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The heart size is normal. The aorta is tortuous. Mediastinal and hilar contours are otherwise unremarkable. Pulmonary vascularity is normal. Previously noted right upper lobe peripheral opacification has resolved. No new focal consolidation, pleural effusion or pneumothorax is seen. No acute osseous abnormalities are detected. There are mild degenerative changes throughout the thoracic spine. No subdiaphragmatic free air is identified.
right-sided abdominal and back pain.
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The lungs are clear without focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. The aorta appears somewhat tortuous. No acute fractures are identified.
pre-operative evaluation.
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There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are stable in appearance compared to <unk> radiograph. Prominence of the azygos vein contour and central pulmonary vascularity is also unchanged since that time.
history: <unk>m with cough // eval for pna
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A left port-a-cath is stable in position, terminating in the svc. The cardiac silhouette is stable in size. There are coarse bronchovascular markings without focal consolidation, pleural effusion or pneumothorax. No overt pulmonary edema is seen. Chronic bilateral rib deformities are noted, and degenerative changes of the thoracic spine are seen.
<unk>-year-old male with fall, loss of conscious, right shoulder and rib pain. evaluate for injury.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with cough/uri sx x <num> weeks // acute process
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Pa and lateral views of the chest. No prior. The lungs are clear. There is no effusion or pneumothorax. Cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with chest pain.
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Right ij catheter is unchanged. There is increasing right basilar and retrocardiac opacification, with fluid in the fissure on the right, likely representing increasing pulmonary edema, however a superimposed pneumonia cannot be ruled out. Stable appearance of the cardiomediastinal silhouette. No pneumothorax. There is a moderate-sized hiatal hernia.
<unk> year old woman with copd, pna, w/ increasing o<num> requirement <unk> volume resuscitation. // please eval for pulmonary edema, interval change
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As compared to the previous radiograph, a nasogastric tube was inserted. The tube shows a normal course, the tip is positioned in the very highly lying stomach on the left. Bilateral pleural effusions persist. Areas of atelectasis at the lung bases. Tracheostomy tube is unchanged. No pneumothorax.
status post cardiac arrest and fluid resuscitation, evaluation.
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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>m with wt gain // r/o chf
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The cardiomediastinal silhouettes are stable, within normal limits. The thoracic aorta is mildly tortuous, with aortic arch calcifications again seen in an unchanged configuration. The bilateral hila are within normal limits. Minimal opacity at the right heart border likely represents crowding of normal bronchovascular structures. There is mild pulmonary vascular congestion. There is no focal lung consolidation. Again seen is a right mid lung calcified granuloma. There are likely trace bilateral pleural effusions. There is no pneumothorax.
<unk>-year-old woman with chest pain.
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As compared to <unk>, the ett remains <num> cm from the carina. Left ij catheter remains near the origin of the upper svc and left brachiocephalic vein. The feeding tube tip is not visualized. Increasing moderate left pleural effusion and right basal atelectasis. Mild pulmonary edema and and the heart size has minimally increased with moderate cardiomegaly.
<unk> year old man with reposition of ett // interval changes in ett position and comment on overall pulmonary changes
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As compared to chest radiograph from <num> day earlier soft endotracheal tube and nasogastric tube have been removed. Right internal jugular line remains in similar position. Interval improvement in bibasilar atelectasis. No pulmonary edema, pleural effusions or pneumothorax.
<unk> year old man s/p avr and ct removal // r/o ptx
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In comparison with study of earlier in this date, there is little change. Ring of opacification is seen in the outer margins of the right lung. Post-surgical and atelectatic changes are seen at the right base. Some coarse interstitial or fibrotic changes are seen bilaterally. No evidence of acute vascular congestion or definite pneumonia.
esrd with ischemic cardiomyopathy status post pleurodesis.
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Ap and lateral views of the chest. Streaky bibasilar opacities seen only on the frontal view are most likely due to atelectasis. The cardiomediastinal silhouette is within normal limits. Degenerative changes seen in the spine. Old healed bilateral rib fractures are noted.
<unk>-year-old male with copd and alcoholism presents with chest pain and shortness of breath.
