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Frontal and lateral views of the chest. Lower lung volumes seen on the current exam. Right chest wall port seen with catheter tip in the lower svc. Lower lung volumes seen on the current exam with crowding of the bronchovascular markings. There is no evidence of definite consolidation or effusion. Right axillary surgical clips are again noted. No acute osseous abnormality is identified.
<unk>-year-old with history of breast cancer on chemotherapy with fever.
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Again seen is mild stable enlargement of the cardiac silhouette. There is stable right greater than left perihilar/basilar predominant opacities. Mild distention of the azygous vein would favor asymmetric edema. No large pleural effusion is seen. There is no evidence of a pneumothorax. The hilar and mediastinal contours are otherwise unremarkable.
history of lower extremity cellulitis with new chest pain. please evaluate for widened mediastinum.
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Lung volumes are unchanged and within normal limits. The patient is intubated, the endotracheal tube terminates <num> cm above the level of the carina. A dobhoff tube terminates in the stomach. A right internal jugular catheter terminates in the mid svc. A right-sided picc terminates in the right brachiocephalic vein. These are unchanged in appearance when compared to the prior studies. There is increased opacity at the left lung base, likely reflecting atelectasis but superimposed infection cannot be excluded. No other areas concerning for infection are identified. There is likely a small left pleural effusion. No pneumothorax seen.
<unk> year old man with ?aspiration pneumonia // interval assessment
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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.
history: <unk>f with chest pain, h/o pe low well's probability // eval for cardiopulmonary process
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Heart size appears mildly enlarged but unchanged. The aortic knob is calcified. Mediastinal and hilar contours are similar. Marked emphysematous changes are again demonstrated. Mild bibasilar atelectasis is noted. No focal consolidation, large pleural effusion or pneumothorax is present. Compression deformities involving vertebral bodies within the mid and lower thoracic spine appear unchanged.
history: <unk>f found down, recent confusion, asymmetric pupils
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The patient's condition required examination in sitting upright position using ap frontal and left lateral views. Comparison is made with the next preceding portable single chest examination obtained nine hours earlier during the same day. The heart size is at the upper limit of normal variation, but no typical configurational abnormalities are identified. The thoracic aorta is unremarkable. No mediastinal abnormalities are seen. The pulmonary vasculature is not congested and the lateral and posterior pleural sinuses are free from any fluid accumulation. No evidence of acute parenchymal infiltrates. Specifically, in response to the posed question, there is no evidence of any retrocardiac density. When comparison is made with the preceding portable chest examination, no significant interval change can be identified.
a <unk>-year-old female patient with end-stage renal disease and diabetes, status post renal transplant and stent removal on <unk> presenting with two-day history of nausea and fevers, growing gram-negative rods in four out of four blood culture bottles and in urine. evaluate for possible retrocardiac 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. No subdiaphragmatic free air is seen.
history: <unk>m with severe abdominal pain
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Pa and lateral views of the chest were obtained. Accessed port-a-cath projecting over the left chest terminates in the lower svc, unchanged. Heart is normal size and cardiomediastinal contour is stable. Lungs are clear. There is no pleural effusion or pneumothorax.
<unk>-year-old woman with cough and fever.
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Frontal and lateral radiographs of the chest were acquired. Lung volumes are slightly low, causing crowding of the bronchovasculature. There is no focal consolidation. The heart size is normal. The mediastinal contours are normal. No pleural effusions are seen. There is no pneumothorax.
left-sided chest pain and dyspnea. assess for pneumothorax.
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A single portable frontal upright view of the chest was obtained. In comparison to the prior study, there is increased aeration of the left lung; however dense consolidation persists. Lung volumes remain low. Opacities in the right cardiophrenic angle are largely unchanged and may reflect atelectasis or consolidation. There is no large effusion or pneumothorax.
<unk>-year-old man with aspiration of a foreign body.
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As compared to the previous radiograph, the monitoring and support devices are unchanged. The pleural effusion on the right has minimally decreased, with improved expansion of the right basal lung. Moderate cardiomegaly persists. No pneumothorax after attempted right thoracocentesis.
rule out pneumothorax, evaluation.
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Ap view of the chest. Sternotomy wires and coronary artery stent are stable. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal and hilar contours are normal.
increased work of breathing.
