or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal.
shortness of breath.
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Left chest tube in place. No recurrent pneumothorax post water seal. Check densities image previously. No pleural effusion. Linear atelectasis in the left base. No lung consolidation.
<unk> year old woman with left chest tube now on water seal // pneumothorax? hemothorax?
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Compared to <unk>, there is mild increase in left pleural effusion. Right pleural effusion and pulmonary vascular prominence have not significantly changed. Moderate cardiomegaly is unchanged.
<unk> year old man with chest pain, nausea, vomiting.
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Supine ap portable view of the chest was obtained. There is interval placement of an endotracheal tube terminating just above the level of the clavicles. The exact level of the carina is difficult to determine due to patient's overlying sternotomy hardware. An orogastric tube is seen coursing below the level of the diaphragm, inferior aspect not included on the images. Left subclavian central venous catheter terminates at the distal svc/cavoatrial junction. Mild pulmonary vascular congestion appears improved. There is mild bibasilar atelectasis.
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The previously identified left apical pneumothorax is not clearly identified noting limitation due to patient rotation to the left. Otherwise, there has been no significant interval change. Retrocardiac opacity is again noted. Streaky right basilar opacities persist. Cardiomediastinal silhouette has not changed. Degenerative changes seen at the shoulders.
<unk>f with dyspnea // ? acute process
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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 ankle fracture // evaluate for chf
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Previously visualized spiculated right upper lobe opacity appears less conspicuous in comparison to the prior study suggesting a resolving infectious or inflammatory process. Bibasilar opacities are noted likely representative of atelectasis. Biapical bullous emphysematous changes are again noted. Otherwise, the lungs are without any new focal consolidation. The cardiac and mediastinal contours appear stable. There is no pleural effusion or pneumothorax. No acute fractures are identified.
cough with history of copd.
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Lung volumes are low, causing bronchovascular crowding. The cardiomediastinal and hilar silhouettes are normal. There may be mild bibasilar atelectasis. No focal consolidation, pleural effusion, or pneumothorax detected. Although chest radiograph is not optimal for evaluation of the chest cage after trauma, no evidence of rib fractures or other bony abnormalities.
<unk> year old woman s/p mvc with chest pain. please evaluate for any evidence of fracture or contusions.
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There is a right-sided picc whose tip is at the ra-svc junction. Previously seen right ij central venous catheter is no longer visualized. Prior enteric tube is no longer seen. Lower lung volumes seen on the current exam. There is, however, slightly increased pulmonary vascular congestion compared to prior. Persistent dense retrocardiac opacity is seen silhouetting the left hemidiaphragm, as on prior. No acute osseous abnormality is detected.
<unk>-year-old male with shortness of breath.
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Mild-to-moderate cardiomegaly is unchanged. Again seen is a large hiatal hernia which contains multiple loops of bowel and an air-fluid level. Cardiomediastinal contours are stable. The lungs are clear of any evidence of focal consolidations, effusions, or pneumothoraces. Again seen is a vague <num>-cm nodule projecting over the right clavicle, better appreciated on the prior study from <unk>.
history of altered mental status. rule out pneumonia.
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In comparison with the study of <unk>, there is little overall change. Substantial tortuosity of the aorta with no evidence of vascular congestion, pleural effusion, or cardiomegaly. No acute pneumonia. Of incidental note are clips from previous thyroid surgery.
persistent dry cough.
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Chest: the heart is normal in size. The cardiomediastinal silhouette is within normal limits. The left hilar contour is normal. There is no area of focal consolidation. There is no large pleural effusion or pneumothorax seen. Grade lateral inferior rib fractures are identified. Known bilateral first rib and thoracic spine fractures are better seen on recent ct scan from <unk> single ap view of the right hip shows no fracture or dislocation. There is mild to moderate degenerative change seen at the femoral acetabular joint. No suspicious lytic or sclerotic lesions are seen. There is excreted contrast seen in the bladder. There is moderate soft tissue swelling seen along the lateral right leg.
trauma
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Frontal and lateral views of the chest are provided. Since the prior exam, there is increased consolidation in the right upper lobe, which could represent hemorrhage or pneumonia. Otherwise, no significant change. The cardiomediastinal silhouette is stable. Bony structures are intact.
