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Pa and lateral views the chest were provided. Lungs are clear. No pleural effusion or pneumothorax. The heart mediastinal contours are normal. Bony structures are intact.
<unk>-year-old man with back and chest pain.
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The lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. The cardiac and mediastinal contours are stable.
history: <unk>f with hyponatremia. no hx of chf. smoker // eval for fluid overload, malig
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The heart is top-normal in size, with re- demonstration of aortic arch calcifications and tortuous descending thoracic aorta. The lungs are grossly clear, with streaky left lower lobe opacities compatible with atelectasis. No pneumothorax, pleural effusion, or pulmonary edema is present.
history: <unk>f with weakness // r/o infection
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Pa and lateral views of the chest were obtained. Heart is normal in size and cardiomediastinal contour is unremarkable. Lungs are symmetrically expanded and clear. There is no focal consolidation, pleural effusion, or pneumothorax.
<unk>-year-old female with chest pain, evaluate for pneumothorax or pneumonia.
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Pa and lateral images of the chest. There are low lung volumes, with associated bronchovascular crowding. There is mild pulmonary vascular congestion, improved from prior exam. The lungs are otherwise clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
history of pneumonia, now with fever.
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Ap and lateral views of the chest. Moderate-to-severe cardiomegaly is unchanged. The aorta is tortuous. Slight increase in interstitial markings compared to prior study which likely indicates mild interstitial pulmonary edema. No pleural effusions. No pneumothorax. No focal consolidation.
chest pain.
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Pa and lateral views of the chest were provided. An aicd is unchanged with leads extending to the region of the right atrium and right ventricle. Subtle hazy opacity in the right cardiophrenic recess is similar to a prior exam from <unk>, most compatible with an epicardial fat pad. No convincing signs of pneumonia or chf. No pleural effusion or pneumothorax is seen. The cardiomediastinal silhouette is stable. Bony structures appear intact. No free air below the right hemidiaphragm is seen.
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Lung volumes are low. The lungs however remain clear without consolidation, effusion, or edema. Cardiomediastinal silhouette is likely within normal limits given low lung volumes. No acute osseous abnormalities.
<unk>f with intermittent cp, severe htn // ? acute cardipulm process
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No significant interval change. Mild pulmonary vascular congestion is overall and top- normal heart size are unchanged. No pleural effusion or pneumothorax. Extensive degenerative changes of the thoracic spine are overall unchanged. Surgical clips are noted on the lateral view projecting over the upper abdomen.
history: <unk>f with worsening constipation // ?obstruction, ?infection
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Pa and lateral views of the chest provided. Midline sternotomy wires and mediastinal clips are again noted. Lung volumes are low. There is hilar congestion and mild pulmonary edema. No large effusion or pneumothorax. Subtle opacity in the left infrahilar region may represent a superimposed pneumonia in the correct clinical setting. Cardiomediastinal silhouette is stable. Aortic calcification again noted. Bony structures are intact.
<unk> year old man with dementia (nonverbal) sent in from snf for ftt/decreased po intake. lactate <num>. wbc <unk>
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Pa and lateral views of the chest were provided. The heart appears mildly enlarged. There is no definite consolidation, effusion or pneumothorax. No signs of pulmonary edema or congestion. The mediastinal contour is stable. Bony structures are intact.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with ? cva // eval for acute infectious process
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Pa and lateral views of the chest were provided demonstrating no focal consolidation, effusion, or pneumothorax. The heart size is normal. Mediastinal contour is unremarkable. No signs of pneumomediastinum. Bony structures are intact. No free air below the right hemidiaphragm.
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A left-sided port-a-cath tip terminates at the junction of the svc and right atrium. Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is identified. Minimal scarring is seen in the lung apices. There are no acute osseous abnormalities.
history: <unk>m with cough, fever, history of cancer
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Pa and lateral views of the chest. No prior. The lungs are clear. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male with chest pain.
