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Pa and lateral views of the chest were provided. The lungs appear clear bilaterally. There is no sign of pneumonia or chf. No effusion or pneumothorax. Cardiomediastinal silhouette is stable and normal. Bony structures are intact.
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Sequential portable ap radiographs of the chest demonstrate insertion of a dobhoff tube. On the final image, the weighted tip projects over the left upper quadrant in the region of the stomach. No change the positioning of the left subclavian line terminating in the lower svc. The previous right lung base interstitial abnormality has improved. No new focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is stable.
<unk> year old man with concern for pneumonia. also with dobhoff tube placement. evaluate for acute process.
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Pa and lateral views of the chest were provided demonstrating no focal consolidation, effusion or pneumothorax. Cardiomediastinal silhouette appears normal. Bony structures are intact.
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Tracheostomy tube, right ij catheter, gastrojejunostomy tube, and median sternotomy wires and surgical clips are unchanged in appearance. The lungs are clear with the exception of minimal left basal atelectasis. No effusion is seen. Top normal heart size.
<unk>-year-old woman with cabg. assess for effusions or chf.
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Ap view of the chest provided. There are lower lung opacities most compatible with atelectasis. Suture material is noted in the right mid lung. No large effusion or pneumothorax. No convincing signs of pneumonia. The heart size cannot be assessed. Clips are noted in the left upper abdomen. There is no pneumothorax. Bony structures appear intact.
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As compared to the previous radiograph, no relevant change is seen. Moderate cardiomegaly, low lung volumes. Mild fluid overload, but no overt pulmonary edema. No pleural effusions. No pneumonia.
productive cough, evaluation for pneumonia.
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Interval removal of swan-ganz catheter with residual right internal jugular vascular sheath terminating in the mid superior vena cava, with no visible pneumothorax. Slight change in position of nasogastric tube with tip now directed cephalad in the fundus. Re-positioning of endotracheal tube with tip <num> cm above the carina. Otherwise, little change in the appearance of the chest except for slight improvement in left lower lobe atelectasis and slight worsening of right lower lobe atelectasis.
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Endotracheal tube terminates <num> cm above the carina and is positioned towards the right side of the trachea, though not the right mainstem bronchus, repositioning is advised. The cardiac silhouette is within normal limits. The hilar and mediastinal contours are normal. There is mild atelectasis at the right lung base. There is no focal consolidation, pleural effusion or pneumothorax.
<unk>f with intubation at osh for ? status epilepticus, concern for aspiration // evaluate ett placement, evidence of aspiration
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Frontal and lateral views of the chest were obtained. Evidence of a large hiatal hernia is again seen. No definite new focal consolidation. There is no large pleural effusion, although trace pleural effusion would be difficult to exclude posteriorly. The cardiac silhouette is top normal to mildly enlarged. The aorta remains tortuous. Multiple old left-sided rib fractures are again demonstrated. Degenerative changes are again seen along the spine, although not well assessed.
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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. Clips in the right upper quadrant noted.
<unk>f with fever // pneumonia
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Pa and lateral views of the chest were provided. There is no focal consolidation, effusion, or pneumothorax. There is coarsening of interstitial markings likely indicative of underlying emphysema partially imaged on the same day ct c-spine. Heart and mediastinal contours are stable. Bony structures are intact.
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The patient is status post removal of various support and monitoring devices, with development of a very small right apical lateral pneumothorax. Cardiomediastinal contours demonstrate expected postoperative widening as compared to the preoperative radiograph of <unk>. Pulmonary vascularity is normal. Interval resolution of interstitial edema, and marked improvement in left retrocardiac atelectasis. Residual patchy bibasilar atelectasis is present as well as linear atelectasis at a site of a previous left chest tube. Persistent small left pleural effusion.
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Enteric tube tip is in the mid stomach. Sternotomy. Shallow inspiration. Bibasilar opacities, with retrocardiac consolidation, atelectasis versus pneumonitis. Probable small left pleural effusion.
<unk> year old man with sdh // ngt placement
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is stable with calcification along the arch and ascending segments. Imaged osseous structures are intact. Chronic left and right rib deformities are again noted. No free air below the right hemidiaphragm is seen.