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There is shallow inspiration. Bibasilar opacities, new since prior exam, favor atelectasis; consider pneumonitis in the appropriate clinical setting. Suggestion of tiny left pleural effusion. Catheter projected over paraspinal soft tissues. Surgical clips in the upper abdomen. Few mildly distended loops of colon in the upper abdomen. Mildly distended stomach. Postoperative changes in the left shoulder.
<unk> year old man pod<num> with temp <unk>.<num>, tachy <num>s // r/o pna
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The lung volumes are relatively low. There are new bilateral moderate pleural effusions as well as increasing diameter of the pulmonary vasculature. Together with the also newly occurred retrocardiac atelectasis and the moderate cardiomegaly, overall moderate pulmonary edema is present. No evidence of pneumonia. The observation was made at the time of dictation, <time> a.m., and the referring physician, <unk>. <unk> was paged for notification at <time> a.m., <unk>.
acute hypoxemia, questionable pulmonary edema.
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Pa and lateral views of the chest provided. The heart is mildly enlarged. The lungs are clear. There is no focal consolidation, effusion, or pneumothorax. Mediastinal contour is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with ili // eval infiltrate
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>m with chest pain
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A right ij line has been removed. The appearance of the lower lobes with small bilateral effusions of volume loss is unchanged. There is a small left apical pneumothorax is similar in size compared to prior.
a small left apical pneumothorax.
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A single frontal upright view of the chest was obtained portably. Lung volumes are slightly low resulting in bronchovascular crowding. Increased opacity at the left lung base may represent infection. There is no pleural effusion or pneumothorax. Heart size is normal. Mediastinal silhouette and hilar contours are normal. Free air under the right hemidiaphragm is likely related to peritoneal dialysis.
hypotension and fever.
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Comparison is made to prior study from <unk>. There is hardware seen within the lower cervical and upper thoracic spine. There is again seen a central venous line with distal lead tip at the cavoatrial junction. There is some improvement of the airspace opacities since the prior study. There remain opacities within the right upper, right lower and left lower lobes. Atelectasis at the left base is also seen.
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There has been interval placement of the bilateral pigtail catheters with interval decrease in bilateral effusions. There are patchy areas of alveolar infiltrate in the mid lungs bilaterally with mild pulmonary vascular re-distribution and ill-defined vascularity compatible with fluid overload. An underlying infectious infiltrate in these regions cannot be excluded. The endovascular stent extending from the distal aortic arch to the abdominal aorta is unchanged in appearance. There is no pneumothorax.
bilateral pigtail catheter placement.
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As compared to the previous radiograph, there is a minimal re-accumulation of right pleural fluid, with increasing atelectasis at the right lung bases. The changes, however, are not very impressive. Unchanged minimal left pleural effusion. Unchanged appearance of the lung parenchyma and the borderline sized cardiac silhouette. There is no evidence of a right pneumothorax. Unchanged left apical pleural thickening.
right pleural effusion, status post thoracocentesis, evaluation for re-accumulation of fluid.
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Lungs are well-expanded and clear, with minimal atelectasis in the right lung base. There is mild cardiomegaly. The mediastinal hilar contours are unremarkable. There is no pleural effusion, pulmonary edema, pneumothorax, or focal consolidation.
history: <unk>f with cough, ili // pneumonia?
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A single ap upright frontal chest radiograph demonstrates asymmetric pulmonary edema greater on the right than the left. There is slightly increased opacification of the left lung base which obscures the left hemidiaphragm compared to the prior study and may represent a small left pleural effusion or atelectasis. In the appropriate clinical setting, underlying consolidation cannot be excluded. The cardiac silhouette is enlarged but stable. The mediastinal and hilar contours are stable and within normal limits. Biliary drains are in place in the right upper quadrant of the abdomen. A device is also located in the abdomen, which may be external to the patient or alternatively may represent a nerve stimulator.
<unk>-year-old female with possible torsades, here to evaluate for pneumonia.
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In comparison with the study of <unk>, there are slightly better lung volumes. Continued enlargement of the cardiac silhouette with atelectasis at the base, most prominent on the right. The soft tissue prominence in the superior mediastinum to the right most likely represents tortuosity of great vessels, though a discrete mass could present a similar appearance. Pulmonary vascularity remains essentially within normal limits.
resuscitation, to assess for pulmonary edema.
