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As compared to the previous radiograph, there is massively increasing right pleural effusion, with a mass effect and displacement of the mediastinal structures towards the left. The tracheostomy tube and the nasogastric tube are in constant position. The left lung is unremarkable, with the exception of small areas of retrocardiac atelectasis.
liver transplant, right pleural effusion, evaluation.
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In comparison with the study of <unk>, the right basilar opacification is slightly less prominent, though there is still silhouetting of the right heart border. No definite opacification is seen overlying the cardiac silhouette on the lateral view. Remainder of the study is essentially unchanged.
recurrent pneumonia with new fever.
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The lungs are clear of focal consolidation, pleural effusion or pneumothorax. The heart size is normal. The mediastinal contours are normal. A midline stripe of air is likely to be in the esophagus.
<unk> year old woman with airway stenosis status post bronchoscopy.
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The lungs are clear. The cardiomediastinal silhouette and hilar contours are unremarkable. Et tube is seen terminating approximately <num> cm from the carina. A nasogastric tube is seen with its last port beyond the ge junction. No pneumothoraces are identified.
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The lung volumes are low. The cardiac, mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. Streaky opacities at the left lung base suggests minor atelectasis. A oval nodular opacity projecting over the left upper lung is of uncertain significance. There is a moderate hiatal hernia.
leukocytosis, nausea, vomiting and diarrhea.
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The previously seen right apical pneumothorax is much smaller or completely resolved. Possibility of a very small residual pneumothorax would be difficult to exclude given lordotic positioning. Otherwise, i doubt significant interval change. Again seen is right focal consolidation focal opacity in the right mid/lower zones consistent with focal consolidation and a right-sided chest tube. Cardiomegaly is similar to prior.
<unk> year old man with increased work of breathing // edema
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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
dyspnea for three days.
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The lungs are hyperinflated, likely due to chronic changes of copd. There is no focal airspace opacity, pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal.
tachycardia and vomiting. evaluate for pneumonia.
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The cardiac, mediastinal colic, and hilar contours are normal. There is no focal infiltrate or effusion. Compared to the prior study the aeration is better.
progressive dyspnea and productive cough.
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Since prior exam, the lung volumes are lower, accentuating the bronchovascular structures. There is no overt pulmonary edema. There is no dense lobar consolidation, pleural effusion, or pneumothorax. The cardiac size is normal. The mediastinal contours are also eccentuated, likely due to the lower lung volumes. The overall contour is not significantly changed from the prior exam.
fever. evaluate for infiltrate.
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Endotracheal tube terminates approximately <num> cm from the carina above the level of clavical. Consider advancing ett by <num> cms for better seating. Right picc and subclavian line terminates at lower svc. Swan-ganz catheter through the left internal jugular approach ends approximately at the level of main pulmonary artery and is appropriate. Orogastric tube is seen to course below the diaphragm into the stomach and is off radiographic view. Mild pulmonary edema has improved. Mild-to-moderate right pleural effusion has increased. Increased retrocardiac density with obscuration of the left hemidiaphragm suggesting lower lung atelectasis has also worsened since <unk>. Abdominal drains one in the right hypochondriac and another in the epigastric regions are unchanged in position.
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The lungs are hyperinflated. No focal opacities are identified. Mild cardiomegaly is unchanged from prior with significant left atrial contribution. An unfolded aorta with prominent atherosclerotic calcifications at the aortic knob is also unchanged. There is no pleural effusion or pneumothorax. Hilar contours are stable.
<unk>-year-old female with chest pain. evaluate for pneumonia or pneumothorax.
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Patient appears somewhat kyphotic in position. Moderate left pleural effusion is seen. There may be a small right pleural effusion. Bibasilar opacities are slightly increased compared to prior study. Mild to moderate pulmonary edema is seen. No evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
history: <unk>m with fever, white count, s/p colectomy w/ end colostomy <unk> // any infection
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Frontal on lateral chest radiographdemonstrates well expanded and clear lungs.no pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. Limited assessment of the upper abdomen is within normal limits.
chest pain. assess for acute process.