<unk>f with pmh cva now presenting with weakness and speech problems worsening over the past month.
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The heart size, mediastinal, and hilar contours are normal. The lungs are clear without pleural effusion, focal consolidation, or pneumothorax.
<unk>m with fever. eval for pneumonia.
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The lungs are well inflated. No chf or infiltrate detected. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
chest pain.
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Single frontal view of the chest demonstrates massive cardiomegaly and pulmonary vascular congestion, consistent with congestive failure. There is, however, also right infrahilar opacity and right upper lobe perifissural opacity, raising question of concurrent infection. Within the left base is a lentiform opacity, which could be in part related to prominent pericardial fat pad in this location, although concurrent effusion or loculation cannot be excluded. There is no pneumothorax.
<unk>-year-old male with shortness of breath.
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Frontal and lateral radiographs of the chest show a left pectoral dual-lead pacemaker with two leads terminating in the right ventricle and left ventricle, unchanged. A right-sided picc line has been slightly withdrawn since <unk>, with the tip now terminating at the confluence of the brachiocephalic vein which should be advanced <num> cm to place in the low svc. Mild pulmonary edema is improved and nearly resolved from <unk>. Opacification at the right medial lung base on the frontal radiograph and posterior lower lung on the corresponding lateral radiograph is consistent with right lower lobe atelectasis. No pleural effusion or pneumothorax is present. The cardiomediastinal silhouette is unchanged with mild cardiomegaly. Calcification of the mitral valve annulus is noted. There is generalized loss of vertebral height and severe degenerative changes with bridging osteophyte formation in the thoracic spine.
<unk>-year-old female with multiple medical problems including diastolic heart failure, status post diuresis, here to evaluate for interval changes.
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Radiograph centered at the thoracoabdominal junction was obtained for assessment of a nasogastric tube, which terminates in the expected location of the proximal duodenum. Within the chest, stable cardiomegaly is present, as well as slightly improving patchy and linear opacities in the lower lungs, most likely due to atelectasis. Small right pleural effusion is also noted.
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The lungs are poorly inflated, accounting for some vascular crowding, but there are no focal opacities. There is moderate to severe cardiac enlargement which might represent cardiomegaly versus moderate pericardial effusion. Of note, the vascular pedicle is slightly widened, suggesting hemodynamic compromise. There is no pleural effusion or pneumothorax.
<unk>-year-old female with syncope. evaluate for evidence of pneumonia.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. There is retrocardiac opacity seen best on the lateral view as well as a new right basal opacity consistent with aspiration. There is no evidence of pneumothorax.
<unk> year old man with new o<num> requirement // pneumonia vs pneumonitis
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Pa and lateral views of the chest provided. Midline sternotomy wires and aortic valve replacement unchanged. Left chest wall pacer device is again seen with leads extending to the region the right atrium and right ventricle. Mitral annular calcification is also noted. The heart remains stably enlarged though the right heart border is not clearly assessed given elevation of the right hemidiaphragm. The hila appear slightly congested though there is no overt edema. No focal consolidation, large effusion or pneumothorax is seen. The relative elevation of the right hemidiaphragm is unchanged. Mediastinal contour is stable. No acute bony abnormality. Old left upper rib deformities noted.
<unk>f with sob // eval for consolidation
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Pa and lateral chest radiographs were obtained. A small right and moderate left pleural effusion have increased since <unk> when they were small. There is no consolidation or pneumothorax. Bibasilar septal lines indicate mild interstital edema. There are no abnormal cardiac or mediastinal contours. A left-sided picc line tip terminates in the mid svc. Median sternotomy wires are intact.
chest pain.
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Ap single view of the chest has been obtained with patient in semi-upright position. The typical grid pattern of a corevalve device is seen in place occupying the left ventricular outflow as well as aortic root area. A right internal jugular approach temporary pacing wire is seen to be advanced into the right ventricular area pointing at the apical portion. The heart size has not changed from the pre-intervention chest examination of <unk>. Also, aortic arch and descending aorta unaltered. The pulmonary vasculature is not more congested than it was earlier and there are no signs of new acute pulmonary parenchymal infiltrates. No pneumothorax is present.