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Supine ap portable radiographs through the chest demonstrate no focal consolidation worrisome for infection. Lung volumes are low. Cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion, or pneumothorax. There is no evidence of pulmonary edema. Visualized osseous structures are without an acute abnormality. Imaged upper abdomen is unremarkable.
<unk>-year-old male with cauda equina preoperative evaluation.
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The lungs are well expanded and well aerated without focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged and there is no overt pulmonary edema. The cardiomediastinal and hilar contours are within normal limits. No acute osseous abnormality is detected.
<unk>-year-old woman with history of diabetes, now with two weeks of cough and worsening wheezing, here to evaluate for pneumonia.
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Tip of nasogastric tube terminates in the proximal stomach, but side port is above the ge junction level. Heart size is normal, and lungs are clear except for minimal linear atelectasis at the left base. Free intraperitoneal air is consistent with recent abdominal surgery.
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The heart size is exaggerated by ap technique but is within normal limits. The mediastinal and hilar contours are normal. The lungs show no consolidation and only subtle vascular congestion. There is no large pleural effusion or pneumothorax.
<unk>-year-old female with graves' disease and altered mental status. now with signs and symptoms concerning for infection.
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Pa and lateral views of the chest were obtained. Consolidation of the left lower lobe. No pulmonary edema. No pneumothorax or pleural effusion. The cardiomediastinal silhouette is normal. No bony abnormalities. No free air below the right hemidiaphragm.
cough, fever and chest pain.
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As compared to the previous radiograph, no relevant change is seen. The patient has received a nasogastric tube. The course of the tube is unremarkable, tip of the tube projects over the middle parts of the stomach. No pulmonary edema. No pneumonia. No pleural effusions.
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The lungs are hypoinflated which exaggerate pulmonary vascular markings. Mild atelectatic changes are visualized bilaterally, but the lungs are without focal consolidation, effusion, or pneumothorax. A linear density along the lateral wall of the left lung is likely scarring. The endotracheal tube tip is visualized in the mid trachea, approximately <num> cm from the carina. An enteric tube is visualized coiled in the hypopharynx with the tip at the gastroesophageal junction. Cardiac silhouette is normal. Mediastinal silhouette appears minimally widened, likely due to vascular engorgement.
evaluation of patient with altered mental status, now intubated with endotracheal tube placement.
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There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The descending thoracic aorta is mildly ectatic. The cardiomediastinal silhouette is otherwise within normal limits.
history: <unk>f with chest pain // eval for cardiopulmonary process
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Nasogastric tube extends to the lower body of the stomach. No change in the appearance of the heart and lungs since the study of <unk>, other than those changes that would be expected when moving from an upright pa to a portable ap projection.
ng placement for a small bowel obstruction.
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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. No pulmonary edema is seen.
<unk> year old woman with chest pressure // r/o cardiomegaly, pulm edema, pna
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Heart size is normal, decreased compared to the previous study. 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, shortness of breath, nausea, vomiting
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Port-a-cath ends at mid svc. Very minimal right lung base atelectasis is present. There are no lung opacities concerning for pneumonia. There is no pleural effusion. Heart size, mediastinal and hilar contours are normal.
to rule out pneumonia.
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Ap and lateral views of the chest. No prior. There are bilateral parenchymal opacities identified and a small-to-moderate right pleural effusion. Cardiac silhouette is slightly enlarged. Calcification in the region of the right hilum could represent a calcified lymph node. Dual-lumen central venous line is seen with tip in the right atrium. Additional right-sided central line is seen with tip in the mid svc. Osseous and soft tissue structures are notable for inferior subluxation of the right humeral head with respect to the glenoid which is incompletely characterized on this exam.
<unk>-year-old male with chest pain. end-stage renal disease on hemodialysis.
