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Frontal and lateral chest radiographs again demonstrate surgical clips projecting over the left mediastinum. The heart is unchanged in size, mildly enlarged. There is mild to moderate pulmonary edema, similar compared to <unk>. Previously noted more focal opacity in the left mid lung at that time appears improved. Patchy opacities in the right lower lung likely reflect atelectasis, though infection cannot be excluded. There are small bilateral pleural effusions. No pneumothorax is visualized.
history: <unk>f with dyspnea and cough x<num> days. bilateral wheezes and rales on posterior lung fields // please evaluate for causes of dyspnea
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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 , sob
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Pa and lateral chest radiographs were obtained. Tracheostomy tube is in unchanged position. Trach mask projects over the right lower chest. The heart is normal size, and cardiomediastinal contours are unremarkable. The lungs are well expanded and clear except for minimal linear atelectasis in the left base. No pleural effusions and no pneumothorax.
<unk>-year-old woman with history of larynx cancer and rhonchi, please check for any obvious infection/nodules.
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Heart size is normal. Again seen is bilateral perihilar and paramediastinal opacity, possibly subtly increased since the most recent prior study, which may reflect superinfection at the site of known bronchiectasis as characterized on the prior chest ct. Additionally, a new right lower lung opacity is also present. Left apical capping is again seen. There is no pleural effusion or pneumothorax.
productive cough.
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Pa and lateral chest radiographs again demonstrate mild cardiomegaly and small bilateral pleural effusions without pulmonary vascular congestion or other evidence of volume overload. The lungs are clear. There is mild hilar prominence likely reflective of the patient's known history of cll.
history of cll, one month of productive cough.
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Cardiac silhouette size is normal. Mediastinal contour is unremarkable. Lung volumes are low which causes crowding of the bronchovascular structures. No overt pulmonary edema is demonstrated. Streaky opacities in the lung bases likely reflect atelectasis. Elevation of the right hemidiaphragm is re- demonstrated. There is no pneumothorax. No large pleural effusion is identified although the left costophrenic angle is excluded from the field of view as the patient could not cooperate with positioning instructions.
history: <unk>m with altered mental status with history hcc metastatic disease, hcv
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The heart is mildly enlarged with a left ventricular configuration as before. The aorta is calcified and markedly tortuous, as seen previously. However, the mediastinal and hilar contours appear unchanged. The lungs appear clear. There is no pleural effusion or pneumothorax.
cough and right calf 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.
history: <unk>f with pleuritic chest pain // ? ptx
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Enteric tube is poorly seen, tip is probably in the mid stomach. Very shallow inspiration. Left picc line tip in the low svc. Linear band of atelectasis in the left lung base is stable. Thoracic curve. Shallow inspiration accentuates heart size. Pulmonary vascularity is normal.
<unk>f hx primary peritoneal serous carcinoma s/p debulking c/b multiple subsequent abdominal surgeries c/b ecf, vh s/p ex lap, ecf and end colostomy takedown, vhr w/ component separation // please evaluate placement of ngt
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Pa and lateral views of the chest. The lungs are clear. The cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with myalgia and shortness of breath.
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The cardiomediastinal and hilar contours are within normal limits. The lungs are well expanded and clear and there is no focal consolidation, pleural effusion or pneumothorax. There is no evidence of free air beneath the diaphragm.
sudden onset of abdominal pain. evaluate for free air under the diaphragm.
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Intra-aortic balloon pump has been removed. The patient had prior sternotomy for cabg with moderate cardiomegaly. Severe bilateral pleural effusion is unchanged. Pulmonary edema has slightly improved and is now moderate. There is no pneumothorax. Bibasilar atelectasis is stable.
intra-aortic balloon pump, severe aortic stenosis.
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Unchanged pneumoperitoneum. Unchanged large right apical opacity, right chest wall clips. Mild pulmonary edema. Unchanged moderate cardiomegaly. The tracheostomy tube is in correct position.
new tracheostomy, evaluation.