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The lungs are relatively hyperinflated. No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. <num> mm calcification projecting over the soft tissue adjacent to the superior lateral right humeral head suggests calcific tendinosis.
history: <unk>m with hyperglycemia // evaluate for pna
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Pa and lateral views of the chest provided. Heart is mildly enlarged. The hilar engorgement is noted bilaterally suggestive of central congestion. A calcified granuloma is again noted in the right mid lung laterally. There is no convincing sign of pneumonia or pulmonary edema. No effusion or pneumothorax is seen. Tiny clips are noted in the superior mediastinum reflecting prior thyroid surgery. The imaged bony structures are intact.
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Lung volumes are low. No focal opacity to suggest pneumonia is seen. No pleural effusion, pulmonary edema or pneumothorax is present. The heart size is top normal.
elevated blood sugar. elevated white blood cell count.
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Endotracheal tube is seen with tip approximately <num> cm from the chronic. Enteric tube tip in the region of the ge junction and should be advanced. There are bibasilar opacities suggestive of effusions, left larger than right. Mild pulmonary edema is noted. Cardiac silhouette is slightly enlarged. Median sternotomy wires are identified. Right shoulder arthroplasty and mediastinal clips are seen.
<unk>m with sepsis, intubated // eval for ett placement
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When compared to previous exam, the large right pleural effusion has increased in size. There is adjacent atelectasis. The left lung is clear without consolidation or effusion. Cardiac silhouette is unchanged. No acute osseous abnormalities. Calcifications in the right upper quadrant are likely due to known cholelithiasis.
<unk>f with right sided pleural effusion // ?increased pl eff
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Interval extubation. Cardiomediastinal contours are stable allowing for patient rotation. Lungs are grossly clear, and there is no evidence of pneumothorax. Apparent leftward deviation of the trachea above the thoracic inlet level may be rotational, or could potentially represent enlargement due to extrinsic compression from thyroid gland or other adjacent structures.
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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. Mildly prominent mediastinal and hilar lymph nodes are better assessed on recent prior ct. Additionally, scattered subcentimeter nodular opacities seen on prior ct are better evaluated on that study.
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<num> sequential radiographs show a dobbhoff tube, which is now advanced into the stomach. There continues to be bibasilar opacities. The right picc is in stable position. No new focal consolidations are seen.
<unk> year old man with pneumonia, evaluate dobbhoff placement.
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There are left mid to lower lung and right middle lobe opacities. There is no effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. Old posterior left seventh rib fractures noted. No acute osseous abnormalities are seen, hypertrophic changes noted in the spine.
<unk>m with hyoxia and hypotension // r/o infiltrate
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Frontal and lateral views of the chest were obtained. There appears to be blunting of the posterior right costophrenic angle, which may be due to very trace pleural effusion. No large pleural effusion is seen. There is no focal consolidation. There is no pneumothorax. The cardiac and mediastinal silhouettes are stable. Again seen is dual-lead left-sided pacemaker with leads in the expected positions of the right atrium and right ventricle.
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In comparison with the study of <unk>, the severity and extent of the diffuse reticular nodular opacifications throughout the lungs is probably unchanged. Cardiac silhouette is at the upper limits of normal in size. No acute focal pneumonia.
worsening oxygen saturation, to assess for pulmonary edema.
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Rapid worsening of bibasilar opacities since the recent study of earlier the same date favors atelectasis and/or aspiration over an infectious pneumonia. Endotracheal tube has been exchanged for a tracheostomy tube in standard position with no radiographic evidence of complications. Otherwise, no relevant changes since recent study.
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Ap upright and lateral views of the chest provided. Lung volumes are low. The heart is mildly enlarged. The aorta is markedly unfolded with calcification noted. There is hilar congestion and mild interstitial pulmonary edema. No large effusion or pneumothorax. Bony structures are intact.