<unk>-year-old male patient with cardiac ejection fraction <unk>%, aortic stenosis, now status post corevalve (uncomplicated). please evaluate position of ett, effusion and consolidations and temporary wire position.
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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. The lungs appear clear. Small anterior osteophytes are noted along the mid-to-lower thoracic spine.
chest pain; question pneumothorax.
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Portable semi-erect chest radiograph demonstrate persistent low lung volumes. There is moderate pulmonary edema with left lower lung opacification, new since prior chest radiograph dated <num> day prior. This may represent atelectasis versus superimposed pneumonia. The endotracheal tube is not well seen and may be obscured by the chin. There is subcutaneous emphysema in the right supraclavicular region with no evidence of mediastinal air. A right ij is seen at the cavoatrial junction. A left chest tube projects to the level of the aortic arch. Extensive abdominal free air is noted. Known and unchanged cardiomegaly. No pneumothorax.
<unk>-year-old male with esophageal perforation status post intubation.
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The lungs are symmetrically well expanded and well aerated without focal consolidation, pleural effusion or large pneumothorax on this supine view. The pulmonary vasculature is not engorged. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits. The trachea is midline. No acute displaced rib fractures are detected. No acute osseous abnormality is seen.
mvc versus pole, here to evaluate for pneumothorax, pulmonary contusion or rib fracture.
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In comparison with the earlier study of this date, following chest tube removal, the pneumothorax has decreased. Otherwise, little change.
wedge resection, to assess for pneumothorax after chest tube removal.
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The patient is status post coronary artery bypass graft surgery. The cardiac, mediastinal and hilar contours appear unchanged. There is confluent area of reticulation and mild volume loss with cuffed and perhaps dilated airways in the left lower lobe, new since the prior examination. Mild reticulation in the right costophrenic sulcus appears unchanged. There is no definite pleural effusion or pneumothorax. Small osteophytes are present along the thoracic spine.
chronic non-productive cough.
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The lung volumes are low. Allowing for low lung volumes, the cardiac, mediastinal and hilar contours appear unchanged. Streaky minor opacities in the lower lungs suggest minor atelectasis. Otherwise, the lungs appear clear. There are no pleural effusions or pneumothorax. The bony structures are unremarkable. Views of the upper abdomen are limited but show air-fluid levels within the bowel of the epigastric region.
ascites and liver disease, presenting with dyspnea.
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Frontal and lateral views of the chest were obtained. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
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Portable frontal chest radiograph demonstrates a largely stable appearance of numerous pleural metastases, right greater than left. There is no definite effusion, there is no pneumothorax. The heart remains markedly enlarged. The mediastinal contours are notable for thickening of the right paratracheal stripe, which is likely vascular. The pulmonary vasculature is normal. There is minimal atelectasis which is stable in appearance in the left lower lung.
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As compared to the previous radiograph, the ventilation of the lung parenchyma is improved, notably at the bases of the right lung. The multifocal parenchymal opacities, predominantly in perihilar location, are unchanged. No larger pleural effusions are seen on today's image. Borderline size of the cardiac silhouette. The endotracheal tube is constant in appearance.
respiratory failure, comparison to prior exams.
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There has been interval extubation with improved lung volumes. There is decreased, now mild, elevation of the right hemidiaphragm. No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. Heart and mediastinal contours are within normal limits.
<unk>-year-old male status post left total hip arthroplasty re- implantation, with elevated right hemidiaphragm in the setting of intubation, now status post extubation.
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As compared to the previous radiograph, there is improved ventilation at the left and right lung bases, as reflected by increase radiolucency at both lung bases. However, the pre-existing parenchymal opacities on both the left and the right remain clearly visible. Moderate cardiomegaly. Unchanged position and course of the right internal jugular vein catheter.
pneumonia, respiratory failure, fever.
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Portable ap chest radiograph. Ngt courses below the diaphragm and terminates outside the field of view. Right ij catheter tip is in the right atrium. Multifocal consolidations have continued to worsen, most notably in the right lung base. Moderate bilateral pleural effusions have also developed in the interim. There is no pneumothorax. The cardiomediastinal silhouette is stable.
multifocal pneumonia and ards in the setting of cirrhosis.