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In comparison with study of <unk>, there is now an endotracheal tube in place with its tip approximately <num> cm above the carina. Nasogastric tube extends well into the stomach. There is increased enlargement of the cardiac silhouette with bilateral opacifications consistent with pulmonary edema. In the appropriate clinical setting, supervening pneumonia would have to be considered.
mi with et tube placement.
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The heart size, mediastinal, and hilar contours are normal. The lungs are slightly hyperinflated, but clear without pleural effusion, focal consolidation, or pneumothorax.
<unk>f with cough, ams. eval for pna.
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The <unk> radiograph shows a single lead from a left pectoral pacemaker projecting over the right ventricle. There is no pneumothorax. A right picc line terminates in the upper right atrium near the cavoatrial junction. Withdrawal by <num>-<num> cm would position its tip at the cavoatrial junction if desired. Mild pulmonary edema has slightly increased. Moderate cardiomegaly despite the projection is unchanged. A small left pleural effusion is likely present. Increased retrocardiac airspace opacification may be due to atelectasis or infection. Previous cervical spine fusion is partially imaged. The followup pa and lateral radiographs from <unk> confirm a left lower lobe airspace opacity, which is most likely due to pneumonia. There is also increased mild pulmonary edema.
<unk> year old man s/p pacemaker extraction and implantation of a new vvi pacemaker via l subclavian. eval for ptx // <unk> year old man s/p pacemaker extraction and implantation of a new vvi pacemaker via l subclavian. eval for ptx ; <unk> year old man s/p pacemaker extraction and implantation of a new vvi pacemaker via l subclavian. // <unk> year old man s/p pacemaker extraction and implantation of a new vvi pacemaker via l subclavian. eval for ptx
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A port-a-cath terminates at the cavoatrial junction. There is again leftward rotation of the heart and mediastinal structures coinciding with rightward convex curvature centered along the lower thoracic spine. The cardiac, mediastinal and hilar contours appear unchanged. The lungs appear clear. There are no pleural effusions or pneumothorax.
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Compared to the prior chest x-ray there is no significant change. There is persistent subcutaneous emphysema most prominent on the left. The pneumomediastinum does not appear to have significantly worsened. Stable left basilar atelectasis. Cardiac size is normal. There is no pneumothorax or pleural effusion.
<unk> year old man with ? ptx/pneumomediastinum // increase in ptx/effusion
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As compared to the previous radiograph, there is unchanged appearance of the tracheostomy tube, the cardiac silhouette and the lung parenchyma. Moderate cardiomegaly and retrocardiac atelectasis. Mild fluid overload could be present. The presence of minimal pleural effusions cannot be excluded. The air inclusions in the right-sided cervical soft tissues have decreased in extent.
tracheostomy tube in place, ventilated. evaluation for interval change.
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A single portable frontal view of the chest was performed. An overlying trauma board limits complete evaluation. There is no pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal. There is no displaced rib fracture appreciated. A minimal dextroscoliosis of the thoracic spine is likely positional and unrelated to trauma. There is no paraspinal hematoma appreciated. The imaged upper abdomen is unremarkable.
trauma during a motor vehicle collision. evaluate for traumatic process.
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Single portable view of the chest. The lungs are clear of focal consolidation or large effusion. Cardiomediastinal silhouette is within normal limits. Median sternotomy wires and mediastinal clips are again noted. No acute osseous abnormality is identified.
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Four frontal chest radiographs demonstrate a right ij swan-ganz catheter with the tip located in the main pulmonary artery, unchanged from previous imaging. An ng tube is seen passing to the stomach and out of view. Et tube is visualized with the tip <num> cm above the carina. The et tube needs to be advanced <num> cm. Left ij is visualized with the tip in the low svc. Diffuse lung opacities are again seen with slight improvement on the right and no change on the left. Opacities could be consistent with pulmonary edema, pneumonia, or both. The cardiac size is top-normal. There is no pleural effusion or pneumothorax.
<unk>-year-old male with runs of ventricular tachycardia, now requiring assessment of the position of the swan-ganz catheter.
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Heart size is normal. Cardiomediastinal silhouette and hilar contours are normal. Asymmetrically increased right base density compatible with pneumonia. Lungs are otherwise clear. Pleural surfaces are clear without effusion or pneumothorax.
cough and fever.
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Lung volumes continue to be low, and mild bilateral effusions and interstitial edema have increased since <unk>. Heart size is normal and the lungs are clear of focal consolidation. Left ij central venous line ends in the mid svc, and the median sternotomy wires are intact. Right upper quadrant drainage catheter is seen in the abdomen.
