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Frontal and lateral views of the chest. The lungs are clear of focal consolidation, effusion, or significant pulmonary vascular congestion. The cardiomediastinal silhouette is stable in configuration. No acute osseous abnormality is identified. Surgical clips project over the upper abdomen. No free intraperitoneal air.
<unk>-year-old female with nausea, vomiting and diarrhea for six days.
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The patient has been extubated. There are diffuse alveolar opacities, which are not significantly changed from the recent cxr on <unk>. These are better characterized on recent ct chest from <unk>, and may be due to infection, drug reaction or pulmonary edema. There is likely a small to moderate right pleural effusion. No pneumothorax. Unchanged appearance of severe dextroscoliosis and spinal hardware. The enteric tube terminates in the stomach. The tip of the left picc line is obscured by the hardware, but extends to at least the superior svc. There is also a left subclavian line that terminates in the lower svc.
<unk> year old woman with severe hypoxia // ?worsening pulm edema?
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Pa and lateral views of the chest somewhat lower lung volumes compared to the prior study with possibly some mild atelectasis of the left lung base. There is no evidence of pleural effusion or focal opacity. No pneumothorax is identified. The cardiomediastinal silhouette is unremarkable. There is no evidence of pulmonary edema.
cough. evaluation for pneumonia.
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The lungs are well inflated, without focal opacities. The cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. Assessment of heart size cannot be accurately made in an ap projection although appears unchanged compared with prior study from <unk>.
<unk>-year-old male with chest pain. evaluate for evidence of cardiomegaly.
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Median sternotomy wires appear grossly intact. Numerous surgical clips project over the anterior mediastinum. There are bilateral hazy opacities. <unk> b-lines are noted. There small bilateral pleural effusions. Moderate to severe cardiomegaly is unchanged.
history: <unk>f with chest pain. hx of cad s/p cabg, chf // r/o pneumonia/chf
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax. The chest is mildly hyperinflated. Bony structures appear within normal limits.
asymmetric wheezing.
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Portable ap supine view of the chest provided. A port-a-cath resides over the right axilla with catheter tip at the level of the low svc. Fracture to the proximal shaft of the right humerus is noted, appearing acute. There is subtle cortical irregularity along the right seventh lateral rib arch which could indicate an acute rib fracture. Lung volumes are low. No focal consolidation or supine evidence for effusion or pneumothorax. The heart and mediastinal contour appears stable.
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Right port-a-cath in place tip near cavoatrial junction stable. Normal heart size, pulmonary vascularity. Lungs are clear. No ct evidence of mediastinal adenopathy or mass.
<unk> year old man with cns lymphoma. now with progressive facial flushing/fullness // eval for mediastinal mass/svc syndrome?
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Heart size is normal. Mediastinal and hilar contours are unremarkable. Lungs are clear. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities detected.
chest pain.
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The cardiomediastinal and hilar contours remain unchanged. Again seen is a moderate-sized right pleural effusion with atelectasis, not significantly changed from prior. The previously seen right apical pneumothorax has resolved, and there is no left pneumothorax. There is no new parenchymal consolidation. The left basilar consolidation is improved on the current study.
status post open right lower lobe lobectomy for carcinoid tumor.
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In comparison with the study of earlier in the date, bibasilar opacifications persist. More coalescent area medially on the right could well represent a developing consolidation. No evidence of vascular congestion.
fever and shortness of breath.
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As compared to the previous radiograph, there is improved expansion of the left lung. However, a relatively large area of predominantly basal lung parenchyma is still collapsed. The appearance of the monitoring and support devices and of the normal right lung are constant and unchanged.
left lung collapse, evaluation.
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Pa and lateral views of the chest. No prior. The lungs are clear of consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with sharp chest pain.
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There is a left retrocardiac opacity, small bilateral (left greater than right) pleural effusions, and worsened, now moderate edema. No pneumothorax. The endotracheal tube ends <num> cm above the carina is the prone position. The right cordis catheter sheath ends at the junction of the brachiocephalic vein with the proximal smv. There is no pneumothorax.
