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There is a retrocardiac opacity which is resulting in obscuration of the medial and posterior margin of the left hemidiaphragm, better assessed in the lateral view. There are small bilateral pleural effusions. There is no evidence of pulmonary edema. Moderate cardiomegaly is present, and heart size is significantly worsened compared with <unk> when there was no cardiomegaly. Otherwise, mediastinal contour is unremarkable. There is no evidence of pneumothorax.
<unk>-year-old female with dyspnea and history of chf. evaluate for pulmonary edema.
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A right-sided port-a-cath terminates in the upper svc as before. The cardiomediastinal and hilar contours are within normal limits. There is a small right pleural effusion. There is no evidence of pulmonary vascular congestion, focal consolidation or pneumothorax. No frank pulmonary edema. No acute osseous abnormalities. Nodular opacity at the right base is thought to represent a nipple shadow.
history: <unk>m with worsening edema // evaluate for pulmonary edema
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Both lungs are well expanded and without opacities concerning for pneumonia or pulmonary edema. There is no pleural abnormality. Heart size, mediastinal and hilar contours are normal.
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Cardiac silhouette is normal in size. The mediastinal contour is unremarkable. Multifocal, relatively diffuse ill-defined nodular opacities are noted in both lungs, predominantly in a perihilar and basilar distribution. Small left pleural effusion is likely present. The hila appear prominent bilaterally and underlying lymphadenopathy is suggested. No pneumothorax is present. No acute osseous abnormality seen.
history: <unk>m with cough and fever // evaluate for acute process
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Since prior, endotracheal tube has been retracted and now ends at the level of the carina it can be retracted approximately <num> cm, for more optimal positioning. There has been interval improvement in aeration of the left upper lung however there remains left basilar opacity. Air is a parrot mediastinal widening, of unclear significance. Right lung remains clear.
<unk>m with crich, evaluate endotracheal tube positioning.
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A drain projects over the right upper quadrant. There is moderate right and small left pleural effusions as well as pulmonary vascular congestion in keeping with pulmonary edema. No pneumothorax identified. The size of the cardiomediastinal silhouette is mildly enlarged.
<unk> year old woman with acute onset dyspnea and o<num> desat // flash pulmonary edema
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Pa and lateral views of the chest were obtained. The lungs are hyperinflated and clear. There is no focal pneumonia, pleural effusion, or pneumothorax. The aortic stent graft and dual-lead pacemaker are in unchanged position compared to prior study.
<unk>-year-old male with productive cough. concern for pneumonia.
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Portable semi-upright frontal radiograph of the chest. Since the next most recent study, there has been slight improvement in bibasilar opacities. Persistent blunting of the left costophrenic sulcus likely represents small pleural effusion and atalectasis. Persistent left retrocardiac opacity may reflect atelectasis; however, pneumonia is not excluded. There is also likely a small right pleural effusion. No other focal airspace opacity is detected. The heart is not enlarged. The aorta is calcified and somewhat tortuous.
fever, evaluate for pneumonia.
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Comparison is made to prior study from <unk>. There is a left-sided subclavian catheter with distal tip in the mid svc. The heart size is within normal limits. There is developing consolidation at the right base, attention to this area is recommended on subsequent exams. There are no pneumothoraces. There are no large pleural effusions.
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Single portable view of the chest demonstrates a nasogastric tube coursing through the esophagus, below the diaphragm, with tip terminating in the fundus of the stomach. The cardiomediastinal silhouette demonstrates a tortuous aorta, but is otherwise unremarkable. The lung volumes are relatively low, but demonstrate no focal opacity, pleural effusion, or pulmonary edema. No pneumothorax is present. Cholecystectomy clips are seen projecting over the right upper quadrant.
<unk>-year-old male with severe abdominal pain, history of colon cancer. evaluation for nasogastric tube placement.
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An et tube is present, tip approximately <num> cm above the carina. An ng tube is present, tip extending beneath the film in overlying the upper fundus. The cardiomediastinal silhouette is probably unchanged. Again seen are extensive interstitial and alveolar opacities in both lungs, more confluent in the right lung. No significant change is detected, allowing for technical differences. No gross effusion.