<unk>-year-old male with acute cholecystitis in septic shock, requiring pressors. please evaluate for pulmonary pneumonia and volume overload.
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As compared to the previous radiograph, no relevant change is seen. Moderate cardiomegaly at lower lung volumes. Minimal fluid overload but no overt pulmonary edema. No larger pleural effusions. Minimal atelectasis at the left lung bases. No pneumothorax.
pancreatitis, diffuse wheezing, evaluation for pulmonary edema.
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As compared to the previous radiograph, the lung volumes continue to be low. There is new atelectasis and parenchymal opacity at the bases of the right lung, combined to a small pre-existing pleural effusion. In the appropriate clinical setting, these findings are suggestive of infection. At the time of dictation and observation, <unk>:<num> a.m., on the <unk>, the referring physician <unk>. <unk> was paged for notification. The heart continues to be borderline in size. Mild fluid overload. No left pleural effusion.
fever, evaluation for infection.
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The cardiomediastinal and hilar contours are within normal limits. The lungs are clear without focal consolidation, pleural effusion or pneumothorax.
<unk> year old woman with dm<num>, smoker with pleuritic chest pain x several months.
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Pa and lateral views of the chest were reviewed and compared to the prior study. Left internal jugular port-a-cath ends in the upper superior vena cava. A right internal jugular line ends in the lower svc. A left subclavian line remnant ends in the lower superior vena cava. Right lower lobe lung scarring is unchanged and consistent with the patient's history of right lower lobe wedge resection. Linear left lower lobe opacities likely represent scarring or atelectasis. Slight mediastinal widening is due to mediastinal lipomatosis that is better characterized on chest ct from <unk>. Normal heart and pleural surfaces.
two day history of cough.
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New compared to recent chest x-ray are small bilateral pleural effusions. There is also patchy consolidation in the right mid to upper lung laterally as well as retrocardiac opacity. The cardiomediastinal silhouette is stable. Right upper quadrant coils and drainage catheter are again noted.
<unk>m with cough, fever // eval for pna
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The lung volumes are low which limits assessment of cardiac size. No overt fractures or pneumothorax are identified. Rounded opacity is seen projecting in the region of the right lower hilum. This is likely due to overlapping vasculature but a follow up study when the patient is able to take a large breath would be helpful for further assessment.
rib and bili pain question rib fracture.
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Frontal and lateral views of the chest demonstrate increased lung volumes. There is blunting of the left costophrenic angle suggestive of pleural thickening. There is no right pleural effusion. No pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is top normal. There is no pulmonary edema. Partially imaged upper abdomen is unremarkable. Surgical clips project over right upper abdomen. There is compression deformity of the lower thoracic vertebral body, better assessed on dedicated thoracic spine radiographs of the same date of uncertain chronicity.
patient with copd and shortness of breath.
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Pa and lateral chest radiographs were obtained. Lung volumes are low; the lungs are clear. There is no nodule, consolidation, effusion, or pneumothorax. The cardiac and mediastinal contours are normal.
<unk>-year-old woman with fever and pneumonia.
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The lungs are clear. There is no effusion, consolidation, or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with chronic cough, l sided pleuritic pain // evaluate for pleural effusion, pulmonary process
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Extensive opacification of the left hemithorax likely reflects primarily the presence of a large pleural effusion, likely hemothorax, with associated left basilar atelectasis, with mild rightward shift of mediastinal structures. Contusion within the left lung base cannot be excluded. Low lung volumes are seen in the right lung with patchy atelectasis in the right lung base. No pneumothorax is detected. Displaced fracture of the left seventh posterior rib is re- demonstrated. There is no overt pulmonary edema in the right lung.
history: <unk>m with fall, rib fracture
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The patient is status post previous median sternotomy. The heart is mildly enlarged, but there is no evidence of pulmonary edema. Patchy opacities are present in both retrocardiac regions, right greater than left. No pleural effusion or acute skeletal finding.
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Since the prior exam, a new left internal jugular central venous catheter has been placed with the tip in the mid svc. There is no pneumothorax. Bibasilar opacities are not significantly changed. There is no new opacity, pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. A catheter projecting over the heart and right upper abdomen is of uncertain etiology, and may be outside the patient.
new left internal jugular central venous catheter placement. evaluate positioning.
