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Intra-aortic balloon pump has been withdrawn slightly, now terminating about <num> cm below the superior aspect of the aortic knob. Multifocal areas of consolidation in the lingula and both lower lobes has slightly improved, but the lingular consolidation has a rounded mass-like configuration. Of note, the lingular consolidation has not cleared since the radiograph of <unk>. Exam is otherwise remarkable for pulmonary vascular congestion and minimal interstitial edema as well as a persistent small left pleural effusion.
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As compared to the previous radiograph, the left chest tube has been removed. There is no pneumothorax on the current image. Moderate postoperative atelectasis in the retrocardiac lung regions persists. There is ongoing minimal blunting of the left costophrenic sinus. Unchanged appearance of the cardiac silhouette. Unchanged appearance of the right lung. No evidence of acute lung disease such as pulmonary edema or pneumonia.
status post vats decortication, removal of chest tube.
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Left-sided aicd is similar in position. There is moderate pulmonary edema. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. Cardiac silhouette is enlarged. Mediastinal contours are stable.
history: <unk>m with sob, hypoxia, h/o chf // eval for chf
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Single frontal ap upright view the chest provided. Lung volumes are low limiting assessment. The heart appears moderately enlarged though this may be partially exaggerated by technique. In the setting of low lung volumes, the lungs appear relatively clear though the retrocardiac space is poorly assessed. No large pneumothorax or effusion is seen. The mediastinal contour cannot be assessed. No definite fracture is seen.
<unk>f with l wrist fracture, pre-op, <num> view ok
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As compared to the previous radiograph, the endotracheal tube is in unchanged position. Unchanged moderate cardiomegaly, minimal atelectasis at the lung bases, but no overt pulmonary edema. No pneumonia. No pneumothorax.
fevers, questionable consolidation.
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In comparison with study of <unk>, there are continued large layering pleural effusions with compressive atelectasis at the bases. Monitoring and support devices remain in place.
arrest with anoxic brain injury, now with tracheostomy.
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There is a right ij line with tip just below the cavoatrial junction. The heart is mildly enlarged but is similar compared to prior. The spinal stimulator device is again visualized there is no infiltrate
<unk> year old man s/p sct day <unk> with fever and cough // pneumonia?
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On the previous exam, the aspiration pneumonia was not present. Currently, the patient is intubated, the tip of the endotracheal tube projects <num> cm above the carina. Normal course and position of the nasogastric tube and of the right hemodialysis catheter. There is extensive left basal opacity with subsequent pleural effusion and atelectasis at the left lung bases. Minimal atelectasis at the right lung bases. No pneumothorax.
subdural hematoma, aspiration pneumonia. evaluation for interval change.
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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.
history: <unk>f with chest pain // eval for pna, ptx
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The cardiac silhouette appears enlarged with mild pulmonary edema, small pleural effusions and bibasilar atelectasis. Right central venous catheter is again seen and terminates at the distal svc. No focal consolidations or pneumothorax are seen.
<unk> year old woman with aml s/p allo with recent sob and difficulty taking deep breaths // acute pulmonary process? infiltrate?
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. There is right infrahilar opacity, probably for the most part in the right lower lobe which could be seen with bronchopneumonia in the appropriate clinical setting.
shortness of breath.
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Cardiomediastinal contours are within normal limits in this patient status post previous median sternotomy and coronary bypass surgery. Widespread calcified pulmonary nodules are present, most miliary in size, but a dominant calcified right upper lobe nodule measures <num> mm. Lungs are otherwise clear except for linear atelectasis at the right base and minimal patchy left retrocardiac opacification. Interval resolution of pulmonary edema, and basilar predominant airspace opacities and pleural effusions since <unk>.