<unk>-year-old with right ij cordis placement. please assess line placement.
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The lungs are mildly hyperinflated compatible with emphysema. No lobar consolidation or pulmonary edema. Mild cardiomegaly. Diffuse demineralization with old healed fracture of the distal end of the right clavicle. Multilevel degenerative changes of the thoracic spine.
dizziness since several weeks
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A weighted feeding tube is seen coursing into the left upper quadrant in the expected location of proximal to mid stomach. The cardiac silhouette is moderately enlarged. The aorta is calcified. Mediastinal contours are unremarkable. No focal consolidation is seen. There is slight prominence of the interstitial markings bilaterally which may be due to minimal interstitial edema. No pleural effusion or pneumothorax is seen.
history: <unk>f with clogged dobhoff // eval dobhoff
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No consolidation, pleural effusion or pulmonary edema is seen, and the cardiac and mediastinal contours are normal.
<unk>-year-old woman with persistent cough, evaluate for pathology.
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Heart size is top normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. Air-fluid level is seen within the right breast compatible with history of recent surgery. Moderate hypertrophic changes are noted within the thoracic spine.
history: <unk>f with history of breast cancer status post surgery <unk>, with shortness of breath and cough since then.
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There is bibasilar atelectasis. Adjacent to the right cardiophrenic angle, there is a more focal opacity, that could represent localized as infection or aspiration in the appropriate clinical setting. No other focal consolidation. No pneumothorax. Small bilateral pleural effusions are noted. Cardiomediastinal contours are normal. No acute osseous abnormalities. No subdiaphragmatic free air.
<unk>-year-old female with pancreatitis. evaluate for pleural effusion.
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In comparison with the study of <unk>, there is increasing opacification in the left hemithorax, consistent with enlargement of the pleural effusion on this side. Little change in the degree of effusion on the right. Extensive compressive atelectasis is seen at both bases. The prominent scoliosis makes it difficult to assess for possible shift of the mediastinum. Monitoring and support devices remain in place.
perforated duodenum and liver laceration with surgery, to assess for change.
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Cardiac, mediastinal and hilar contours are unchanged with the heart size within normal limits. The aorta is mildly unfolded. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is present. There are mild diffuse degenerative changes in the thoracic spine.
history: <unk>f with presyncope and malaise
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Patient is status post median sternotomy and cabg. Dual lead left-sided pacemaker is stable in position. No pulmonary edema is seen. The cardiac and mediastinal silhouettes are stable. No focal consolidation is seen. There is no pleural effusion or pneumothorax. Soft tissue calcification projecting over the right upper lung is stable.
history: <unk>f with chest pain, dyspnea, dizziness // acutecardiopulm disease
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Heart is normal size and cardiomediastinal contours are stable. The lungs are well-expanded. In comparison to the prior study, there is increased density over the lower spine containing linear lucencies suggestive of a peribronchial process, not clearly seen on the ap view. There is no pleural effusion or pneumothorax. Mild anterior wedging of mid thoracic vertebral bodies is unchanged.
hx of lymphoma. s/p allo with persistent cough. please r/o pna. // hx of lymphoma. s/p allo with persistent cough. please r/o pna.
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Right base opacity, likely projecting over the anterior right middle lobe, is worrisome for pneumonia. No pleural effusion is seen. There is no pneumothorax. The lungs remain hyperinflated. The cardiac and mediastinal silhouettes are stable. Old left-sided rib fractures are again noted.
history: <unk>m with fever*** warning *** multiple patients with same last name! // pna?
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Single supine portable view of the chest is compared to previous exam from earlier the same day at <time> p.m. New endotracheal tube is seen with tip approximately <num> cm from the carina. Nasogastric tube is seen with tip in the gastric body with side port passing the ge junction. The lungs are clear of focal consolidation. The cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male with new endotracheal tube.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is stable with unfolded thoracic aorta again noted. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with surg, pre op cxr
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A dual lead pacemaker is unchanged in position when compared to the prior study. A surgical pin transfixes the right clavicle. There is moderate cardiomegaly with a left ventricular enlargement pattern. The right peritracheal lymphadenopathy is difficult to evaluate on these radiographs, there is no significant interval change in terms of the mediastinal contour when compared to the prior study. Lung volumes are within normal limits. No consolidation, pneumothorax or pleural effusion seen.
