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Compared with the prior study, the patient has been extubated, with new moderate cardiomegaly. Interval removal of the ng tube. No pneumothorax. There may be a tiny right pleural effusion. No focal consolidation. Left clavicular deformity is unchanged.
<unk> year old man s/p fall w/ sdh, iph, intubated. serial monitoring, concern for aspiration <unk>.
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Low lung volumes are present. This accentuates the size of cardiac silhouette which is likely within normal limits. The aorta is mildly unfolded. Mediastinal and hilar contours otherwise are unremarkable. There is no pulmonary vascular congestion. Mild bibasilar airspace opacities likely reflect atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormalities are seen.
shortness of breath, chest pain.
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Ap and lateral views of the chest. The lungs are clear of consolidation, effusion, or pulmonary vascular congestion. The cardiac silhouette is enlarged but stable. Atherosclerotic calcifications again noted at the arch. Mitral annular calcifications are also noted. No acute osseous abnormalities detected.
<unk>-year-old female with chest pain and lightheadedness.
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The lungs are well inflated with minimally increased interstitial markings, chronic in nature. No focal consolidation is identified. The cardiac silhouette is top normal but unchanged. There is no pleural effusion or pneumothorax. Visualized upper abdomen is unremarkable. Single fractured sternotomy wire is unchanged. Surgical clips project over the mediastinum.
<unk> year old woman with cough, fever and egonphony on exam, evaluate for pneumonia.
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The lungs are clear without a consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. Cervical fusion hardware is partially imaged, and unchanged from the prior exam.
chest pain. evaluate for pneumonia.
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Frontal and lateral views of the chest were obtained. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. Heart size is normal. Mediastinal silhouette and hilar contours are normal.
smoke inhalation.
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The cardiomediastinal and hilar contours are normal. The lungs demonstrate consolidation of the right middle lobe. There is no pleural effusion or pneumothorax.
<unk>-year-old male with fever and cough.
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Ap and lateral views of the chest. Lungs are clear. The cardiac, mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax.
evaluate for cardiopulmonary process.
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Extensive subcutaneous emphysema is again demonstrated throughout the right chest wall and in both cervical regions. Overall, this has minimally decreased compared to the prior radiograph. The degree of subcutaneous emphysema limits assessment of the right lung and pleura. As before, there are a few unusual curvilinear lucencies within the right hemithorax, for which pneumothorax cannot be excluded. The patient is status post right middle lobe resection. On the left, linear atelectasis has slightly worsened at the left base. Bilateral small pleural effusions are present.
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Comparison is made to prior study from <unk>. There is diffuse opacifications of both lung fields, worse within the right lung. Numerous nodular densities are seen bilaterally. There is cardiomegaly. The patient is intubated and the endotracheal tube is unchanged. Overall, there has been no significant change.
<unk>-year-old with choriocarcinoma metastases to the lungs. evaluate for interval progression.
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Ap single view of the chest with patient in semi-erect position demonstrates an ng tube that reaches the fundus of the stomach. In this location, the line reverses and its tip is directed back into the esophagus pointing in retrograde fashion. This line requires positional adjustment. No pneumothorax or any other placement-related complications identified.
<unk>-year-old male patient with new ng tube, check position.
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Ap portable upright view of the chest. Subtle opacity in the left lung base could represent pneumonia with probable subjacent small pleural effusion. Right lung is clear. Cardiomediastinal silhouette is unchanged. No acute osseous abnormality.