<unk> with a history of <num>-vessel cabg in <unk> was transferred from<unk> for hypotension and anemia and admitted to the micu, where she had a massive gi bleed and complications of sepsis and hypoxia secondary to diffuse lung disease. she is now stable with an oxygen requirement. // resolution of pleural effusion
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Cardiac silhouette is upper limits of normal in size. Mild pulmonary vascular congestion is present accompanied by minimal interstitial edema and mild peribronchial cuffing. Predominantly linear areas of atelectasis are present at both lung bases. No pleural effusion. Bones are diffusely demineralized. Upper lobe predominant emphysema is again noted.
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Small left apical pneumothorax persists. No evidence of tension. Overall stable small left pleural effusion, which may be loculated. Severe left atelectasis with presumed pleural restriction is overall unchanged with associated leftward shift of the mediastinum. Appearance of the right lung is unchanged and clear. Cardiomediastinal silhouette is also unchanged.
<unk> year old man pod<unk> s/p l diaphragmatic hernia ex-lap, l ct pulled <unk> // interval change from post-pull cxr on <unk>- please obtain film at <time>
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Poor visualization of left hemidiaphragm and retrocardiac lung markings. The cardiac contour is stable, and nasogastric tube is unchanged in position from previous abdominal radiographs. Abdominal surgical <unk> are seen consistent with recent gastric surgery.
<unk>-year-old with gastric cancer, status post subtotal gastrectomy. pneumonia versus atelectasis with patient developing new fevers.
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The heart is normal in size. There is a large right hilar mass since the prior study as well as a new nodule in the right lung worrisome for perhaps a primary or metastatic focus of malignancy. Elsewhere, the lungs appear clear. There no pleural effusions or pneumothorax. Bony structures are unremarkable.
new metastatic malignancy. presenting with shortness of breath.
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Pa and lateral views of the chest provided. Dense consolidation is noted in the left lower lobe compatible with pneumonia. Elsewhere, the lungs are clear. No pleural 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 <num> weeks of fever, productive cough, malaise // ? pneumonia
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Pa and lateral radiographs of the chest demonstrate clear lungs and normal hilar and cardiomediastinal contours. A trace left pleural effusion is seen only on the lateral view. There is no pneumothorax and pulmonary vascularity is normal. Bowel gas pattern in the upper abdomen is nonspecific. There is no evidence of pneumoperitoneum.
new left-sided pain on deep inspiration in a patient with left mid ureteral injury, now status post percutaneous nephrostomy tube placement.
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Cardiomediastinal contours are a stable. Multifocal pneumonia in the right lung is a stable. Left lower lobe opacities have increased could be atelectasis or pneumonia. Small bilateral effusions are unchanged. There is no pneumothorax.
<unk> year old man s/p esophagectomy with rll pneumonia // perform at <num>am on <unk>. r/o interval change.
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Left base opacity, partially representing combination of atelectasis and pleural effusion is similar in extent the possibly is minimally increased. Underlying consolidation is difficult to exclude. There may also be a very trace right pleural effusion. The cardiac silhouette is markedly enlarged. Mediastinal contours are unremarkable. Right-sided pacer wires are re- demonstrated.
history: <unk>f with cough shortness of breath // eval for pna
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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.
evaluate for pneumonia in a patient with cough.
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Compared with prior radiographs on <unk> there is no significant change. Borderline cardiomegaly is stable, with mild vascular congestion. There is no overt pulmonary edema. There is no focal consolidation or pleural effusion. Longstanding right basilar atelectasis or scarring is unchanged. No pneumothorax. A left chest wall pacemaker is stable in position. Median sternotomy wires are stable in appearance.
<unk> year old man with weight gain, doe // r/o chf
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Pa and lateral chest radiographs demonstrate clear lungs. There is no pleural effusion or pneumothorax. The cardiac, hilar, mediastinal contours are normal.
hypoglycemic seizure. evaluation for acute cardiopulmonary process.