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Frontal and lateral views of the chest were performed. The lungs are clear. There is no pleural effusion, pneumothorax or focal airspace consolidation. The cardiac and mediastinal contours are normal. The hilar structures and pleural surfaces are unremarkable. The imaged upper abdomen is normal.
dehydration and cough, evaluate for pneumonia.
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Ap upright and lateral views of the chest were obtained. A feeding tube is seen extending into the upper abdomen. Marked elevation of the right hemidiaphragm is stable. No focal consolidation, large effusion or pneumothorax is seen. Heart size appears grossly stable, though the right heart border is obscured from view. Mediastinal contour is stable. Multiple surgical clips are again noted along the right paramediastinal region. The bony structures appear intact.
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Persistent opacities in the right lung base and left mid lung are concerning for pneumonia. The bilateral pigtail drainage catheters remains in place. Small bilateral pleural effusions and moderate bibasilar atelectasis is again noted. Severe cardiomegaly is stable. No pneumothorax. The tip of the endotracheal tube is seen <num> cm above the carina. A feeding tube is seen in the stomach.
<unk> year old man with chest tube in place on right // <unk> year old man with chest tube in place on right
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A new pigtail catheter has been inserted into the left hemithorax with a substantial decrease in a left-sided pleural effusion although much of the left hemithorax remains opacified with pleural effusion and atelectasis involving much of the left lung. Rightward shift has somewhat reduced. A few small foci of air in the left hemithorax are not unanticipated after chest tube placement. On the right, there is a right basilar opacity worrisome for pneumonia, similar to increased, although not definitely changed allowing for substantial differences in technique. A small pleural effusion is difficult to exclude on the right. A port-a-cath terminates in the superior vena cava.
metastatic breast cancer and left pleural effusion status post chest tube placement.
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Mild elevation of right diaphragmatic surface, stable since <unk>. No focal consolidation. No pleural effusion or pneumothorax. The cardiomediastinal border is and hilar structures are normal.
<unk> year old woman with cough // evaluate for pneumonia
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>f with fever
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The sternotomy wires appear intact and appropriately aligned. There is a right ij which terminates in the distal svc. The patient has been extubated, and the ng and mediastinal drains have been removed. There is mild vascular congestion, small bilateral pleural effusions, and bibasilar atelectasis, all which are essentially unchanged. Heart size is stable. The mediastinal and hilar contours are stable. No pneumothorax is seen. There are no acute osseous abnormalities.
<unk> year old woman with mv mass excision // r/o ptx, s/p ct d/c
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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.
<unk> year-old with sudden chest pain
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Heart size is normal. Cardiomediastinal silhouette and hilar contours are unremarkable. There is trace left base atelectasis. Lungs are otherwise clear. There is no pleural effusion or pneumothorax.
epigastric pain. question effusion.
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There is a new left-sided effusion and new retrocardiac opacity. While some of the retrocardiac opacity could be due to effusion a could also be due to volume loss/infiltrate.
<unk> year old man with mental status change yesterday // please assess for pna or infection
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Ap upright portable view of the chest provided. Lungs are grossly clear. Heart appears mildly enlarged. No overt edema. No large effusions. No pneumothorax. Bony structures intact.
<unk>f with hypoxia
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Combi tube balloon seen posterior to the trachea, and of uncertain location. The heart is massively enlarged. Increased opacification of the right greater than left hemithorax, likely represents a layering pleural effusion. No focal consolidations seen. No evidence of pneumothorax.
<unk>m with post arrest // eval for tube placement .
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In comparison with the study of <unk>, there is little change. Specifically, no evidence of acute focal pneumonia in this patient with radiographic evidence of copd and stable cardiomegaly.
confusion and fever, to assess for pneumonia.
