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As compared to the previous radiograph, there is a minimal improvement of the extensive bilateral parenchymal reticulations. Otherwise, no relevant change is seen. No pleural effusions. No new parenchymal opacities. Unchanged appearance of the cardiac silhouette.
history of metastatic prostate cancer, rule out acute 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> year old man with alcoholic hepatitis, coming in with gi bleeding
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As compared to the previous radiograph, the lung volumes are decreased, likely caused by lesser inspiratory effort. Moderate cardiomegaly persists. The valve appears to be in unchanged position. No pleural effusions. No overt pulmonary edema. Moderate tortuosity of the thoracic aorta.
valvular repair, assessment for interval change.
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Again visualized is a small-to-moderate right pleural effusion, relatively stable in comparison to prior chest ct from <unk>. Otherwise, the lungs are without evidence of focal consolidation or pneumothorax. Post-surgical changes are visualized with mediastinal clips and intact median sternotomy wires. Cardiomediastinal silhouette remains stable. Visualized osseous structures are grossly normal.
evaluation of patient with chronic right pleural effusion, for interval change.
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Heart size is normal. The mediastinal and hilar contours are remarkable for unchanged mild tortuosity of the thoracic aorta with. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
<unk> year old woman with sob, pain with deep insp. // please evaluate, thank you
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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> year old woman with weakness and fever // pna?
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The lungs are normally expanded and clear, without focal airspace opacity to suggest pneumonia. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. A right port-a-cath terminates near the superior cavoatrial junction, in stable position. Pulmonary vasculature is normal without evidence of pulmonary edema.
history of metastatic anal cancer, on chemotherapy, presenting with fever. evaluate for pneumonia.
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Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion or evidence of pneumothorax is seen. The cardiac, mediastinal, and hilar contours are unremarkable.
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Frontal and lateral radiographs of the chest demonstrate clear lungs. The cardiac and mediastinal contours are normal. No pleural abnormality is detected. No rib fracture or deformity is seen.
persistent right anterior rib pain. evaluate for a rib fracture.
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As compared to the previous radiograph, the right pleural effusion has decreased in extent. There is still a right basal pleural effusion, likely located inside of the fissure. Subsequent atelectasis at the right lung base. Mild fluid overload persists. Moderate cardiomegaly, status post valvular replacement, unchanged left pectoral pacemaker.
chronic heart failure, fluid overload. questionable pleural effusions.
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A curvilinear opacity over the lateral aspect of the left upper and mid lung is chronically stable since <unk> and is most likely a pleural calcification. There are no lung opacities concerning for pneumonia. Right posterior costopleural angle is blunted and is chronic and stable since <unk> and probably from a combination of scarring and chronic pleural thickening. No pleural effusion or pneumothorax. Heart size is normal, mediastinal and hilar contours are unremarkable.
<unk>-year-old man with cough, shortness of breath, to evaluate for pneumonia.
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Persistent mild cardiomegaly and pulmonary vascular congestion accompanied by minimal interstitial edema. Right hemidiaphragm is chronically elevated and accompanied by linear scar and/or atelectasis. Overall, no relevant changes since recent study of earlier the same date.
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Two frontal and one lateral view of the chest were reviewed. Cardiomediastinal and hilar contours are stable. There is no pleural effusion or pneumothorax. The lungs are well expanded and clear. Pulmonary vasculature is within normal limits. No displaced fracture is seen.
right upper chest pain.
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Pulmonary nodules, including right lower lobe nodules seen on prior chest ct were better evaluated on ct. Mild prominence of the right hilum is grossly stable compared to scout radiograph from <unk> and may relate to underlying lymph nodes. The mediastinal contours are unremarkable. The cardiac silhouette is top normal. No pleural effusion or pneumothorax is seen. Moderate anterior wedging of a mid-to-lower thoracic vertebral body is grossly stable as compared to <unk>.
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Moderate cardiomegaly has been stable compared to the prior exam from <unk>. Mild pulmonary venous congestion is seen without overt pulmonary edema. The hilar and mediastinal contours are otherwise unremarkable. Mild bibasilar atelectasis is persistent. There may be a small left pleural effusion. There is no evidence of a pneumothorax. The visualized osseous structures are unremarkable.
history: <unk>m with hx chf with sob // eval effusion, edema, pna
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Pa and lateral views of the chest provided demonstrate no focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm.