<unk> year old man with right lower paratracheal lymph node mass and mediastinal/hilar lymphadenopathy // any change in mass size?
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The left lower lobe consolidation seen in <unk> has resolved. There is no new focal consolidation, pleural effusion, or pneumothorax. Hyperexpansion of the lungs suggests copd. The cardiomediastinal silhouette is normal. There is mild scarring in the right upper lobe, unchanged.
copd and productive cough. concern for pneumonia.
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There is a moderate-sized left pneumothorax with an overlying mid clavicular fracture and a fracture of the posterior third rib, visualized on the prior ct. There is a localized hematoma of the left lateral chest wall. There are linear opacities at the right lung base. There is a more confluent opacification at the left lung base. Small left pleural effusion. Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal.
<unk>m s/p single vehicle mcc, helmeted; no loc; +scalp lac s/p staple closure, l post rib fx, small ptx // interval assesment
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There is no evidence of focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. Minimal, linear right lower lobe atelectasis is again seen. The patient is status post median sternotomy and cabg. Mild cardiomegaly is unchanged. Aortic calcifications are again noted. Increased elevation of the right hemidiaphragm may be secondary to increased lordotic positioning.
<unk> year old man with hx of cad s/p cabg, htn, dm here with possible tia, now with new r knee fxr after a inhouse fall. // flushed, sweating, tachypnea. ? inf? ? cholesterol emboli from fxr?
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. The aorta is slightly tortuous. Hilar contours are unremarkable.
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. No free air is seen under the diaphragms.
abdominal pain, hematemesis.
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Cardiac, 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 visualized.
seizure.
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Pa and lateral views of the chest were obtained. Left upper quadrant clips are again noted. There is bibasilar atelectasis, slightly greater on the left than on the right. There is no definite sign of pneumonia or chf. No large effusion or pneumothorax seen. Cardiomediastinal silhouette is stable. Bony structures are intact. There is no free air below the right hemidiaphragm.
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There is a larger consolidation involving the right upper lobe. Underlying right apical fluid is not excluded. No evidence of pleural effusion elsewhere. No pneumothorax. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with ibs, psoriasis here for ams x <num> week. // ams, r/o pna
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Frontal and lateral views of the chest. The lung volumes are low, which results in crowding of the bronchovascular structures. No pleural effusion, pneumothorax or focal airspace consolidation. There is a tortuous aorta. The cardiac size is normal. No acute fracture is seen.
status post fall with shortness of breath.
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The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable. Left total shoulder replacement is noted. Old rib fractures are seen in the upper right lateral ribs.
history: <unk>f with wrist fracture going to or // r/o pna, pneumothorax
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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. Coronary stenting/ calcification again noted. No displaced rib fracture is seen.
history: <unk>m with r sided cp after kicked by horse // r/o r ribfx after horse kick
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One semierect portable ap view of the chest. The surgical clips are seen in the right upper quadrant. Previously seen lingular pneumonia is no longer apparent. The cardiac, mediastinal, and hilar contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax.
biliary hyperkinesia status post lap chole.
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The lung volumes remain low. There is no pneumothorax or other complication. No pleural effusions, no pulmonary edema. Right-sided picc line, the tip of the line projects over the mid svc. The gastric feeding device is again visualized.
picc line placement.
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The patient is status post a right upper lobe resection with stable pleural changes at the apex. Radiation changes and volume loss are stable in the right mid lung zone. At the right base, there has been a slight increase in the previously seen pleural effusion with new volume loss and rightward mediastinal shift suggesting atelectasis in that region. There is a new small pleural effusion at the left base. There is no pneumothorax. A left port ends in the low svc. The cardiomediastinal silhouette is normal.
history of copd, non-small cell lung cancer, status post a right upper lobe resection, and stage iii esophageal cancer, status post radiation. new shortness of breath.