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Right chest wall port-a-cath is again noted. Postoperative changes are noted with surgical clips at the left hilum. Left lung is grossly clear. There are new regions of consolidation in the right lung, one linear region projecting over the right upper lobe, potentially in part atelectasis. More patchy region of consolidation projecting more inferiorly over the right lung, likely within the middle lobe based on the lateral view. There is no effusion. Chronic changes of the left lateral ribs are again noted. Surgical clips seen in the upper abdomen.
<unk>m with metastatic stage <num> lung ca, on chemo, with increasing chest pain and cough // ?pna
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Pa and lateral views of the chest were provided. The lungs are clear bilaterally without focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact. A chronic left ac joint separation is noted.
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In comparison with the study of <unk>, there is again opacification involving much of the left mid and lower lung zone. Specifically, no evidence of pneumothorax following the bronchoscopic biopsy.
post-bronchoscopy.
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The patient is status post coronary artery bypass graft surgery. There is also a dual-lead pacemaker/icd device with leads again terminating in the right atrium and ventricle, respectively. The cardiac, mediastinal and hilar contours appear stable including cardiac enlargement. There has been partial resolution of atelectasis at the left lung base with better expansion of the lung, but with a persistent pleural effusion. In addition, there is a nodular focus measuring about <num> mm in diameter, which projects over the left lower lung, although most likely due to a nipple shadow. A new fine reticulonodular opacification pattern suggests mild pulmonary edema.
dyspnea and history of congestive heart failure and coronary disease.
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Right-sided picc line is present, tip near svc/ra junction. No pneumothorax identified. A dobbhoff type tube is present. Radiopaque tip appears to to have advanced and now lies beyond the field-of-view of these images. Inspiratory volumes are low, with bibasilar atelectasis similar to the prior study. There is increased retrocardiac density and blunting of the left costophrenic angle, similar to the prior study, compatible with left lower lobe collapse and/or consolidation and possible small left effusion. No chf. No right-sided infiltrate or effusion. Platelike atelectasis the cardiophrenic region is similar to the prior study.
<unk> year old woman with fever of unknown source. // rule out pneumonia
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Underlying trauma board and other external artifact partially obscure the view. Given this, no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is seen.
pedestrian struck, head strike.
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In comparison with the study of <unk>, there are continued diffuse areas of opacification bilaterally, consistent with some combination of severe pulmonary edema, widespread pneumonia, and ards. Monitoring and support devices remain in place and the lung volumes are somewhat low.
pneumonia.
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Normal cardiomediastinal and hilar contours. Lungs are clear. Skin <unk> project over the right lateral chest wall and left hemithorax. No pneumothorax. Stable, mild pleural thickening at the right costophrenic sulcus. A vascular stent is seen in a proximal upper extremity.
<unk>-year-old woman with unexplained eosinophilia. evaluate for infection, malignancy, and mediastinal lymphadenopathy.
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Ap and lateral chest radiograph demonstrates surgical clips which project over the left mediastinal border and centrally over the heart. Heart size is normal. There is no pleural effusion or pneumothorax. Density in the retrocardiac region seen only on the lateral view in the appropriate clinical setting could reflect developing pneumonia. There is no evidence of pulmonary edema. Imaged upper abdomen demonstrates no air under the right hemidiaphragm.
<unk>-year-old female with cough and crackles at the bases.
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Ap single view of the chest has been obtained with patient in semi-upright position. Comparison is made with the next preceding similar study of <unk>. The heart size remains unchanged and is within normal limits. Comparison of the portable chest examination demonstrates increased number of infiltrates in comparison with the previous study. The new infiltrates are present in the left lower lobe lateral area and scattered densities are also observed to have increased in the left upper lobe area. Similar right-sided basal infiltrates occupy now the cardiodiaphragmatic triangle on the right base. The pulmonary vasculature does not show increased congestive pattern and lateral pleural sinuses are free, thus excluding massive pleural effusion. No pneumothorax is present in the apical area.
<unk>-year-old male patient with pneumonia, increased oxygen requirements, evaluate for suspected increased infiltrates.