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Pa and lateral views of the chest were reviewed and compared to the most recent prior. The right middle lobe and right upper to mid lung opacities are improved but persist. A new left lower lobe opacity is likely infectious. Normal heart, pleural and mediastinal surfaces.
evaluation for interval change in pneumonia.
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Pa and lateral chest radiographs demonstrate clear lungs. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
weakness.
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Right chest wall port is seen with catheter tip at the ra-svc junction. There are small bilateral pleural effusions which are new since prior. Linear left basilar opacity seen on the frontal view may be due to atelectasis. Superiorly, the lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified. Surgical clips seen in the mid upper abdomen similar to prior.
<unk>-year-old female with fever.
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Evidence of previous sternotomy. Interval increase in the heart size, congestion of the pulmonary vessels and interstitial thickening in the lower lung zones suggests cardiac decompensation with associated interstitial edema. The vascular pedicle is not significantly dilated no pleural effusions. No airspace consolidation. Spondylotic changes of the thoracic spine. Small calcific density projecting lateral to the right chest wall.
<unk> year old woman with worsening dyspnea // r/o pneumonia
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Previously seen enteric tube is no longer visualized. Gastrostomy tube is only partially seen. The lungs are hyperinflated with biapical scarring but are clear of consolidation. There is no effusion. Bones are osteopenic but there is no visualized acute osseous abnormality. Cardiomediastinal silhouette is stable. Surgical clips project over the right breast.
<unk>-year-old female with dyspnea and g-tube malfunction. question pneumonia or aspiration.
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Endotracheal tube and picc remain in standard position. Cardiomediastinal contours are stable in appearance. Worsening perihilar and basilar airspace opacities, which could be due to a combination of aspiration pneumonia and pulmonary edema. Persistent small left pleural effusion. No visible pneumothorax.
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Compared to prior exam lung fields are less inflated. There increased opacity at the base of the right lung that represent linear atelectasis of the right lower lobe. There is a layering of pleural fluid on the left lung, and a left perihilar atelectasis. On the same side has been positioned a chest tube with tip ending anteriorly and superiorly. Subcutaneous emphysema is seen on the left heart size and vessel silhouette are unchanged. There is no pneumothorax
<unk>-year-old man with testicular cancer with possible metastatic disease.
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The cardiomediastinal silhouette and pulmonary vasculature are unchanged since the recent examination and unremarkable. Again noted is a prominent fat pad at the right cardiophrenic angle. Linear opacity in the left mid lung is consistent with linear atelectasis. No definite consolidation is identified. Again noted is anterior compression deformity of a mid thoracic vertebral body. A right shoulder prosthesis is noted.
history: <unk>f with cough // r/o pneumonia
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Persistent cardiomegaly accompanied by moderate pulmonary edema. Slightly improved lung volumes compared to prior study with associated improved aeration at the right lung base. Unchanged dense opacification in left retrocardiac region, which could reflect atelectasis or infectious consolidation accompanied by a small pleural effusion.
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Portable semi upright radiograph of the chest demonstrates low lung volumes which results in bronchovascular crowding. Diffuse bilateral infiltrates are new in the interval, and likely represent a combination of atelectasis and pulmonary edema. A new chest tube projects over the right hemithorax. The cardiomediastinal contours are unchanged. The endotracheal tube is <num> cm from the carina. Subcutaneous gas is seen in the right chest wall, and bilateral supraclavicular soft tissues. <unk> project over the right chest wall, the left supraclavicular soft tissues, and the midline of the abdomen.
<unk> year old man with caustic esophageal burn, intubated // presence of infiltrate/edema
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs which are without focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.
evaluate for pneumonia in a patient with shortness of breath and fever.
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. A right-sided port-a-cath catheter ends in the lower mid svc. A left-sided picc line ends in the upper svc.
<unk>-year-old female with hypotension.