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A right pleural pigtail catheter is again present. There are persisting small bilateral pleural effusions with subjacent atelectasis/ consolidation. The appearance of both mid to lower lung zones are unchanged. There is a small right basilar pneumothorax. The appearance of the cardiomediastinal silhouette is unchanged.
<unk> year old man with small ptx s/p chest tube drainage <num>l effusion (likely malignant) // please at <num>pm. ip following up ptx and effusion at <num>pm
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Frontal and lateral radiographs of the chest demonstrate normal heart size. The mild tortuosity of the thoracic aorta. The lungs are clear. No pleural effusion or pneumothorax. No displaced rib fracture identified.
chest discomfort with cough and congestion question infiltrate
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Endotracheal tube terminates <num> cm above the carina. Enteric tube courses below the diaphragm, out of the field of view, side port in the location of the stomach. Cardiac silhouette is mildly enlarged. Mediastinum is mildly prominent. Left base atelectasis is seen without definite focal consolidation. No large pleural effusion or pneumothorax.
history: <unk>m with intubaton*** warning *** multiple patients with same last name! // eval ett location
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Two views were obtained of the chest. The lungs are clear without pleural effusions or pneumothorax. The heart is normal in size with normal cardiomediastinal contours. There is no free air under the right hemidiaphragm. Extensive right acromioclavicular and thoracic spine degenerative changes are seen.
chest and epigastric pain.
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As compared to the previous radiograph, a nasogastric tube was placed. The tip of the tube projects over the gastroesophageal junction, the sidehole is still in the lower esophagus. The tube should be advanced by approximately <num>-<num> cm. There is no evidence of complications, notably no pneumothorax. However, the pre-existing atelectasis at the right has substantially increased in severity. The right internal jugular vein catheter is unchanged.
feeding tube placement, evaluation.
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The lungs are clear and mildly hyperinflated. The cardiomediastinal contours are unchanged. No interstitial pulmonary edema, pneumonia, pleural effusions or pneumothorax.
<unk> year old man with sob and wheezing since recent cardioversion // please evaluate for pna
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There is no focal consolidation, pleural effusion or pneumothorax. Pulmonary edema has resolved. The cardiomediastinal silhouette is normal. The imaged upper abdomen is unremarkable.
<unk>m with chest pain, paliptations // evaluate for acute process
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The patient carries a left-sided picc line. The course of the line is unremarkable, the tip of the line projects over the mid svc. No complications, notably no pneumothorax. Normal appearance of the lung parenchyma and the cardiac silhouette.
<unk> year old woman with picc // what is placement of picc
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Lung volumes are relatively low. Right chest wall port is seen with catheter tip at the ra/svc junction. The lungs are clear. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with breast cancer, c/o sob // eval for pna, pulmonary edema
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The heart size, mediastinal, and hilar contours are normal. The lungs are clear without pleural effusion, focal consolidation, or pneumothorax.patient has had partial left mastectomy, denoted by multiple surgical clip in the left axilla.
<unk>-year-old woman with chest pain and shortness of breath. evaluate for opacities.
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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 airspace opacity.
<unk>-year-old female with weakness. evaluation for cardiomegaly, edema, or pneumonia.
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Pa and lateral chest radiographs were obtained. The lungs are well expanded and clear. There is a stable calcified granuloma in the left lower lobe. There is no focal consolidation, effusion, or pneumothorax. Cardiac and mediastinal contours are normal.
shortness of breath
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No previous images. There is striking elevation of the left hemidiaphragmatic contour. Multiple surgical clips are seen anteriorly in the mid to upper thorax. Cardiac silhouette is within normal limits and there is no vascular congestion or acute focal pneumonia. Atelectatic changes are seen at the bases.
asthma evaluation.
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The pre-existing diaphragmatic eventration on the right has mildly increased in extent. There is a minimal decrease in transparency at the right lung base. On the lateral radiograph, this translates into an area of increased radiodensity on the lateral radiograph, corresponding to the region of the middle lobe. If consistent with the clinical history, these findings would strongly suggest the presence of pneumonia. At the time of observation and dictation, at <time> p.m., on <unk>, the referring physician, <unk>. <unk> was paged for notification and subsequently the findings were discussed over the telephone. No other abnormalities, in particular no reactive pleural effusions or adenopathy. Normal size of the cardiac silhouette. No pneumothorax or other parenchymal lung abnormality.
cough, questionable right lower lobe crackles, evaluation for pneumonia.