<unk> year old man with hypoxic respiratory failure // progression of pulmonary findings
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Pa and lateral views of the chest demonstrate intact median sternotomy and cerclage wires, with a prosthetic aortic valve, in appropriate position, unchanged since the prior study. The lungs are well expanded and clear, with no pleural effusion, pulmonary edema, pneumothorax, or focal airspace consolidation. The heart is top normal in size.
<unk>-year-old man with prosthetic aortic valve, here with new thrombocytopenia.
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Lungs are well expanded bilaterally and clear. No lesions, pleural effusion, or pneumothorax are identified. There is mild tortuosity of the thoracic aorta. Otherwise, cardiomediastinal silhouette is within normal limits and unchanged. Pleural surfaces are unremarkable.
<unk>-year-old male with productive cough x<num> weeks.
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There are low lung volumes. Interstitial opacities are again seen, similar to prior exam and consistent with known chronic interstitial lung disease. No evidence of pulmonary edema is seen. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is stable.
history: <unk>f with dyspnea // presence of infiltrate, edema
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As compared to the previous radiograph, there is unchanged evidence of moderate cardiomegaly, moderate left pleural effusion and left basal atelectasis. In addition, vascular structures in the lungs have increased in diameter so that mild pulmonary edema is likely to be present. The tracheostomy tube is in unchanged position.
increased blood pressure, questionable pneumonia.
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Right-sided lateral and posterior pleural opacity corresponds to areas of pleural thickening on prior pet-ct of <unk>, likely related to previous history of talc pleurodesis. There is associated mild volume loss suggesting a component of fibrothorax, and there may be a small residual amount of pleural fluid, but this has not appreciably changed from prior radiographs. Reticular opacities in the right mid and lower lung are slightly more conspicuous than on the prior study. Left lung and pleural surfaces are clear. Cardiomediastinal contours appear unchanged. High-grade compression deformity in lower thoracic spine is also unchanged.
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Ap and lateral views of the chest were provided. Lung volumes are low. There is no large consolidation, effusion, or pneumothorax. Old deformity of a left posterior seventh rib is stable. Cardiomediastinal silhouette is stable. No acute displaced rib fractures are seen.
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Heart size is mildly enlarged with unfolding of the thoracic aorta. Hilar contours are unremarkable. There is no pulmonary edema. Lateral view is somewhat limited by respiratory motion. Lungs are grossly clear. Pleural surfaces are clear without effusion pneumothorax.
history of chf with worsening dyspnea on exertion and productive cough.
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There has been no substantial interval change in the appearance of the chest compared to the previous radiograph obtained earlier in the day. Mild cardiac enlargement is re- demonstrated. Mediastinal and hilar contours are unchanged. Diffuse ill-defined nodular opacities and bronchiectasis with bronchial wall thickening is again noted. No pleural effusion, new focal consolidation or pneumothorax is present. Pulmonary vasculature is not engorged. Mild degenerative changes are present in the thoracic spine.
history: <unk>f with palpitations and hypoxia
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Et tube is <num> cm from the carina. Left internal jugular central venous catheter remains in the low svc at about the superior cavoatrial junction. Right internal jugular central venous catheter remains in the mid svc. Enteric tube terminates in the stomach. There is persistent irregular high density material projecting over the left upper quadrant overall unchanged since <unk> small to moderate layering left pleural effusion with associated atelectasis is unchanged. The lungs are otherwise clear. Heart size is normal. The mediastinal and hilar contours are normal. There is no large pneumothorax.
<unk> year old woman with resp failure s/p intubation with rising leukocytosis please. evaluate for interval change
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Lungs are well expanded multifocal opacities in the lower lobes and in the lingula largest in the lingular consistent with multifocal pneumonia. . Mediastinum and hila are normal. The heart is mildly enlarged in the left heart border is obscured. A left anterior fourth rib expansile deformity may represent an old fracture although is not seen on prior examinations.