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A portable view of the chest demonstrates a repositioned ng tube, which coils within the stomach. The patient is now extubated. Right ij catheter ends in the low svc. Lungs are grossly clear. Cardiomediastinal and hilar contours are unchanged. There is no pleural effusion or pneumothorax.
<unk> year old man with newly placed ngt, assess position.
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Pa and lateral views of the chest. The lungs are clear of focal consolidation. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>-year-old male with weakness.
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As compared to the previous radiograph, there is no relevant change. An area of pleural thickening at the lateral bases of the right hemithorax is constant in appearance. Also constant is a zone of nodular thickening embedded in this area. The nodule has not increased in size, but ct would be more sensitive to confirm stability of the lesion. No other relevant changes. Unchanged size of the cardiac silhouette. No new pulmonary nodule. The lymph node calcifications at the lower aspect of the left hilus are constant in appearance.
followup of left lower lobe pulmonary nodule.
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There has been interval placement of a right internal jugular central venous catheter which terminates <num> cm caudal to the carina at the expected location of the cavoatrial junction. Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. There is no pleural effusion or pneumothorax.
all; placement of central line.
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Tracheostomy is in place ending <num> cm from the carina, with the balloon remaining overinflated. Left basilar chest tube is stable. Fiducial seed is seen in known right lower lung mass, and there is continued right lower lobe atelectasis. Right picc has been removed. Moderate right pleural effusion is unchanged. Asymmetric right sided mild pulmonary edema or lymphangitic spread of tumor is re- demonstrated, unchanged. Small left pleural effusion is unchanged. No pneumothorax. Ivc filter is tilted but unchanged in position. Percutaneous gastrostomy catheter is also seen in the left upper quadrant of the abdomen.
history: <unk>m with respiratory distress
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Right picc line ends at upper svc. Bilateral lung volumes are low. Mild pleural effusion and right lung base atelectasis has minimally increased since <unk>. Mild left lung base atelectasis is unchanged. Status post cabg with stable cardiomediastinal contour.
copd.
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The heart is mildly enlarged and the aorta is slightly tortuous, similar to prior. There is no focal infiltrate or effusion.
cough and hemoptysis.
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There is a new area of consolidation in the left lower lobe, suspicious for pneumonia. There is no pleural effusion or pneumothorax. Cardiac silhouette is mildly enlarged.
<unk> year old man with cough sob with activity // pna or infection
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Pa and lateral views of the chest are provided. The lungs are clear without focal consolidation, effusion, pneumothorax. There is mild prominence of the interstitial markings which is likely technique related. The heart size is normal. Mediastinal contour is unremarkable. The bony structures are intact. No free air below the right hemidiaphragm.
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Lung volumes are low. Bilateral, left-greater-than-right, prominent interstitial markings are likely related to known sarcoid and are similar to prior. Postoperative changes in left hemithorax status post wedge resection is similar to prior. There is a persistent left pleural effusion but no pneumothorax. No new focal consolidation. Mild cardiomegaly is stable.
history: <unk>f with sarcoidosis, s/p vats x<num>, here w/ pain at site of vats // ptx, infection? bony abnormalities?
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Pa and lateral views of the chest are compared to previous exam from <unk>. Left picc line is no longer seen. Low lung volumes identified on the current exam. Bibasilar linear opacities are most suggestive of atelectasis. Left picc tip is seen in the mid svc. There is no effusion or pneumothorax. Cardiomediastinal silhouette is normal. Osseous and soft tissue structure is otherwise unremarkable.
<unk>-year-old male with chest pain.
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Frontal and lateral chest radiograph demonstrate unremarkable cardiomediastinal and hilar contours. Lungs are clear. No pleural effusion or pneumothorax evident. No osseous abnormality present.
cramping left leg pain with chest pain, shortness of breath, evaluate for acute process.