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In comparison with the study of <unk>, there is little overall change in the appearance of the heart and lungs. Areas of opacification at the bases most likely represent pleural fluid and compressive atelectasis. Indistinctness of mildly engorged pulmonary vessels is consistent with elevated pulmonary venous pressure, though no definite cardiomegaly is appreciated.
intubation, to assess for cardiopulmonary process.
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In comparison to the radiograph of <num> day prior, there is no significant interval change in all support devices, including a swan-ganz catheter, et tube, and ng tube. Sternotomy wires remain intact and aligned. The lvad is partially imaged. Left pectoral pacemaker remains in place. Mild pulmonary edema with small to moderate layering pleural effusions has not changed. Marked cardiomegaly despite the projection is also unchanged. Persistent retrocardiac opacification is likely due to bibasilar atelectasis.
<unk> year old man with s/p lvad // eval for infiltrate
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There has been interval improvement of bibasilar opacities since prior. There is no large effusion or pneumothorax. A right-sided central venous catheter seen with tip at the cavoatrial junction. The cardiomediastinal silhouette is within normal limits.
<unk>m with rij // rij placement
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The heart size is normal. No focal consolidations concerning for infection are identified. There is mild chronic elevation of the left hemidiaphragm with minimal left basilar linear atelectasis. There is no pleural effusion or pneumothorax.
history of right femoral neck fracture, rule out pneumonia.
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Since <unk>, a feeding tube has been removed. Lungs are clear with normal volumes. Heart size is normal. No pneumothorax, pleural effusion, pneumonia, or pulmonary edema. A right central line is in unchanged position with tip in the low svc.
<unk> year old man with multiple abdominal surgeries, ileus, now with new fevers, cough. r/o pneumonia. // ? pneumonia
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Ap portable upright view of the chest. Port-a-cath resides in the right chest wall with catheter tip extending to the low svc. Lungs are clear. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact.
<unk>m with tachycardia and weakness, history of burkitt's lymphoma // eval for fluid overload
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The cardiomediastinal contours are within normal limits. The hila are unremarkable. The lungs are clear without focal consolidation. There is no evidence of pulmonary vascular congestion. There is no pneumothorax or pleural effusion.
<unk>f with intermittent aching chest pain, evaluate for pneumonia or other acute process.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>m with cough // acute process?
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In comparison with the study of <unk>, the right ij catheter has been removed. No evidence of pneumothorax. Continued opacification at the left base, consistent with pleural effusion and compressive atelectasis. Although not seen on the frontal view, on the lateral, there is also a pleural effusion on the right. No evidence of vascular congestion or acute focal pneumonia.
cabg.
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There is a ng tube which extends below the diaphragm with the tip out of view of this exam. Small-to-moderate bilateral pleural effusions have slightly improved compared to the prior exam. There is no pulmonary edema. No focal consolidations concerning for pneumonia are identified. There is no pneumothorax. The visualized osseous structures are unremarkable.
history of shortness of breath. please evaluate for effusions.
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Calcified granuloma in the right lower lobe. The lungs are otherwise clear of airspace or interstitial opacity. The cardiomediastinal silhouette is unremarkable. No pleural effusions or pneumothorax. No acute or aggressive osseus changes.
<unk> year old woman with shortness of breath and chest tightness. // please evaluate for etiology.
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The patient is placement of a tunneled left subclavian indwelling catheter which may be a coiled at the junction of the right subclavian vein and svc. Alternatively, the tube may curve posteriorly to enter the azygos vein. Mediastinal widening is likely due to a combination of prominent vasculature and lymphadenopathy. There is no pneumothorax. The heart size is magnified by the projection.
<unk>-year-old female with metastatic prostate cancer. status post placement of indwelling subclavian port found to have significant paratracheal and mediastinal lymphadenopathy.
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Ap portable upright view of the chest. Midline sternotomy wires and prosthetic cardiac valve noted. There is stable mild cardiomegaly with moderate pulmonary edema. Small bilateral pleural effusions are likely present. No pneumothorax. Difficult to exclude a superimposed subtle pneumonia. Bony structures are intact.
<unk>m with sob, hypoxia // eval for pna
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Frontal and lateral views of the chest were obtained. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. Heart size is normal. The mediastinal silhouette and hilar contours are normal.
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The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable. A small to moderate hiatal hernia is noted with an air-fluid level.