<unk>f with sob // ? pna
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Ap upright portable view. The cardiac silhouette remains markedly enlarged. Mediastinal contours are stable. The trachea again courses to the right. The lungs remain hyperinflated. Right greater than left bibasilar opacities are again seen, similar to prior, however, it is unclear whether resolved and increased in the interval. There is persistent blunting of the right costophrenic angle. Interval decrease in bilateral mid lung opacities as compared to prior.
history: <unk>f with hx chf with hypoxia and leg swelling // eval pulm edema
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The cardiomediastinal and hilar contours are within normal limits. As compared to prior chest radiograph from <unk>, there has been interval resolution of pulmonary edema. No new focal consolidation, pleural effusion or pneumothorax identified.
<unk>-year-old woman with recent mi. question cardiomyopathy, pulmonary edema and/or pneumonia.
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. Moderate loss in height of a mid thoracic vertebral body as well as milder losses in height among several lower thoracic vertebral bodies appear unchanged.
chills.
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The swan-ganz catheter has been slightly withdrawn, with its tip now near the origin of the right pulmonary artery. The left-sided pacemaker/icd is unchanged in position. There is a right-sided picc ending in the mid svc, as before. The lungs remain clear. Moderate cardiomegaly is unchanged. There are no definite pleural effusions. No pneumothorax.
assess swan ganz catheter position.
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Since the prior radiograph performed earlier this morning, there has been no interval change in size of the right apical pneumothorax. No evidence of tension. Right chest tube is unchanged in position. Bilateral pleural effusions, right greater than left, are also unchanged. There is also right lung base atelectasis. Stable postsurgical changes in the right upper lobe. No pulmonary edema. Cardiomediastinal silhouette is stable. No acute osseous abnormalities.
<unk> year old woman with recurrenr r ptx after blebectomy // check cxr with ct clamped for <num> hrs, r/o progression of ptx. please do around <num>pm
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There is no focal consolidation, pleural effusion, or pneumothorax. Heart and mediastinal contours are within normal limits, except for mild tortuosity of the aorta. Lateral view suggests an element of hyperinflation anteriorly.
<unk>-year-old male with rigors.
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Focal consolidation is seen probably in the left lower lobe. Multiple bilateral patchy opacities could also more generally represent superinfection in this patient with known bronchiectasis at the bases, left greater than right. No pneumothorax is seen. A trace left pleural effusion may be present. The heart size is normal.
fever and cough.
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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. Clips are noted in the left axilla. Recommend correlation with prior surgical history. Moderate degenerative changes are noted in the thoracic spine.
fever. evaluate for infection.
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Frontal and lateral chest radiographs were obtained. There is improvement in aeration of the right upper lobe, though a large right pleural effusion remains. There is continued volume loss in the right lower lobe. A right perihilar opacity is again visualized, and corresponds to the patient's known mass, better assessed on ct from <unk>. Multiple nodules are again seen in the left lung, consistent with known metastatic disease. The left lung is free of pleural effusion. There is no pneumothorax. Mediastinum is midline. Heart size is difficult to assess due to parenchymal abnormalities.
patient with metastatic lung cancer and recent thoracentesis, assess interval change.
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Ap and lateral views of the chest. Exam is limited secondary to positioning and leftward rotation. The lungs appear grossly clear. There is no large confluent consolidation or evidence of an effusion. Cardiomediastinal silhouette, not definitely changed. No acute osseous abnormality is identified. Tube projects over the upper abdomen, potentially a gastrostomy tube.
<unk>-year-old female with altered mental status.
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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 cp // eval for ptx
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Very shallow inspiration accentuates heart size, pulmonary vascularity. There is component of atelectasis and volume loss in the left chest. Bilateral perihilar, left basilar opacities may represent edema, atelectasis, consider pneumonitis in the appropriate clinical setting, particularly on the left. Cardiac pacemaker in place. Postoperative changes in the cervical spine with hardware in place.