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There is mild chronic elevation of the left hemidiaphragm. Aside from minimal bibasilar atelectasis, the lungs are clear. Mild cardiomegaly is unchanged. Tortuosity and ectasia of the thoracic aorta is unchanged. The mediastinal contours are otherwise normal. There are no pleural abnormalities. Loss of height of several thoracic vertebral bodies is not significantly changed.
chest tightness, evaluate for acute process.
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Heart size is normal. Mediastinal and hilar contours are unremarkable. The lung volumes are low, which causes crowding of the bronchovascular structures but no overt pulmonary edema is seen. Aside from minimal left lower lobe atelectasis, lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are detected.
dyspnea.
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The cardiomediastinal silhouette is normal. The pleura is unremarkable. The right lung is clear. There is a left perihilar opacification with associated left upper lobe linear atelectasis the could represent pneumonia but given lack of uri symptoms code represent a hilar mass causing obstruction. Recommend chest ct for further evaluation.
<unk> year old woman with good health // patient with rhonchi diffusely in left lung. right lung clear. no documented fevers. no uri s/s. ?infiltrate
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The patient is status post coronary artery bypass graft surgery. The heart is mildly enlarged. The mediastinal and hilar contours appear unchanged. There is similar mild-to-moderate relative elevation of the right hemidiaphragm with an anterior eventration, relative to the left side. There is no pleural effusion. No pneumothorax is demonstrated.
chest pain.
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Portable supine ap view chest provided. There has been slight interval retraction of the right ij central venous catheter with its tip now located in the mid svc. Otherwise, no change.
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Pa and lateral views of the chest. Low lung volumes. There is a small left pleural effusion. Heart size is normal. There are no focal opacities concerning for pneumonia. The mediastinal and hilar contours are normal. No pneumothorax.
chronic low back pain, now with pleuritic chest pain.
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The heart size is normal. The hilar and mediastinal contours are normal. The lungs are clear without evidence of focal consolidations concerning for pneumonia. Hyperinflated appearance of the lungs is unchanged compared to the prior exam. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.
<unk> year old man with new onset dizziness // pna
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Pa and lateral views of the chest are compared to previous exam from <unk>. The lungs remain clear. The cardiomediastinal silhouette is normal. Mild mid thoracic dextroscoliosis is noted.
<unk>-year-old male with fevers. question pneumonia.
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When compared to prior, there has been interval development of a right basilar opacity. Retrocardiac opacity is somewhat improved although there is a probable small residual left pleural effusion. Superiorly the lungs are clear. The cardiac silhouette is enlarged but stable. Mitral valve replacements and left chest wall pacing device are unchanged.
<unk>m s/p cabg with malaise, increased dyspnea // ? pulm edema
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Ap upright portable chest radiograph obtained. Lungs are clear without focal consolidation, effusion, or pneumothorax. The heart and mediastinal contours are normal. Bony structures are intact. No free air below the right hemidiaphragm.
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The et tube has been removed. The right ij and subclavian lines are unchanged. Two left chest tubes are again seen. There continues to be dense retrocardiac opacity and infiltrate/effusion in the left lower lung. There is a patchy area of volume loss/infiltrate in the right lower lung. There is mild pulmonary vascular redistribution.
pleural effusion, respiratory failure.
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The lungs are well inflated and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. Bilateral clavicle fixation hardware is noted. Multiple compression deformities of the mid thoracic spine are noted, chronicity indeterminate.
<unk> year old man with mandibular fracture, preop chest radiograph.
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A a right apical pigtail catheter and is in appropriate, unchanged position. No evidence of pneumothorax. No other significant change from study done at <time> on <unk>. .
<unk> year old woman with ptx and cxr // worsened ptx
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Pa and lateral views of the chest are compared to previous pa and lateral films from <unk>, portable chest x-ray from <unk> and chest ct from <unk>. Again seen are diffuse bilateral increased interstitial markings with bronchiectasis and bronchial wall thickening compatible with chronic underlying lung disease. Nodular opacities in the right mid and upper lung are again noted and although are more conspicuous on the current exam, likely have not demonstrated interval change given differences in technique. There is no large confluent consolidation or effusion. Cardiomediastinal silhouette is stable as are the osseous and soft tissue structures.