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Atelectatic bands are seen bilaterally, the one in left lower lobe is slightly improved. There is no new lung consolidation. Mediastinal and cardiac contours are normal. There is no pleural effusion or pneumothorax. Left-sided port-a-cath ends in mid-to-low svc. Surgical clips in the left axillary region are unchanged.
pleuritic chest pain, shortness of breath. rule out pe or pneumonia.
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The lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. Cardiac and mediastinal silhouettes are normal. No acute fractures are identified with old healed left posterior rib fractures again noted.
shortness of breath.
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Heart size is upper limits of normal. Lungs are relatively clear without focal consolidation, pleural effusions or pulmonary edema. There is some elevation of the right hemidiaphragm. Degenerative changes of the ac joints are seen bilaterally.
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In comparison to the prior examination, the right basilar opacity has improved significantly. The cardiac silhouette is stably enlarged. The pulmonary vasculature is unremarkable. No definite consolidation is identified. There is no pleural effusion or pneumothorax.
<unk> year old man with shortness of breath and crackles on right lung // evidence of pleural effusion
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Left-sided dual-chamber pacemaker is again noted with leads terminating in unchanged positions in the right atrium and right ventricle. Cardiac silhouette size remains within normal limits. The mediastinal and hilar contours are unchanged, and pulmonary vasculature is normal. Small left pleural effusion and patchy opacity in the left lung base are similar, and the right lung remains clear. There is no pneumothorax. Minimal degenerative changes are seen in the thoracic spine.
history: <unk>m with chest pain and cough
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In comparison with the study of <unk>, there is little change and no evidence of acute cardiopulmonary disease. Cardiac silhouette is at the upper limits of normal in size, but there is no vascular congestion or pleural effusion. Specifically, no evidence of acute focal pneumonia.
cough, on methotrexate, to assess for toxicity.
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Lung volumes are low with bibasilar opacities likely reflective of atelectasis. The heart is top-normal in size given ap technique and low lung volumes. There is no pulmonary edema, pleural effusion or pneumothorax noted.
<unk>-year-old male with congestion and fever. please evaluate for pneumonia.
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Patient is status post median sternotomy and cabg. A left-sided pacemaker device is again noted with leads terminating in the right atrium and right ventricle, expected locations. Cardiomegaly is stable. The mediastinal contours are stable. Low lung volumes accentuate the bronchovascular structures. There is redemonstration of increased opacities at the lung bases bilaterally, slightly more prominent on the right when compared to prior examination.
chest pain, stemi. rule out acute cardiopulmonary disease, dissection.
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The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
history: <unk>f with chest pain and shortness of breath // eval for infiltrate
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Frontal and lateral views of the chest demonstrate low lung volumes. Heart is mildly enlarged. There is no pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Perihilar vascular congestion is noted. Partially imaged upper abdomen is unremarkable.
patient with renal failure. assess for chf.
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Ap upright and lateral views of the chest are provided. There is linear density in the right mid-to-lower lung which is most compatible with subsegmental atelectasis. Lungs are otherwise clear without focal consolidation, effusion, or pneumothorax. The heart and mediastinal contours appear normal. Bony structures are intact.
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Frontal and lateral chest radiographs demonstrate mild cardiomegaly and hyperinflated lungs. Interstitial abnormality, predominantly at the left base, could represent interstitial disease. This appears to have been present in <unk>. There is no focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.
evaluate for pneumonia or chf in a patient with shortness of breath.
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The lungs are well inflated and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax.
<unk>-year-old man with pain on inspiration after fall, evaluate for acute process.
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As compared to the previous radiograph, the right pleural effusion has slightly decreased. On the other hand, the preexisting opacities on the right appears slightly more extensive than on the previous image. The left lung shows unchanged appearance. Unchanged size of the cardiac silhouette. Unchanged right internal jugular vein catheter.
evaluation for pleural effusions.