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Two frontal images of the chest demonstrate low lung volumes, likely due to poor inspiration. There has been interval extubation and removal of an ng tube. The left subclavian line is unchanged. There is gaseous distention of the bowel in the abdominal left upper quadrant which is causing elevation of the left hemidiaphragm. There is increased retrocardiac atelectasis since prior imaging. The heart size is borderline for cardiomegaly. There is no pneumothorax or pleural effusion. Visualized osseous structures are unremarkable.
<unk>-year-old woman status post whipple procedure, post-op day <num>, now with fever.
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In comparison with study of <unk>, there is again enlargement of the cardiac silhouette with tortuosity of the aorta. However, no vascular congestion or acute focal pneumonia. Mild elevation of the right hemidiaphragm persists.
worsening crackles.
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An endotracheal tube terminates in the proximal left mainstem bronchus, and recommend pullback of the tube. A nasogastric tube terminates subdiaphragmatic and beyond the view of this radiograph. There is a left basilar opacity likely reflecting pleural effusion and underlying left lower lobe collapse and/or consolidation. A left upper mediastinal opacity is new from <unk> and raises concern for a mass or aortic aneurysm. There is mild vascular plethora, a without overt chf. In the right lung, no focal consolidation or gross effusion. The cardiac silhouette is obscured on the left side, limiting assessment of cardiac size.
<unk>f with ams // please eval for any pna/aspiration
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Lung volumes are normal. There is no focal consolidation, pleural effusion or pneumothorax. No pulmonary edema. Cardiomediastinal contours are normal. No acute osseous abnormalities. No subdiaphragmatic free air.
<unk>-year-old male with chest pain
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There is again elevation of the right hemidiaphragm, seen on the prior study, however the lungs are clear with no evidence of effusion or pulmonary edema. There is a stent in the left axilla, with a mild kink in the midportion of the stent, as before. Heart size is normal and there is no pleural effusion or pneumothorax.
<unk>m with diabetic ketoacidosis. evaluate for pneumonia.
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On a background of mild pulmonary edema, there are small bibasilar opacification likely a combination of atelectasis and small pleural effusions. Cardiomediastinal and hilar contours are normal. Calcifications are noted within the aortic arch. No osseous abnormality is present.
perforated gallbladder, now with chest pain. assess for chylothorax or pneumonia.
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Hyperinflation of the lungs and interstitial prominence consistent with emphysema. There is no mediastinal widening. The cardiomediastinal silhouette and hila are normal. There is no pleural effusion or pneumothorax. There is unchanged blunting of the right costophrenic angle, likely due to scarring or pleural thickening.
<unk>-year-old with pain between shoulder blades radiating to the chest. please assess for mediastinal widening.
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Ap upright and lateral views of the chest provided. Cardiomediastinal silhouette is unchanged with a markedly unfolded thoracic aorta. Lungs remain clear. No large effusion or pneumothorax. Bony structures are intact.
<unk>f with s/p fall, confusion // ? infectious process
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Ap upright and lateral views of the chest provided. Cardiomegaly is noted, mild with bilateral small pleural effusions noted. Suture material is noted in the right mid lung. There is mild hilar engorgement without frank pulmonary edema. Mediastinal contour stable. Bony structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with cva, htn, chf, afib, presenting with worsening <unk> edema and sob.
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Frontal and lateral views of the chest are obtained. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
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Left-sided port-a-cath terminates at the cavoatrial junction without evidence of pneumothorax. Lung volumes are relatively low. There is blunting of the right costophrenic angle felt to more likely be due to atelectasis rather than trace pleural effusion. No definite focal consolidation is seen. The cardiac and mediastinal silhouettes are stable.
history: <unk>f with cough // cough
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Pa and lateral views of the chest were provided. The heart is top-normal in size. The lungs appear clear. No pleural effusion or pneumothorax. Mediastinal contour is normal. Bony structures are intact. There is no free air below the right hemidiaphragm.
<unk>-year-old female, immunosuppressed, near syncopal episode with left lung crackles.