<unk>-year-old male with cough and pneumonia. history of hiv.
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Frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. The cardiomediastinal and hilar contours are unchanged. There is no pneumothorax, pleural effusion, or consolidation.stable calcified right hilar lymph node.
history: <unk>m with chest pressure, shortness of breath, palpitations // r/o pna
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Pa and lateral radiographs of the chest. There is an increased opacity in the right lower lung without definite consolidation. The lungs are otherwise clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.
<unk>-year-old woman with seasonal allergies and wheezing. evaluate for pneumonia.
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Pa and lateral views of the chest provided. Right picc line terminates in the low svc. Feeding tube extends into the upper abdomen though the tip is not in the imaged field. Midline sternotomy wires and prosthetic cardiac valves are again seen. Moderate pulmonary edema is again seen with partially laying small right pleural effusion. Lateralizing opacity in the left mid lung could represent loculated pleural fluid or pleural thickening. Cardiomediastinal silhouette appears stable. No large pneumothorax. An azygous fissure is noted. Bony structures appear intact.
<unk>m with dyspnea // acute cardiopulm disease.
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Patient is status post median sternotomy. Heart size is mildly enlarged and dense mitral annular calcifications are noted. The aortic knob is calcified. Mediastinal and hilar contours are unchanged with a small hiatal hernia noted. Pulmonary vasculature is not engorged. Minimal atelectasis is seen in the lung bases without focal consolidation. Blunting of the costophrenic sulci on the lateral view is compatible with subpleural fat deposition, as seen on the ct obtained the same day. No pleural effusion or pneumothorax is demonstrated. Mild degenerative changes are noted within the imaged thoracic spine with slight loss of height at <unk> mid thoracic vertebral bodies, unchanged.
history: <unk>f with cough and fever
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As compared to the previous radiograph, the patient has received a right internal jugular vein catheter. The course of the catheter is unremarkable, the tip of the catheter projects over the mid svc. There is no evidence of complications, notably no pneumothorax. As compared to the previous image, there is a substantial increase in visibility of interstitial structures, combined to some peribronchial cuffing. These findings could suggest interstitial lung edema. At the time of dictation and observation, <time> a.m., on the <unk>, the referring physician, <unk>. <unk> was paged for notification.
new internal jugular vein catheter placement.
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Pa and lateral chest radiographs demonstrate a left basilar opacity most consistent with atelectasis, though an underlying infectious process cannot be excluded. The lungs are otherwise clear and there is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
syncopal event.
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Frontal and lateral views were obtained. Low lung volumes result in bronchovascular crowding. The pacemaker leads end in the expected locations of the right atrium and right ventricle. There is no focal consolidation, pleural effusion or pneumothorax. Right basilar atelectasis. Heart is borderline enlarged. Mediastinal silhouette and hilar contours are normal allowing for lung volumes with prosthetic valve and intact median sternotomy wires. Multiple wedge compression deformities in the mid thoracic spine are seen.
<unk>-year-old man status post dual-chamber pacemaker. evaluate lead position and rule out pneumothorax.
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Again seen is widespread lucency throughout the upper zones, denoting copd. No pneumothorax is detected. A subtle right lower lobe lung mass measuring up to <num> cm is again seen, unchanged in configuration. Mild pulmonary edema has improved since <unk>. There is no large effusion. The hilar and mediastinal contours remain stable.
right lower lobe lung mass. post biopsy.
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A left-sided pacemaker, pacemaker leads within the right atrium and ventricle, and multiple intact sternal wires are unchanged in configuration since <unk>. An aortic valve replacement is unchanged in orientation. There is no pneumothorax, focal consolidation, or pleural effusion. Mild degenerative changes throughout the thoracic spine are stable.
concern for pneumonia.
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Due to poor beam penetration and patient's body habitus, the picc catheter is not well visualized on either pa or standard lateral views. Of note, the catheter is partially visualized on a partial lateral view which excludes the distal tip of the catheter; however, the catheter is at least to the level of the mid right atrium. There is otherwise no short-term interval change compared to exam from two hours prior.
right picc placed but difficulty visualizing on portable.