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Frontal and lateral radiographs of the chest show persistent low lung volumes without pleural effusion, focal consolidation or pneumothorax. The pulmonary vasculature is not engorged. The cardiac silhouette is top normal in size but stable. Left hilar densities are unchanged from the preceding radiograph and likely represent calcified lymph nodes. The mediastinal and hilar contours are unchanged. A surgical clip anterolateral to the right hilum is stable. No acute osseous abnormality is identified; however, the lower lateral ribs are excluded from view.
<unk>-year-old male with recent trauma, here to evaluate for traumatic injury.
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Heart size is top-normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are noted.
history: <unk>m with new <num> hrs of chest pain, palpitations. // ?new cardiopulmonary process
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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. Cardiomediastinal silhouettes are unremarkable.
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Mild cardiomegaly and tortuous aorta are unchanged. Pacer leads are in standard position with tips in the right atrium and right ventricle. There is no pneumothorax or pulmonary edema. Bilateral effusions are small. Bibasilar atelectasis are minimal.
<unk> year old woman s/p pacemaker // <unk> year old woman s/p pacemaker
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The heart is not enlarged. The cardiomediastinal silhouette is within normal limits. No chf, focal infiltrate effusion or pneumothorax is detected. Visualized osseous structures are within normal limits. No radiopaque foreign body is detected. No free air seen beneath the diaphragms. Note is made of nonvisualization of the left clavicular companion shadow.
<unk>m w/ chest pain eval for interval change // <unk>m w/ chest pain eval for interval change
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As compared to the previous radiograph, the patient has received a right bronchus intermedius stent. In addition, a pleurx catheter has been inserted in the right. The pre-existing pleural effusion has substantially decreased. There is a minimal pleural air collection at the bases of the right hemithorax. The atelectatic right lung portion is unchanged in extent. Unremarkable left lung, unremarkable left heart border.
status post bronchoscopy and stent placement in the bronchus intermedius. right pleurx.
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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 right lateral lower chest wall pain x<num> days
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As compared to the previous radiograph, the areas of atelectasis at the lung bases have almost completely resolved. The size of the cardiac silhouette continues to be enlarged. The endotracheal tube and the nasogastric tube are in unchanged position. No new parenchymal opacities. No pneumonia, no pulmonary edema.
basal ganglia hemorrhage. questionable fluid overload.
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Ap portable upright view of the chest. A right thoracostomy tube is present. No pneumothorax is detected. There is complete opacification of the left hemi thorax with a leftward tracheal shift, reflecting left pneumonectomy. An svc stent remains unchanged in position. There is a small right pleural effusion.
<unk> year old woman with pleural effusion s/p cp, now w/ continuous air leak // eval for ptx, other acute process
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A left picc is unchanged in position with the tip terminating at the cavoatrial junction. A right pleural pigtail catheter appears stable. There is no definitive evidence of pneumothorax. There is persistent hazy opacification at the right mid-to-lower lung zone and silhouetting of the right costophrenic angle compatible with small layering pleural effusion, unchanged. Blunting of the left costophrenic angle, most likely represents left basilar atelectasis with possible trace pleural fluid. The pulmonary vasculature is not engorged. The cardiomediastinal and hilar contours are within normal limits.
<unk>-year-old man with hypoxia and increasing oxygen requirement, status post right chest tube placement for pneumothorax, here to reevaluate for interval change.
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The patient is status post median sternotomy and coronary bypass surgery. Cardiomediastinal contours are unchanged. Patchy opacity at the right lung base medially favors atelectasis in the recent postoperative setting, but early focus of infection is also possible as well as localized area of aspiration. Linear opacities in left mid and lower lung are probably due to scarring given similar appearance on prior study.
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Mild cardiomegaly is stable since exams dating back to <unk>. The hilar and mediastinal contours are unremarkable. There is no pulmonary edema. Small right pleural effusion and mild right atelectasis have resolved compared to the prior exam. No new focal consolidations, pneumothoraces or pleural effusions are seen.