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There is been interval placement of an endotracheal tube with tip seen <num> cm from the carina. Right picc tip is noted in the lower svc. Enteric tube passes below the inferior field of view. The appearance the lungs is not changed with bilateral regions of consolidation and hazy bibasilar opacities.
<unk>m with post intuabtion // ett placement
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The heart is mild to moderately enlarged. Patchy calcification is noted along the aortic arch. The descending aortic contour is mildly tortuous. There is no pleural effusion or pneumothorax. There is peribronchial thickening particularly in the perihilar regions of each lung, but otherwise the lungs appear clear. There is no pleural effusion or pneumothorax. The bony structures are unremarkable.
fever.
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Tiny <num> mm x <num> mm homogeneous nodular focal area of opacification in the apex of the right lung that is stable and unchanged in size when compared to <unk> chest radiograph. This finding is consistent with a calcified granuloma. Stable intra-aortic atherosclerotic calcifications are also noted in the ascending and descending aorta. Otherwise this is a normal chest radiograph. There is no consolidation, opacities, masses, pneumothorax, or pleural effusion appreciated. The cardiomediastinal silhouette and hilar silhouettes are normal size. The heart size is normal. There is no acute bony abnormality nor evidence of acute fracture.
<unk> year old woman with left pleuriitic chest pain on left side. crackles in left lower lung field. no cough / wheezing or fever. h/o asthma. // r/o lung or pleural disease
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Pa and lateral views of the chest provided demonstrate no focal consolidation, effusion, or pneumothorax. The heart and mediastinal contours appear normal. Bony structures are intact. No free air below the right hemidiaphragm. Anterior spurs along the t-spine again noted.
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Ap portable view of the chest. Mediastinal clips and sternotomy wires are stable. There is a stable mechanical aortic valve. The cardiomediastinal and hilar contours are normal. There is no focal consolidation, pleural effusion or pneumothorax. There is mild pulmonary vascular congestion. Lucency along right mediastinal border, in absence of symptoms most likely represents air in the esophagus.
possible mechanical valve, cad.
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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. The lungs appear clear.
weakness.
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Increased prominence of diffuse fluffy infiltrates and pulmonary vasculature since prior examination. No large pleural effusion, possible trace right pleural effusion. No definite lung opacification is seen. No pneumothorax. Low lung volumes, unchanged. Cardiomegaly, stable given differences in technique. Tracheostomy appears unchanged. Tubing overlies the left hemithorax.
<unk>m with chf, exertional dyspnea, near-syncope // eval for acute process
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Ap and lateral views of the chest. Left picc no longer seen. The lungs are clear of confluent consolidation. There are small bilateral effusions. Increased pulmonary vascular markings are seen bilaterally. The cardiac silhouette is moderately enlarged, similar to prior. No acute osseous abnormality is identified, noting an s-shaped thoracolumbar scoliosis.
<unk>-year-old female with shortness of breath and altered mental status.
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Pa and lateral views of the chest are compared to previous exam from <unk>. Lower lung volumes are seen on the current exam. Linear bibasilar opacities are most suggestive of atelectasis. There is no effusion. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with decreased appetite. question infiltrate.
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As compared to the previous radiograph, the patient has received a left pectoral pacemaker. One of the pacemaker leads projects over the right atrium and the other one is located in the right ventricle. Status post cabg and valvular repair. No evidence of pneumothorax. No pulmonary edema. No pleural effusions.
pacemaker, evaluation for pneumothorax.
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Pa and lateral views of the chest. There is no focal consolidation, pleural effusion, or pneumothorax. There is mild elevation of the right hemidiaphragm, similar to mri from <unk>. The cardiomediastinal and hilar contours are normal.
weakness.
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Frontal and lateral views of the chest. The lungs are clear of consolidation, effusion, or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities detected.
<unk>-year-old male with chest pain. question pneumonia.
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Pa and lateral views the chest were viewed. The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are well expanded and clear. Pulmonary vasculature is within normal limits.
status post mvc.