<unk>f with fever // please evaluate for acute cp abnormality
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Lungs are clear. The heart is massively enlarged. A dual lead pacemaker device is present, with leads ending in the right atrium and right ventricle. The bones are diffusely demineralized. Compression deformities throughout the thoracic and upper lumbar spine are better evaluated on ct of the torso from the same day. Right pleural effusion is trace, and likely chronic.
history: <unk>f with left knee pain, worsening low back pain, fever and abdominal ttp while at rehab after hospitalization for t<num> fracture. s/p pacemaker // eval for intraabdominal infection, pneumonia, knee fracture
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Heart size is mildly enlarged. The aorta is calcified at the knob. Mediastinal and hilar contours are otherwise unremarkable. Pulmonary vasculature is not engorged. Minimal atelectasis is noted in the left lung base. No focal consolidation, pleural effusion or pneumothorax is present.
history: <unk>f with shortness of breath
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In comparison with the study of <unk> from an outside facility, there is again enlargement of the cardiac silhouette with engorgement of ill-defined pulmonary vessels consistent with increased pulmonary venous pressure. There is an area of increased opacification at the left base. Although this could reflect merely atelectasis, in the appropriate clinical setting, supervening pneumonia would have to be considered. Left hemidiaphragm is poorly seen, consistent with volume loss in the left lower lobe and probable small effusion. Right ij catheter tip extends to about the level of the cavoatrial junction.
acute onset shortness of breath.
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The cardiomediastinal silhouettes are within normal limits. The bilateral hila are unremarkable. The lungs are clear without focal consolidation. There is no pulmonary vascular congestion. There is no pneumothorax or pleural effusion. An accessory azygos lobe is noted, a normal anatomic variant. There is no evidence of osseous injury or displaced rib fracture.
<unk>m with with a fall after syncope vs seizure from <unk> ft, evaluate for infiltrate or bony injury, pneumothorax.
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An opacity projecting over the right middle lobe is seen. No pleural effusion or pneumothorax is seen. Aortic calcifications are present. Heart size is normal.
<unk>-year-old male with cough and vomiting.
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Comparison is made to prior study from <unk>. There is hardware within the left clavicle unchanged. The heart size is globular and enlarged. There is no focal consolidation, pleural effusions or signs for overt pulmonary edema. Healed right upper rib fracture is also seen. Mild degenerative changes of the thoracic spine is seen on the lateral view.
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The lungs are hyperinflated, consistent with known emphysema. Opacity is again seen within the right upper lobe compatible with known malignancy with a fiducial marker identified. There is increased opacity adjacent to tumor, most likely representing post-obstructive infection or atelectasis. There is a new patchy opacity in the right lung base, which likely represents infection. Bibasilar atelectasis or scarring is seen. The cardiomediastinal silhouette is unremarkable. Sclerotic lesion in the left humeral head is unchanged from <unk>, likely representing medullary infarct or enchonroma. A stable bone island is seen in the left glenoid.
shortness of breath.
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In comparison with study of <unk>, the patient has taken a better inspiration. Cardiac silhouette is within upper limits of normal in size and there is no evidence of vascular congestion, pleural effusion, or acute focal pneumonia. Specifically, no evidence of pneumothorax. Apical pleural thickening is seen bilaterally. A metallic bb is projected over the lower left breast. Dense calcification is seen in a nondilated descending thoracic aorta.
fall, to assess for pneumothorax.
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Assessment is limited by patient positioning and rotation. Left-sided pacemaker device is noted with leads terminating in similar positions. Moderate cardiomegaly and tortuosity of the thoracic aorta are re- demonstrated with diffuse atherosclerotic calcifications noted within the aorta. Hilar contours are difficult to assess given the degree of patient rotation. Patchy opacity in the left lung base could reflect an area of atelectasis. Additional focal opacity is seen within the right mid lung field. No overt pulmonary edema is demonstrated. No large pleural effusion or pneumothorax is clearly visualized on this supine exam. Osseous structures are diffusely demineralized with loss of height of several mid thoracic vertebral bodies.
history: <unk>f with altered mental status
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Portable chest radiograph demonstrates unremarkable mediastinal, hilar and cardiac contours. Lungs are clear. Density noted at the cardiac apex is present across multiple prior studies and corresponds with prominent pericardial fat pad noted on the <unk> chest cta. No osseous abnormality identified.
two days of intermittent chest pain.