<unk>f with cough fever and left flank pain // eval for pna
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Frontal and lateral radiographs of the chest. Small bilateral pleural effusions as well as left lower lobe mass and chronic left lower lobe collapse are all unchanged since the prior radiograph. The lungs are otherwise clear with no new focal opacity. The heart is unchanged and top normal. Mediastinal contours are normal without lymphadenopathy. Emphysematous changes characterized by increased ap diameter and flat diaphragms as well as hyperinflated lungs are also unchanged. Calcified aorta is again seen.
history of pleural effusion. monitoring.
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In comparison with the earlier study of this date, overlying bony structures somewhat obscure the right apical region. There may be a small residual pneumothorax. Otherwise, little overall change.
tube removal, to assess for pneumothorax.
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The patient is status post median sternotomy, cabg, and mitral valve replacement. Cardiac silhouette size is borderline enlarged. Mediastinal and hilar contours are within normal limits. There is mild upper zone vascular redistribution, as seen previously without overt pulmonary edema. Lung volumes remain low. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is detected.
history: <unk>f with shortness of breath, decreased breath sound on the right
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Frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. There is linear scarring at the left base. There is severe thoracic scoliosis, convex to the right. The aorta is tortuous. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.
history: <unk>f with cough // ?pneumonia, tracheal abnormality
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The lungs are clear. There is no pleural effusion or pneumothorax. Heart is normal in size and normal cardiomediastinal silhouette.
asthma with increasing productive cough, assess for pneumonia.
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Lungs are hyperinflated with redemonstration of severe emphysema. There is a new focal opacification projecting over the right mid to upper lung, which may represent developing pneumonia, but assessment is limited due to patient rotation. Evaluation of the right hilum is also similarly limited though overall the cardiomediastinal and hilar contours appear grossly unchanged. No pleural effusion present. Deformity of the left humeral head is likely related to prior trauma. Multiple stable thoracic compression deformities.
copd, worsening symptoms. evaluate for pneumonia.
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Bilateral multi focal consolidations are slightly improved only within the right lung in comparison to the <unk> examination. The cardiac silhouette remains obscured. There is no right pleural effusion. There is no pneumothorax.
history of lung cancer, post left vats and left lower lobe lobectomy and copd.
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The heart is of normal size with normal cardiomediastinal contours. Lung volumes are low. Lungs are otherwise clear without focal or diffuse abnormality. No pleural effusion or pneumothorax. Pulmonary vasculature is unremarkable. Osseous structures are unremarkable. No radiopaque foreign bodies.
<unk>-year-old man with decreased o<num> saturation on room air and somnolence.
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Right port-a-cath tip ends in the right atrium. No focal consolidation, effusion, overt edema, or pneumothorax. Linear opacity in the lingula suggestive of discoid atelectasis. . Mediastinum is not widened. No acute osseous abnormality.
<unk>-year-old woman with a fever on chemotherapy. evaluate for pneumonia.
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In comparison with study of <unk>, there is little interval change. Continued enlargement of the cardiac silhouette with elevated pulmonary venous pressure, evidence of pleural effusions with a possible area of loculation at the right base laterally. Patchy opacification in the right mid zone is unchanged. Pleural plaquing is again seen bilaterally with calcification in the hemidiaphragmatic region.
tracheostomy and meningitis.
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The lungs are relatively well inflated, with persistent scarring in the left lung base, with no focal consolidation identified. The heart size is stable compared to prior studies. A right chest wall pulse generator is unchanged in position, with leads terminating in the right atrium and right ventricle, as before. There is no large pleural effusion, overt pulmonary edema, or pneumothorax.
history: <unk>f with chest pain // ?pna
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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. Visualized upper abdomen is unremarkable. Osseous structures are grossly intact.
cough, evaluate for acute process.
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Pa and lateral chest radiographs. The lungs are hyperexpanded. However, there is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal.
dyspnea on exertion.
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A linear lucency through the right clavicle is consistent with a non-displaced fracture. No other fractures identified. A rounded lucency in the right second rib is better evaluated on the concurrent ct of the torso. The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
motor vehicle crash.