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As compared to the previous radiograph, there is no relevant change. The current examination is limited by respiratory motion artifacts, but the lung bases have increased in transparency. Constant monitoring and support devices, no newly appeared parenchymal opacities. Unchanged size of the cardiac silhouette.
copd, intubation, questionable changes.
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In comparison with the study of earlier in this date, the endotracheal tube tip lies approximately <num> cm above the carina. Nasogastric tube is difficult to evaluate further than the lower esophagus. Right ij catheter is in the mid-to-lower portion of the svc. There are streaks of atelectasis bilaterally, most prominent in the right mid zone. No definite vascular congestion.
toxic ingestion.
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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.
history: <unk>f hx dm with cough, st // eval ? infiltrate
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Frontal supine portable chest radiograph demonstrates mild cardiomegaly. There is mild pulmonary vascular congestion. There is no focal consolidation concerning for pneumonia. There is no large pleural effusions or pneumothorax.
altered mental status, hypotension. evaluate infiltrate.
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Right-sided central venous catheter tip terminates in the mid svc. Heart size remains moderately enlarged with a left ventricular predominance. The aortic knob is calcified. The mediastinal contour is unchanged. Prominence of the main pulmonary artery again is concerning for pulmonary arterial hypertension. Right-sided perihilar haziness and vascular indistinctness likely reflects asymmetric mild right pulmonary edema with a small right pleural effusion. More focal opacity in the right lower lobe is concerning for infection. No pneumothorax is seen. Calcified granuloma in the left lung base is unchanged.
history: <unk>m with fatigue, increased albuterol inhaler, <unk>% on room air
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A new focal heterogeneous opacity is seen in the left mid-lung, which in view of the clinical history may be a pneumonia. Additionally, since <unk>, the small right pleural effusion is increased and small left pleural effusion is decreased. Mild bibasilar and retrocardiac atelectasis persists. Hyperinflation of the lungs is compatible with patient history of copd. The heart size is normal. No pneumothorax or pulmonary edema. Marked interstitial changes compatible with history.
<unk> year old woman with cml, copd and pulmonary htn // ? pna
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Frontal and lateral views of the chest demonstrate a left pectoral cardiac pacer/aicd with leads terminating in the right atrium and right ventricle. Median sternotomy wires are intact. The cardiomediastinal silhouette is normal. The lung volumes are slightly decreased, although the lungs are clear. There is no pneumothorax, vascular congestion, or pleural effusion.
<unk>-year-old male with recent endocarditis, fever and chills, now with cough. question acute process.
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Cardiac, mediastinal and hilar contours are unchanged, with the heart size within normal limits. Multiple clips and chain sutures are seen within the right mid lung field, left perihilar region, and both lung bases, compatible with prior lung resections, with associated scarring in these regions, not substantially changed in the interval. Remote bilateral rib fractures with associated pleural thickening and partial resection of the right <num>th rib are unchanged. No new focal consolidation, pleural effusion or pneumothorax is present. Pulmonary vasculature is not engorged. There are no acute osseous abnormalities.
history: <unk>m with shortness of breath, wheezing
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The lungs are clear of airspace or interstitial opacity. The cardiomediastinal silhouette is unremarkable. No pleural effusions or pneumothorax. No acute or aggressive osseus changes.
<unk> year old man s/p auto stem cell now febrile // infiltrate?
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Since the most recent prior radiograph, there has been development of a hazy opacity in the left lower lung concerning for left lower lobe pneumonia. The right lung is clear. There is no pneumothorax or pleural effusion. A right picc line catheter is seen in the upper svc. Cardiomediastinal silhouette is normal. Osseous structures are unremarkable.
<unk>-year-old man with myeloma on chemo, rule out fever and pneumonia.