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Single ap view of the chest provided. An ij line terminating at the distal svc is seen. There has been interval placement of a nasogastric tube. Surgical <unk> are noted in the midabdomen. Mild cardiomegaly is stable. Bilateral atelectasis at both lung bases is noted. A moderate, stable pleural effusion is noted on the left. A right pleural effusion is small, if any is present. Imaged osseous structures are intact.
<unk> year old woman sp partial gastrectomy for perforated ulcer on <unk> // nasogastric tube placement
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Pa and lateral views of the chest were provided. The lungs are clear. No signs of pneumonia or chf. Cardiomediastinal silhouette appears normal. Bony structures appear intact though demineralized.
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There is a small right apical pneumothorax, slightly smaller than on the film from the prior day. There is also a right pleural effusion that is larger than on the study from the prior day but is still relatively small. The right ij line is unchanged. There is volume loss and subsegmental atelectasis in both lower lungs.
<unk> year old man with cabg r ptx // *please check at noon on <unk>*predischarge exam follow up on r pneumothorax
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Moderate cardiomegaly is a stable. The aorta is tortuous. . Aside from minimal retrocardiac atelectasis the lungs are clear. There is no pneumothorax or pleural effusion. There are moderate degenerative changes in the thoracic spine
<unk> year old woman with multiple myeloma, ckd and htn presenting with new cough, wbc, fever // interval change
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Lung volumes are normal. There is mild pulmonary vascular congestion, which appears new from the prior radiograph on <unk>. No overt pulmonary edema. There is likely a component of left retrocardiac atelectasis. No other focal consolidation. Mild blunting of the costophrenic angles on the lateral view suggests pleural effusions. No pneumothorax. Cardiomediastinal contours are normal. There are degenerative changes of the thoracic spine.
history: <unk>m with chest pain // eval for structural process
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Combination of pleural thickening and effusions remain small. No pulmonary edema. No acute focal consolidation. Heart size is top-normal.
<unk> year old man with pleural effusion // eval
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The heart size is top normal. Note is again made of a right paratracheal mediastinal bulge secondary to the previously seen mediastinal cyst. No pleural effusions, pneumothoraces or focal consolidations are identified. Again seen on the lateral radiograph is fracture of the mid shaft of the left humerus, overall stable compared to the prior exam. The lateral radiograph is limited due to the patient being unable to raise his arm.
<unk>-year-old man with a history of chest pain. evaluate for acute process.
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The patient is status post sternotomy and probably coronary artery bypass graft surgery. The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. There has been no significant change.
chest pain.
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Heart size is normal and unchanged. The mediastinal and hilar contours are unchanged, allowing for differences in patient positioning. The pulmonary vasculature is normal. Bandlike lower lung opacities most compatible with atelectasis. The upper lungs are clear. No pneumothorax is seen. There are no acute osseous abnormalities.
<unk>-year-old woman with cirrhosis, vague complaints, exertional dyspnea, weakness. evaluate for consolidation, infiltrate, effusion.
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Compared to chest radiographs from <unk>, right lower lobe opacities have not worsened and likely reflect aspiration. Lung volumes remain low and exaggerate heart size, which is likely moderately enlarged. Stable central vascular congestion without overt pulmonary edema. Probable small bilateral effusions, unchanged. No new focal consolidations. No pneumothorax. Right pic line terminates in the mid svc.
<unk> year old woman with chf, hypoxia // eval int change
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Surgical clips along the left margin of the trachea due to prior thyroid resection. Leftward deviation of the trachea, suggests growth of the right lobe of the thyroid. Patchy opacities at the bases likely reflect atelectasis. No focal consolidations. Normal cardiac silhouette. No pulmonary edema. No pleural effusion. No pneumothorax.
history: <unk>f with cp // ptx
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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected on this single frontal view. Linear opacity in the right lung base is unchanged, suggestive of linear atelectasis or scarring. Heart size is mildly enlarged. Cardiac pacing wires are similarly positioned compared to prior on this frontal view only. Widening of the left acromioclavicular joint is chronic, with chronic degenerative change.