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Pa and lateral views of the chest provided. The lungs are well expanded and clear. No pneumothorax or effusions seen. Cardiomediastinal silhouette is normal. No bony injuries are seen.
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Lungs are probably hyperinflated. A left-sided pacemaker is present, with lead tips over right atrium and right ventricle. The tip of the rv lead extends very minimally beyond the edge of the film. The cardiomediastinal silhouette is grossly unchanged. Prominence of the pulmonary arteries with a tapered appearance is suggestive of pulmonary hypertension. Compared to <num> day earlier, upper zone redistribution appears improved. No chf. Equivocal minimal blunting of left costophrenic angle and bibasilar atelectasis. No focal infiltrate identified to confirm pneumonia. Probable degenerative changes in both glenohumeral joints, not fully evaluated on this examination.
<unk> year old man s/p right hemiarthroplasty with hypotension and leukocytosis // ?pna
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Exam is limited by marked patient rotation, resulting in accentuation of a tortuous thoracic aorta and limiting comparison of cardiomediastinal contours to the previous study. Mild pulmonary vascular congestion is present as well as patchy bibasilar atelectasis and a probable small right pleural effusion.
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Right pectoral infusion port terminates in low svc. Lung volume is low. Previously seen right lower lobe atelectasis has nearly resolved. No new consolidation is identified. Stable right middle lobe opacity likely reflect atelectasis. There is no pleural effusion or pneumothorax. Cardiomediastinal silhouette is unremarkable.
<unk> year old man with hx of myeloma and recent multifocal pneumonia. presents today with weakness. please further evaluate. // <unk> year old man with hx of myeloma and recent multifocal pneumonia. presents today with weakness. please further evaluate.
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Lung volumes are normal. Calcified granuloma in right lower lung is stable in size from <unk>. . There is no evidence of consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar structures are normal. Cardiac size is top normal with no evidence of pulmonary edema.
<unk> year old man with a few months of cough, previous long hx of smoking.
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Ap portable upright view of the chest. Lung volumes are low limiting assessment. There is mild elevation of the right hemidiaphragm. Hilar congestion is noted without frank edema. No large effusion or pneumothorax. No convincing signs of pneumonia. Heart appears top-normal in size.
<unk>f with new onset afib
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Dual lead left-sided aicd is again seen with leads unchanged in position. The cardiac and mediastinal silhouettes are stable, with the cardiac silhouette enlarged and the aorta calcified. There is patchy right basilar opacity new since the prior study which could be due to infection or aspiration. Dedicated pa and lateral views would be helpful for further evaluation, if/when patient able. No overt pulmonary edema is seen.
history: <unk>f with chf, abdominal pain // eval for infiltrate, volume status
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The cardiac, mediastinal and hilar contours appear within normal limits. The lungs are clear. There are no pleural effusions or pneumothorax. Bony structures are unremarkable. There has been no significant change. There is no free air.
epigastric pain.
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Sternotomy. Endotracheal tube tip <num> cm above carina. Enteric tube tip position is indeterminate, not included on the radiograph. Right ij central line tip in the low svc. Left port-a-cath tip in the low svc. Large bilateral pleural effusions, mildly improved on the left, probably stable on the right. Bibasilar consolidations, likely atelectasis, consider pneumonitis in the appropriate clinical setting. Increased heart size, pulmonary vascularity, similar.
<unk> year old man with cirrhosis, pancreatic cancer, worsening leukocytosis, hypotension // please eval for infection or other abnormality
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Portable ap chest radiograph. Right-sided port-a-cath tip is in stable position as are two right-sided pleural drains. Irregular thickening of the right pleura along with right basilar atelectasis and focal opacification of the right hilum are all stable. There is probably a small tiny apical pneumothorax, stable. The cardiomediastinal silhouette is normal.
metastatic osteosarcoma. postoperative day <num> after pleurodesis of malignant right pleural effusion. evaluation for interval change.
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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. The cardiac and mediastinal silhouettes are unremarkable. There is no evidence of pneumomediastinum. No pulmonary edema is seen. A <num>-mm sclerotic focus in the right humeral head is not well evaluated but may represent a bone island or may be artifactual.