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Stable cardiomegaly accompanied by worsening asymmetrically distributed bilateral airspace opacification, involving the left lung relatively diffusely and preferentially involving the mid and lower lung regions on the right. It is uncertain whether this represents asymmetrical pulmonary or edema accompanied by infection or aspiration. Small pleural effusions are unchanged as well as right apical thickening with associated right upper lobe volume loss.
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As compared to the previous radiograph, there is no relevant change. The monitoring and support devices are constant. Moderate cardiomegaly. Unchanged extensive bilateral parenchymal opacities. No new opacities. No pneumothorax.
pneumonia, intubation, evaluation for interval change.
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The pre-existing bilateral areas of multifocal parenchymal opacities, strongly suggestive of multifocal pneumonia, have minimally increased in extent and severity. This increase is more obvious on the left than on the right. The size of the cardiac silhouette is unchanged. No larger pleural effusions on the frontal or the lateral radiograph. The nasogastric tube has been removed. No pneumothorax.
altered mental status, unknown origin, evaluation for aspiration or pneumonia.
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The heart is borderline enlarged. The pulmonary vasculature is within normal limits with no signs of congestion. No lung opacity seen. No pleural effusion. Left picc line again noted with its tip in the svc.
<unk> year old woman with stroke, seizures,with likely aspiration events // interval change, potential pneumonia
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Again seen are infiltrates in the right mid lung and right lower lobe is increased pulmonary vascular redistribution and a small left effusion. There is also new retrocardiac opacity that could be due to volume loss or infiltrate. The heart size continues to be mildly enlarged sternal wires and mediastinal clips and pacemaker are unchanged.
normal dark sputum.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No free air is seen beneath the diaphragms. No displaced fracture is seen.
left upper abdomen/chest wall pain x.
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Comparison is made to previous study from <unk>. The heart is enlarged but stable. There is improvement of the small pleural effusion since the previous study. There are no signs for overt pulmonary edema or definite consolidation. No pneumothoraces are seen. Median sternotomy wires are present.
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Pa and lateral views of the chest demonstrate the lungs are well expanded and clear. The cardiomediastinal silhouette is unremarkable. There is no pleural effusion, pulmonary edema, pneumothorax or focal consolidation concerning for pneumonia.
left upper abdominal pain versus chest pain.
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There is a right infrahilar opacity, new since <unk>. There is unchanged mild pulmonary edema. The cardiac silhouette is slightly widened, likely due to left atrial enlargement. The mediastinum is normal and there is no pneumothorax. No large pleural effusions are identified.
<unk>-year-old with dyspnea.
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Single frontal view of the chest demonstrates normal heart size. The thoracic aorta is mildly unfolded with arch calcifications. Mild prominence of the upper mediastinum is felt to be related to supine positioning and ap projection, less likely vascular injury. The azygos contour is full. The lungs are clear without evidence of edema, pneumothorax, or pleural effusion.
<unk>-year-old male status post fall. question fracture.
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In comparison with the study of <unk>, there is continued elevation of the right hemidiaphragm with extensive atelectatic change above it. The left lung is well expanded and there is no evidence of acute pneumonia. No vascular congestion. Calcification projected over the apices is again seen, most likely related to vessels.
sepsis with possible pneumonia.
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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 and unremarkable.
viral meningitis, question pneumonia
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No definite radiopaque foreign body seen.
history: <unk>f with assault, thrown down stairs, broken tooth // evaluate for tooth aspiration
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Mild interval increase in right pneumothorax without evidence of tension. Right pigtail catheter is unchanged and is in the right lower chest. Left port tip is in the low svc. Right upper lobe opacity with central cavitation, left lung opacity, and left pleural effusion are unchanged. Heart size is partially obscured by parenchymal process; however, right mediastinal contour is normal. No bony abnormality.
female with pneumothorax, placed on waterseal. please assess pneumothorax.
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There are relatively low lung volumes. Perihilar fullness and upper lung vascular redistribution are relatively similar to prior given differences in inspiration. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Slight prominence of the hila stable.
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The cardiac, mediastinal and hilar contours are unchanged, with the heart size within normal limits. The aorta is mildly tortuous. The pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Bone island is again demonstrated within the <unk> posterior right rib. Partially imaged is thoracic spinal fusion hardware with corpectomy in the upper to mid thoracic spine. S-shaped scoliosis of the thoracic spine is re- demonstrated.
neutropenia, fever.