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There are persistent low lung volumes. There is elevation of the right hemidiaphragm and bibasilar atelectasis larger on the right. There is no pneumothorax or large pleural effusions. There is severe kyphosis. Lumbar hardware is partially imaged. Evaluation of vertebral bodies in the thoracolumbar region is very limited. Mild cardiomegaly
<unk>-year-old woman with past medical history significant for hypertension, dm, asthma, osteoarthritis and falls presents to the ed after fall on <unk>. // eval for pneumonia (previous x-ray unsatisfactory)
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Single portable view of the chest compared to previous exam from <unk> and ct abdomen from <unk>. The lungs are clear of focal consolidation or large effusion. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is detected. Rounded hyperdensity projecting over the upper abdomen is compatible with balloon from peg tube seen on ct abdomen from <unk>.
<unk>-year-old male with tachycardia.
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The left subclavian approach picc tip projects over the expected region of the mid svc. Since <unk>, a left pleural effusion appears to have resolved. Bibasilar opacities also have essentially resolved with perhaps minimal left lower lobe residual opacity. No pneumothorax. The heart is normal in size. Mediastinal contours are unchanged. Multilevel degenerative changes in the thoracic spine are moderate.
<unk>-year-old man with a picc for iv antibiotics. evaluate picc placement.
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Chest, ap and lateral. The lungs are clear. Mild cardiomegaly is chronic. Otherwise, the hilar and mediastinal contours are normal. The there is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.
<unk>-year-old woman with chest tightness, shortness of breath.
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The lungs and pleural spaces are clear without evidence of pneumothorax or pleural effusions. Cardiomediastinal silhouette is stable, and there are mild degenerative changes throughout the thoracic spine.
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Tip of endotracheal tube terminates <num> cm above the carina and could be withdrawn slightly for standard positioning. Other indwelling devices are similar in position to the prior study, and cardiomediastinal contours are stable. Persistent left retrocardiac opacity, which may reflect atelectasis or consolidation accompanied by a small left pleural effusion. Interval increase in small right pleural effusion with adjacent right basilar atelectasis. Mild-to-moderate gastric distention is noted in the upper abdomen.
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No change in moderate to severe cardiomegaly. Widening of the mediastinum may be secondary to the tortuous thoracic aorta and is overall unchanged and better seen on ct. No pulmonary edema, pleural effusion, pneumothorax, or focal consolidation.
<unk> year old man with chf (ef <unk>%) and new o<num> requirement, being diuresed. // eval for cause of hypoxia
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Two pa and one lateral chest radiograph were obtained. The lungs are well expanded and clear. No focal consolidation, effusion, or pneumothorax is present. The cardiac and mediastinal contours are normal.
<unk>-year-old woman with multiple sclerosis and headache, question pneumonia.
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In comparison to the chest radiograph obtained <num> day prior, there has been interval placement of a <num> lead cardiac pacemaker with leads terminating in the right atrium and right ventricle. There are bilaterally decreased lung volumes and increased, small, right greater than left, pleural effusions and adjacent bibasilar atelectasis. There is no pneumothorax. Right hemidiaphragm elevation with superimposed colonic bowel gas is unchanged in appearance since at least <unk>. There is probably a small sliding hiatal hernia. Thoracic scoliosis, tortuous aorta, and tortuous trachea are unchanged.
<unk> year old woman s/p ppm // ptx, leads
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Cardiac, mediastinal and hilar contours are unchanged with the heart size within normal limits. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion, pneumothorax, or focal consolidation is present. No acute osseous abnormalities seen. Mild s-shaped scoliosis of the thoracic spine is re- demonstrated.
history: <unk>f with dyspnea, cough // evaluate for pneumonia
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Cardiac, mediastinal and hilar contours are unchanged, with the heart size appearing borderline enlarged. The lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities are detected.
left arm numbness and facial numbness.
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The heart is top normal in size, but with a prominent left atrial contour. The lungs are mildly hyperexpanded, which could reflect chronic obstructive pulmonary disease. Biapical pleural scarring is seen without focal consolidation. Post-cabg changes are noted. No displaced rib fractures are identified.
assault with traumatic head bleed. assess for fracture.