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Portable semi-upright radiograph of the chest demonstrates well expanded lungs with minimal bibasilar atelectasis, left greater than right. Cardiomediastinal and hilar contours are unremarkable. Tracheostomy tube ends <num> cm above the carina. A right-sided supraclavicular subclavian line ends at the mid svc. There is no pneumothorax or pleural effusion.
<unk>-year-old female in status epilepticus. evaluate for pneumonia.
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Ap upright and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is remarkable with a fat pad partially obscuring the left heart border. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with fever, weakness, abdominal pain
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Tip of the new dobhoff tube, inserted with the wire stylet in place, is in the lower esophagus. This needs to be advanced at least <num> cm. Low lung volumes with worsening bibasal opacities. Mild cardiomegaly has increased since the prior. Chronic asymmetric elevation of the right hemidiaphragm. No pneumothorax.
<unk> year old man with new dobhoff placed // dobhoff placement
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Heart size is mildly enlarged. The aorta is unfolded. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Except for minimal subsegmental atelectasis in the lower lobes, the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. No acute osseous abnormalities seen.
history: <unk>m with nausea, elevated lactate.
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Frontal and lateral views of the chest were obtained. The lungs are well expanded and clear without focal consolidation, pleural effusion or pneumothorax. Heart size is normal. Mediastinal silhouette and hilar contours are normal.
altered mental status, hypoglycemia.
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Frontal and lateral radiographs of the chest demonstrate slightly low lung volumes which results in bronchovascular crowding. There are new small bilateral pleural effusions with minimal adjacent atelectasis. The cardiomediastinal and hilar contours are unchanged. There is no pneumothorax.
<unk> year old man s/p robotic-assisted ccy <unk>, now tachy with increased o<num> demand // please evalute for possible pna, atelectasis, pulmonary effusin or edema
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Ap portable semi upright view of the chest. Increased vague opacity in the right lung is concerning for aspiration given history of hematemesis. Left lung is clear. Mild pleural thickening at the bases noted. Cardiomediastinal silhouette is within normal limits. Bony structures appear intact. An old right clavicle deformity is noted.
<unk>f with hypoxia after hematemesis, aspiration // eval for consolidation.
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Frontal and lateral radiographs of the chest were acquired. There is re-demonstration of a left-sided pacemaker with associated right atrial and right ventricular leads, not significantly changed in position. The lungs are clear. The heart size is unchanged. Mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen.
acute onset chest pain.
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Lung volumes are low. Heart size is normal. Mediastinal and hilar contours are within normal limits. Pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is seen, however the extreme right costophrenic angle is excluded the field of view. <num> metallic paper clips project over the inferior mediastinum, mostly certainly external to the patient. No acute osseous abnormalities detected.
history: <unk>m with new onset cirrhosis // please evaluate for pneumonia
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Massive enlargement of the cardiac silhouette size has increased in size compared to the previous exam and is concerning for increasing pericardial effusion. A large hiatal hernia is again seen. The lung volumes are low with crowding of the bronchovascular structures and probable mild pulmonary vascular congestion but no overt pulmonary edema. Patchy bibasilar airspace opacities may reflect atelectasis, but infection cannot be completely excluded. There are likely small bilateral pleural effusions. No pneumothorax is identified. There are degenerative changes noted in both glenohumeral and acromioclavicular joints with narrowed acromiohumeral intervals suggestive of underlying rotator cuff disease. Left-sided dual-chamber pacemaker device with leads terminating in the right atrium and right ventricle remains in unchanged position.
congestive heart failure with large pericardial effusion.
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As compared to the previous radiograph, the patient is after right thoracoscopy. Right pigtail catheter has been inserted into the pleural space. There is a large basal and minimal apical post-procedural pneumothorax without evidence of tension. Pre-existing pleural effusion on the right has decreased and a cavitary component of a left upper lobe consolidation is better seen than on the previous image. The width of the mediastinum on the right has slightly decreased. On the left, there is blunting of the costophrenic sinus, likely associated with a small left pleural effusion. Unchanged moderate cardiomegaly and tortuosity of the thoracic aorta that that is stented.
status post thoracoscopy, evaluation.