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Portable semi-upright radiograph of the chest demonstrates low lung volumes, which results in bronchovascular crowding. Retrocardiac and right basalar opacities are concerning for pneumonia. Relative lucencies in the bilateral upper lobes likely represents blebs. The heart appears enlarged. No pneumothorax.
history: <unk>m with ? pneumonia/sepsis // ? acute process
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Diffusely increased interstitial markings are seen throughout the lungs. Lung bases demonstrate increased opacity which is thought to be due to overlying soft tissues. Underlying effusion would be difficult to exclude. Cardiac silhouette is within normal limits for technique. Anterior and posterior fixation hardware in the cervical thoracic spine is identified.
<unk>f with tachypnea, fever, tachycardia, copd hx // evaluate for pneumonia, acute process
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A right-sided picc terminates in the mid svc and is unchanged in position. An endotracheal tube terminates <num> cm above the carinal. An esophageal tube is seen its tip below the field of view. Widespread, interstitial pulmonary opacities are not significantly changed from <unk>. No evidence of pleural effusion or pneumothorax.
<unk> year old woman intubated, with diffuse pulmonary infiltrates // please assess for tubes, lines, interval change
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Low lung volumes with bronchovascular crowding. The lungs are otherwise clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
history: <unk>m with persistent cough/dyspnea/chest discomfort // eval for pna
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Prominence of right infrahilar bronchovascular structures appears unchanged and is a fairly typical appearance when a pectus deformity is present. Mild biapical pleural scarring is unchanged. The lungs appear clear. There is no pleural effusion or pneumothorax.
crunching sensation in the neck with dizziness and malaise.
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Lung volumes are reduced, accentuating the cardiac contour and pulmonary vasculature. Mild cardiomegaly. No strong evidence for pneumonia or pulmonary edema. No pleural effusion or pneumothorax.
history: <unk>m with ams, melanoma on chemo // eval for pna
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The cardiomediastinal contours are within normal limits. The bilateral hila are unremarkable. The lungs are clear without focal consolidation. There is no evidence of pulmonary vascular congestion. There is no pneumothorax or pleural effusion.
<unk>f with substernal chest pain radiating to the back.
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The heart size is within normal limits. The mediastinal contours again demonstrate a large hiatal hernia. The lungs are hyperinflated but clear. There is no pleural effusion or pneumothorax.
<unk>-year-old female with chest pain.
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Cardiac silhouette size is mild to moderately enlarged. The mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is identified. Mild loss of height of a mid thoracic vertebral body is of indeterminate age.
history: <unk>f with chest pain/epigastric pain.
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A new right internal jugular central venous catheter terminates in the uppermost atrium. The cardiac, mediastinal and hilar contours appear unchanged including a left ventricular configuration of the heart and calcification along the aortic arch. There is no pleural effusion or pneumothorax. The lungs appear clear. The patient is status post right total shoulder replacement surgery. There is incompletely characterized spinal curvature.
central line placement.
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Left-sided pacemaker device is noted with leads terminating in the right atrium and right ventricle. Moderate enlargement of the cardiac silhouette is present. The mediastinal contours are unremarkable. Diffuse alveolar opacities in a perihilar distribution are compatible with moderate pulmonary edema. There is likely a trace left pleural effusion. No pneumothorax is identified. There are no acute osseous abnormalities.
history: <unk>m with altered mental status, c difficile
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Endotracheal tube terminates <num> cm above the carina. Enteric tube extends to at least the body of the stomach. There is suggestion of a <num> cm ill-defined opacity in the right mid/lower lung, chronicity indeterminate. There is mild interstitial irregularity, particularly at the lung bases, which may reflect underlying chronic lung disease. No sizeable pleural effusion or pneumothorax. Cardiomediastinal contours are within normal limits. No acute osseous abnormalities.
history: <unk>f with intubated // ? ett placement
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Frontal and lateral chest radiographdemonstrates mildly hypoinflated lungs with crowding of vasculature. No focal opacity. Pleural surfaces are normal. Mild enlargement of heart size is likely accentuated due to low lung volumes. Mediastinal contour and hila are unremarkable.
chest pain. assess for pneumonia or widened mediastinum.