<unk>-year-old female with esbl and vre who presents for evaluation of persistent fevers and shortness of breath.
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There is mild pulmonary vascular congestion. No definite pleural effusion or pneumothorax. Heart size is enlarged. The aorta is calcified and tortuous.
<unk>-year-old female with confusion.
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There is a left retrocardiac opacity, possibly representing pneumonia based on clinical presentation, less likely atelectasis. There is a small left pleural effusion. Cardiomediastinal silhouette and hila are normal. There is no pneumothorax.
<unk>-year-old with fever.
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Compared to priors, there has been no significant change. Again seen are small to moderate bilateral pleural effusions, left worse than right. Right worse than left biapical scarring is unchanged. No pneumothorax is seen. Mild cardiomegaly is unchanged. The hilar and mediastinal contours are unchanged. The sternotomy wires are aligned and intact.
<unk> year old man with recent ct surgery and persistent fevers and uri symptoms. please evaluate for new infiltrate, progression of pleural effusions.
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A pacemaker generator is seen overlying the right chest with <num> leads attached, <num> in unchanged position, <num> in the expected location the right atrium and <num> in the expected location of the right ventricle. The <unk> lead is new, terminating in the position of the obtuse marginal coronary vein with the wire extending through the coronary sinus. Severe enlargement of the cardiomediastinal silhouette with the contour suggestive of an element of pericardial effusion is not significantly changed from <unk>. The previous right pleural effusion and basilar opacity has resolved. There is no pneumothorax is present. Left lower lung opacities unchanged from <unk>. Surgical clips overlie the left axilla.
new biventricular pacemaker, evaluate pneumothorax.
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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.
<unk>f with cough and fever. evaluate for infiltrate.
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Sternotomy wires are midline and intact and a prosthetic cardiac valve is again noted. Surgical clips are again noted within the upper mid abdomen and overlying the right upper hemithorax. The cardiac, mediastinal and hilar contours are mildly prominent consistent with mild cardiomegaly unchanged from prior exam. No pneumothorax is noted. A small left pleural effusion with associated compressive left basilar atelectasis is slightly worse compared to prior exam. Platelike bibasilar atelectasis is noted. Compression fractures involving the mid thoracic vertebrae are unchanged since the most recent prior exam. Atherosclerotic calcification of the carotid arteries is noted bilaterally.
sudden onset shortness of breath, now resolved. rule out acute intrathoracic process.
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Frontal and lateral chest radiograph demonstrates well expanded and clear lungs with no focal consolidation, pleural effusion, or pneumothorax. There is no pulmonary edema. Cardiomediastinal and hilar contours are within normal limits. Visualized osseous structures are unremarkable.
<unk>-year-old female with malaise and pleurisy. evaluate for pneumonia.
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Lung volumes are relatively low but the lungs are grossly clear without obvious consolidation. Cardiac silhouette is slightly enlarged but this is likely in part due to ap technique and low lung volumes. Severe degenerative changes noted at the shoulders bilaterally, worse on the left. No acute osseous abnormalities.
<unk>m with hx repeated falls // ?ich, ? fx ? pna
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Normal cardiomediastinal and hilar contours. Normal pleural surfaces. Clear, mildly hyperinflated lungs. No acute pneumonia, pleural effusion, pneumothorax, or pulmonary nodules. No definite osseous or soft tissue abnormalities.
<unk>-year-old man with a significant smoking history, now with cough and weight loss. evaluate for pneumonia or lung cancer.
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In comparison with the study of earlier in this date, there is again enlargement of the cardiac silhouette with diffuse bilateral pulmonary opacifications consistent with pulmonary edema with bilateral pleural effusions and compressive atelectasis at the bases.
chf.
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Pa and lateral chest radiographs demonstrate no focal consolidation, pleural effusion, or pneumothorax. There is an age indeterminate fractures of the right second and eleventh ribs. The cardiomediastinal silhouette is normal.
rib pain. evaluation for fracture.