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As compared to the previous radiograph, the left picc line has been removed. Otherwise, no relevant changes noted. The lung volumes are constant. Borderline size of the cardiac silhouette without pulmonary edema. No pleural effusion. Normal hilar and mediastinal structures. No pneumonia.
diabetes, renal transplant, rule out infection.
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Lung volumes are low. Heart size is accentuated as a result, appearing mildly enlarged. Mediastinal and hilar contours are similar. Crowding of the bronchovascular structures is present without overt pulmonary edema. Streaky and patchy bibasilar opacities likely reflect areas of atelectasis in the setting of low lung volumes. No focal consolidation, large pleural effusion or pneumothorax is identified. No acute osseous abnormality is detected.
history: <unk>m with altered mental status
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As compared to the previous radiograph, the lung volumes have decreased and the size of the cardiac silhouette has increased. Areas of non-characteristic opacities are seen at both the left and the right lung bases. The extent and distribution of the changes favors atelectasis over pneumonia. In addition, there are signs of vascular distention and blood flow re-distribution, suggesting mild-to-moderate pulmonary edema. No larger effusions are seen. Patient has undergone sternotomy.
right lower lobe opacity, evaluation.
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Pa and lateral views of the chest provided. The lungs are underinflated. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. No free air below the right hemidiaphragm is seen.
<unk>f with recent pcn placement attempt, complaint of pleuritic chest pain // upright film to eval e/o ptx
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Pa and lateral views of the chest were obtained. There has been interval removal of the central catheter. There is a small right-sided pleural effusion and mild interstitial edema. There are <num> nodules within the left upper lung, present in <unk>, but new since <unk>. There is no focal consolidation. The heart size is top-normal and unchanged from prior radiograph. No pneumothorax or intra-abdominal free air is identified. The bony structures are unremarkable.
right pulmonary crackles, evaluate for pneumonia/pulmonary edema.
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Frontal and lateral views of the chest were obtained. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable.
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Frontal and lateral radiographs of the chest were acquired. Lung volumes are slightly low, causing accentuation of the pulmonary vasculature. The lungs are clear. The heart size is normal. The mediastinal contours are normal. There are no definite pleural effusions. No pneumothorax is seen. An old healed fracture of the left fifth anterior rib is noted.
fever, on chemotherapy. evaluate for infectious process.
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Heart size is top normal. Cardiomediastinal silhouette is unremarkable. Hilar contour is normal. A pacemaker is implanted in the left upper chest with right atrial and right ventricular leads. Lungs are clear without focal consolidation, effusion or pneumothorax. No acute bony abnormality is identified.
chest pain.
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Ap and lateral views of the chest are compared to previous exam from <unk> and ct from <unk>. Nodular mass projecting over the left mid lung is again seen, compatible with patient's known lung cancer. As on prior, there is elevation of the left hemidiaphragm. Left basilar linear atelectasis is also seen. There is no effusion or large consolidation. Cardiac silhouette is stable. Catheter projects over the anterior right chest wall. Osseous and soft tissue structures are otherwise unremarkable.
<unk>-year-old female with history of lung cancer, presenting with lightheadedness.
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When compared to prior there has been no significant interval change. There is no large confluent consolidation within the confines of a portable film with lordotic positioning. Possible pulmonary vascular congestion is unchanged. Cardiomediastinal silhouette is stable. Chronic deformity of the left humeral head is again noted.
<unk>f with tachycardia // infiltrate?
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Pa and lateral views of the chest were provided. The lungs are clear bilaterally. No pleural effusion or pneumothorax is seen. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm. Tiny clips are seen anteriorly at the level of the upper abdomen as on prior ct.
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The new left internal jugular vein tunneled dialysis line tip terminates projects over the right atrium. There is no evidence of pneumothorax. Unchanged positioning of the pacemaker leads. Moderate pulmonary edema and severe cardiomegaly are unchanged, with low lung volumes. Bilateral pleural effusions, left greater than right, are unchanged.