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Heart size, mediastinal and hilar contours are normal. Predominantly linear opacities are present at both lung bases. The appearance favors atelectasis over an infectious pneumonia. A slightly more confluent nodular opacity adjacent to the left heart border appears unchanged and may reflect a nodular focus of atelectasis or scarring. If clinical suspicion for pneumonia persists, standard pa and lateral chest radiographs may be helpful for more complete evaluation of the lungs.
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In comparison with study of <unk>, the patient has taken a much better inspiration. Again there is an area of increased opacification in the retrocardiac region with poor definition of the descending aorta. Although this could merely reflect atelectasis, the possibility of supervening pneumonia would have to be considered in the appropriate clinical setting.
brain tumor with spiking fevers.
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In comparison to the prior chest radiograph, the lung volumes remain low. Persistent crowding of vessels at the bases bilaterally. The lungs are otherwise clear. Cardiomediastinal contours are stable in appearance.
<unk> year old man with ? pna // please repeat given poor inspiration on prior film -- wbc <unk>
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No previous images. There is diffuse predominantly linear opacification bilaterally, more prominent on the right, most likely consistent with asymmetric pulmonary edema. This is supported by the large heart in a patient with intact midline sternal wires consistent with cabg procedure. Opacification in the retrocardiac region is consistent with volume loss in the left lower lobe and superimposed pleural effusion.
new oxygen requirement after stroke.
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Right-sided pacemaker device with leads terminating in the right atrium and right ventricle appears unchanged. Cardiac silhouette size is normal. The aorta is mildly tortuous. Mediastinal and hilar contours are unremarkable. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is identified. No acute osseous abnormality is visualized.
history: <unk>f with weakness, cough
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Pa and lateral chest views were obtained. These demonstrate well inflated lungs bilaterally. Lungs are clear with no focal opacification identified. Incidental note is made of a <num> mm calcification within the left lung projecting just inferiorly to <unk> posterior ribcompatible with a calcified granuloma. Cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion or pneumothorax.
<unk>-year-old male with right-sided chest pain since this a.m.
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Portable ap upright chest radiograph provided. Midline sternotomy wires are noted. Lung volumes are low. The heart appears enlarged, though this is unchanged. Mild atelectatic changes are noted bilaterally. No large effusion or pneumothorax. No convincing signs of edema or pneumonia. Chronic deformities of the shoulders again noted.
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Moderate cardiomegaly is unchanged. The mediastinal contours are stable. There is perihilar haziness and vascular indistinctness compatible with mild pulmonary vascular engorgement. Additionally, the hila are enlarged bilaterally, compatible with pulmonary arterial hypertension, as seen on the prior ct. No focal consolidation, pleural effusion or pneumothorax is present. There are embolization coils as well as multiple surgical clips noted in the imaged upper abdomen. Diffuse sclerosis of the osseous structures is compatible with patient's history of renal osteodystrophy.
cough for <num> weeks, dehydrated.
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The tip of the left picc line projects over the upper svc. No focal consolidation, pleural effusion or pneumothorax identified. The size of the cardiac silhouette is enlarged but unchanged. Chronic appearing left eighth rib fracture.
<unk> year old man with new picc, eval azygous view // lateral view to eval for azygous placement of picc
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Lung volumes are decreased, accentuating the cardiac silhouette. The underlying heart however is enlarged. There is no focal consolidation in the frontal view, evaluation of the lateral view is limited. Port-a-cath catheter terminates in the upper to mid svc.
history: <unk>f with hx vaginal cancer w/ fevers, vaginal bleeding, // eval ? infiltrate eval ? infiltrate
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Portable semi-upright radiograph of the chest demonstrates well expanded lungs with mild vascular engorgement. The cardio mediastinal hilar contours are unchanged. There is no pneumothorax, pleural effusion, or pulmonary edema. Right-sided picc line ends at the mid svc.
<unk>-year-old male with aml status post bone marrow transplant now with altered mental status. evaluate for pneumonia.