<unk> year old woman with fever and occasional cough. // evaluate for consolidation.
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Endotracheal tube terminates approximately <num> cm above the carina. A right picc terminates in the low svc. Nasogastric tube terminates in the stomach with side port beyond expected location of the gastroesophageal junction. Lung volumes are low with bibasilar opacities which are stable from <unk>. The left hemidiaphragm is elevated, unchanged. No pleural effusion or pneumothorax.
<unk> year old woman with <unk> toxicity, on ventilator <num>days // ?pneumonia
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Frontal and lateral views of the chest. Linear opacity in the left lung base most likely represents atelectasis; otherwise, the lungs are clear and well expanded. There is no pleural effusion or pneumothorax. The cardiac and mediastinal contours appear normal. There is no free air beneath the hemidiaphragms. There are old left rib deformities.
abnormal labs and recent leukocytosis. evaluation for pneumonia.
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Frontal and lateral views of the chest were obtained. Patient is rotated somewhat to the left. Multiple old left-sided rib fractures are seen. No definite focal consolidation. There is no pleural effusion or pneumothorax. Cardiac and mediastinal silhouettes are stable.
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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 l chest pan, pls <unk> pna vx small ptx
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The inspiratory lung volumes are appropriate. There is decreased size of a small right pleural effusion from the prior study. Right basilar opacity is improved with residual airspace opacity projecting over the lateral aspect of the lingula. There is no pneumothorax. The pulmonary vasculature is not engorged. The cardiac silhouette is mildly enlarged but decreased from <unk>. The mediastinal and hilar contours are stable. No acute osseous abnormality is detected.
history: <unk>f with cough // eval for pna
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In the right lower lobe, there is increased parenchymal opacification which correlates to the opacities seen on the ct from <unk>. This could represent recurrent pneumonia vs. Scarring from a prior infection. This is unlikely related to tuberculosis given its location and appearance. Otherwise, the mediastinal and hilar contours are unremarkable. There are no pleural effusions. The left lung is essentially clear.
<unk>-year-old woman from <unk> and history of latent tb, now with hemoptysis. please evaluate for mass.
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The lungs are well inflated and clear. The cardiomediastinal silhouette and hilar contours are normal. There is no pleural effusion or pneumothorax. No definite rib fracture is identified. There is no free air under the diaphragm. A sclerotic lesion is seen at the left humerus, partially visualized and likely represents an enchondroma.
<unk>-year-old male with mvc, l anterior rib pain. evaluate for rib fracture.
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The lungs are clear, the cardiomediastinal silhouette and hila are normal. There is no pleural effusion or pneumothorax.
<unk>-year-old with shortness of breath.
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Pa and lateral views of the chest provided. Lungs appear clear. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is stable. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with unexplained hypoglycemia
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Shallow inspiration accentuates heart size. Mildly increased pulmonary vascularity. Mild interstitial prominence, more apparent on the left, may represent edema, inflammatory process, new since prior. Mild right pleural effusion is new, with either mildly elevated right hemidiaphragm or subpulmonic component of effusion. Minimal right basilar atelectasis. Left lung is clear.
<unk> year old woman with cirrhosis and new sob at rest and doe // pulmonary edema
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No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable. Minimal mid lung atelectasis/scarring is linear.
history: <unk>m with syncope // please eval for acute cardiopulmonary abnormality
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Bilateral coarse reticular interstitial opacities are again demonstrated with associated low lung volumes, in keeping with patient's known history of pulmonary fibrosis. Interval improved aeration adjacent to right heart border could reflect improving acute process such as atelectasis or pneumonia. Post-biopsy changes are demonstrated in the right lower lung with adjacent small right pleural effusion, the latter also demonstrated on prior ct of <unk>. Vascular catheter continues to terminate within the right atrium. Linear mediastinal lucency to the left of the trachea is again demonstrated, and probably represents air within a distended proximal thoracic esophagus. Pneumomediastinum is also possible in the appropriate clinical setting, and attention to this area on short-term followup radiograph may be helpful in this regard.