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Ap single view of the chest has been obtained with patient in sitting semi-upright position. Comparison is made with the next preceding similar study of <unk>. During the interval, the patient has been intubated, the ett seen to terminate in the trachea <num> cm above the level of the carina. No pneumothorax is seen. A right internal jugular approach central venous line terminates overlying the right mediastinal structures at the level <num> cm below the carina as before. The heart size has not changed since the preceding study, thus no significant cardiac enlargement is observed. There is evidence of previous surgery in the right axillary area and soft tissue densities overlying the chest making it more difficult to evaluate the presence of pleural effusion. The lateral pleural sinus remains free as before, both sides, thus no evidence of massive pleural effusion. No pneumothorax identified in the apical area. Chest findings are grossly stable after intubation. Dd versus pulmonary embolism versus mi impossible to decide on plain chest exam.. Consider acute chest ct for pe.
<unk>-year-old female patient with respiratory distress, now intubated, concern for pulmonary embolism versus myocardial infarction, ett in place.
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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. Nerve stimulator leads project over the mid/lower thoracic spine.
history: <unk>f with lower extremity edema, bibasilar rales // evidence of infiltrate or pulmonary edema
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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. There is no free air below the right hemidiaphragm.
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The heart is normal in size. The hilar and mediastinal contours are normal. The lungs are well expanded and clear. There is no evidence of active or latent tb. There are no pleural effusions or pneumothorax. The osseous structures are grossly unremarkable.
<unk>-year-old male patient with positive ppd, no concerning symptoms. study requested as a screening chest radiograph.
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In comparison with the study of <unk>, the patient has taken a much poor inspiration, accounting for the apparent increase in transverse diameter of the heart. No evidence of vascular congestion. This discordancy suggests underlying cardiomyopathy or pericardial effusion. Increased opacification at the left base with poor definition of the hemidiaphragm is consistent with atelectasis and effusion. There probably is also a small effusion at the right base.
altered mental status.
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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. Left-sided port-a-cath terminates at the cavoatrial junction. A battery pack projects over the subcutaneous tissue of the left lower chest.
history: <unk>f with chest pain, dyspnea // eval heart and lungs
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The inspiratory lung volumes are decreased compared to the prior study. The lungs are clear without focal consolidation, pleural effusion, or pneumothorax. The pulmonary vasculature is not engorged; however, an irregular distribution of the peripheral vasculature is noted which is consistent with copd or asthma. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits. No skeletal abnormalities are noted.
<unk>-year-old female with possible history of asthma, now with cough, here to assess for evidence of asthma exacerbation or pneumonia.
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Pa and lateral views of the chest demonstrates the lungs are well-expanded and clear. The cardiomediastinal silhouette is unremarkable. The hilar and pleural surfaces are normal with no evidence of pleural effusion. There is no pneumothorax. No focal opacity is identified within the lungs. There is no evidence of pulmonary edema.
chest pain. evaluation for acute process.
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Heart size remains mildly enlarged. The mediastinal and hilar contours are unchanged with dense atherosclerotic calcification again seen in the thoracic aorta. The aorta remains tortuous. Pulmonary vasculature is not engorged. Streaky linear opacities in the lung bases likely reflect areas of atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. Old bilateral rib fractures are noted.
history: <unk>f with chest pain, dyspnea
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Right-sided dual-lumen central venous catheter is again noted. Increased lung volumes seen compared to prior. There may be mild superimposed pulmonary vascular congestion without overt edema. The cardiomediastinal silhouette is unchanged. No acute osseous abnormalities.
<unk>m with extensive vascular history, here with flu-like illness // any evidence of pna?
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Low lung volumes cause bronchovascular crowding. Increased reticulonodular interstitial opacities bilaterally likely represent mild to moderate pulmonary edema. Retrocardiac opacification is similar to multiple prior studies and likely represents a combination of atelectasis and volume overload. There is no pleural effusion, consolidation, or pneumothorax. Mild cardiomegaly is stable. The cardiomediastinal silhouette is unchanged. <num> intact sternotomy wires unchanged. The osseous structures and upper abdomen are unremarkable.
<unk>f with chest pain and cough, evaluate pneumonia
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Nearly total opacification of the left lung field is re-demonstrated, compatible with a large left-sided pleural effusion. There are new diffuse interstitial opacities, with indistinctness of the right hilum suggesting pulmonary edema. No pneumothorax is identified.