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Frontal and lateral radiographs of the chest demonstrate consolidation in the right middle lobe, which may represent atelectasis, however aspiration or pneumonia could be considered in the appropriate clinical setting. The cardiomediastinal silhouette is unchanged. There is no pneumothorax or pleural effusion.
history: <unk>m with chest pain, dyspnea // r/o acute process
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In comparison with the study of <unk>, the cardiac silhouette remains at the upper limits of normal in size. No vascular congestion or pleural effusion. There again is some increased opacification at the right base medially, which could merely reflect pulmonary vessels. No area of consolidation is confirmed on the lateral projection. Nevertheless, in the appropriate clinical setting, a developing pneumonia could not be excluded. Of incidental note are multiple healed rib fractures.
pancreatitis with elevated white count.
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Right chest wall port-a-cath is present. Given differences in technique there has been no significant interval change in the known right pneumothorax despite removal of the bilateral pigtail catheters. No left pneumothorax is identified. Unchanged prominent interstitial markings in both lungs.
<unk> year old man with h/o ptx, pleff s/p b/l chest tube removal today with sob // eval for ptx, effusion worsening
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Pa and lateral views of the chest. The lungs are clear without consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormality is identified.
<unk>-year-old man with chest pain.
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In comparison with study of <unk>, there are lower lung volumes. Cardiac silhouette is within upper limits of normal in size in a patient with a dual-channel pacer device in place. There may be mild elevation of pulmonary venous pressure. Increased opacification at the left base obscuring the costophrenic angle is consistent with some combination of pleural fluid and volume loss in the lower lobe. In the appropriate clinical setting, supervening pneumonia will have to be considered.
increased cough.
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Ap upright and lateral views of the chest provided. Lateral view suboptimal due to underpenetration. Again seen, are metallic sternotomy closure devices and a prosthetic aortic valve. Previously noted left ij central venous catheter has been removed. The cardiomediastinal silhouette is stable. Small bilateral pleural effusions are better assessed on concurrently performed ct abdomen pelvis. There is mild interstitial pulmonary edema. No pneumothorax. Bony structures appear grossly intact.
<unk>f with cough
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The lungs appear. Cardiac silhouette is unremarkable. Mediastinal contours and pleural surfaces are normal. No pneumothorax. Slight pectus is appreciated. No rib fractures are noted.
<unk>-year-old female with right-sided rib pain.
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An endotracheal tube terminates <num> cm above the carina. An enteric tube courses below the diaphragm, the tip is not visualized in this examination. A right picc terminates at the mid svc. The cardiac silhouette is mildly enlarged. Lung volumes are low and there is mild pulmonary vasculature congestion. No pneumothorax or pleural effusion is identified.
abdominal pain, intubated, evaluate for et tube position.
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Interval placement of an endotracheal tube terminates approximately <num> cm above the level of the carina. Enteric tube courses below the diaphragm, out of the field of view. There are low lung volumes, which accentuate the bronchovascular markings, however, bilateral perihilar highly areolar opacities raise concern for developing pulmonary edema. No large pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are grossly stable given differences in patient position and inspiration.
history: <unk>m with ett // ett
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The cardiomediastinal and hilar contours are within normal limits. The lung fields are clear. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable.
<unk>m with sob and cough // r/o infiltrate
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The lung volumes are normal. There is no evidence of pleural effusions. No pulmonary edema. No pneumonia. No other lung parenchymal changes. The hilar and mediastinal structures are unremarkable. There is minimal tortuosity of the thoracic aorta. Normal size and shape of the cardiac silhouette. The structures of the chest wall appear normal.
mild pleuritic chest discomfort, rule out abnormalities.
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Moderate cardiomegaly is stable. Hilar and mediastinal contours are normal. There is no evidence of pneumonia and there is no pleural effusion or pneumothorax. Osseous structures are intact.
<unk>m with sob // eval for pneumonia
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The continues to be a bandlike opacity in the right upper lobe, related to the patient's history of lung cancer as seen on prior ct. No pleural effusion, pulmonary edema or focal consolidation is seen. The heart is normal in size.
<unk>-year-old female with altered mental status. evaluate for pneumonia.