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The lung volumes are lower; moderate interstitial edema is new. Possible small overlying pleural effusion. There is no pneumothorax. Cardiac contour is top normal.
patient with shortness of breath, ejection fraction of <num>%, fluid overload?
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The patient is status post partial left first rib resection. A left chest tube is in unchanged position. There is no pneumothorax. There is probably a trace left pleural effusion. There is no focal consolidation or pulmonary edema. The cardiomediastinal silhouette is within normal limits.
<unk> year old man with first rib rsx // interval change
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Compared with the prior radiograph, there are continued low lung volumes with bibasilar atelectasis. The heart size, mediastinal, and hilar contours are unchanged and unremarkable. No new focal consolidation, pleural effusion, or pneumothorax.
<unk>m with falls, chest pain, upper and lower back pain, abd pain with vomiting. eval for acute injury, gross aortic pathology.
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Frontal and lateral views of the chest were obtained. There is persistent elevation of the right hemidiaphragm with bowel seen beneath. The cardiac and mediastinal silhouettes are stable in appearance. There has been interval increase in perihilar interstitial markings bilaterally suggesting moderate pulmonary edema. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. Severe compression of a mid thoracic vertebral body is again seen, similar in comparison as compared to chest ct from <unk>. Bilateral humeral prostheses are seen.
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The lungs are clear without focal consolidation or effusion. The cardiomediastinal silhouette is normal. No acute osseous abnormalities identified.
<unk>m with low-grade temperature and break through seizure // pna?
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Frontal and lateral views of the chest. On the frontal view, there are hazy opacities projecting over the right mid-to-lower and left mid-to-upper lung which localizes posteriorly on the lateral view and are compatible with posteriorly loculated effusions/possible empyemas on chest ct. More spiculated opacity in the left upper lung posteriorly is also seen for which followup will be necessary. There is a small amount of fluid layering dependently on both sides. There is no definite superimposed acute consolidation. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
<unk>-year-old male with chest ct from outside hospital with bilateral loculated pleural effusions and worsening cough.
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A left-sided pacemaker is new with leads in the expected position of the right atrium and right ventricle. No focal consolidation, pleural effusion or pneumothorax is present. Normal heart size, mediastinal and hilar contours. No evidence of pulmonary vascular congestion.
status post pacemaker placement.
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Frontal and lateral views of the chest were obtained. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are stable. The uppermost sternal wire is fractured in three places.
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In comparison to <unk>, the left lower lobe atelectasis has improved. However there is only mild improvement in the bilateral pulmonary edema. No pleural effusions. No pneumothorax. The heart is mildly enlarged but unchanged. Mediastinal contours are unchanged.
<unk> year old woman with esrd, diastolic chf, presenting with dyspnea felt to be chf exacerbation, but will persistent hypoxemia despite aggressive fluid removal // please assess for interval change in pulmonary edema, presence of effusion, or infiltrate
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The lungs are well expanded. There is persistent elevation of the right hemidiaphragm, unchanged from at least <unk>, which likely relates to diabetic neuropathy. There is no focal airspace consolidation worrisome for pneumonia. No pleural effusion or pneumothorax. Heart is normal size. The mediastinal and hilar contours are unremarkable. A left subclavian vascular stent is unchanged in appearance.
diabetic gastroparesis with nausea and vomiting. evaluate for an acute process.
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old female with history of migraines and costochondritis presenting with shortness of breath and chest pain.
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There is a large amount of free air under the hemidiaphragms which is increased compared to the other postoperative films. It is unclear if this is due to patient positioning or if there is a new bowel leak. There is bilateral lower lobe volume loss/ infiltrate that is increased compared to prior. The ng tube tip is off the film, at least in the stomach
<unk> year old man with s/p esophagogastrectomy // eval for interval change
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Cardiomediastinal silhouette is unchanged. There is no pleural effusion or pneumothorax. Left linear mid lung opacity is unchanged and likely represents atelectasis or chronic scarring. Median sternotomy wires are intact.