<unk>-year-old male with syncope and dizziness.
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The lungs are well aerated. There is no focal consolidation, pulmonary edema, or pneumothorax. Mild to moderate cardiomegaly is unchanged, as well as mild tortuosity of the thoracic aorta. The hila and pleural surfaces are normal.
history: <unk>f with cough, generalized weakness, left shoulder pain // eval for acute process
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Single ap view of the chest provided. Tracheostomy tube is new. Lung volumes are low. Retrocardiac atelectasis and left basilar atelectasis is mild-to-moderate. No pleural effusion or pneumothorax. Hilar contours are normal. Minimal pneumomediastinum is new from <unk>.
<unk> year old woman with new trach. // evaluate for ptx after fresh trach.
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The lungs are hyperinflated but clear. Cardiomediastinal silhouette and hilar contours are unremarkable. Dual-lumen port-a-cath terminates in the low svc. These findings were discussed with dr <unk> by dr <unk> at <time> am on the date of the study via telephone.
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There are relatively low lung volumes. Slight increase in interstitial markings bilaterally could be due to minimal interstitial edema. No lobar consolidation is seen. There is no pleural effusion or pneumothorax. Cardiac and mediastinal silhouettes are stable.
history: <unk>f with increased sob, wheezing // ?pna vs copd
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Frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. Cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.
history: <unk>f with lower back pain and intermittent pleuritic lower right rib cage pain x<num> week // evaluate for focal consolidation
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Large bilateral pleural effusions appear to have have increased compared to <unk>. Bibasilar opacities are probably due to atelectasis. Cardiac silhouette is obscured by a large pleural effusions. Diffusely sclerotic bones are consistent with metastatic disease, similar compared to prior.
<unk>m with hypoxia // acute process?
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The cardiomediastinal and hilar contours are stable. A right-sided picc line is seen terminating below the level of the axilla, possibly within the basilic vein. There is no focal consolidation, pleural effusion or pneumothorax.
picc, needs removal, position of picc line.
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Lung volumes are low. Heart size is mildly enlarged, as seen on the previous study. The mediastinal contour is grossly unremarkable. Crowding of bronchovascular structures is demonstrated without overt pulmonary edema. Patchy opacities in the lung bases may reflect atelectasis in the setting of low lung volumes. No definite focal consolidation, pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>f with hiv presents with hypotension, diarrhea and somnolence
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Interval placement of an oral gastric tube, which traverses the diaphragm. The tip of the ogt is not visualized. The ett ends <num> cm from the carina. The position of the right subclavian line appears unchanged in position. Significant interval worsening of cardiomegaly, bilateral pleural effusions, and pulmonary vascular congestion. No pneumothorax. No acute osseous abnormality.
<unk>-year-old woman with respiratory failure; evaluate for ogt placement.
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Port-a-cath terminates in the lower svc. Cardiomediastinal silhouette is stable. Lungs are hyperinflated. There is no focal consolidation, pleural effusion, or pneumothorax. No pulmonary edema.
<unk> year old woman with fevers s/p whipple on <unk> // please assess for pna
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The lungs are well-expanded. Mild haziness overlying the lower thoracic spine on the lateral view is difficult to localize on the frontal radiograph. There is a small right pleural effusion. There is left no pleural effusion. There is no pulmonary edema, or pneumothorax. The cardiomediastinal silhouette is unremarkable.
history: <unk>f with ili, possible pna, pls evaluate // <unk>f influenza like illness for <num> days, crackles on exam, copious mucus, r/o pna
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Ap view of the chest provided. Left chest wall port-a-cath is seen with its tip residing in the region of the low svc. The lungs appear clear bilaterally without focal consolidation, effusion or pneumothorax. Cardiomediastinal silhouette appears normal. Bony structures are intact. No free air below the right hemidiaphragm.