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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. The visualized upper abdomen is unremarkable.
preoperative evaluation in a patient with subdural hematoma.
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Patient is rotated to the right.an opacity at the right lung base is similar to prior, and likely represents impacted bronchi in the right lower lobe with atelectasis. There is no new focal consolidation. Blunting of the right costophrenic angle due to pleural thickening is unchanged. No left pleural effusion. No pneumothorax is seen. The cardiomediastinal silhouette is grossly unchanged.
<unk>-year-old male with hypotension <unk> outpt, now <unk>, decr b/l breath sounds // pna vs ptx
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Mild cardiomegaly is again seen. The aorta is calcified and mildly tortuous, unchanged. Hilar contours are stable. Eventration of the right hemidiaphragm is again noted. There is no evidence for pulmonary consolidation, pulmonary edema, pleural effusion, or pneumothorax. Right glenohumeral arthroplasty is partially visualized, new since <unk>. There are degenerative changes in the thoracic spine.
history: <unk>m with cough. evaluate for pneumonia.
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As compared to the previous radiograph, there is no relevant change. Left pectoral pacemaker in situ. Status post sternotomy. The alignment of the sternal wires is constant. Moderate cardiomegaly without overt pulmonary edema. Bilateral areas of atelectasis at the lung bases, right more than left. No evidence of pneumonia. No pleural effusions.
syncope, cardiomegaly, evaluation.
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Ap semi upright view of the chest. Lungs are clear. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. A mild dextroscoliosis of the t-spine is noted.
<unk>m with pedestrian struck, posterior head contusion and laceration.
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Pa and lateral chest radiographs were obtained. The lungs are well expanded and clear. There is no focal consolidation, effusion, or pneumothorax. Cardiac and mediastinal contours are normal.
chest pain
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Frontal radiograph of the chest shows unchanged right internal jugular and left picc lines. The right internal jugular central venous catheter persists in the high right atrium. Compared to prior radiograph, the cardiac silhouette is unchanged. There is no evidence of pulmonary vascular congestion or pleural effusions. The opacity that was seen at the left base has improved in the interim and was likely atelectasis. There is no acute consolidation.
congestive heart failure and hypotension requiring fluid boluses. evaluate for pulmonary edema.
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The lungs are clear. Cardiomediastinal silhouette is top-normal in size. There is no pneumothorax or pleural effusion. Visualized osseous structures are unremarkable. No free air is identified diaphragm.
severe abdominal pain, concerning for free air.
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As compared to the previous radiograph, the left lung is slightly better expanded. Given the very extensive bilateral air collections in the soft tissues, multiple linear structures project over the hemithorax so that the precise size of the pneumothorax is difficult to visualize. However, the basolateral aspects of the pneumothorax appear to still be substantial. Unchanged position of the monitoring and support devices, including the left-sided pigtail catheter in the pleural space.
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Cardiac silhouette is enlarged and accompanied by pulmonary vascular congestion. Interval worsening of bibasilar patchy lung opacities, right greater than left. These may be due to patchy atelectasis, aspiration or developing pneumonia. Small pleural effusions are also demonstrated, right greater than left, with increase on the right.
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Prominent left hilar region secondary to enlarged left main pulmonary artery as seen on chest ct <unk>. The lung volumes are normal. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures. No pneumonia, no pulmonary edema. No pleural effusions.
two day history of fever and cough; pe shows scattered rhonchi and wheezes // rule out pneumonia
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Pa and lateral views of the chest provided. Lungs are hyperinflated and clear. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with chest pain // r/o infiltrate
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Heart size remains mildly enlarged. The mediastinal contours are unchanged, with a descending thoracic aortic stent graft re- demonstrated. The aorta is diffusely calcified and dilated, but similar in appearance compared to the previous exam. Rightward deviation of the upper trachea is due to the presence of a thyroid goiter. There is no pulmonary vascular congestion. Right upper lobe paramediastinal opacity compatible with radiation changes is unchanged. Moderate size right pleural effusion is re- demonstrated. Mild atelectatic changes are noted in the lung bases. There is no pneumothorax. No acute osseous abnormalities demonstrated.
shortness of breath and cough.