<unk>f with dyspnea // evidence of pneumothorax or pneumonia
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The cardiac, mediastinal and hilar contours appear unchanged. The lungs appear clear. There are no pleural effusions or pneumothorax.
chest pain.
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As compared to the previous radiograph, the malpositioned dobbhoff catheter has been removed and replaced by a nasogastric tube. The tube shows a normal course, the tip of the tube projects over the middle parts of the stomach, the side port is located approximately <num> to <num> cm distally to the gastroesophageal junction. There is no evidence of complications, notably no pneumothorax or pneumomediastinum. Otherwise, the appearance of the lung parenchyma and of the cardiac silhouette is unchanged.
nasogastric tube placement, evaluation for tube position.
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Cardiac silhouette size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. Clips and chain sutures are seen within the left mid and lower lung fields. No focal consolidation, pleural effusion or pneumothorax is present. Cervical spinal fusion hardware is incompletely assessed.
history: <unk>f with shortness of breath
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Unchanged moderate cardiomegaly. There is a left chest pacemaker with electrodes in in unchanged positions. The aorta is calcified, indicating atherosclerosis. The mediastinal and hilar contours are unchanged. The pulmonary vasculature is prominent, consistent with moderate pulmonary edema. There is bibasilar atelectasis. Small pleural effusions bilaterally. No pneumothorax is seen. Multilevel degenerative changes of the visualized thoracolumbar spine.
history: <unk>m with weight gain, right basilar crackles and expiratory wheezes. assess for congestive heart failure.
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Single frontal view of the chest demonstrates a left pectoral cardiac pacer with leads terminating in the right atrium and right ventricle. The cardiac silhouette is mildly prominent, accentuated by slightly decreased lung volumes. The thoracic aorta is mildly tortuous. There are persistent bilateral pleural effusions with associated compressive atelectasis. There is no pneumothorax or vascular congestion.
<unk>-year-old female with altered mental status. question pneumonia.
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In comparison with the study of <unk>, there is no change or evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion.
persistent fever and uti, to assess for pneumonia.
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Compared to the study from two days prior, there is no significant interval change in the complete opacification of the right hemithorax with abrupt cutoff of the right main stem bronchus. The left lung is clear.
lung collapse, followup.
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As compared to the previous radiograph, there is no relevant change. Unchanged extent of the right-sided pleural effusion. Unchanged subsequent right basal atelectasis. The known parenchymal opacities, notably the upper lobe bilateral scars are also unchanged. Constant size of the cardiac silhouette.
right pleural effusion, assessment for interval change.
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Compared to the prior study there is no significant interval change. The ng tube is in the stomach
<unk> year old man with ngt // ng tube placement confirmation
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Compared to prior, the size of the moderate right-sided pleural effusion has increased. There is also a small left effusion. Cardiac silhouette is enlarged but stable in configuration. Left chest wall single lead pacing device is seen with lead tip at the right ventricular apex. There is new partially visualized cervicothoracic fixation hardware. No acute osseous abnormalities. Right picc is seen with catheter tip over the axillary region.
<unk>m with picc line and recent spinal surgery, eval picc placement // eval picc
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The heart size is at the upper limits of normal although likely exaggerated by ap projection. The mediastinal contours demonstrate a mildly tortuous aorta, but unchanged from prior study. The lungs are clear. There is no pleural effusion or pneumothorax.
<unk>-year-old female with liver failure.
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As compared to the previous radiograph, volumes have slightly decreased, likely reflecting a lesser inspiratory effort. There is unchanged evidence of moderate cardiomegaly as well as bilateral pleural effusions and subsequent areas of atelectasis. The changes are more severe on the left than on the right. In the interval, there is no evidence of new parenchymal opacities. No pneumothorax. No convincing evidence of pulmonary edema. The sternal wires and the right internal jugular vein catheter are in constant position.
heart failure, extubation, assessment of pulmonary edema.
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In comparison with the earlier study of this date, the chest tubes have been removed. There is a small pneumothorax on the right. Endotracheal tube and nasogastric tube have also been removed. The region behind the heart is clear than on the previous study.
post-surgery with chest tube removed, to assess for pneumothorax.
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Again, as compared to previous x-ray, all the monitoring and support devices are unchanged and in standard position. Persistent low lung volume and bilateral opacity due to pulmonary edema, which has minimally improved. There is no pneumothorax or pleural effusion.