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Interval placement of a left subclavian cvl with tip in the mid svc. The lungs are mildly hypoinflated with crowding of vasculature. No focal opacity. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable.
<unk>f with new left subclavian cvl. assess new line, eval for pneumothorax
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Lateral views are limited due to soft tissue attenuation. The heart is mild-to-moderately enlarged with a left ventricular configuration. Chin flexion obscures the upper portion of the mediastinum. There is no definite pleural effusion or pneumothorax, although visualization of the left lung base is limited due to soft tissue attenuation. Within the limitations of technique, there is no definite abnormality.
fever and cough.
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Frontal and lateral views of the chest were obtained. Low lung volumes result in bronchovascular crowding. Heterogeneous opacity at the left lower lobe is concerning for pneumonia. The right lung is clear. There is no pleural effusion or pneumothorax. Heart size is upper limits of normal allowing for lung volumes. Mediastinal silhouette and hilar contours are normal. Pulmonary vasculature is normal. Degenerative change is seen at the acromioclavicular joints bilaterally.
<unk>-year-old man with cough.
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Cardiomediastinal contours are stable in appearance. Persistent pulmonary vascular congestion accompanied by improving upper lobe and perihilar predominant areas of lung opacification. The relatively rapid improvement favors asymmetrical distribution of pulmonary edema or aspiration over an infectious pneumonia. Additionally, a new area opacity has developed in the left lower lobe which could represent a new site of aspiration or atelectasis. Small pleural effusions are not appreciably changed.
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The patient is status post median sternotomy and aortic valve replacement. Moderate cardiomegaly is re- demonstrated. Mediastinal and hilar contours are normal. There is no pulmonary vascular congestion. Minimal right basilar atelectasis is seen. No pleural effusion, focal consolidation or pneumothorax is demonstrated.
change in the lasix.
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Pa and lateral views of the chest. No prior. The lungs are clear without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormalities.
<unk>-year-old male with cough and back pain. question pneumonia.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f on chemo for breast ca with fever // any pna
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Again seen are several pulmonary nodules which by radiography do not appear significantly changed. There is a known right hilar mass. A lesion of the left posterior fifth rib also appears grossly similar. No new focal opacity to suggest pneumonia is seen. No pleural effusion, pulmonary edema, or pneumothorax is present. A small amount of atelectasis or scarring is present at the right base. The cardiomediastinal silhouette is normal.
hemoptysis. known metastatic renal cell carcinoma.
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Collapse of the right lower lobe with elevation of right hemidiaphragm is seen, better assessed on ct. There is also right upper lobe opacity, in part due to tortuous vessels and also atelectasis. Opacity along the minor fissure may be due to atelectasis and/or pleural fluid. The left lung is clear. There is no left pleural effusion. The cardiac silhouette is mildly enlarged. The aorta is tortuous. No evidence of pneumothorax is seen.
history: <unk>f with hypoxia // eval for pneumonia
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. No free intraperitoneal air. Clips project over the left chest, potentially in the overlying breast.
<unk>f with chest pain, nausea/vomiting // eval for pneumothorax
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Lungs are clear without focal consolidation, effusion, or edema. Incidentally noted is an azygos fissure. The cardiomediastinal silhouette is within normal limits and unchanged. No acute osseous abnormalities.
<unk>f with sjogrens p/w palpitations, sob and chest pain in the absence of fevers // eval heart size, lung fields
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Portable frontal radiograph of the chest demonstrates stable top-normal heart size with normal mediastinal and hilar contours. No focal consolidation, pleural effusion, pneumothorax.
breast cancer mets to the brain status post craniotomy now extubated and desaturating; although, not tachypneic. evaluate for cause of desaturation.