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The heart size is normal. The mediastinal and hilar contours are unremarkable. The pulmonary vascularity is normal. Minimal patchy opacities in the lung bases are most likely reflective of atelectasis. No focal consolidation, pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
shortness of breath, ascites.
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Enteric tube passes below the inferior field of view. The lungs are clear without consolidation, effusion or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with cirrhosis, recent pna and alc hep presenting with fever <num> <num> week ago. // evidence of pna?
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There are bilateral pleural effusions, small on the left and moderate on the right with adjacent atelectasis. There is pulmonary vascular congestion without overt edema. Enlargement of the cardiac silhouette is similar to prior although detailed evaluation is limited. Dense mitral annular calcifications are seen. Median sternotomy and left chest wall single lead pacing device are again noted. No acute osseous abnormalities.
<unk>f with dyspnea // eval for pulmonary edema
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The cardiomediastinal silhouette is unremarkable. Patchy, linear bibasilar opacities most likely represent atelectasis. An endotracheal tube is noted, terminating approximately <num> cm above the carina. Enteric tube passes below the inferior field of view. No definite pleural effusion or pneumothorax is identified. Chronic deformity of the left clavicle suggests prior fracture. Old healed left posterior rib fractures are also seen.
<unk>m with ett
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Radiograph centered at the thoracoabdominal junction was obtained for assessment of a nasogastric tube, which coils within the proximal stomach before terminating within the distal stomach. With the exception of a change in the position of a nasogastric tube, there is otherwise no relevant change in the appearance of the chest since the recent study performed earlier the same date.
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Pa and lateral views of the chest provided. As compared to prior study from <num> day ago, pulmonary vascular engorgement has improve. Minimal right base atelectasis remains unchanged. There are no pleural effusions. Mild cardiomegaly is stable. There is no mediastinal widening. Defibrillator leads are in appropriate positions. There is no pneumothorax.
<unk> year old man with sob s/p biv-pacemaker, evaluate for pneumothorax
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There is increased opacification at the left lung base silhouetting the left hemidiaphragm with associated blunting of the left costophrenic angle reflecting a left pleural effusion with associated lung collapse and/or focal consolidation in the appropriate clinical context. These findings are new from the most recent prior study of <unk>. Diffuse interstitial lung markings with scarring at the bilateral apices are unchanged. No significant right pleural effusion is detected. No pneumothorax is appreciated. The pulmonary vasculature does not appear engorged. The cardiomediastinal silhouette is unchanged. The trachea is midline.
syncope, here to evaluate for pneumonia.
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No focal consolidation concerning for pneumonia. No large effusion or pneumothorax. Heart is mildly prominent. Hila appear slightly engorged. There is likely mild interstitial pulmonary edema. The mediastinal contour is normal. Bony structures are intact.
<unk>-year-old woman presenting with sob, transferred on bipap. evaluate for pulmonary edema.
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Pa and lateral views of the chest provided. Midline sternotomy wires and mediastinal clips are again noted. The heart appears markedly enlarged, slightly increased from the prior exam. There is no focal consolidation, large effusion or pneumothorax. Mediastinal prominence is unchanged with densely calcified ascending aorta. No overt signs of edema. Bony structures appear intact. Chronic right clavicle deformity.
<unk>m with cardioversion overnight, cp, pls eval for effusion
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The lungs are clear without overt pulmonary edema or large effusion. Cardiac silhouette is enlarged but stable. Left chest wall single lead pacing device, median sternotomy wires and mediastinal clips are again noted.
<unk>m with significant cardiac history presenting with <unk> swelling, dyspnea on exertion // eval for fluid overload
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Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Minimal patchy opacities are seen in the lung bases, most likely reflective of atelectasis. Linear scarring within the peripheral aspect of the right lung base is also unchanged. No focal consolidation, pleural effusion or pneumothorax is visualized. No acute osseous abnormality is detected.
history: <unk>m with chest pain
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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 is seen.
left-sided chest pain for <num> days, weakness into left arm.
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Frontal and lateral views of the chest. The lungs are clear. There is no pneumothorax or effusion. Cardiac silhouette is at upper limits of normal. There is no visualized acute osseous abnormality. Well-circumscribed calcific density projects just inferior to the coracoid process of the scapula on the left, potentially an intra-articular body.