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Frontal and lateral chest radiographs demonstrate unremarkable cardiomediastinal and hilar contours. Lungs are clear. Hyperdense rounded opacity in the apical portion of the left lung projecting over the left clavicle is of unclear etiology. No pleural effusion or pneumothorax identified.
palpitations and pre-syncope, evaluate for acute intrathoracic process.
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In comparison with study of <unk>, there is some increased opacification at the left base with silhouetting of the hemidiaphragm, consistent with the clinical impression of worsening of left lower lung pneumonia. There is probably some associated pleural effusion. The right lung shows only mild atelectatic changes and the central catheter remains in place.
amyloidosis with stem cell transplant, to assess for pneumonia.
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A right-sided picc terminates in the mid svc. Prominent right upper lobe consolidation is highly suggestive of pneumonia. Pulmonary vascular congestion is stable. Cardiac size is normal. There is no pneumothorax or pleural effusion.
<unk> year old man with new leukemia, fevers, hemoptysis, new hypoxia // eval for infiltrates, edema, hemorrhage
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There is a left chest wall single-lead pacing device seen with lead in the right atrium. The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
<unk>-year-old female with dyspnea.
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The lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
<unk>f with chest pain and shortness of breath. evaluate for acute process.
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A chest tube terminates near the left apex. A linear interface in the medial left lower lung with adjacent lung opacification is new since <unk> <unk>. The right lung is well expanded and clear. Prominent mediastinal contour is due to fat, unchanged from ct on <unk>. Cardiac silhouette is normal. Small if any right pleural effusion.
<unk> year old woman s/p left vats wedge resection // eval for pnx
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Moderate bronchial wall thickening suggests small airways disease or bronchitis. Linear opacities bilaterally, particularly within the lingula, probably represent subsegmental atelectasis. There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal silhouette is normal.
<unk>f with cough, and shortness of breath, evaluate for pneumonia.
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Opacification of the apex of the right chest is unchanged, a combination of pleural fluid and hematoma, as seen on yesterday's ct. Layering basilar right pleural effusion is also unchanged after removal of the basilar right chest tube; the right tube coursing medially to the apex is undisturbed. Consolidation in the right mid lung seen on yesterday's ct is mildly decreased. Left lung edema and small left pleural effusion persist. No pneumothorax is detected. Right hilar and apical vascular clips and chest wall <unk> reflect lobectomy, svc reconstruction, and more recent exploratory thoracotomy. Sternal wires are intact over the lower half of the sternum. Endotracheal tube tip projects <num> cm above the carina. Esophageal catheter courses below the diaphragm and out of view. Cardiomediastinal contours appear unchanged.
<unk>-year-old female status post right upper lobectomy and vats decortication for squamous cell carcinoma with right lung consolidation.
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The dobbhoff tube has been pulled back slightly. The opaque tip is in the uppermost portion of the stomach, probably just distal to the esophagogastric junction. Little change in the appearance of the heart and lungs.
dobbhoff tube displaced, to check for position.
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Bilateral upper lung opacities have improved considerably since the prior study. The right hemidiaphragm is elevated with upward tenting which may be due to scarring or atelectasis. There is residual lateral opacity in the right lung as well as focal left perihilar opacity. Persistent opacities may be due in part to clearing edema versus persistent multifocal pneumonia. There are probably trace pleural effusions. There is no pneumothorax.
pulmonary edema status post diuresis.
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The lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
history: <unk>m with chest pain. evaluate for pneumonia or pneumothorax.
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Small left apical pneumothorax is unchanged from <unk>. Right lower lobe opacification is improved from <unk>. Bibasilar atelectasis and opacification overlying the spine appear unchanged. Normal postoperative mediastinum and cardiac borders. Right port-a-cath and multiple bilateral pulmonary nodules are unchanged in appearance.
<unk> year old man with mvc, ptx with left chest tube, left chest tube removed <num> hours ago with small apical ptx // please evaluate for interval change, please do standing, end-expiratory film.......please do x-ray <unk> at <num>am...
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As compared to the prior examination dated <unk>, there has been no significant interval change. There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema identified. The heart size is normal. Mediastinal contours are normal. Redemonstrated is a wedge shapped deformity a lower thoracic vertebral body.
productive cough, but clear chest examination.