<unk>-year-old woman with chest pain
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Chest, pa and lateral. Mild bibasilar atelectasis is present, worse than prior. The heart is mildly enlarged. The aorta is tortuous and calcified. No frank pulmonary edema is present. There is no pneumothorax or pleural effusion. Multilevel degenerative changes are noted in the thoracic spine.
<unk>-year-old woman with general fatigue and palpitations.
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Cardiomediastinal contours are normal. The lungs are clear. There is no pneumothorax or pleural effusion. There are moderate degenerative changes in the thoracic spine
<unk> year old man renal cell carcinoma s/p rad nephrectomy // pls evaluate for mets
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Cardiomediastinal contours are normal. Lungs are clear except for linear atelectasis or scar at the periphery of the right lung base. Widespread skeletal metastases are noted with diffuse sclerotic lesions throughout the visualized skeletal structures. No pleural effusion or large pneumothorax is detected, but left lung apex partially obscured due to flexed position of the patient's neck.
<unk>-year-old man with altered mental status. known metastatic prostate cancer.
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Ap and lateral views of the chest are compared to previous exam from <unk>. The lungs are clear. There is no consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with back pain and chest pain.
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Pa and lateral views of the chest. There is moderate cardiomegaly, unchanged. The hilar and mediastinal contours are normal. There is no focal consolidation, pleural effusion, or pneumothorax. There is slight wedge deformity of a mid thoracic vertebral body unchanged.
effusion, question pneumothorax.
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No previous images. Cardiac silhouette is within normal limits. No evidence of vascular congestion or pleural effusion. There is apical nodularity and calcification, most likely reflecting old granulomatous disease. However, in the absence of images at least <unk> years previously demonstrating no change, activity of this process cannot be unequivocally excluded. All effort should be made to obtain prior chest radiographs from another facility. No evidence of acute focal pneumonia.
altered mental status, to assess for pneumonia.
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Left lower lobe is newly collapsed with new right lower lobe atelectasis. Right upper lobe new opacity could be pneumonia. Ng tube is in the stomach. Et tube is slightly too high ending <num> cm above the carina. Probable small pleural effusions. There is no pneumothorax. The cardiac contour is top normal.
patient trauma, intubated.
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Frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.
<unk>m with chest pain/dyspnea // r/o acute process
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Frontal and lateral views of the chest demonstrate normal lung volumes. There is no pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. Visualized osseous structures are intact.
pleuritic chest pain.
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Compared to the previous radiograph, there is no relevant change. Borderline size of the cardiac silhouette without evidence of pulmonary edema. Minimal atelectasis at both lung bases. No pathological parenchymal process, in particular no pneumonia or pulmonary edema. No lung nodules or masses. Normal hilar and mediastinal contours.
gastroenteritis, possible pancreatic mass, regional abdominal pain. evaluation.
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Left-sided internal jugular central venous catheter is seen terminating in the proximal svc/svc brachiocephalic junction. Obscuration of the left hemidiaphragm is seen, which may be due to the left pleural effusion with overlying atelectasis, consolidation is not excluded. There is hazy opacity projecting over the left perihilar region which could relate to a layering pleural effusion, however, may also relate to asymmetric pulmonary edema and/or infection. A right infrahilar opacity is seen which is nonspecific but additional site of infection or aspiration is not excluded. No pneumothorax is seen. Cardiac and mediastinal silhouettes are stable.
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There has been an increase in right-sided pleural effusion with associated collapse of right upper and lower lobe. Right middle lobe appears partially inflated. There has been a corresponding mediastinal and cardiac shift to the right. Left lung volume is slightly decreased with worsened left basal atelectasis. Tracheostomy is seen in place with no obvious complication. A right ij double-lumen catheter is seen terminating within the right atrium. A left ij catheter is seen terminating within the low svc. An ng tube is seen entering the stomach, courses through the pylorus and then terminates near the ligament of treitz. There is extensive small bowel and stomach gas noted.