<unk> year old man with placement of dialysis catheter on l side with sob. evaluate for pneumothorax.
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Lungs are fully expanded and clear. No pleural abnormalities. Heart size is top-normal. Cardiomediastinal and hilar silhouettes are normal.
<unk>m w/ nash cirrhosis worsening fogginess in the past day r/o pna.
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No focal consolidation or pneumothorax is detected. There may be a tiny right pleural effusion. Heart size is normal. Anterior mediastinal mass likely corresponds to known primary mediastinal large b-cell lymphoma.
<unk>-year-old female with neutropenia and fever.
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Cardiomediastinal contours are stable in appearance. Consideration is made of leftward patient rotation. Minimal subtle opacities in left mid and lower lung probably reflect atelectasis, but short-term followup radiograph may be helpful to exclude developing infection given history of fever.
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In comparison with the earlier study of this date, there is little change or possibly slight increase in the degree of left pneumothorax. Left chest tube remains in place.
pneumothorax.
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Lung volumes are low. There is severe cardiomegaly which has progressed since prior study. The azygos vein is distended. There is obscuration of the left hemidiaphragm which may be due to atelectasis and effusion. There is mild pulmonary vascular congestion. There is no pneumothorax. Calcifications of the tracheobronchial tree as well as the aortic arch are noted. Visualized upper abdomen is unremarkable.
sepsis, history of heart failure, evaluate for pulmonary edema.
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Since the most recent prior radiograph, there has been no significant change. Again seen is a large left-sided pleural effusion, unchanged from prior exam. There is stable atelectasis of the right lower lobe as is evidenced by the minor fissure being pulled down. Cardiomediastinal silhouette is unchanged. There is a right internal jugular central line terminating in the lower svc.
<unk>-year-old man with intra-abdominal bleeding, status post massive transfusion now extubated. check for pulmonary process.
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A left pectoral pacemaker is in place with two leads terminating in the right atrium and right ventricle. The lungs are symmetrically expanded and well aerated without focal consolidation concerning for pneumonia. No pleural effusion or pneumothorax is detected. The pulmonary vasculature is not engorged. The cardiac silhouette is top normal in size. Widening and convex lateral bulging of the right upper mediastinum extending above the thoracic inlet, obliteration of the right paratracheal stripe and leftward displacement of the trachea indicate a cervicothoracic mass most commonly adenopathy or abnormal thyroid the remainder of the mediastinal contour is within normal limits. Lungs are clear
seizure, here to evaluate for acute cardiopulmonary process.
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The lungs are normally expanded and clear. The right internal jugular central venous catheter has been removed. New left port-a-cath terminates in the proximal to mid svc. The heart is top-normal. Lung volumes are slightly low but unchanged. There is no focal opacity worrisome for pneumonia. Mediastinal and hilar contours are stable. Deformity of the right chest wall is unchanged.
<unk> year old woman with lymphoma // eval poc position
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Hardware projecting over the cervical spine is again seen. There is increase in the size of the left pleural effusion with increased pulmonary vascular re-distribution. There is obscuration of both hemidiaphragms and it is unclear if this is due to volume loss or infiltrate. Compared to the prior study, the fluid status and the lower lobe volume loss/infiltrate is worsened, which is all superimposed on the chronic lung disease as seen previously.
likely leukemia, question pneumonia.
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There are small bilateral pleural effusions with underlying collapse and/or consolidation. Elsewhere, the lungs are grossly clear, without focal infiltrate. No pneumothorax. The cardiomediastinal silhouette is within normal limits for age. No chf. Old right clavicle fracture is noted.
history: <unk>f with thrombocytopenia // cxr: eval for consolidation
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Left subclavian central venous catheter tip terminates in the upper svc. Heart size remains mildly enlarged. The aorta is mildly tortuous. Previously noted skin <unk> have been removed. The pulmonary vasculature is normal. Apart from mild atelectasis in the left lung base, the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. Multilevel degenerative changes are noted in the thoracic spine.
chest pain.