<unk>-year-old female status post thoracocentesis for left pleural effusion. evaluate.
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Pa and lateral views of the chest. The lungs are clear. There is no pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal. No radiopaque foreign bodies identified.
question of esophageal foreign body.
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The heart size is normal. Left hilar fullness is noted, similar to the prior exam from <unk>, and corresponds to the known left juxta hilar mass with lingular collapse, overall unchanged compared to the prior exam. Postoperative changes after right upper lobectomy are seen. Bronchiectasis is seen at the right lung base. There is no large pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.
history: <unk>m with dyspnea. please evaluate for infiltrate.
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Moderate to severe cardiomegaly has increased since <unk>, mediastinal venous and pulmonary vascular engorgement (with cephalization) have worsened, and small bilateral pleural effusion is present once again. There is no pulmonary edema or consolidation. Persistent leftward displacement of the cervical trachea suggests right thyroid enlargement or mass.
<unk>-year-old female with nausea.
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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 staring spells sent to evalulated by neuro // r/o infection and intracranial hemorrhage
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Lung volumes are low. Heart size is normal. Mediastinal and hilar contours are unremarkable. Lungs are clear and the pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormality is visualized. No displaced fractures are seen.
history: <unk>m with left chest trauma after fall
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The lung volumes are low. No focal consolidation, effusion, or pneumothorax is present. Plate-like left basilar atelectasis is identified. Moderate cardiomegaly is accentuated by low lung volumes and ap technique. Otherwise, the cardiac and mediastinal contours are unremarkable.
<unk>-year-old woman with fever.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with cough // eval for cough
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Cardiomediastinal contours are normal still mildly deviated to the left. The left lung is clear. There is no pleural effusion. Large right pneumothorax is stable. Surgical chain in the right apex is again noted. The osseous structures are unremarkable
<unk> year old woman with h/o asthma and recurrentright pneumothorax s/p vats rul wedge and apical pleurectomy <unk>, r talc pleurodesis <unk>, and right vats, intrapleural pneumolysis, wedge, mechanical and chemical pleurodesis <unk> by dr. <unk> <unk> admitted to thoracic surgical service with another ptx from <unk>. // assess for interval change
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Frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. Partially imaged upper abdomen is unremarkable.
right visual loss and right arm weakness. assess for pneumonia.
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The heart appears borderline at the upper limits or normal size. There is slight unfolding of the thoracic aorta. The mediastinal, hilar and cardiac contours appear unchanged. The lungs appear clear. There are no pleural effusions or pneumothorax.
atrial fibrillation.
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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
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The lung volumes are hyperinflated and the lungs are clear. There is no pneumothorax or focal airspace consolidation. The heart is mild to moderately enlarged but unchanged from at least <unk>. There is no evidence for pulmonary edema. Slight blunting of the costophrenic angles may reflect trace pleural effusions, unchanged. The mediastinal hilar structures are unremarkable.
possible cva, evaluate for pneumonia.
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The course of a right-sided picc line is difficult to visualize but it probably terminates, as before, at the cavoatrial junction. The patient is status post sternotomy and probably coronary artery bypass graft surgery. The cardiac, mediastinal and hilar contours appear stable. Hazy opacification of each lung is consistent with pulmonary edema, probably somewhat worse than on the prior study, although increased blurring may be due to differences in technique to some extent. In particular, in the left mid lung, there is a more conspicuous opacity, but this may be due to rotation compared to the prior study. Pleural effusions are difficult to exclude. There is no pneumothorax.
hypoxemia and dyspnea.
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A frontal upright ap view of the chest was obtained portably. There is no focal consolidation, pleural effusion or pneumothorax. Apparent elevation of the left hemidiaphragm is due to a left bochdalek hernia, seen on <unk> <unk>. Bibasilar atelectasis is seen. Blunting of the costophrenic sulci are unchanged from <unk>. The heart is mildly enlarged. Prominence of the right mediastinum is due to tortuous vessels as seen on prior ct, not significantly changed since <unk>.