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The previously seen masses in the right hilum and right base are slightly larger than on the previous radiograph. The right hilar mass measures <num> cm as compared to <num> cm. The mass at the right base measures <num> cm as compared to <num> cm. A small rounded opacity superior to the larger mass also appears more well-defined with sharp borders. There are no new masses or consolidations. There is no edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Stable calcification of the aortic arch is noted. A compression fracture in the mid thoracic spine is unchanged.
evaluate non-small cell cancer.
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The left subclavian line has been repositioned and pulled back : it is now in a good position in the superior vena cava. Endotracheal tube and tng in adequate position. The left pleural tube is in the same position with the side hole outside of the chest wall. No pneumothorax, no pleural effusion. Band of atelectasis in the left lower lobe. Multiple rib fractures and left scapular fracture.
evaluation for line placement. comparison : <unk> at <time> a.m.
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Lungs appear mildly hyperinflated with flattening of the diaphragm. Mild cardiomegaly is unchanged. The hilar contours and pleural surfaces are normal. No evidence of pneumothorax or pleural effusion.
<unk> year old man with mm, s/p auto transplant day +<unk>. with new cough. please evaluate // <unk> year old man with mm, s/p auto transplant day +<unk>. with new cough. please evaluate
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Interval increase in left lower lobe opacity which trace right pleural effusion. The lungs are moderately well inflated with bibasilar atelectasis. No left pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. The aorta is tortuous. Visualized osseous structures are notable for an old right clavicular fracture.
<unk>m with crushing chest pain and altered mental status with recent admission. assess for acute cardiopulmonary process? and question of intracranial hemorrhage
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lung volumes are low. The lungs appear clear. There are no pleural effusions or pneumothorax. Bony structures are unremarkable.
trauma.
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The lung volumes are low and there is bibasilar atelectasis. No opacity concerning for pneumonia. No pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal.
<unk>-year-old woman with fever. evaluate for pneumonia.
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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The ascending aorta is tortuous, but unchanged from priors. The cardiomediastinal silhouette is otherwise normal. Compression deformities in the mid thoracic spine are unchanged from the prior exam.
cough and dyspnea.
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Again seen are pleural based calcifications projecting over the left mid to upper lung, thought to represent calcified pleural plaques. Rounded opacity projecting over the right lung apex is slightly more conspicuous on the frontal view but appears larger when compared to prior lateral. The lungs are otherwise clear without consolidation, effusion, or edema. Moderate cardiac enlargement is again noted as well as tortuosity of descending thoracic aorta. Lower thoracic compression deformity is unchanged.
<unk>f with sob, jvd, and lower extremity edema // ?pulmonary edema
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Normal heart size, mediastinal and hilar contours. No focal consolidation, pleural effusion or pneumothorax. The visualized osseous structures are grossly intact; however, cross-sectional imaging or bone scan would be more sensitive for detection of lytic lesions.
<unk> year old woman with chest pain, musculoskeletal // lytic lesiosn? hx of bc
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In comparison with study of <unk>, there is persistent opacification at the right base consistent with pleural effusion and volume loss in the right lower lobe. There is stable enlargement of the cardiac silhouette. Pulmonary vasculature is essentially within normal limits. The right ij catheter remains in place but the nasogastric tube appears to have been removed. In the absence of a true upright image, the possibility of free intraperitoneal gas cannot be excluded.
severe abdominal pain after surgery.
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Frontal and lateral views of the chest. Bibasilar opacities are more conspicuous on the current exam. Superiorly, the lungs are clear. Probable small bilateral effusions, noting that the posterior costophrenic angles are not clearly delineated. The cardiomediastinal silhouette is within normal limits. Degenerative changes seen at the shoulders bilaterally.
<unk>-year-old female with generalized weakness, cough.
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In comparison with study of <unk>, there are now two chest tubes in place on the left with relatively small pneumothorax and subcutaneous gas. Opacification again is seen laterally extending from the level of the aortic arch to the hemidiaphragm. The right lung remains essentially clear.
loculated pleural effusion after thoracotomy and decortication.
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Single frontal view of the chest. Linear left mid lung opacity is compatible with atelectasis. The lungs are otherwise grossly clear. The cardiomediastinal silhouette is stable. Lower thoracic dextroscoliosis is again noted.