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Frontal and lateral views of the chest. There are multi focal bilateral regions a consolidation scattered throughout the lungs bilaterally which have a somewhat rounded configuration. There is no effusion. The cardiomediastinal silhouette is normal. No acute osseous abnormalities detected.
<unk>-year-old male with likely septic emboli on outside hospital chest x-ray.
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Pa and lateral views of the chest were provided. A port-a-cath resides over the left chest wall with catheter extending to the region of the mid svc. The heart is enlarged. There is no focal consolidation, effusion or pneumothorax seen. The mediastinal contour is normal. The bony structures are intact. No free air is seen below the right hemidiaphragm.
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Pa and lateral views of the chest are obtained. There is overall interval improvement in the previously seen diffuse reticulonodular opacification. There is no new area of focal consolidation, significant pulmonary edema, or pleural effusion. No pneumothorax is present.
<unk> year old female with multiple myeloma status post stem cell transplant with hypoxia. evaluate progression of diffuse reticulonodular pattern in pulmonary edema.
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Moderate enlargement of the cardiac silhouette is unchanged. The hilar and mediastinal contours are normal. No focal consolidation, pleural effusion or pneumothorax.
history: <unk>f with sob // pneumonia
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Patient is status post median sternotomy. Heart size is borderline enlarged. Mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. There are mild to moderate multilevel degenerative changes demonstrate in the thoracic spine.
history: <unk>m with syncope
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The cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
increased seizure frequency.
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Frontal and lateral views of the chest. Heart size is normal and cardiomediastinal contours are stable with tortuosity of the thoracic aorta and rightward deviation of the trachea. No focal consolidation, pleural effusion, or pneumothorax. There is no evidence of free air beneath the diaphragms.
<unk>-year-old female with shortness of breath and abdominal pain.
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In comparison with study of <unk>, there is substantial enlargement of the cardiac silhouette, accentuated by low lung volumes. Indistinct right hilum and right lower lung zone could reflect pulmonary congestion. In the appropriate clinical setting, supervening pneumonia would have to be considered.
renal disease with transplant.
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Lung volumes are low, which results in bronchovascular crowding. Cardiomediastinal and hilar contours are stable. Post median sternotomy and cardiac surgery changes are seen. Note is made of fracture of the inferior-most sternal wire, which is new from <unk>. There is no pneumothorax, pleural effusion, or consolidation. No pneumomediastinum.
history: <unk>m referred for possible prevertebral abscess // eval for pneumomediastinum
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As compared to the previous radiograph, the patient has received a right pectoral pacemaker. The generator is in correct position. The leads are intact. On both the frontal and the lateral radiograph, one lead projects over the right atrium and the second lead over the right ventricle. There is no evidence of complications, notably no pneumothorax. Mild cardiomegaly and tortuosity of the thoracic aorta but no pulmonary edema. No pleural effusions. No pneumonia.
pacemaker placement. evaluation.
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Lung volumes are low. Heart size is normal. The aorta is tortuous and demonstrates atherosclerotic calcifications at the arch. Streaky bibasilar airspace opacities most likely reflect atelectasis. No pleural effusion or pneumothorax is seen. Crowding of the bronchovascular structures is due to low lung volumes, with no pulmonary edema identified. No acute osseous abnormalities are detected.
slurred speech, headache.
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There are low lung volumes. Given this, bilateral perihilar and suprahilar haziness may be due to slight fluid overload versus technique/patient position.no focal consolidation is seen to suggest pneumonia. No pleural effusion or pneumothorax is seen. The heart is normal in size. Mediastinum is not widened.
history: <unk>m with hcv, cirrhosis, fever, syncope // eval ? pneumonia, effusion
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The lungs are well expanded. A small right pleural effusion with overlying atelectasis and a trace left pleural effusion are unchanged from <num> days prior. There is no evidence for pulmonary edema. Heart is normal size. The mediastinal and hilar structures are unremarkable. There is no pneumothorax or focal airspace consolidation worrisome for pneumonia.
shortness of breath. evaluate for pulmonary edema and for interval change.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. No pulmonary edema is seen.
history: <unk>f with chest pain // eval for acute process
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In comparison with study of <unk>, there is little change. Continued mild enlargement of the cardiac silhouette with left ventricular configuration and tortuosity of the aorta. However, no evidence of vascular congestion, pleural effusion, or acute focal pneumonia.
shortness of breath.