<unk>-year-old female with history of hepatitis c, status post orthotopic liver transplant and tracheostomy. now complains of shortness of breath.
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The lungs are clear without consolidation. There is no large effusion. Left chest wall port is seen with catheter tip at the lower svc. There is a vague rounded opacity projecting over the anterior left fifth-sixth intercostal space. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Mild height loss of a lower thoracic vertebral body is unchanged from prior ct.
<unk>f with colorectal cancer here for weakness, palpitations // eval for pneumonia
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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 left-sided chest pain // question left-sided pleural or parenchymal abnormality
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There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.
history: <unk>m with cp // evidence of pneumothorax or pna
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Mild enlargement of cardiac silhouette is present. The aorta is tortuous and diffusely calcified. The pulmonary vascularity is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Hyperinflation of the lungs is present. Scarring is noted within the lung apices. There are no acute osseous abnormalities, with mild degenerative changes seen throughout the thoracic spine.
shortness of breath and chest pain.
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Ng tube and et tube have been removed. There is a minimal improvement of lung opacification mainly for reduction of the bilateral pleural effusion more evident on the left base. Persistent atelectasis of right lower, right middle and left lower lobes. There is no pneumothorax. Cardiomediastinal silhouette is unchanged and still mildly enlarged; moderate aortosclerosis.
<unk> years old man intubated/sedated. is et tube in place? any sign of infection?
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The lung volumes are low. Areas of atelectasis at both lung bases are seen. The symetry of the changes indicate atelectasis; however, pneumonia cannot be excluded with certainty. The size of the cardiac silhouette is at the upper range of normal. No pulmonary edema is present. The mediastinal contours are normal. Minimal tortuosity of the thoracic aorta. No mediastinal blunting or widening. No apical cap. No other findings suggestive of aortic disease.
chest pain with component of back pain, evaluation of the mediastinum.
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In comparison with study of <unk>, there is continued enlargement of the cardiac silhouette with pulmonary edema. Asymmetry of opacification, more prominent on the right, could reflect aspiration or infectious pneumonia. Opacification at the bases is consistent with pleural fluid with underlying atelectatic changes.
hypoxia and leukocytosis.
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Right picc terminates in the region of the lower superior vena cava. Large right pleural effusion has increased in size and is associated with substantial atelectasis of the right lung with only a small amount of residual aerated lung in the juxtahilar region. Left lung and pleural surfaces are clear.
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Frontal and lateral views of the chest are obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No overt pulmonary edema is seen.
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There is mild cardiomegaly. Cardiomediastinal and hilar stable. Small bilateral pleural effusions are likely. Lung volumes are low with atelectasis. There is mild interstitial edema. There is no definite focal consolidation.
<unk>m with tachypnea, tachycardia // evaluate for acute process
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No new parenchymal opacities on the current radiograph. Borderline size of the cardiac silhouette. Relatively low lung volumes. Mild tortuosity of the thoracic aorta. No pulmonary edema. Unchanged left pectoral pacemaker.
shortness of breath, wheezing.
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Lung volumes are low with no focal consolidation. The appearance of the cardiomediastinal silhouette is normal given ap technique. There is no pneumothorax or pleural effusion. There is no acute osseous abnormality.
<unk>-year-old woman with sudden onset chest tightness and shortness of breath.
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Feeding tube tip is below diaphragm, not included on the radiograph. Shallow inspiration. Worsened left basilar infiltrate with nodular components, worsened retrocardiac consolidation, worrisome for pneumonia or aspiration. There is mild left pleural effusion, new. No pneumothorax. Normal heart size, pulmonary vascularity. Small area of right basilar opacity is stable.
<unk> year old man with new fever, cough, concern for aspiration // concern for aspiration pneumonia
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There are low lung volumes. Given this, the cardiac silhouette is top-normal to mildly enlarged. No focal consolidation is seen. There is no large pleural effusion or pneumothorax. There may be mild central pulmonary vascular engorgement without overt pulmonary edema.
history: <unk>f with dyspnea // edema? effusions? pna?