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As compared to the previous radiograph, there has been interval retraction of a swan-ganz catheter, the tip now projects over the distal part of the right main pulmonary artery. There should be further pulling back of the line, about <num>-<num> cm. The monitoring and support devices are unchanged. Worsening bilateral widespread opacities, associated with mild-to-moderate pleural effusions.
recently adjusted line.
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Since <unk>, the left upper lobe nodule that is stable in size and appearance. Moderate hiatal hernia stable. The lung volumes are normal. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures. No pneumonia, no pulmonary edema. No pleural effusions.
<unk> year old man with cad, s/p cabg, asbestos exposure, nonsmoker, prior cxr with note of lul nodule? // assess ?nodule
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An endotracheal tube ends <num> cm above the carina. A nasogastric tube follows the expected course, although the tip is not visualized. Small bilateral pleural effusions with adjacent atelectasis and right lower lung opacity representing partial right lower lobe collapse are new. The upper lung fields are clear. No pneumothorax. Cardiac and mediastinal silhouettes are stable.
<unk>-year-old woman with fever.
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The lateral view is slightly suboptimal due the patient's overlying arm. There is blunting of the right costophrenic angle consistent with a small/trace right pleural effusion. The cardiac silhouette is top-normal to mildly enlarged. No overt pulmonary edema is seen. Aorta is calcified and tortuous. Right paratracheal opacity is stable likely representing prominent vascular structure.
increased shortness of breath, lower extremity swelling.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with chest pain // assess for infiltrate
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Sequential radiographs show advancement of a feeding tube. Final image shows the tube terminating in the stomach. The tip of the right picc line projects over the cavoatrial junction. No consolidation, pneumothorax, or large pleural effusion is identified. Cardiomediastinal silhouette is unchanged. Known right lower lobe granuloma is noted.
<unk> year old man with new ngt placement // ? correct ngt placement
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The heart size is top-normal. The hilar and mediastinal contours are normal. The lung volumes are low. Streaky opacities in the lung bases bilaterally, secondary to mild atelectasis, have increased compared to the most recent prior exam. No focal consolidations concerning for pneumonia are identified. There is no pneumothorax or pleural effusion. The visualized osseous structures are unremarkable.
history of sepsis, fever. please evaluate for pneumonia.
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In comparison with the study of <unk>, there is little change. Hyperexpansion of the lungs is consistent with emphysema with unchanged left retrocardiac opacity. Monitoring and support devices remain in place.
emphysema, to assess for pneumonia.
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Pa and lateral views of the chest demonstrate a retrocardiac opacity in the left lower lobe, with obscuration of the left hemidiaphragm on the frontal view, raising concern for aspiration or infection in the given clinical context. Small left pleural effusion is present. There is no evidence of pneumothorax. The visualized portions of the right lung are relatively clear, although the right costophrenic sulcus is excluded on the frontal view. No right pleural effusion is noted. The moderate cardiomegaly is unchanged without pulmonary vascular congestion. There is no subdiaphragmatic free air.
<unk>-year-old with altered mental status, vomiting, and urinary incontinence. evaluation for pneumonia, free air, or other acute process.
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There is minimal prominence of the perihilar markings but no definitive focal airspace opacity. The hilar and cardiomediastinal contours are normal. There is no pneumothorax. There is no pleural effusion. Pulmonary vascularity is normal.
<unk>-year-old woman presenting with asthma exacerbation, with leukocytosis, dyspnea, and tachycardia.
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Cardiac silhouette size is normal. The mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Linear opacities within the right upper and middle lobes are compatible with areas of subsegmental atelectasis. Streaky opacity in the left lung base likely reflects an additional site of atelectasis. No focal consolidation, pleural effusion or pneumothorax is demonstrated. Mild degenerative changes are noted in the thoracic spine.