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Frontal and lateral views of the chest are obtained. Relative lucency along the right lateral hemithorax is felt to be artifactual and likely relates to patient's overlying arm. The left lung is clear. Overall, there are low lung volumes. The cardiac and mediastinal silhouettes are stable and unremarkable. No pleural effusion is seen.
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Pa and lateral views of the chest were obtained. There is a large right pleural effusion with associated collapse of the right middle and the majority of the right lower lobe. There is partial residual aeration in the superior segment of the right lower lobe. Findings may reflect pneumonia and effusion. The left lung is clear. Mediastinal contour is grossly unremarkable. Bony structures are intact.
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Single portable view of the chest. No prior. Diffusely increased hazy opacities are seen throughout the lungs bilaterally. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are notable for degenerative changes at the shoulders bilaterally.
seizure, head bleed.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with asthma exacerbation // eval pneumonia, other acute process
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The endotracheal tube is in adequate position at <num> cm above the carina. The right subclavian line and the ng tube are unchanged. There is increased amount of bilateral pleural effusion. There is also worsening of the retrocardiac left atelectasis. There is more cephalization of the pulmonary vessels compatible with a mild volume overload. The mediastinal and cardiac contour are unchanged. There is no visible pneumothorax.
patient with repair of laparoscopic nissen.
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Portable frontal radiograph of the chest demonstrates a tracheostomy in expected position. A moderate left effusion and small right effusion are similar compared to prior. Heterogeneous opacification the left lower lobe could represent atelectasis, recent aspiration or pneumonia and is not significantly changed from prior. Mild pulmonary edema persists. Moderate cardiomegaly is unchanged.
chronic trach, vent dependent febrile with presumed source pulmonary on <unk> now on antibiotics. evaluate from interval change, improvement in effusions.
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As compared to the previous radiograph, the patient has been intubated. Tip is located at the level of the carina, the tube must be pulled back by approximately <num> to <num> cm. The other monitoring and support devices are in correct position. At the time of dictation and observation, <time> a.m., on <unk>, the referring physician, <unk>. <unk>, was paged for notification. The left chest tube is in correct position. Low lung volumes. Unchanged tortuosity of the thoracic aorta, with unchanged mild borderline diameter of the aortic arch. Areas of atelectasis at both lung bases persist. No new parenchymal opacities. No overt pulmonary edema.
intubation, evaluation for endotracheal tube position.
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Endotracheal tube tip is <num> cm above the carina, right picc line tip is at lower svc, and an orogastric tube is seen coursing below the diaphragm into the stomach; however, its distal end is off radiograph view. Both lungs are well expanded and clear. Tiny subpleural nodular opacities seen on <unk> chest ct is beyond the resolution of this chest radiograph. There are no lung opacities concerning for pneumonia or atelectasis or pulmonary edema. Heart size, mediastinal, and hilar contours are normal. There is no pleural abnormality.
<unk>-year-old man with encephalopathy and intubated, to look for infiltrate and placement of lines and tubes.
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There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. Streaky left retrocardiac opacities likely reflect atelectasis. The cardiomediastinal silhouette is within normal limits.
<unk>m with cough, fever // ? pna
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The heart size is normal. The hila and mediastinal contours are normal. The lungs are clear without evidence of focal consolidations concerning for pneumonia. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable. The ng tube terminates in the proximal stomach with the side port in the distal esophagus, and must be advanced.
history: <unk>f with ngt // ? ngt placement
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The heart is mild to moderately enlarged. The mediastinal and hilar contours appear unchanged. A trace pleural effusion is difficult to exclude on the left, none on the right. There is patchy opacity in the right lower lung, probably in the anterior segment of the right lower lobe but not necessarily changed, chronicity unclear.
cough. question acute process.
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Frontal and lateral chest radiographs demonstrate unremarkable cardiomediastinal and hilar contours. Lungs are clear. No pleural effusion or pneumothorax identified. No osseous abnormality is present.
one week of cough.
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There is a single-chamber icd with the tip of the lead extending to the right ventricle. The cardiac, mediastinal, and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are clear. Specifically, there are no signs of lung fibrosis.