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Semi supine portable chest radiograph demonstrates an enteric tube which appears to descend the thorax in an uncomplicated course and terminates in a post pyloric position. Lungs are clear without a focal opacity convincing for pneumonia. Interstitial abnormality is exaggerated by low lung volumes. Cardiomediastinal and hilar contours are normal. There is no pneumothorax or pleural effusion. No evidence of pulmonary edema.
history: <unk>m with cirrhosis, hypotension // ? infectious process
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The lungs are clear. There is no pneumothorax or pleural effusion. Cardiac contour is top normal. There is small widening of the contour of ascending aorta. There is a small deformation in right lateral wall of superior trachea where a thyroid nodule cannot be excluded and should be correlated with a sonogram if clinically indicated.
patient with chest pain. assess possible acute causes of chest pain.
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Small bilateral pleural effusions are new with bibasilar atelectasis. Mild pulmonary edema is present. The cardiomediastinal silhouette and hilar contours are stable. No pneumothorax is present.
<unk>f w/ hx of rectal cancer s/p robotic apr now with right colon mass s/p lap right colectomy. evaluate for volume overload.
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Linear left basilar opacity is most likely atelectasis. Chain sutures seen at the right lung laterall. Right lung opacity abutting the hemidiaphragm have improved since prior and may be due to atelectasis versus scarring. There is no consolidation worrisome for pneumonia. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with crackles, weakness // eval for pna
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Mild cardiomegaly is new since <unk>. Mild pulmonary vasculature engorgement is unchanged. No edema, effusions, or pneumothorax. No focal consolidation concerning for pneumonia.
<unk> year old woman with <num> weeks of episodic dyspnea. assess for cardiopulmonary disease.
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Frontal and lateral views of the chest provided. A single-lead pacer is unchanged in position with lead tip extending to the region of the right ventricle. The previously noted right ij central venous catheter has been removed. The heart remains moderately enlarged though stable. There are no signs of chf or pneumonia. No pneumothorax. Bony structures intact.
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The dobbhoff tube straddles the esophagogastric junction. Lungs are essentially clear with mild atelectatic changes at the bases. Of incidental note is a cervical fusion device.
dobbhoff tube placement.
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Homogeneous opacity extends from the minor fissure to a partially obscured right hemidiaphragm, with associated signs of volume loss. Observed findings likely represent collapse of the right middle lobe and partial atelectasis of the right lower lobe, the latter coexisting with known complex fluid collection and consolidation based on review of recent ct. Moderate right pleural effusion has increased in size in the interval. New bilateral asymmetrical perihilar opacities worse on the left than the right could reflect pulmonary edema or new sites of aspiration or infection. Dense left retrocardiac opacity and a small left pleural effusion are also new. Since the prior study, esophageal stent has been placed, and the patient has been intubated, with tip of endotracheal tube terminating at the level of the medial clavicles, about <num> cm above the carina. This could be advanced a few centimeters for standard positioning. Dr.<unk> has been telephoned with these results at <time> on <unk>.
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs without focal consolidation, pleural effusion, or pneumothorax. An incompletely imaged catheter projects over the left upper abdomen.
evaluate for pneumonia in a patient with cough and fever.
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A right-sided central line is present, tip over distal svc. No pneumothorax is detected. There are low inspiratory volumes, with bibasilar atelectasis. This is less pronounced than on <unk>. The cardiac silhouette is probably unchanged. Prominence of the right hilum is similar to the prior study, with some patchy opacity in the right infrahilar region. There is minimal upper zone redistribution, without overt chf. The appearance is improved compared with the prior study. Again noted is a normal variant incomplete azygos fissure. The possibility of hazy density in the fissure cannot be entirely excluded, but i suspect this is an artifact due to overlying soft tissues. No gross effusion.
history: <unk>f with cough // pneumonia?
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Cardiomediastinal silhouette and hilar contours are stable. Mild vascular congestion is unchanged. Persistent bibasilar atelectasis and small bilateral effusions are unchanged. There is no pneumothorax. A right subclavian central venous catheter remains in place with the tip overlying the low svc.
resolving sirs.
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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. No fracture is identified.
left-sided chest pain after a fall. question pneumothorax or rib fracture.