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The heart size, mediastinal, and hilar contours are normal. The lungs are clear without pleural effusion, focal consolidation, or pneumothorax.
history: <unk>f with chest pain. evaluate for pneumonia.
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Since the prior chest radiograph performed on <unk>, there has been interval removal of the endotracheal tube, enteric tube, and left-sided chest tubes. Tip of the right ij catheter terminates near the cavoatrial junction. Median sternotomy wires are intact. Lung volumes are low. Left retrocardiac opacity may represent atelectasis, although infection or aspiration should also be considered in the appropriate clinical setting. Streaky atelectasis is also present at the right lung base. Pleural effusion is small on the left. No sizable pleural effusion on the right. No pneumothorax. Stable postoperative mediastinal widening.
<unk> year old man s/p cabg and ct removal // r/o ptx
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An endotracheal tube is unchanged in position. A transesophageal catheter terminates within the stomach. The heart size is normal. There is slightly improved aeration of the lungs in comparison to the <unk> examination. A small left pleural effusion remains stable. There is no superimposed pneumothorax.
acute eosinophilic pneumonia.
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Single portable view of the chest. No prior. Left base opacity suggestive of small pleural effusion. Right lateral costophrenic angle is not included. Indistinct pulmonary vascular markings are seen bilaterally. Cardiac silhouette is enlarged. There is no visualized radiopaque prosthetic valve. Single-lead pacing device seen with lead tip projecting over the region of the right ventricle. Atherosclerotic calcifications noted at the aortic arch. Median sternotomy wires and mediastinal clips are seen. Osseous and soft tissue structures are grossly unremarkable.
<unk>-year-old male with head bleed, evaluate for valve.
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There are low lung volumes. There are no pneumothoraces identified. The heart size is within normal limits. There is some atelectasis at the lung bases, right side slightly greater than left. These findings appear stable.
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The endotracheal tube terminates approximately <num> cm above the carina, in satisfactory position. The enteric tube terminates beyond the diaphragm, likely within the stomach. Lung volumes are low, and there is partial collapse of the left lower lobe. Heart size is normal. Mediastinal and hilar structures are normal. No pleural effusion or pneumothorax.
history: <unk>f with gi bleed and s/p intubation // eval ett placement
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Pa and lateral views of the chest. The lungs are well-expanded. There is no focal consolidation or effusion. Cardiomediastinal silhouette is normal. Osseous structures demonstrate no acute abnormality.
<unk>-year-old female with myasthenia and decreased fvc. question lung volumes.
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Frontal and lateral views of the chest were obtained. Low lung volumes result in bronchovascular crowding. There is no focal consolidation, pleural effusion or pneumothorax. Cardiac and mediastinal silhouettes are unchanged. Pulmonary vasculature is normal. No acute osseous abnormality is identified. A catheter projecting over the right neck and torso may represent a ventriculoperitoneal shunt. Vertebral body loss of height in the thoracic spine is slightly worse since <unk> with exaggerated thoracic kyphosis.
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The lungs are well expanded. The right lung is clear. There is an opacity blunting the left costophrenic angle which is confirmed in the lateral view without clear fluid meniscus. The remaining of the left lung is clear. The cardiomediastinal and hilar contours are unremarkable. There is no evident pleural effusion or pneumothorax.
<unk>-year-old female with cough and fever. evaluate for pneumonia.
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There is re- demonstration of moderate cardiomegaly with tortuous aortic arch. Atherosclerotic calcifications are noted within the arch. There is mild prominence of the pulmonary vasculature and trace edema. There is some increased density at the posterior base seen on lateral view only. There is no effusion or pneumothorax. The rib fractures identified on prior chest ct are not well evaluated on this study.
status post mechanical fall with right-sided rib fractures, pulmonary contusions and desaturations.
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The lungs are lucent and hyper inflated consistent with known copd. Linear density at the left lung base most likely represents a focus of scarring. No signs of pneumonia or edema. The cardiomediastinal and hilar contours are stable. There is no pneumothorax or large pleural effusion. No free air below the right hemidiaphragm. Bony structures are intact.