<unk> year old man with history of hiv on haart (undetectable viral load) presenting with with worsening left sided back pain with cough x <num> month
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The lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. Cardiac and mediastinal silhouettes are normal. No acute fractures are identified.
sore throat, cough, and fever.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
<unk>m with r sided pleuritic chest pain, sudden onset this morning // ptx, effusion, infiltrates, acute cardiopulmonary processes
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Right lung base consolidation and pleural effusion are increased. Small left pleural effusion is stable. Mediastinal lymphadenopathy and right perihilar tumor infiltration are similar to before. Cardiac silhouette is normal size. Lumbar spinal and left glenoid hardware are noted.
<unk> year old man with metastatic lung ca now with worsening sob, new o<num> requirement to <num>l // concern re: new infectious process
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There is increased size of a moderate right pleural effusion, which may be partially loculated. A small left pleural effusion is unchanged. Opacification at the right lung base is similar or slightly increased from <unk>. No new airspace opacity is seen in the left lung. The cardiac silhouette is within normal limits. The mediastinum remains widened with tortuosity of the thoracic aorta and partial calcification of the aortic knob, unchanged from prior studies. Volume loss in the right hemithorax is unchanged. There is persistent gaseous distention of the stomach.
lung cancer with persistent cough, here to evaluate for pneumonia.
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The lungs are clear with no evidence of consolidations, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. No acute fractures are identified.
evaluation of patient with delusions.
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No previous images. The heart is normal in size and there is no vascular congestion, pleural effusion, or acute pneumonia. Specifically, no evidence of hilar or mediastinal lymphadenopathy.
erythema nodosum, to assess of lymphadenopathy.
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The visualized lung fields are clear of any focal opacities, pleural effusion or pneumothorax. Scoliosis is again noted. The cardiomediastinal silhouette is unremarkable.
discharged for cellulitis with no new symptoms, now with fever of unclear etiology. evaluate for occult infection.
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Ap portable view of the chest. Lung volumes are markedly low limiting assessment. Additionally, the patient's chin projecting over the superior mediastinum and lung apices limits assessment. There is chronic elevation of the left hemidiaphragm. The left upper lung appears grossly well aerated. There is significant opacification of the right hemi thorax which is concerning for pneumonia given the presence of subtle air bronchograms. A subjacent right effusion is suspected. Heart size cannot be assessed. Prominence of the mediastinum is again noted. Chronic right clavicle deformity noted. No acute bony abnormalities.
<unk>m with dyspnea // eval for pneumonia
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Relatively low lung volumes are noted with secondary bibasilar atelectasis. There is no focal consolidation worrisome for pneumonia. There is no effusion or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with lle pain and swelling and low grade fever // please assess for acute cardiopulmonary process
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There is a new single-lead pacemaker device which has been placed since the earlier examination, with its lead terminating in the right ventricle. A punctate hyperdense focus in the anterior mediastinum to the right of midline appears unchanged. The heart is again mildly enlarged. The mediastinal and hilar contours appear unchanged. A mild diffuse interstitial abnormality is quite similar to the prior examination. There is no pleural effusion or pneumothorax. The lungs are hyperinflated. Bony demineralization and mild degenerative changes along the thoracolumbar spine, including prominent anterior osteophytes along a few lower thoracic interspaces, appear unchanged. The patient is status post incompletely imaged left shoulder replacement.
fever.
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Comparison is made to prior study from <unk>. The endotracheal tube, nasogastric tube, and right-sided central line are unchanged in position and appropriately sited. Heart size is within normal limits. There is slightly improved aeration. Mild atelectasis at the lung bases is seen. There is no focal consolidation or overt pulmonary edema.
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As compared to the previous radiograph, there is unchanged evidence of bilateral multifocal parenchymal opacities. The opacities are barely changed in extent and severity. The moderate right and minimal left pleural effusion, together with subsequent areas of atelectasis, are unchanged. The central venous access lines are also constant in appearance.
aml.
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In comparison with the study of <unk>, there is little overall change. Again, there is elevation of the left hemidiaphragm with atelectatic or fibrotic streaks above it. Less prominent atelectatic change is seen at the right base. Cardiac silhouette is within normal limits. Mild indistinctness of pulmonary vessels could reflect some elevated pulmonary venous pressure. No evidence of acute focal pneumonia.
preoperative.
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Decreased prominence of bilateral opacities and mediastinal vascular engorgement suggest improved pulmonary edema. Heart size is unchanged. A moderate right pleural effusion is stable.