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The patient is status post median sternotomy as well as extensive cardiac surgery. There does not appear to be any evidence of pneumonia, pulmonary edema, pleural effusion or pneumothorax. Cardiac size is slightly enlarged.
syncopal episode.
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Pa and lateral views of the chest. Findings: the patient is status post median sternotomy and cabg. Heart size is normal. Mediastinal and hilar contours are unchanged with mild calcification noted at the aortic arch. Pulmonary vasculature is normal and the lungs are clear. No focal consolidation, pleural effusion or pneumothorax is seen. There are mild degenerative changes in the thoracic spine.
shortness of breath.
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Overall, there is no significant interval change in large left-sided airspace opacification consistent with pneumonia. A relative lucency in the left base likely represents a small amount of aerated lung adjacent to the consolidation. No definite pneumothorax is seen. There may be a small left pleural effusion. The heart size appears within normal limits. An endotracheal tube is in standard position. A right internal jugular central venous catheter tip reaches the upper svc. An esophageal catheter is in place with tip in the stomach, however, side port likely within the distal esophagus or just at the gastroesophageal junction.
history of copd. intubated status post cardiac arrest.
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New mediastinal venous engorgement and mild pulmonary edema is seen. Stable mild cardiomegaly. Mild aortic atherosclerotic calcifications are seen. The lung volumes are low, with left basal atelectasis. No large pleural effusion or pneumothorax is seen.
<unk>-year-old woman status post postop day #<num> after total hip arthroplasty, now with wheezing and decreased o<num> sats.
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The left hemidiaphragm is chronically elevated likely secondary to prior trauma. Otherwise the lung volumes are normal. The left and right upper lung are clear. Increased opacity in the right lower lobe is indeterminate with may be early pneumonia or may be artifact. Fracture stabilization wire is surrounding to rib appears in the left hemithorax are unchanged.
<unk> year old man pre op for umbilical hernia repair w/ doe and wheezing // ?pna surg: <unk> (umbilical hernia repair)
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The cardiomediastinal and hilar contours are within normal limits. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax.
history: <unk>f with uc, psc, on steriods, p/w ili, difficulty swallowing // eval for pna eval for pna
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Frontal and lateral views of the chest were obtained. Due to patient's altered mental status, unable to cooperate for lateral view the patient is rotated to the left on the frontal view. A left-sided picc is again seen. Distal aspect not well appreciated, but likely terminating in the proximal to mid svc. There is minimal blunting of the left costophrenic angle, which may be due to a trace effusion. No discrete focal consolidation is seen. There is no evidence of pneumothorax. Cardiac and mediastinal silhouettes are stable. Degenerative changes are noted at the right shoulder and acromioclavicular joints.
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The lungs are well-expanded and clear. There is no focal consolidation, effusion, or pneumothorax. Cardiac and mediastinal contours are normal. Osseous structures are unremarkable.
history: <unk>m with cough // eval pnuemonia
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Interval insertion of an ng tube with the tip in the body of the stomach in good position. Mild improvement of the mild interstitial pulmonary edema and stable mild cardiomegaly. Extensive calcifications of the aortic arch. No focal consolidation, pneumothorax or pleural effusions.
<unk> year old woman with mca aneurysm pod <num> crani, s/p ngt placement // ngt placement
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear.
myasthenia <unk> with shortness of breath.
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The heart size is at the upper limits of normal. The mediastinal contours are not widened. The lungs continue to demonstrate mild vascular congestion and bibasilar opacities. There is no large pleural effusion or pneumothorax. Examination of the ribs shows no displaced fracture.
<unk>-year-old female status post chest compressions and clinical concern for rib fractures and aspiration
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There is a the new left-sided chest tube wiith almost complete re-expansion of the left lung. There is still a small apical lateral pneumothorax. There is no mediastinal shift. There is dense retrocardiac opacification consistent with volume loss/ consolidation, which has increased compared to prior. The left clavicle fracture is more distracted on the current study with more than a shaft with displacement of the distal fragment with respect to the proximal fragment. There is subcutaneous emphysema, similar to prior
<unk> yo m on <unk> fell off bicycle, xfer from <unk>, l ptx, l rib fx, l clavicle fx // s/p pleural catheter placement at anterior left chest
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Frontal and lateral radiographs of the chest were acquired. The lungs are clear. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen. The bony thorax is grossly intact.
status post traumatic injury. evaluate for acute intrathoracic process.