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In comparison with the study of <unk>, there is no interval change or evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion. Small left lung nodule reported on prior ct is too small for resolution at radiography.
chest wall pain with history of left chest nodule.
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Right side central venous catheter has been removed. The heart remains moderately enlarged. Aortic knob calcifications are again seen. The mediastinal and hilar contours are otherwise unremarkable. There is no pulmonary edema, focal consolidation or pneumothorax. Minimal blunting of the costophrenic angles on the lateral view appears chronic and may be due to pleural thickening.
history: <unk>f on immunosuppression <num> weeks post renal transplant presenting with shortness of breath and anemia.
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The lungs are clear without focal consolidation, pleural effusion or pneumothorax. There is no pulmonary edema. The heart is normal in size, and the mediastinal contours are normal.
<unk>-year-old female with early thyrotoxicosis. please evaluate for pneumonia or other infectious trigger.
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No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with c/o weakness // ? pna
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Heart size is normal. The aorta is tortuous. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Bibasilar atelectasis. Lungs are otherwise clear. Small right pleural effusion. No left pleural effusion. No pneumothorax is seen. There are no acute osseous abnormalities. Degenerative changes of the visualized spine and compression deformity of a lower thoracic vertebral body with approximately <unk>% height loss, not significantly changed compared to <unk>.
<unk>f with chest pain, pleural effusions eval for size
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An opacity seen on the lateral view overlying the heart is most consistent with basilar atelectasis. Cardiomediastinal and hilar contours are normal. No pneumothorax, pleural effusion, or consolidation.
history: <unk>m with sob // eval for pna
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As compared to the previous radiograph, the patient has undergone right vats resection. Chest tube is in according location. There are air inclusions at the site of chest tube insertion, but no evidence of a right pneumothorax. Postoperative parenchymal opacities at the right lung base. Unremarkable left lung. Normal size of the cardiac silhouette.
right wedge resection, rule out pneumothorax.
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Right pigtail pleural catheter remains in place, with no visible pneumothorax. Other indwelling devices are in standard position. Previously improving right lower lobe opacity has slightly worsened, and there is a new area of poorly defined opacity in the periphery of the left lower lobe lateral to the left heart border. The possibility of aspiration or aspiration pneumonia should be considered in the appropriate clinical setting.
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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. The appearance of the rib cage is grossly stable. If there is high clinical concern for acute rib fracture, consider dedicated rib series or ct, which are more sensitive. Left humeral hardware is partially imaged.
history: <unk>f with left-sided back pain in the thoracic region that worsens with swallowing liquids. tender to palpation on back, just lateral to spine, in lower thoracic region. h/o rib fractures
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One ap portable upright view of the chest. The lungs, mediastinum, heart, and pleural surfaces are normal. There is no evidence of pneumonia.
status post liver transplant with leukopenia, now resolved, new fever, evaluate for infiltrate.
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The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax. There is no pleural effusion. Pulmonary vascularity is normal.
<unk>-year-old woman with left upper quadrant abdominal pain.
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Right picc line terminates in the low svc. Right chest tube projects over the right lower lung. Bilateral ptbd are partially imaged. Moderate right effusion and bibasilar atelectasis may have increased.
<unk>f with cholangiocarcinoma and leukocytosis in setting of recent hospitalization for obstructive cholangopathy, bacteremia, and right pleural effusion s/p drainage. assess right lung for pneumothorax and recurrent effusion (pigtail drain in place)
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Following removal of the left chest drain tube, there is a very small left apical pneumothorax and interval increase in the subcutaneous emphysema along the left lateral chest wall, axillary regions and the left lateral neck. Lungs are now better aerated with a decreased atelectasis in the left lower lobe. Right lung is clear, no interval changes. Top normal heart size and cardiomediastinal contours are stable in appearance.