<unk> year old man with pleural effusions and pneumonia
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As shown on recent ct torso, right-sided port-a-cath is in adequate position and ends in mid svc. The lungs are otherwise clear. Tiny lung nodules described on ct torso cannot be assessed on this standard chest x-ray. There is no pneumothorax or pleural effusion. Mediastinal and cardiac contours are normal.
patient with metastatic breast cancer, port in place. evaluation for position and kinking.
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There has been interval removal of a left-sided picc.no focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable.
history: <unk>f with recent osteo of right foot presents with fevers, chills, malaise, increased sputum production // signs of infection
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Right-sided port-a-cath tip terminates in the upper svc, unchanged.the heart size is normal. Aortic knob is calcified. Mediastinal and hilar contours are within normal limits. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. Clips are noted within the left upper quadrant of the abdomen.
history: <unk>m with fever
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As compared to the previous radiograph, the patient has received a left-sided chest drain. The extent of the left pleural effusion has substantially decreased. Also decreased is the severity of pulmonary edema. There is no evidence of pneumothorax. Otherwise, the radiograph is unchanged.
pneumonia, chest tube placement.
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There are bilateral lower lung consolidations, increased compared to yesterday. No pleural effusion or pneumothorax is detected on this single frontal view. Heart and mediastinal contours are within normal limits.
<unk>-year-old male with pneumonia, shortness of breath, and cough.
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Lungs are fully expanded and clear. Cardiomediastinal and hilar silhouettes and pleural surfaces are normal.
<unk>-year-old female with fever, cough, epigastric pain on physical exam. the patient has a history of gastric sleeve. evaluate for pneumonia.
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A left-sided single lead pacer/ defibrillator is seen unchanged in position. Again seen is a moderate, partially loculated pleural effusion on the right, known right pleural thickening as well as multiple loculated right hydropneumothoraces. Extensive right lateral chest wall and neck subcutaneous emphysema is unchanged. Lung volumes are improved. There is a small left pleural effusion, which is not significantly changed. A hiatal hernia is again seen unchanged.
<unk> year old man s/p right decortication // check interval change
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As compared to the previous radiograph, there is no relevant change. The monitoring and support devices are constant. Constant appearance of the lung parenchyma, constant size of the cardiac silhouette. No evidence of pneumonia. The bilateral subtle ill-defined opacities that pre-existed are constant in appearance and likely represent atelectatic changes.
respiratory failure, evaluation for pulmonary edema.
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Pa and lateral views of the chest provided. Midline sternotomy wires and mediastinal clips are again noted as well as a right arm picc line with its tip again seen at the level of the low svc. The heart remains top normal in size. The lungs are clear. No signs of chf or pneumonia. No effusion or pneumothorax. Bony structures are intact.
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As compared to the previous radiograph, the right perihilar mass is unchanged. At the periphery of the mass, however, there is an area of diffuse opacity that has newly occurred and could represent either early pneumonia or atelectasis. Short-term followup is required. Size of the cardiac silhouette is unchanged. Moderate retrocardiac atelectasis. Changed appearance of the left lung and of the right internal jugular vein catheter.
non-small cell lung cancer and sepsis, increased crackles, evaluation.
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Stable hyperinflation consistent with emphysema. Interval improvement of the bibasilar consolidations, with remaining minimal consolidation at the left base. The lungs are otherwise clear. No new focal consolidation. No pleural effusion or pneumothorax. Slight tortuosity of the descending aorta. The cardiomediastinal silhouette, hila, and pleura are normal. No acute osseous abnormality. Stable dextro-convex scoliosis of the thoracic spine.
<unk>-year-old man with recent chest x-ray demonstrating bibasilar consolidation and probable pneumonia. symptomatically improved after antibiotics, check for clearing of the consolidation.
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Lung volumes are again low, which accentuates the cardiomediastinal silhouette. There is a hazy opacity in the right upper lobe. There is mild pulmonary vascular congestion. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. No pleural effusions or pneumothoraces are seen. Hardware within the lower cervical spine is seen.
history: <unk>f with ams // eval for pna