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Patient is status post median sternotomy and cabg. Heart size remains mildly enlarged but unchanged. The aorta is tortuous. Mild interstitial pulmonary edema is worse in the interval. More focal patchy opacity in the right lung base may reflect asymmetric pulmonary edema or atelectasis, however early infection is not excluded in the correct clinical setting. Small bilateral pleural effusions have decreased in size compared to the prior study. There is no pneumothorax. No acute osseous abnormality is detected.
history: <unk>m with cabg <num> weeks ago now with increased hr, ?rlll.
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Ng tube is post-pyloric and off film. New mild vascular engorgement with normal heart size, mediastinal contours and hila. No focal opacities, pneumothorax, pleural effusion or pulmonary edema. No bony abnormality.
male with dysphagia. assess ng tube placement.
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In comparison with study of <unk>, there is continued vascular congestion, though this may be slightly less prominent than on the previous study. Hazy opacification at the left base could reflect some layering effusion with mild atelectatic changes.
sepsis.
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Pa and lateral chest radiographs were provided. There is no focal consolidation, pleural effusion or pneumothorax. Small opacity at the left base seen in <unk> appears slightly more rounded and may represent a nodule, atelectasis or scarring. Lungs are hyperinflated consistent with copd. Cardiomediastinal silhouette is normal. Bony structures are intact.
<unk>-year-old woman with increased cough, wheezing, chronic smoker, purulent sputum; rule out pneumonia.
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Multifocal airspace opacities with peripheral and basilar predominance have been progressively worsening since <unk>, suggesting subacute time course. Mediastinal contours and heart borders are normal. No substantial pleural effusion. No pneumothorax.
<unk> year old woman with hypoxia, ?ild, fever overnight // any evidence of consolidation, pneumonia?
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Pa and lateral chest radiographs were provided. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette remains mildly enlarged, unchanged since the previous exam. The bones are intact. The imaged upper abdomen is unremarkable.
history of shortness of breath, question pneumonia.
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The lungs are moderately well expanded with mild vascular congestion. Right lung is clear. Left lower lobe heterogeneous opacity is most consistent with atelectasis given elevation of left hemidiaphragm. No additional focal opacity. Heart size, mediastinal contour, and hila are unremarkable. No pleural effusion or pneumothorax.
<unk>m with fluid resuscitation, o<num> req. assess for pulmonary edema.
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A rounded density in the right lower lung is compatible with a right middle lobe pneumonia. Given that there has been increasing density in the right lung base compared with prior studies dating back to <unk>, nonemergent chest ct is recommended for further evaluation. There is minimal left lung base pleural thickening. There is no pleural effusion or pneumothorax. Underlying moderate emphysema has progressed slightly compared with prior studies. The cardiomediastinal silhouette is normal.
<unk>f with malaise evaluate for pneumonia.
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A loculated left pleural effusion appears similar compared to prior. Unchanged left apical density may represent pleural fluid and/or thickening. Left lower lobe atelectasis persists. Calcified pleural plaques are likely related to prior asbestos exposure. No pneumothorax is seen. Heart and mediastinal contours are stable with aortic calcifications.
<unk>-year-old male with pleural effusion.
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Frontal and lateral views of the chest demonstrate prominent cardiac silhouette and minimal unfolding of the thoracic aorta. The mediastinal and hilar contours are unremarkable. Lungs are clear without pneumothorax, vascular congestion, or pleural effusion. Prominent multilevel thoracic anterior spondylosis is present.
<unk>-year-old female with afib. question intrathoracic process.
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The patient has had prior median sternotomy. All sternotomy wires are intact and aligned. A right ij central venous catheter ends in the mid svc. There is no pneumothorax. The tip of a left-sided picc line. Projects over the junction of the svc and brachiocephalic vein. Moderate layering bilateral pleural effusions with adjacent bibasilar subsegmental atelectasis have increased. Despite low lung volumes, bilateral airspace opacities have developed in the upper lung zones. The heart remains enlarged despite the projection.