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The lungs are well aerated. No pleural effusion or pneumothorax is seen. There is stable mild cardiomegaly. The hilar and mediastinal contours are unremarkable. No displaced fractures or dislocations are seen.
tenderness at right sternoclavicular joint s/p fall onto right upper extremity in <unk> // eval for right sternoclavicular joint fracture, dislocation, arthritis
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Cardiomediastinal and hilar contours are normal. No pleural effusion or pneumothorax. The lungs are clear. Ng tube is present coiled within the mid esophagus with distal end likely in the oropharynx but not captured on the current study. Surgical <unk> overlying the abdomen are present as well as an abdominal drain.
ng tube placement.
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Bilateral chest tubes remain in place, with a small biapical pneumothoraces, right slightly greater than left. The right pneumothorax is slightly smaller compared to the prior radiograph, and the left pneumothorax was difficult to detect on the most recent chest radiograph of <unk>, but appears slightly smaller than on an earlier radiograph of that same date obtained at <time> a.m. On <unk>. Exam is otherwise remarkable for improving bibasilar atelectasis, left greater than right, and persistent small pleural effusions, left greater than right.
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Frontal and lateral views of the chest. The lungs are clear of focal consolidation, effusion or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
<unk>-year-old male with hiv and fever.
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Heart size is top normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
<unk>f with chest pain, please evaluate for mediastinal widening, occult pneumonia
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Lung volumes are low, exaggerating heart size and crowding bronchovascular markings. Mediastinal contours are stable. There is bibasilar atelectasis, but no focal consolidation, pleural effusion, or pneumothorax.
<unk>f with sob // assess for pulm edema
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No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No overt pulmonary edema is seen.
cough, fever.
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The cardiac device and wires are unchanged in position. No focal consolidation, pleural effusion or pulmonary edema is seen. The cardiac silhouette continues to be enlarged with no signs of vascular congestion. No pleural thickening is seen.
<unk>-year-old woman with positive ppd, likely future cardiac transplant. evaluate for evidence of active tb.
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In comparison with study of <unk>, the patient has taken a better inspiration. The streak of atelectasis at the right base is less dense. The posterior aspect of one of the hemidiaphragms again is not as sharply seen, most likely reflecting some atelectatic change. Mild haziness at the left base could reflect some pleural fluid.
post-operative leukocytosis.
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Frontal and lateral views of the chest are obtained. There is minimal bibasilar atelectasis. No definite focal consolidation is seen. No pleural effusion or pneumothorax. The lungs are relatively hyperinflated, with flattening of the diaphragms, suggesting chronic obstructive pulmonary disease. The aorta is tortuous. The cardiac silhouette is top normal to mildly enlarged.
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The enteric tube courses below the diaphragm and terminates within the nondistended stomach in appropriate position. There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits. The partially imaged abdomen is unremarkable.
<unk>f s/p ng tube placement for bowel obstruction, evaluate placement.
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Single frontal chest radiograph demonstrates stable right pleural effusion with ovoid opacity projecting over mid lung likely representing loculated pleural fluid within the fissure. Unchanged right basilar opacification likely reflects atelectasis given chronicity though cannot exclude superimposed infectious process. Increased central pulmonary vascular engorgement suggesting pulmonary edema. Increased nodular opacifications within the right upper lung may represent multifocal infectious process possibly aspiration though assymetric pulmonary edema is a consideration. Cardiomediastinal contours are unremarkable. Redemonstration of esophageal stent in stable position. Left port-a-cath terminates within the right atrium.
shortness of breath, esophageal cancer, left transudative pleural effusion with pleurx catheter. assess for pneumonia, pneumothorax or reaccumulation of fluid.
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Postoperative changes following right upper lobe resection are stable including volume loss, apical thickening, and pleural and parenchymal scarring in the right mid-to-lower lung regions. Cardiomediastinal contours are stable in appearance in the postoperative period. No new areas of consolidation are identified within the lungs, and there are no pleural effusions or acute skeletal findings.