<unk>-year-old female with angioedema and shortness of breath.
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The tracheostomy tube is in situ. Lower cervical spinal fusion hardware and postsurgical <unk> are again noted. The heart is top-normal in size. Mediastinal silhouette is unchanged however there is mediastinal shift towards the left consistent with left lower lobe collapse as demonstrated by the persistent retrocardiac opacity, obscuration of left hemidiaphragm, and compensatory hyperinflation of the left upper lobe. There is mild subsegmental atelectasis at the right lung base, improved compared to prior study. No pneumothorax.
<unk> year old man with pna and tracheostomy after cervical spine injury // interval change
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Lung volumes are low, likely exaggerating the size of the cardiac silhouette, which may be borderline enlarged. There is vascular crowding in the right infrahilar region, which also is likely related to poor inspiration. Small fissural fluid is seen on the right. Right basilar opacity is noted, which, in the appropriate clinical context, could be related to aspiration. There is no pleural effusion or pneumothorax.
history: <unk>m with etoh, vomiting, now hypoxic and tachycardic // ?aspiration
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A moderate size right hydropneumothorax is present with air-fluid level noted projecting over the right lung base. No definite contralateral shift of mediastinal structures or other evidence of tension is clearly noted. Heart size is normal. Mediastinal and hilar contours are unremarkable. Scarring is seen within the left apex. Pulmonary vasculature is normal. Lungs are clear. No acute osseous abnormality is detected.
history: <unk>m with past medical history of spontaneous pneumothorax presents with sudden onset, shortness of breath, chest pain and decreased right-sided sided lung sounds
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Comparison is made to previous study from <unk> at <time> p.m. There is a single-lead left aicd. The lead is intact. The heart size is enlarged, but stable. Lungs are clear. There are no pneumothoraces. There has been no interval change.
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Frontal and lateral views of the chest. The lungs are clear of confluent consolidation. There is however a rounded opacity projecting over the right <num>nd rib anteriorly, not seen on prior. There are small bilateral pleural effusions. Increased pulmonary vascular markings suggest mild interstitial edema, however, this is improved since prior. The cardiac silhouette is moderately enlarged, similar to prior. Atherosclerotic calcifications again noted at the aortic arch. No acute osseous abnormality is identified.
<unk>-year-old female with residual aphasia and right hemiparesis status post chocking event.
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Frontal and lateral views of the chest. There is no new confluent consolidation. Again seen are calcified mediastinal nodes and diffuse increased interstitial markings in lungs with biapical scarring. Cardiomediastinal silhouette is stable. No acute osseous abnormality detected.
<unk>-year-old male with altered mental status.
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Again noted is mild pulmonary vascular congestion, similar to that seen previously. Mild interstitial abnormality is also again noted. Moderate cardiomegaly remains stable. The lungs are without any new focal opacity. No acute fractures are identified. Spinal changes consistent with renal osteodystrophy are again noted.
chest pain and shortness of breath.
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The cardiomediastinal and hilar contours are within normal limits. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax.
cough, history of hiv. rule out infection.
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The cardiac silhouette is stably, markedly enlarged. Lungs are clear. The costophrenic angles are indistinct, however, no large pleural effusion or pneumothorax is identified. No acute osseous abnormalities.
<unk>f with shortness of breath // eval for acute process
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The lungs are grossly clear. There is no evidence of effusion or pneumothorax based on this portable film. The cardiomediastinal silhouette is within normal limits. No displaced fractures identified.
<unk>m with ams // please eval for any infiltrates
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As compared to the previous radiograph, there is no relevant change. The lung volumes remain low. There is mild cardiomegaly, no pleural effusions and no pulmonary edema are present. There is minimal atelectasis in the retrocardiac lung areas, but no evidence of focal parenchymal opacity suggesting pneumonia. No pneumothorax.
mca stroke with hemorrhage, status post craniectomy, now fever.
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Pa and lateral views of the chest were provided. The heart remains moderately enlarged. Trace pleural effusion is again noted. There is no evidence of pneumonia or pneumothorax. Bony structures are intact.
<unk>-year-old female with chest pain, palpitations.