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As compared to the previous image, the malpositioned endotracheal tube has been pulled back. The left lung, previously highly atelectatic, has regained in volume. The patient has received <unk> <unk> tube. The course of the tube is unremarkable, the gastric component is inflated. No evidence of complications.
esophageal varices, <unk> tube position.
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Supine portable ap view of the chest was provided. There has been interval intubation with the tip of the endotracheal tube residing approximately <num> cm above the carina. An ng tube is seen coursing inferiorly along the midline with its tip excluded from view. There is diffuse pulmonary edema redemonstrated with bilateral pleural effusions likely present.
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In comparison with the study of <unk>, the monitoring and support devices remain in place. Continued low lung volumes which accentuate the prominence of the transverse diameter of the heart as well as the width of the mediastinum. No definite vascular congestion, acute pneumonia, or pneumothorax.
postoperative.
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Pa and lateral views of the chest were provided. There is retrocardiac opacity concerning for pneumonia. Right lung is clear. No effusion or pneumothorax seen. Cardiomediastinal silhouette stable. Bony structures intact.
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Frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation, or pneumothorax. Descending aorta is mildly tortuous. There is no pulmonary edema. Old left-sided rib fractures are again noted.
patient with confusion.
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Mitral valve prosthesis is noted. The sternotomy wires are unchanged. The lungs are clear, but hyperinflated, compatible with known emphysema. Cardiomediastinal silhouette is mildly enlarged, unchanged. There is no evidence of pneumonia or congestive heart failure. A small hiatal hernia is present.
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Since prior, there is mild increase in size of a moderate right pneumothorax, which measures approximately <num> cm. A right pigtail is unchanged in position. The left lung is clear. Cardiomediastinal and hilar contours are normal. There is no mediastinal shift or diaphragmatic flattening to suggest tension physiology.
<unk> year old woman with right ptx with chest tube on water seal, evaluate for interval change.
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Frontal and lateral views of the chest were obtained. Low lung volumes results in bronchovascular crowding. There is no focal consolidation, pleural effusion or pneumothorax. Heart size is normal. Mediastinal silhouette and hilar contours are normal allowing for low lung volumes. No displaced rib fracture is seen. No clavicular abnormality is identified on this frontal radiograph.
status post assault with pain over left clavicle and left upper ribs.
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A pa view of the chest is obtained, to visualize the pacer capsule in left axillary position en-face so to demonstrate its internal electronic detail. The quality of the image is good and allows inspection of the internal construction. On lateral view, intravascular position of the two connected electrodes is unchanged in comparison with the previous chest examination of <unk>. It is recommended to compare the appearance of the pacer with descriptions of details that might have been delivered by the manufacturer.
<unk>-year-old female patient with an mri compatible pacemaker who needs an mri of the brain on <unk>. <unk> <unk> (?) from radiology (or cardiology) requested a chest examination prior to the mri. evaluate the pacemaker.
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Ap supine chest radiograph was obtained and formally interpreted in conjunction with cta performed <num> minutes later. Endotracheal tube terminates in the midtrachea. Left subclavian catheter terminates in the distal low. Nasogastric tube courses into the stomach. Severe bilateral perihilar consolidation, actually in the posterior regions is worse on the left where and there is accompanying pleural effusion layering posteriorly in the supine patient. There is no pneumothorax. No displaced rib fractures are identified though overlying structures and trauma board limits assessment. Heart and mediastinal contours are unremarkable.
intubated assess tube placement.
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As compared to the previous radiograph, there is no relevant change. No conclusive evidence of pneumothorax on the left. Unchanged widespread left opacities, unchanged left chest tube. Unchanged appearance of the right lung, including the mild basal opacities as well as the mediastinal multilobular widening.
status post vats, wedge resection, rule out pneumothorax.
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There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. There are no diminutive pulmonary vessels.
sinus tachycardia with planned v/q scan.