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Comparison is made to prior study from three hours earlier. The nasogastric tube has been advanced and the tip and side port are within the fundus of the stomach. The tip is pointing at the ge junction. Heart size is within normal limits. There are no pneumothoraces or focal consolidations.
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The heart is somewhat enlarged and globular in appearance compared to the most recent prior. The aorta is tortuous as before. Patchy opacities throughout both lungs, primarily at the bases, suggests mild edema. No pleural effusion or pneumothorax.
<unk>m with chest pain, recent d/c on lifevest after mi <num> wks prior // eval ? cardiomegaly, effusion
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Pa and lateral views of the chest were provided. The heart is mildly enlarged. There is mild pulmonary edema. Right lower lung, likely atelectasis, though an early pneumonia cannot be excluded. No pneumothorax is seen. Small pleural effusions difficult to exclude. Bony structures intact.
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Heart size is normal. Lung fields are clear. No nodules are pneumonia. Bilateral rib fractures there is healing/deformity, these are of some duration. Degenerative changes noted in the thoracic spine. No pneumothorax or acute fractures seen.
history: <unk>m with fall, pain left lateral chest wall // infiltrate, fracture
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Pa and lateral views the chest provided. The lungs are clear bilaterally without focal consolidation, large effusion or pneumothorax. No convincing signs of congestion or edema though the hila appear somewhat prominent which could reflect prominent vascular structures. Cardiomediastinal silhouette appears normal aside from atherosclerotic calcifications of the aortic knob. Bony structures are intact.
<unk>f with pulm htn with increased dyspnea. assess for infiltrate or congestive heart failure.
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Pa and lateral views of the chest are provided. Lungs are clear without focal consolidation, effusion, or pneumothorax. The heart and mediastinal contours are normal. Bony structures are intact. No free air below the right hemidiaphragm.
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No focal opacity to suggest pneumonia is seen. No pleural effusion, pulmonary edema, or pneumothorax is present. The heart size is normal.
chest pain.
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As compared to previous radiograph, there is no relevant change. No pneumothorax. Borderline size of the cardiac silhouette. The pre-existing right pleural effusion is completely resolved.
right effusion, questionable pneumothorax.
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There is interval increase in the amount of subcutaneous emphysema on the left. There is also increase in size and conspicuity of the left inferior pneumothorax. The left-sided chest tube is in place with the side hole projecting over of the left upper lung. A left lower lung chest tube might be needed the ng tube is slightly high with the proximal port at the ge junction. Pigtail chest tube is seen in the right lung with some residual pneumothorax seen inferiorly
<unk> year old man with l ptx, sq emphysema on l // eval for position of l chets tube, side ports within chest cavity
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Lung volumes are normal. No consolidation, pleural effusion or pneumothorax. Cardiomediastinal contours are normal. No acute osseous abnormalities.
<unk> year old man with low back pain, low-grade fevers- crp <unk>, sedimentation rate <num>-extensive evaluation negative so far // please evaluate for infiltrate, pneumonia
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In comparison with study of <unk>, there has been a left thoracotomy with placement of chest tube and small if any apical pneumothorax. Atelectatic changes are seen at the left base. The right lung is essentially clear.
left upper lobe cancer after surgery.
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The lungs are clear but hyperexpanded, with increased ap diameter. No evidence of hiatal hernia. Cardiomediastinal contour is unremarkable. In the partially visualized upper abdomen, only on the lateral view, <num> air-fluid levels are seen, presumably within bowel. Abdominal plain films are recommended for further evaluation.