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Frontal view of the chest was obtained. The cardiac silhouette is moderately enlarged. The pulmonary vascular markings are indistinct, compatible with mild-to-moderate pulmonary edema. No focal consolidation, pleural effusion, or pneumothorax. No radiopaque foreign body.
<unk>-year-old male with fever and cough. evaluate for pneumonia.
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The heart is mild to moderately enlarged, as before. Unfolding of the thoracic aorta and calcification appear unchanged. More generally, the mediastinal and hilar contours appear stable. Mild interstitial prominence suggests slight congestion or fluid overload. There is increasing left basilar opacification suspected to reflect a combination of atelectasis and developing pleural effusion. In addition to streaky lower lobe opacities, the lateral view suggests more confluent opacification in the right middle lobe.
shortness of breath and cough.
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A right infrahilar opacity has increased from <unk>, but is similar compared to <unk>. Unchanged small bilateral pleural effusions and fluid in the major fissures, more on the left than on the right. The cardiomediastinal silhouette is normal aside from aortic arch calcifications. A right central line has been removed in the interval.
<unk>-year-old with pulmonary aspergillosis, weakness. please assess for worsening pneumonia.
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The patient is intubated. The endotracheal tube terminates about <num> cm above the carina. An orogastric tube courses into the stomach. There is no definite pleural effusion or pneumothorax. The right lung appears clear. However, there is patchy opacity in the left mid to lower lung.
status post endotracheal tube placement.
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Frontal and lateral views of the chest were obtained. The heart is of top normal size with stable cardiomediastinal contours. The pulmonary vasculature is indistinct, compatible with mild edema. Bilateral effusions have increased, now moderate in size, with adjacent compressive atelectasis. No pneumothorax. Sternotomy wires are intact. Mediastinal clips and coronary artery stent are similar in position.
<unk>-year-old female with recent failed cabg and repeat stenting, now with hypoxia, shortness of breath and leg edema.
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Ap and lateral views of the chest. Improved inspiratory effort seen on the current exam. Although, on the lateral view, lung volumes are slightly low and there is an opacity projecting in the region of the costophrenic sulcus posteriorly. There is decrease in findings suggesting pulmonary edema compared to prior. There is no effusion or consolidation. Moderate cardiomegaly is seen. Left chest wall pacing device is again seen with leads in unchanged position. No acute osseous abnormality is identified.
<unk>-year-old male with altered mental status.
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An upper enteric tube is coiled in the esophagus. The endotracheal tube ends <num> cm above the carina. A <unk> <unk> is in the right lung base. The previosly seen opacity and small pleural effusion in the right lung have improved since <unk>. The left lung is clear. There is no left pleural effusion. No pneumothorax. The heart size is normal. The cardiac and mediastinal contours are normal. There is no free air beneath the hemidiaphragms.
new endotracheal tube and orogastric tube.
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The patient is status post recent tracheoplasty. A chest tube overlies the right hemi thorax. Lung volumes are low which accentuates the transverse diameter of the heart and bronchovascular markings. Bibasilar opacities suggest atelectasis. There is mild pulmonary vascular engorgement. There is no pneumothorax identified. There is minimal subcutaneous air over the right chest wall.
<unk>f with severe tbm now s/p tracheoplasty // postop
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The lungs are clear and well inflated. No pleural effusion, pneumothorax or focal airspace consolidation. Heart is normal size. Mediastinal and hilar structures are unremarkable.
chest pain, evaluate for an acute lung process.
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Compared to the prior study the endotracheal tube has been removed. Lung volumes are decreased when compared to the prior study consistent with removal of the et tube. There is patchy left lower lobe consolidation likely reflecting atelectasis, infection cannot be excluded. The right lung is grossly clear. The cardiomediastinal contour is unchanged compared to the prior study. No pneumothorax seen. No definite pleural effusion seen.
<unk> year old woman with ett // interval change
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Left-sided pic line appears to terminate in the mid svc. The heart size is normal. The hilar and mediastinal contours are normal. The lungs are clear without evidence of focal consolidations concerning for pneumonia. There is no pleural effusion or pneumothorax. There is no evidence of subdiaphragmatic free air.
history of gastric pain. please evaluate for free air.
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No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable. The hilar contours are also stable.
cough, fever, evaluate for pneumonia.