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The left-sided picc has been removed. The heart size is top normal. The moderate posterior pleural effusion on the right is unchanged. Minimal pulmonary vascular congestion is unchanged.
followup of right pleural effusion.
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As compared to the previous radiograph, there is no relevant change. On today's image, there is no evidence of pneumonia or other inflammatory changes. A multifocal pneumonia, diagnosed on the chest x-ray from <unk>, has completely resolved. Neither the frontal or the lateral radiographs show evidence of scars, recurrence or pleural effusions. Borderline size of the cardiac silhouette but no evidence of pulmonary edema. Normal hilar and mediastinal structures. Normal course of the thoracic aorta.
persistent cough, severe gerd, assessment for pneumonia.
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Lung volumes are lower on the current exam. Despite this, there increased interstitial markings seen bilaterally. There is no confluent consolidation or effusion. Cardiac silhouette appears enlarged but likely accentuated by lower lung volumes. No acute osseous abnormalities.
<unk>m with recent diagnosis of influenza // eval for pneumonia
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The tip of the endotracheal tube projects over the mid thoracic trachea. A feeding tube extends to the distal esophagus and should be advanced. Unchanged retrocardiac opacities likely reflect atelectasis. Unchanged right pleural effusion with subjacent atelectasis as well as mild pulmonary vascular congestion. No pneumothorax identified. The size and appearance of the cardiac silhouette is unchanged.
<unk> year old man with respiratory failure iso phtn and atrial tachyarrythmia // evaluate lll collapse
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The lungs are well expanded and appear clear. There is no focal consolidation, pleural effusion, or pulmonary edema. No evidence of pneumothorax. The cardiomediastinal silhouette and hilar contours are normal.
<unk>m with chest pain, left sided // ?cardiomegaly
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The chest tube terminates in the apex of the right lung. A tiny residual right apical pneumothorax is re-demonstrated. No evidence of tension. Pneumomediastinum is stable in appearance. Subcutaneous emphysema is noted along the right lateral chest wall, which has improved since yesterday's radiograph. Small pleural effusions are noted bilaterally. Cardiomediastinal silhouette is within normal limits.
<unk> year old man with right ptx, s/p r vats pleurodesis // r/o ptx with cts on waterseal
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In comparison with study of <unk>, the monitoring and support devices remain in place. Continued enlargement of the cardiac silhouette in a patient with an aortic valve prosthesis. Dense streak of atelectasis is again seen in the right mid zone. Opacification at the left base silhouetting the medial part of the hemidiaphragm is consistent with volume loss in the left lower lobe. There is a small left pleural effusion. The pneumopericardium is no longer appreciated.
post-surgical elevation in white count and fever.
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Prior right ij central venous line is no longer seen. The lungs are clear of consolidation. The cardiomediastinal silhouette is stable. No acute osseous abnormalities identified. Healed posterior right seventh rib fracture is again noted.
<unk>f with chest pain // eval for acute process
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There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.
history: <unk>m with chest pain // r/o infectious process
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Ap portable upright view of the chest. There has been interval placement of a right chest tube. Small residual right apical pneumothorax persists. There is minimal residual atelectasis at the right lung base. Subcutaneous emphysema is seen at the chest tube insertion site. The left lung is clear. Cardiomediastinal silhouette is midline.
<unk>m with new chest tube // eval placement
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Ap and lateral views of the chest. There is no focal consolidation, pleural effusion or pneumothorax. There may be minimal interstitial edema. Cardiomediastinal and hilar contours are normal.
diminished breath sounds in the left base, cough.