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Moderate right pleural effusion may be smaller. There is no pneumothorax. Heart size is mildly enlarged. Mediastinal and hilar contours are normal. There is a moderate hiatal hernia.
<unk> year old woman with recent right pleural effusion. // ? resolution of effusion
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As compared to the previous radiograph, the feeding tube remains in similar position. No evidence of complications. No change in appearance of the lung parenchyma. Normal size of the cardiac silhouette.
<unk> year old man with altered mental status // elevated white count, ?aspiration pna
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Lungs are fully expanded and clear. No pleural abnormalities. Heart size is normal. Cardiomediastinal and hilar silhouettes are normal.
<unk>f with chest pain // eval for chf/pneumonia
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Cardiac silhouette size remains moderately enlarged, mildly increased compared to the previous exam. Moderate pulmonary edema is demonstrated with perihilar haziness and vascular indistinctness, as well as small bilateral pleural effusions. Mediastinal contour is unremarkable. No pneumothorax is demonstrated. There are no acute osseous abnormalities.
history: <unk>m with atrial fibrillation with rapid ventricular rate
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Heart size, mediastinal and hilar contours are normal. Focal atelectasis is present in the right lower lobe with associated displacement of the major fissure, slightly improved since the prior chest radiograph. Left lung is clear.
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The patient is status post median sternotomy and cabg. There is a single lead right-sided pacemaker with distal aspect of the lead not well seen due to underpenetration but grossly, unchanged in position as compared to the prior study. There are relatively low lung volumes which accentuate the bronchovascular markings. There is basilar atelectasis, particularly on the left. No definite focal consolidation is seen. The posterior costophrenic angles are not fully fully included on the lateral view but no large pleural effusion is seen. There is no pneumothorax. The cardiac and mediastinal silhouettes are stable. No overt pulmonary edema is seen.
altered mental status, cough.
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There is no free intra-abdominal air. There is no pleural effusion, pneumothorax or focal airspace consolidation. There is likely an epicardial fat pad. The patient is status post a midline sternotomy.
epigastric and right upper quadrant pain. evaluate for free air.
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Heart is mildly enlarged and associated with vascular engorgement and overall worsening of bilateral juxtahilar pulmonary opacities, particularly on the left. This is likely due to pulmonary edema, but coexisting secondary process such as infection should be considered in the appropriate clinical setting, particularly given the somewhat nodular quality of opacities in the right lung.
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Ap upright and lateral views of the chest demonstrate low lung volumes. Cardiac silhouette is likely accentuated by the ap technique and low lung volumes, but is proabaly mildly enlarged. Increased bibasilar opacification is most compatible with atelectasis. Blunting of the costophrenic sulci on the lateral view likely represents small bilateral pleural effusions. There is no pneumothorax. Old right rib fracture and tracheostomy tube noted.
<unk>-year-old woman status post fall, right leg swelling, left knee pain, dyspnea.
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There relatively low lung volumes. Slight prominence of the interstitial markings suggest minimal interstitial edema. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The aorta is slightly tortuous. The cardiac silhouette is top-normal in size.
history: <unk>m with dyspnea, orthopnea // ? acute process, signs of heart failure
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There is complete opacification of the right hemi thorax with leftward deviation of mediastinal structures compatible with a large right pleural effusion. The heart size is difficult to assess, but appears to be mildly enlarged. Left lung is hyperinflated without focal consolidation. There appears to be tiny nodular opacities noted throughout the left lung. No pneumothorax is seen. The osseous structures appear diffusely mottled with several lucent expansile lesions in the right lateral ribs. S shaped scoliosis of the thoracic spine is noted.
history: <unk>m with cough, dyspnea, tachypnea x months, now worse
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The lungs are clear of focal opacities concerning for an infectious process. No pleural effusion or pneumothorax. The aorta is tortuous. Cardiac silhouette is normal. No pulmonary edema.
chest pain and shortness of breath.