<unk>f with vomiting after eating
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As compared to the previous radiograph, there is no relevant change. The picc line projects over the mid svc. The course of the line is unremarkable. No complications, notably no pneumothorax.
picc line placement.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lung volumes are low but the lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>f with abdominal pain worsened by deep respirations
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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>f with diabetic ketoacidosis, persistent hypotension
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Compared to the prior study there has been interval improvement of aeration at the right lung base with decreased right pleural effusion. There is persistent opacity throughout the left lung likely reflecting combination of asymmetric pulmonary edema pulmonary edema, atelectasis and a left pleural effusion. No pneumothorax seen. Infection cannot be excluded. Alignment of the sternal wires is unchanged compared to the prior study. A right internal jugular catheter terminates in the mid svc.
<unk> year old woman with cabg // follsw up effusions
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The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
history: <unk>m with headache, leukocytosis // eval for pna
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No pleural effusion is seen. There is no pneumothorax. Cardiac silhouette is mildly enlarged. Mediastinal contours are unremarkable and stable. There is increase in pulmonary vasculature bilaterally suggesting mild interstitial edema, increased as compared to the prior study. Difficult to exclude underlying pulmonary nodule, and if this is of clinical concern, chest ct is more sensitive.
history: <unk>f with chf, brca p/w dyspnea and chest pain // pulm edema vs. infiltrate
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Cardiac size is top normal. The lungs are clear. There is no pneumothorax or pleural effusion.
<unk> year old woman with asthma and abnormal ct s/p vats wedge x <num> on r // eval chest tube placement
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs which are clear. There is no focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.
chest pain.
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There is no focal consolidation, pleural effusion or pneumothorax. There is a small nodular opacity overlying the ninth posterior rib on the right, which may represent a nipple. The cardiomediastinal silhouette is normal. The bones are intact.
<unk>-year-old man with chest pain, rule out infectious process.
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Single portable ap view upright radiograph demonstrate hazy opacity projecting over the right lower lung zone with cephalization of vessels and prominent peripheral interstitial markings. Heart is enlarged. Findings are consistent with pulmonary edema, mild to moderate. No large pleural effusion is identified. There is no pneumothorax. A left chest pacer defibrillator is identified, its leads which appear in unchanged position relative to prior study dated <unk>. Osseous structures are without acute abnormality.
<unk>-year-old male with dyspnea.
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In comparison with the study of <unk>, there is little change. Enlargement of the cardiac silhouette without vascular congestion, pleural effusion, or acute focal pneumonia. Stable pacemaker leads in the region of the right atrium and apex of the right ventricle.
pacemaker and chest tightness.
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The patient is status post median sternotomy and cabg. A left-sided pacemaker device is noted with leads terminating in the right atrium and right ventricle, unchanged. Heart size is top normal. Atherosclerotic calcifications are noted at the aortic knob. Pulmonary vasculature is not engorged. Mediastinal and hilar contours are unremarkable. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax, though assessment of the left apex is obscured by the chin patient's chin and soft tissues projecting over this area. No acute osseous abnormality is identified.
history: <unk>m with altered mental status
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Ap portable semi upright view of the chest. An endotracheal tube is seen with its tip residing approximately <num> cm above the carina. Lung volumes are low. Allowing for this, there is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact.
history: <unk>m with stroke, intubated // eval for ett placement
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The cardiac, mediastinal and hilar contours are normal. Mild atherosclerotic calcifications are seen at the aortic knob. Pulmonary vascularity is normal and the lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
chest pain, cough.
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The cardiac, mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is seen. No acute osseous abnormality is identified.
palpitations, fatigue for <num> weeks.
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Cardiac size is normal. Multifocal bilateral ill-defined consolidations larger in the right lower hemi thorax are worrisome for aspiration. There is no pneumothorax or pleural effusion.
<unk> year old woman with opioid od now tachypneic and has crackles on exam. // ?interval changes
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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 <num> mo hx of intractible ruq pain. // r/o lung pathology
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is mildly enlarged. Mediastinal contours unremarkable. The patient is status post median sternotomy. Prominence of the hilar vasculature is stable compared to <unk> . No pulmonary edema is seen.
history: <unk>f with sob // edema?