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Comparison is made to previous study from <unk>, at <time> a.m. There has been placement of a nasogastric tube. The tip and side port are below the ge junction. Endotracheal tube tip is <num> cm above the carina, unchanged. There is a small left-sided pleural effusion. There are no signs of overt pulmonary edema or focal consolidation. No pneumothoraces are identified.
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Pa and lateral chest radiographs are provided. A right picc terminates in the mid svc. Median sternotomy wires are intact. There is no focal consolidation, pleural effusion or pneumothorax. The lungs are well expanded. The cardiomediastinal silhouette is normal. The bones are intact.
history of questionable gi bleed and chf, question fluid overload.
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As compared to the previous radiograph, there is now a right-sided deep sulcus sign, strongly suggesting a right pneumothorax. There is atelectasis at the right lung base. The position of the bilateral chest tubes is constant. The other monitoring and support devices are also constant. Unchanged small atelectasis at the left lung bases and left pleural effusion.
loculated effusion, evaluation for chest tube position.
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Frontal and lateral views of the chest were obtained. Left ventricular enlargement is stable and the cardiomediastinal contours are otherwise unremarkable. Blunting of the right costophrenic angle is consistent with a small pleural effusion, similar to prior. No focal consolidation or pneumothorax. Sternotomy wires are intact and mediastinal clips are in stable position.
<unk>-year-old female with chest pain.
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As compared to the previous radiograph, the patient has been reintubated. The tip of the endotracheal tube projects <num> cm above the carina. The patient has also received a nasogastric tube. The tip of the tube projects over the middle parts of the stomach. There is minimally further increasing evidence of pulmonary edema and slight increase in extent of the preexisting left pleural effusion. The size of the cardiac silhouette continues to be moderately enlarged. No evidence of pneumothorax. The left pectoral port-a-cath is constant.
chest pain, chronic heart failure, hypoxia following extubation. reintubation, evaluation for tube placement.
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Thoracic aorta is tortuous and contains dense calcifications along the arch. There is moderate deviation of the trachea to the right, similar to the prior examination from <unk> but increased from <unk>, likely related to a dilated aorta. Cardiac silhouette is stable. Elevation of the left hemidiaphragm is chronic. The lungs are grossly clear. There is no pulmonary edema. There is no large effusion or pneumothorax.
history: <unk>m with tachypnea // eval for chf, pna
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Frontal and lateral views of the chest were obtained. There is a nodular opacity projecting over the left upper hemithorax measuring approximately <num>-<num> mm which was not clearly seen on the prior study. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable.
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There is increased opacity at right lung base which could be due to atelectasis, however pneumonia is possible in correct clinical setting. There is mild pulmonary edema. Mildly enlarged cardiomediastinal silhouette is similar to prior. Large hiatal hernia is again noted. Left pectoral pacemaker leads terminate at the right ventricle and right atrium.
<unk> y/o male with a pmh of dementia, recurrent aspiration s/p j-tube placement, recurrent utis and pna, now with fever // evaluate for pneumonia
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No relevant change as compared to the previous examination from <time> p.m. Stable position of the left-sided chest tube. No pneumothorax. Left-sided pulmonary opacities, likely atelectatic, and atelectasis at the right lung bases are stable. Unchanged air collection in the left-sided soft tissues.
evaluation after trauma.
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The cardiomediastinal and hilar contours are within normal limits. The lungs are well expanded. There is no focal consolidation, pleural effusion or pneumothorax.
shortness of breath and swelling in left lower extremity. rule out pneumonia.
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As compared to the previous radiograph, there is no relevant change. Signs of massive overinflation with flattened diaphragms and loss of lung structure in the lung apices suggests the combination of pulmonary emphysema and chronic bronchitis. There is no parenchymal opacity that has appeared and that would be suggestive of pneumonia. No pleural effusions. No changes in appearance of the mediastinum and hilar structures as well as the cardiac silhouette.
copd, acute exacerbation, questionable pneumonia or other changes.