<unk>-year-old female with fall, pain, struck chest.
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The right-sided picc line tip at the cavoatrial junction is again visualized. The heart continues to be mildly enlarged and there is pulmonary vascular redistribution. However much of the hazy alveolar infiltrate has cleared. There is no new infiltrate
<unk> year old man with new hypoxemia // any acute abnormality? any consolidation? any edema?
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The cardiac, mediastinal and hilar contours are normal. The pulmonary vascularity is normal. Lungs are clear. Minimal chronic blunting of the left costophrenic angle posteriorly is likely due to scarring. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
chest pain.
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Previously present right upper lobe collapse has resolved. Support and monitoring devices are in standard position except for nasogastric tube, with tip just below the diaphragm and side port several centimeters above the ge junction. Exam is otherwise remarkable for apparent layering right pleural effusion.
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Mild biapical pleural scarring with calcified nodules in the right upper lobe are stable. Lungs are hyperinflated and remain clear. Diaphragms are flattened, unchanged. No pleural effusion or pneumothorax. Hilar and cardiomediastinal contours are normal.
<unk> year old woman with stage iiib melanoma // surveillance for metastatic disease
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As compared to the previous radiograph, there is no relevant change. Status post cervical fixation. Moderate cardiomegaly with retrocardiac atelectasis but without evidence of acute lung changes. Constant position of the right subclavian vein catheter.
new onset of fever, increased secretions, evaluation for pneumonia.
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There is no significant change from most recent prior radiographs of <unk>. No focal consolidation, pleural effusion or pneumothorax is present. There is stable appearance of mild cardiomegaly with no evidence of pulmonary edema.
congestive heart failure, presents with dyspnea on exertion and increased peripheral edema and cough for past <num> month. is there evidence of fluid in lungs or pneumonia?
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The endotracheal tube terminates <num> cm above the carina. A right port catheter has its tip in the right atrium. Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Lungs are clear except for mild bibasilar atelectasis. No pleural effusion. No pneumothorax. The stomach is mildly distended with gas. There may be a dilated loop of bowel, possibly small bowel, measuring <num> cm in the left upper quadrant.
history: <unk>m with acute cp, seizure, hypotension // eval for acute process
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As compared to the previous radiograph, there is no relevant change. Borderline size of the cardiac silhouette with mild enlargement of the left ventricle. No acute pulmonary edema. No pleural effusions. No pneumothorax. Moderate tortuosity of the thoracic aorta.
increasing oxygen requirements, evaluation for pulmonary edema.
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Lung volumes are low. No focal consolidation, pleural effusion, or pneumothorax is detected. Mild pulmonary vascular prominence and interstitial haze appears similar compared to prior exams dating back to at least <unk>. Heart and mediastinal contours are stable.
<unk>-year-old female with chest pain.
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The cardiomediastinal silhouette and pulmonary vasculature are normal. The lungs are clear. There is no pleural effusion or pneumothorax.
history: <unk>m with fever, cough, aches
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In comparison to the most recent prior study, the inspiratory lung volumes are slightly decreased. The lungs are clear without focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits.
chest pain and belching, here to evaluate for acute cardiopulmonary pathology.
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Ap chest radiograph. There is no focal consolidation, pleural effusion, or pneumothorax. Retrocardiac atelectasis is unchanged. There are no overt signs of edema. There is no pleural effusion or pneumothorax. Aside from atherosclerotic calcifications in the arch, the cardiomediastinal silhouette is normal.
palpitations. concern for pneumonia.
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Single portable view of the chest. No prior. Endotracheal tube is seen with tip approximately <num> cm from the carina. Right lung is grossly clear. Left lung is obscured by overlying trauma board and clips. Increased lucency at the left lung base bilaterally is suggestive of a pneumothorax, better seen on ct performed subsequently. Multiple location left-sided rib fractures are also better characterized on ct scan. Cardiomediastinal silhouette is within normal limits.
<unk>-year-old male status post mvc, rollover.
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Compared with prior radiograph, pulmonary edema is worsening, now severe with bilateral pleural effusions and unchanged cardiomediastinal silhouette. No pneumothorax.
acute hypoxia, er x-ray with significant bilateral airspace opacities and question of effusions but significantly rotated study. chest x-ray to evaluate opacity and effusions.