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Cardiomediastinal contours are normal. The lungs are clear. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable
<unk> year old woman with hyponatremia of unclear etiology // ?infection or masses
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There is pulmonary vascular congestion. There is no effusion. Cardiac silhouette is enlarged, similar compared to prior. No acute osseous abnormalities identified.
<unk>f with noncompliance of diuretics, wheezing // evaluate for fluid overload
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The radiograph is compared to <unk>. The guidewire from the picc line has been removed. On the frontal radiograph, the tip of the picc line appears to project over the mid-to-lower svc, on the lateral image, the tip of the line is not visible. No pneumothorax, no pleural effusions. Normal size of the cardiac silhouette.
picc line placement, evaluation for interval change.
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Compared to <unk> at <time>, the overall appearance is similar. Enteric type tube extends beneath the diaphragm, off the film. Left subclavian picc line tip overlies distal svc. Inspiratory volumes are low, with left lower lobe collapse and/or consolidation and faint hazy opacity at the lung bases. Mild upper zone redistribution present.
<unk> yo f hx of htn, hld, chf, no anticoagulation, who presented to<unk> complaining of heachace, nausea and vomiting found to have diffuse sah s/p evd placement // follow up
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No previous images. No evidence of acute pneumonia, vascular congestion, or pleural effusion. The nodular opacities most likely reflect vessels on end. However, if there is serious clinical concern for pulmonary metastases, ct would be the next imaging procedure.
arm sarcoma, to assess for change.
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Compared to the prior study, there is no significant interval change. There is no focal infiltrate or effusion.
atypical chest pain.
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As compared to the previous radiograph, the lung volumes have increased. There is an unchanged right basal pleural effusion, better appreciated on the lateral than on the frontal radiograph. Appearance of the mediastinum, of the hilar structures and of the heart is unchanged. No interval appearence of pneumonia.
check for interval change.
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In comparison with the study of <unk>, there is increased opacification at the right base with poor definition of the hemidiaphragm. This is consistent with a layering pleural effusion and atelectasis. The change is especially pronounced given that the current study was taken upright while the previous was semi-erect. The left base is now clear. No evidence of vascular congestion. Right ij catheter tip is in the region of the carina.
respiratory distress.
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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 displaced fracture seen. However, please note that if high clinical concern for rib fracture, dedicated rib series or chest ct is more sensitive.
<unk> year old woman with l sided rib pain s/p fall one week ago // r/o acute process
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The right-sided pigtail catheter is again visualized. The small right effusion is slightly larger on the current study and there is increased volume loss in the right lower lobe the remainder the appearance of the chest is unchanged
<unk> year old man with s/p avr- re-admitted w right pleural effusion, pig-tail placed yesterday // f/u right sided effusion
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Ap single view of the chest has been obtained with patient in semi-upright position. Analysis is performed with the next preceding similar study obtained nine hours earlier during the same day. Position of tracheostomy cannula and previously described right-sided picc line completely unchanged. Heart size remains normal and unremarkable appearance of thoracic aorta. No increased widening of superior mediastinal structures. No evidence of apical pneumothorax or local hematoma formation. Lungs remain well aerated bilaterally. Previously described mostly linear bibasilar opacities appear stable and do not show any significant interval change.
<unk>-year-old woman with tracheostomy and now status post attempted right subclavian puncture with air expectorated concerning for pneumothorax.
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The endotracheal tube is appropriately positioned, ending <num> cm above the level of the carina. An enteric catheter courses below the level of the diaphragm and out of the field of view inferiorly. There is minimal left lower lung linear atelectasis. The lungs are otherwise clear. The heart size is top normal, exaggerated by position and technique. The mediastinal contours are normal. There are no definite pleural effusions. No pneumothorax is seen.
altered mental status, status post intubation. evaluate for pneumonia.