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Hyperinflation of the lungs likely reflects underlying emphysema. Mild basal atelectasis. No convincing evidence of pneumonia or edema. No pneumothorax or pleural effusion. The cardiomediastinal and hilar contours are within normal limits and stable. The aorta is tortuous and calcified as before. No rib fractures are identified however chest radiographs are not sensitive for the detection of nondisplaced rib fractures.
<unk>m with pain s/p fall // evidence of fracture
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In comparison to the chest radiograph obtained <num> day prior, there is a large, loculated hydropneumothorax in the left upper lung and a smaller loculated hydro pneumothorax in the mid left lung. Rightward mediastinal shift is unchanged. A left-sided pleural drainage catheter is unchanged in position. Unchanged large hiatal hernia. The right lung is fully expanded and clear.
<unk> year old woman s/p l thoracotomy sup seg and lingual wedge // check interval change
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Lung volumes remain low. Atelectasis at the left base is improving. There is no new focal airspace opacity. There is no pleural effusion or pneumothorax. The heart is top normal. Mediastinal hilar contours are normal.
<unk> year old woman with new o<num> requirement and cough. concern for aspiration or other acute process
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The cardiac silhouette is stable, mild to moderately enlarged. Mediastinal contours are stable and unremarkable. No large pleural effusion is seen although a trace pleural effusion be difficult to exclude. Subtle prominence of the interstitial markings suggests minimal to mild interstitial edema. No pneumothorax is seen.
history: <unk>m with sob // eval for volume overload
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Cardiomediastinal contours are normal. There are large bilateral pleural effusions right greater than left associated with adjacent atelectasis. The osseous structures are unremarkable
<unk> year old woman with recoverinyg from acute pancreatitis, quite bil breath sounds, some extremity edema // assess for presence/extent of pleural effusions
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Severe hyperexpansion is consistent with underlying copd. There is moderate pulmonary vascular congestion and associated mild to moderate interstitial pulmonary edema. Bilateral pleural effusions are small. A mildly displaced anterior left eighth rib fracture is acute or subacute. Dextroscoliosis of the lower thoracic spine is severe. There is moderate to severe cardiomegaly and tortuosity of the descending aorta. There is focal eventration and elevation of the left hemidiaphragm. Demineralization is moderate to severe. Allowing for scoliosis, the cardiomediastinal silhouette is within normal limits.
<unk>f with hypoxia, likely choledocholithiasis evaluate for acute cardiopulmonary process.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>m with seizure // evaluat efor acut eprocess
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No evidence of displaced sternal or rib fractures. The heart size is top normal. The mediastinal and hilar contours are unremarkable. Lungs are grossly clear without focal consolidation concerning for pneumonia or evidence of pneumothorax.
<unk>f s/p mvc with sternal tenderness. evaluate for fracture or pneumothorax.
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Linear left mid lung opacity is likely due to scarring. Nearby surgical chain sutures are again noted. Surgical chain sutures also seen in the right upper lung. Known ground-glass nodules in the bilateral upper lobes are faintly visualized overlying the bilateral anterior third ribs. The lungs are otherwise clear. Eventration of the right hemidiaphragm is noted. Mild cardiac enlargement is noted as well as dense mitral annular calcifications. No acute osseous abnormalities.
<unk>f with fall and head strike with abrasion to bridge of nose // eval for traumatic injury=
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Normal heart size, and hilar contours. There is an opacity in the retrosternal space on the lateral view, though this is not a true lateral view and could be related to technique. No focal consolidation, pleural effusion or pneumothorax.
history: <unk>f with cough // r/o infectious process
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The lungs remain clear. There is no focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormalities identified.
<unk>m with fatigue // evaluate for pneumonia
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Interval increase in the retrocardiac and left upper lobe opacity. There is also increasing moderate left pleural effusion. The right lung remains clear. Mild cardiomegaly. No pneumothorax. Moderate hiatal hernia. Prior spinal surgery with hardware along the lower thoracic spine.
<unk> year old woman with lll consolidation // <unk> year old woman with lll consolidation
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There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.
history: <unk>f with f with epigastric abdominal pain // pls eval for pna