<unk> year old man with gi issues, with fluid overload // ? lung volume, fluid status
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Frontal and lateral views of the chest. No pleural effusions, pneumothorax or focal airspace consolidation. Normal cardiac size, hilar and mediastinal contours. Pleural surfaces are unremarkable.
shortness of breath. evaluate for pneumonia or heart failure.
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Mildly kyphotic positioning slightly limits assessment. The patient is status post median sternotomy. There is moderate enlargement of cardiac silhouette which is unchanged. The aorta is tortuous, similar compared to the previous study. No pulmonary edema is seen. Linear opacities within the lung bases are compatible with subsegmental atelectasis. No pleural effusion or pneumothorax is demonstrated. Multiple clips are seen projecting over the right axilla. Remote right-sided rib fractures are re- demonstrated.
altered mental status, chest pain.
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Single supine ap portable radiograph through the chest demonstrate low lung volumes with atelectasis or scarring at the bases. Aortic valve is again identified in the expected position. No focal consolidation convincing for pneumonia is identified. Multilevel compression fractures and vertebroplasties throughout the visualized spine are noted as are calcifications through the splenic artery within the left upper abdomen. Significant degenerative changes involving bilateral shoulder joints noted. There is no large pleural effusion or pneumothorax.
<unk>-year-old female with fall.
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Heart size is normal. Cardiomediastinal silhouette and hilar contours are unremarkable. A millimetric calcified granuloma in the left lower lobe is unchanged. Lungs are otherwise clear. There is no pleural effusion or pneumothorax.
upper abdominal pain.
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Ap semiupright and lateral views of the chest provided. Picc line intervally removed. Top normal heart size again noted. There is a small residual right pleural effusion. Retrocardiac linear density likely represents residual mild atelectasis. Difficult to exclude a developing pneumonia. No convincing signs of edema mediastinal contour appears normal. No pneumothorax. Bony structures appear intact.
<unk>m with confusion, ? delirium this am // eval for consolidation
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Pa and lateral chest radiographs demonstrate no focal consolidation, pleural effusion, or pneumothorax. There is subsegmental atelectasis at the left lung base. The cardiomediastinal silhouette is normal.
shortness of breath.
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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 chest pain.
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Bibasilar fibrotic changes are noted, better seen on patient's prior ct chest examination. The lungs are well expanded without focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.
history: <unk>m with fever cough sob // eval for pna
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Again noted are bilateral calcified pleural plaques. Right basilar opacity silhouetting the hemidiaphragm is compatible with probable rounded atelectasis. There are however probable new underlying interstitial markings as well small bilateral pleural effusions. Small hiatal hernia is noted. Cardiomediastinal silhouette is enlarged but grossly unchanged. No acute osseous abnormalities.
<unk>m with sob, ekg changes, and b/l crackles to half-way up lungs // evaluate for pulmonary edema
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In comparison with study of <unk>, there is again enlargement of the cardiac silhouette with pulmonary edema and bilateral pleural effusions with compressive atelectasis, more prominent on the right.
chronic renal disease with volume overload and fever.
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A single portable ap upright view of the chest was obtained. Heart is normal size, and cardiomediastinal contour is notable for dense calcifications in the aortic arch. Lungs are hyperinflated. There is parenchymal scarring without focal consolidation, pleural effusion, or pneumothorax. Pulmonary vasculature is within normal limits.
<unk>-year-old woman with shortness of breath.
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There is a new opacity overlying the midportion the right lung, consistent with developing pneumonia. Otherwise, the remainder of the lungs are clear. Cardiomediastinal silhouette is normal. No acute fractures are identified.
evaluation of patient with cough and weakness.
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There is no consolidation, effusion or pneumothorax. Mild cardiomegaly is noted. No subdiaphragmatic free air. Osseous structures are unremarkable.
history: <unk>f with fall, l shoulder pain, clavicle tenderness, headstrike, // fracture? bleed?