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Frontal and lateral views of the chest demonstrate normal heart size and mediastinal contour. There is prominent right hilar/infrahilar opacity which could represent confluence of vascular structures, but can potentially represent early infection or even potentially a mass. A mild interstitial prominence suggests there may be mild congestion. There is no pneumothorax or large effusion. There is trace if any dependent atelectasis. Multilevel thoracic spondylosis is present.
a <unk>-year-old male with fever. question pneumonia.
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There is no focal consolidation, pleural effusions or pneumothorax. There is mild bronchial wall thickening, which may be due to asthma or bronchitis. Cardiomediastinal silhouette is within normal limits. Surgical clips are noted in the right upper quadrant. No acute osseous abnormalities.
<unk> year old woman with hx of asthma complaint of several months of cough, sob // infiltrate?
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Heart size and cardiomediastinal contours are within normal limits for age. Probable background hyperinflation. Interstitial markings appear chronic. No chf, focal consolidation, pleural effusion, or pneumothora detected. No free air seen beneath the diaphragm.
history: <unk>f with llq pain/tenderness, ongoing cough/congestion // eval for acute process, attn to diverticulitis, eval for pna
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Median sternotomy wires are intact. Left chest wall pacer-defibrillator has leads terminating in the right atrium and right ventricle. Heart size is increased notably with increased size of the right atrium. There is chronic blunting of the right costophrenic sulcus the lungs are otherwise clear. No pneumothorax. No pulmonary edema.
history: <unk>f with ischemic cardiomyopathy, icd, dm, ef <unk>% now with increased <unk> swelling and doe. // any evidence of chf exacerbation - pulm edema? infection?
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Pa and lateral views of the chest are obtained. Hyperinflation of bilateral lungs is again seen, consistent with copd. No new focal consolidations, pleural effusions or soft tissue changes are noted since the prior exam. No pneumothorax is seen. Bilateral apical opacities likely representing scarring remain unchanged. The cardiomediastinal silhouette is unremarkable. If evaluation for fracture is indicated, recommend detailed views of the area of focal physical exam findings.
<unk>-year-old male with trauma last week and pain in the right lateral ribs with basilar rales and cough. evaluation for pneumonia and fractures.
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A picc line terminates at the confluence of the brachiocephalic veins of the superior vena cava, and the patient is again status post tracheostomy. The heart appears enlarged. The mediastinal and hilar contours appear unchanged. There is a diffuse mild vascular prominence with indistinct vascular and interstitial markings suggesting mild congestion. Patchy retrocardiac opacity is minor and probably attributable to atelectasis. There is no definite pleural effusion although noting that the left costophrenic sulcus is partly excluded. There is no pneumothorax.
tracheostomy after motor vehicle collision, now presenting with increased confusion and thickened sputum.
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Heart size top-normal unchanged since <unk>. Mediastinal and hilar contours unremarkable. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax.
fever. evaluate pneumonia.
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Ap portable upright view of the chest. Overlying ekg leads present. Right sixth rib fracture is noted, acute appearing. The right fifth posterior rib is also likely fractured. There is a left seventh rib deformity which appears subacute to chronic though new from prior exam. No pneumothorax. No consolidation, large effusion or edema. Cardiomediastinal silhouette is unchanged.
<unk>m on coumadin presenting s/p fall with severe right sided back pain.
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There is redemonstration of a left-sided pacemaker with associated right atrial and right ventricular leads. Heterogeneous opacities in the right lower lung may project over the lower spine on the lateral radiograph, concerning for an infectious process. The lungs are otherwise clear. The heart size is normal. There are no pleural effusions. No pneumothorax is seen.
cough and fever. assess for pneumonia.
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There has been interval removal of a swan-ganz catheter and endotracheal tube. An enteric tube has also been removed. A right internal jugular sheath remains in stable position. A right-sided picc is also stable. An aortic valve projects over the heart. The cardiac silhouette is enlarged but stable in size from the prior examination. Moderate layering bilateral effusions are noted and are increased from the prior examination. No pneumothorax is seen. Moderate edema.
<unk> year old woman s/p mech mvr, tv repair, asd closure // eval for pneumothorax s/p ct removal