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The distal part of a left-sided picc has flipped upward coursing retrograde. The cardiac, mediastinal and hilar contours appear unchanged. Perihilar fullness and hazy prominent pulmonary vascularity have mildly decreased. Small to moderate pleural effusions persist with patchy basilar opacities, not specific, although probably due to atelectasis with low lung volumes.
acute respiratory distress. history of congestive heart failure.
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There has been interval removal of lines and tubes. Previously seen pulmonary opacities have essentially resolved in the interval with possible minimal residua remaining in the right lung. Biapical pleural thickening is seen. The cardiac silhouette is top-normal. Mediastinal contours remarkable. No pleural effusion or pneumothorax is seen. There is no pulmonary edema.
history: <unk>m with recent kidney transplant on immunosupp p/w nausea, vomiting and hypotens // eval for pneumonia, chf
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal in size. Mediastinal contours are stable and unremarkable. Hilar contours are grossly stable, with possible minimal central pulmonary vascular engorgement.
history: <unk>f with fever of unknown origin // r/o pna
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Pa and lateral views of the chest were provided. The lungs are clear. No effusion or pneumothorax. Cardiomediastinal silhouette is normal. No displaced rib fracture. No free air below the right hemidiaphragm.
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Pa and lateral views of the chest are obtained. Lung volumes are low. There is left lower lobe consolidation which is concerning for pneumonia, though a component of atelectasis is also likely present. The right lung is clear aside from a linear density in the mid-to-lower lung which likely reflects subsegmental linear atelectasis. The heart size is difficult to assess. Mediastinal contour appears normal. No pneumothorax is seen. Bony structures are intact. No free air below the right hemidiaphragm. On the lateral view, there is note made of gas-distended and mildly dilated loops of small bowel, for which clinical correlation is advised.
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Frontal and lateral views of the chest were obtained. The lungs are well expanded and clear, without focal consolidation, pleural effusion or pneumothorax. Heart size is normal. Mediastinal silhouette and hilar contours are normal.
chest pressure.
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Ap and lateral views of the chest were provided. There is diffuse pulmonary edema, increased from prior exam. Difficult to exclude a left pleural effusion. No large pneumothorax. Heart size cannot be assessed. Atherosclerotic calcification at the aortic knob again noted. Bony structures appeared grossly unchanged.
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Two views of the chest demonstrate clear lungs. The cardiac, hilar, and mediastinal contours are normal. No pleural abnormality is seen.
cough with history of asthma. evaluate for pneumonia.
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Pa and lateral views of the chest were obtained. Right axillary clips are noted. Right breast shadow is absent compatible with prior mastectomy. The lungs are hyperinflated with upper lobe lucency compatible with underlying emphysema. There is no sign of pneumonia or chf. No pleural effusion or pneumothorax. Cardiomediastinal silhouette appears normal. Bony structures are intact.
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Ap view of the chest provided. The left hemithorax is air-filled, not unexpected from recent left pneumonectomy. There is a tubular opacity adjacent to the left hilum, likely a stump. Left sided chest tube tip is at the left apex. Right lung is clear. Cardiomediastinal and hilar contours are normal. Fracture of the poster <unk> rib is seen.
<unk> year old woman with lung cancer s/p pneumonectomy // eval post op change
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Comparison is made to the prior study from <unk>. The cardiac silhouette is within normal limits. The airspace opacities seen previously continue to improve. There remain hazy densities at the lung bases. There are no pneumothoraces. Bony structures are intact.
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Mildly low lung volumes resulting crowding of bronchovascular structures. There is no lobar consolidation, large pleural effusion, pneumothorax, or overt pulmonary edema. The cardiomediastinal silhouette is within normal limits.
history: <unk>m with ams please r/o pna // pna?
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In comparison with the earlier study of this date, there has been removal of the right chest tube. There is a small pneumothorax. The bibasilar opacifications have decreased, though there is still evidence of atelectatic changes especially on the left. Small pleural effusions could well be present.
chest tube removal, to assess for pneumothorax.
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The heart is mildly enlarged. Central pulmonary vascular congestion, with mild to moderate edema has worsened. Small bilateral pleural effusions are present. A left retrocardiac opacity remains unchanged, reflecting either atelectasis or a focal consolidation. There is no pneumothorax.
concern for infection.
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The lungs are clear. Mediastinal and cardiac contours are normal. There is no pleural effusion or pneumothorax.
patient with seizure, evaluation for infection.