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Compared to <unk> at <num> <num> the left subclavian picc line has retracted, and now overlies the upper svc proximal svc, with and curves at its extreme distal tip again seen are in the opacities in the most pronounced in the upper zones bilaterally and in the left> right mid-zones, very similar to the prior film. No new area of consolidation and no effusion is identified. Cardiomediastinal silhouette is unchanged.
<unk> year old man with drug overdose. // change from prior? pulm edema?
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Heart size is normal. The aorta remains tortuous. Mediastinal and hilar contours are similar. There is crowding of bronchovascular structures without overt pulmonary edema. Patchy opacities are noted in the left lung base could reflect atelectasis, but infection is not excluded in the correct clinical setting. No pleural effusion or pneumothorax is present. There are mild degenerative changes seen in the thoracic spine. Multiple remote left-sided rib fractures are again noted.
history: <unk>m with fall
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There is no focal consolidation. There is no pleural effusion or pneumothorax. The visualized upper abdomen is unremarkable, except for clips in the right upper quadrant likely related to prior cholecystectomy.
right-sided weakness. evaluate for infection.
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Frontal and lateral views of the chest demonstrate low lung volumes. There is no pleural effusion, focal consolidation or pneumothorax. A <num>-mm density projecting over right lung base may represent a granuloma. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. Partially imaged upper abdomen is unremarkable.
shortness of breath.
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Ap portable upright view of the chest. Lung volumes are low though lungs are clear. Cardiomediastinal silhouette is normal. No free air below the right hemidiaphragm. Bony structures are intact.
<unk>f with swallowed pencils // eval for fb
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Pa and lateral views of the chest provided. Lung volumes are low. The imaged portions of the lungs are clear. Heart size cannot be assessed. Mediastinal contours are normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with hypoxia to high <num>s // acute process?
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Pa and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding ap single view portable chest examination of <unk> and pa and lateral chest examination of <unk>. Frontal view demonstrates unchanged mediastinal structures including mild cardiac enlargement. The left basal densities persist with a drainage catheter in place. Small amount of local pleural density remains, but no evidence of major pneumothorax. The amount of pleural density has not increased since the next preceding examination of <unk>. The pulmonary vasculature is not congested. No new abnormalities in the right hemithorax. No significant mediastinal shift. Again as identified on several previous examinations, there are demineralized vertebral bodies mostly in the lower portion of the thoracic spine with one marked compression of the lowermost vertebral body, probably t<num> as seen on the lateral view.
<unk>-year-old male patient with pleural effusion, evaluate.
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The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are well expanded and clear without focal consolidation. Again seen is suture material overlying both upper lobes medially. Median sternotomy wires remain intact. Irregularity of the distal body of the sternum may be postsurgical and appear similar to the scout from the chest ct on <unk>.
history: <unk>m with chest tingling.
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Patient is status post median sternotomy, cabg, and mitral valve replacement. The heart size is normal. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. Lung hyperinflation with emphysema is re- demonstrated. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is detected.
history: <unk>f with dyspnea, subjective fevers/chills, history of copd
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Increased left basilar retrocardiac opacification is likely due to atelectasis. The known left upper lobe mass is better demonstrated on the prior ct scan. Paramediastinal scarring and fibrosis is unchanged. The lungs are otherwise clear. There is no pneumothorax.
<unk> year old man with l nodule s/p bronch // r/o ptx
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Lungs are clear bilaterally without an opacity convincing for pneumonia. Cardiomediastinal silhouette is stable relative to prior examination, the heart mildly enlarged. There is no evidence of pulmonary edema. There is no large pleural effusion or pneumothorax. There is no air under the right hemidiaphragm.
<unk>f with cough, sob. // pneumonia?
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There is no evidence of focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. The mediastinum is unremarkable, confirmed by a subsequent cta chest examination. The heart size is top-normal.
history: <unk>m with wheezing, chest pain // ?pulmonary edema
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Pa and lateral views of the chest demonstrate well-expanded clear lungs. The heart is normal in size and cardiomediastinal contour is unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old female with chest pain, evaluate for pneumothorax.