<unk>-year-old on amiodarone.
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There is extensive changes from chronic obstructive pulmonary disease. There is no pleural effusion or pneumothorax. There is no focal airspace consolidation concerning for pneumonia. Bibasilar patchy opacities likely reflect scarring which also account for blunting of the costophrenic angles on the lateral view. No pleural effusion was evident on the prior ct. Moderate enlargement of the heart and pulmonary vessels is unchanged. The known bulky mediastinal lymphadenopathy is better appreciated on the prior ct. A mitral valve prosthesis is again noted. A compression fracture of the lower thoracic spine is stable. No new compression fractures.
lung cancer, evaluate.
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<num> views were obtained of the chest. The lungs are well expanded and clear without pleural effusion or pneumothorax. Biapical scarring and calcified granulomata are unchanged. Cardiac size, mediastinal and hilar contours and tortuous/unfolded aorta are unchanged. Right hemidiaphragm is stably elevated.
weakness and cough. assess for pneumonia.
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Portable supine chest radiograph was provided. Endotracheal tube, nasogastric tube, swan catheter, mediastinal drains and right chest tube are unchanged in position. Median sternotomy wires are intact. Again seen are small bilateral pneumothoraces, right greater than left, unchanged. There is no focal consolidation. Left basilar opacity is most likely atelectasis. There is scoliosis of the upper thoracic spine.
<unk>-year-old woman with bilateral pneumothoraces. evaluate.
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The cardiomediastinal and hilar contours are within normal limits. As compared to prior chest radiograph from <unk>, lung volumes have decreased. However, there is is no focal consolidation, pleural effusion or pneumothorax.
chronic kidney disease, hypertension presenting with chest pain for <num> days. evaluate for consolidation, effusions colitis mediastinum.
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Frontal and lateral views of the chest. There is mild pulmonary edema superimposed on the known chronic lung disease. A small focal area of opacification is seen at the right lung base. There are small bilateral pleural effusions, best appreciated on the lateral view. No pneumothorax. Cardiac size is moderately enlarged. Coronary stent is also noted. A calcified and tortuous aorta is present.
chest pain. evaluate for effusions, pneumonia or cardiomegaly.
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The lungs remain clear. There is no consolidation, effusion or vascular congestion. Moderate to severe cardiomegaly is again noted. Median sternotomy wires are noted. No acute osseous abnormalities.
<unk>m with chest tightness, cough for several weeks // please evaluate for infectious process
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Feeding tube tip in the proximal stomach. Mildly worsened bilateral perihilar opacities, suggest worsening edema. Otherwise stable findings.
<unk> year old man with dobhoff placement // assess position of dobhoff
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Frontal and lateral chest radiographs demonstrate unremarkable cardiomediastinal and hilar contours. Lung volumes are low bilaterally with linear atelectasis projecting over the right mid lung. No focal opacification concerning for pneumonia. No pleural effusion or pneumothorax. Old fracture deformity of the right proximal humerus is noted.
fatigue and vomiting; evaluate for infiltrate.
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The lungs are well expanded and clear. Pleural surfaces are normal without pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are normal. Limited assessment of the osseous structures demonstrates mid thoracic scoliosis, convex to the right.
cough. assess for pneumonia.
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Ap view of of the chest provided. Compared to prior study from <num> day ago, there is new left upper lobe opacity. There are also new vague rounded opacities bilaterally. Fullness of the hilar structures is again seen. Cardiac silhouette is normal. There are no pleural effusions.
<unk> year old woman with bacteremia, now fever and sob, evaluate for pneumonia
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Comparison is made to previous study from <unk>. Endotracheal tube, swan-ganz catheter have been removed. There is a residual right ij cordis. The heart size is enlarged as is the mediastinum. There are no pneumothoraces. There is some atelectasis and a pleural effusion at the left base.
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Frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation, or pneumothorax. Hilar and mediastinal silhouettes are unchanged. There heart size is top normal. There is no pulmonary edema. Partially imaged upper abdomen is unremarkable.
assess for pneumonia or pulmonary edema, patient with crackles.