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. Of note, the evaluation of the upper mediastinum is limited by external artifact.
<unk>-year-old female with bizarre behavior, tachycardic. evaluate for acute cardiopulmonary process.
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In comparison to radiograph from <unk>, the patient has been extubated. Has been removal of right ij central line, as well as ng tube. The cardiomediastinal silhouettes are grossly unchanged. There is again seen a calcified aortic arch. There is a right basilar platelike atelectasis. There is left lower lobe volume loss, with silhouetting of the left hemidiaphragm and increased retrocardiac opacification likely representing left basilar atelectasis. There is indistinctness of the left lateral cp angle which may represent a small left layering pleural effusion. There is no pneumothorax.
<unk> year old man s/p open aaa repair // evaluate for ptx
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Compared to the previous radiograph, the monitoring and support devices, including the left-sided chest tube, are in unchanged position. There is no evidence of pneumothorax. Unchanged size of the cardiac silhouette. Unchanged appearance of the lung parenchyma.
chest tube, evaluation for interval change.
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Pa and lateral chest radiograph demonstrates clear lungs. Cardiomediastinal and hilar contours are within normal limits. A left pectoral stimulator is present in unchanged configuration relative to prior study, the leads which appear intact. No displaced rib fracture is seen. There is no pneumothorax or pleural effusion.
history: <unk>f with seizures, recent fall onto r side with continued r rib pain. // ? r rib fracture
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The cardiomediastinal and hilar contours are within normal limits. Lungs are essentially clear. There is redemonstration of a calcified granuloma in the right upper lobe. There could be tiny pleural effusions, equivalent to the chest ct on <unk>. There is no focal consolidation or pneumothorax.
history of ivda, endocarditis presenting with fevers. question septic emboli pneumonia.
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Pa and lateral views of the chest were provided. There is known scarring in the left lower lobe which likely accounts for the subtle retrocardiac opacity. There is a stable area of scarring in the lingula inferiorly. There is no definite sign of pneumonia or overt chf. No large pleural effusion or pneumothorax is seen. Heart size is normal. Mediastinal contour is unremarkable. Bony structures appear intact.
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As compared to the previous radiograph, the patient has received a new nasogastric tube. The other monitoring and support devices, including the right pleural pigtail catheter are in unchanged position. The pigtail catheter shows several areas of kinking along its course. The extent of the right pleural fluid collection is without relevant change. Areas of atelectasis at the left lung bases have slightly increased in extent and severity.
empyema, evaluation for chest tube position and pulmonary edema and effusion.
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Single frontal view of the chest demonstrates interval intubation with et tube terminating <num> cm above the carina. An enteric tube extends inferiorly out of view into the stomach. There is persistent perihilar vascular congestion with more confluent bilateral lower lobe opacities, which could represent congestive heart failure with pulmonary edema, although supervening infection or aspiration cannot be excluded. Small pleural effusions may be present. Incidental note is made of bilateral glenohumeral degenerative disease.
<unk>-year-old male with new et tube placement.
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Patient is status post coronary artery bypass graft surgery. The cardiac, mediastinal and hilar contours appear stable. There is a peripheral wedge-shaped opacity at the base of the left chest associated probably with the lingula, most likely atelectasis. Elsewhere, the lungs appear clear. There are no pleural effusions or pneumothorax.
chest pain that worsens with deep breath. status post recent fall two days ago.
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Heart size is top normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Lung volumes are low. There is minimal patchy opacity in the lung bases likely reflective of atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is identified.
history: <unk>f with shortness of breath
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Study is slightly limited due to lordotic positioning. The heart size is normal. Mediastinal and hilar contours are unremarkable. There is no pulmonary vascular congestion. Minimal streaky retrocardiac opacity likely reflects atelectasis. No focal consolidation, pleural effusion or pneumothorax is demonstrated. There are no acute osseous abnormalities.
asthma, respiratory distress.