<unk>m with chest pain.
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Lung volumes are low. No focal opacity to suggest pneumonia is seen. No pleural effusion, pulmonary edema or pneumothorax is present. The heart size is within normal limits. No free air is seen beneath the right hemidiaphragm.
left upper quadrant and left shoulder pain. evaluate for free air.
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Patient is rotated to the left. There is apparent elevation of the right hemidiaphragm. The lungs are clear. The cardiomediastinal silhouette is grossly within normal limits allowing for rotation.
<unk>f with sob, cough // pulmonary edema? pna?
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The lungs are well inflated and demonstrate diffuse prominence of vasculature with an upper lobe predominance. There is cardiomegaly and aortic knuckle calcification. Obscuration of bilateral costophrenic angles, likely small pleural effusions. Bony thorax is unremarkable.
<unk> year old woman with nstemi, hypoxia // please evaluate for edema
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The et tube is at the upper limit of acceptable position, no less than <num> cm from the carina. There are low lung volume. The left lung opacification has improved on this study. There is mild pulmonary edema. There is no mediastinal hematoma or pneumothorax.
<unk>-year-old woman intubated status post spine surgery, evaluate for pulmonary edema.
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Frontal and lateral views of the chest were obtained. Nipple jewelry is noted. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable, as are the hilar contours.
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Pa and lateral views of the chest provided. Lateral view somewhat limited due to motion artifact. 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>m with intermittent fevers and rigors // eval for pneumonia
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Frontal and lateral views of the chest. The lungs are hyperinflated. On the lateral view, there is increased density in the posterior costophrenic sulcus with blunting of the posterior costophrenic angles bilaterally which is new. Based on the frontal view, this is likely a localizing to the right base medially. This is in aregion of previously seen scarring but is suspicious for superimposed consolidation and possible trace effusions. Elsewhere the lungs are clear. Focal opacity at the right lung base laterally on the frontal view is likely due to changes in the anterior <num>th rib. Old right <unk> rib fracture is again seen. Cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications seen at the aortic arch.
<unk>-year-old male with cough and history of copd, afebrile with elevated white blood cell count.
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Portable semi-upright radiograph of the chest demonstrates low lung volumes with resultant bronchovascular crowding. Central pulmonary vascular congestion, alveolar opacities, and bilateral pleural effusions, left greater than right, have improved over the interval. Moderate cardiomegaly is unchanged. No pneumothorax. Left-sided picc line ends at the mid svc.
<unk> year old woman with picc line, accidentally pulled out slightly and no longer flushing per nursing, pls eval for picc placement // <unk> year old woman with picc line, accidentally pulled out slightly and no longer flushing per nursing, pls eval for picc placement
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Frontal and lateral views of the chest. The lungs are clear of consolidation, effusion, or pulmonary vascular congestion. Cardiac silhouette is top normal in size. Atherosclerotic calcifications seen at the aortic arch. Mild hypertrophic changes are seen in the spine without acute osseous abnormality.
<unk>-year-old male with weakness. question pneumonia.
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No focal consolidation is seen. There is no pleural effusion or pneumothorax. Cardiac silhouette is top-normal to mildly enlarged. Mediastinal contours are unremarkable. No overt pulmonary edema is seen.
history: <unk>m with chest pain // eval for acute process
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Lungs are well-expanded and clear. Cardiomediastinal and hilar contours are unremarkable. No pneumothorax, pleural effusion, mass, or consolidation. No radiopaque foreign body identified.
history: <unk>f with one episode of hemoptysis // ? mass, foreign body
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As compared to the previous radiograph, the right internal jugular vein introduction sheath has been removed. Otherwise, the radiograph is unchanged. Low lung volumes. Sternal wires in correct position. Minimal bilateral areas of pleural effusions and atelectasis. No fluid overload. Borderline size of the cardiac silhouette. No pneumothorax.
status post avr. evaluation.