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Patient is status post median sternotomy and cabg. There is a calcified left breast implant.no focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with chest pain // eval for chf/pneumonia
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There are persistent bilateral layering pleural effusions with associated compressive atelectasis, not significantly changed compared to prior. The pulmonary edema has improved, but remains mild. There are no new focal consolidations to suggest pneumonia. The cardiomediastinal silhouette is stable. There is no pneumothorax.
<unk> year old man with new cough and asp risk pending d/c am // pna?
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The abdominal changes are described in detail on the abdominal radiograph performed today at <time> a.m. In the lungs, no acute process is visualized. Relatively extensive bronchial wall calcifications. No pleural effusions. No pneumothorax. No pulmonary edema. Normal size of the cardiac silhouette.
new dyspnea on exertion, evaluation for acute process.
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Portable ap chest radiograph demonstrates low lung volumes and top normal heart size. There are probably small pleural effusions. There is bibasilar atelectasis. There is no pulmonary vascular congestion or pneumothorax.
stemi. evaluation for effusions.
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Pa and lateral chest radiographs were obtained. The lungs are fully expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. A percutaneous nephrostomy catheter is partially imaged in the left upper quadrant.
chest pain, evaluate for acute process.
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The lungs are normally expanded. The cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. There is no focal consolidation. Right middle lobe linear opacities, likely atelectasis, scarring. There is no pleural effusion or pneumothorax. There is no pulmonary edema.
cough for three weeks. evaluate for pneumonia.
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No pneumothorax. The lungs are well expanded without consolidation. The lung mass obscuring the para-aortic line is again seen and unchanged. There is mild left lower lobe atelectasis that has improved from prior. The hila and pulmonary vasculature are normal. No pleural abnormalities. The cardiomediastinal silhouette is normal. No fractures.
<unk> year old man with lung mass s/p ebus with tbna of mass and station <num> ln // ? pneumothorax
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The lungs are clear of focal consolidation or effusion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>m with green productive sputum x<num> // eval for consolidation
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In comparison with study of <unk>, the monitoring and support devices remain in place. Multiple areas of consolidation are again seen bilaterally, with some element of pulmonary edema accentuating the process. The opacifications are more prominent on the left, and there is retrocardiac opacification that suggests some substantial volume loss in the left lower lobe.
volume overload.
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No significant change compared to the prior exam. Stable appearance of the known right small (<num> cm) apical pneumothorax. Stable mild basilar atelectasis. No focal consolidation, pulmonary edema, or pleural effusion. Stable cardiomediastinal silhouette. Unchanged position of the right ij. Sternotomy wires and surgical clips appear intact and unchanged in position. Right distal clavicle fixation hardware appears intact.
<unk>-year-old woman with a small right apical pneumothorax; evaluate for interval change.
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Portable ap view of the chest was provided. Aicd pack overlies the left chest wall with pacer lead extending into the right atrium and right ventricle. Lung volumes are low. No focal consolidation, effusion, or pneumothorax is seen. Heart size and mediastinal contour appears normal. Bony structures are intact.
increased shortness of breath, assess for chf.
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The lungs are clear without focal consolidation, effusion, or edema. Cardiomediastinal silhouette is stable. Left chest wall single lead pacing device is again seen with lead tip in the right ventricular apex. No acute osseous abnormalities.
<unk>m with recent dx of rml pna p/w dyspnea and increasing weakness // assess for interval changes, pulmonary edema
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Frontal and lateral radiographs of the chest show hyperinflated and hyperlucent lungs with increased ap diameter of the chest consistent with severe copd/emphysema. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. No pulmonary vascular congestion or edema is present. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits with a partially calcified aortic knob. Moderate degenerative changes are noted in the thoracic spine.
<unk>-year-old female with history of severe copd, now with worsening dyspnea, here to evaluate for pneumonia or malignancy.
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There is the right ij catheter with the tip terminating in the mid svc. Heterogeneous right upper lobe parenchymal consolidation is unchanged. The moderate left pleural effusion and atelectasis is unchanged. Heart size is normal. The mediastinal and hilar contours are normal. No pneumothorax is seen. There is cervical stabilization hardware, which appears unchanged in comparison to the prior chest radiographs.
<unk>f w/nash cirrhosis and l hepatic hydrothorax // evaluate for interval change in hydrothorax
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The patient is rotated to the right. There are probable bilateral pleural effusions. Degree of pulmonary edema, likely moderate is grossly unchanged for perhaps minimally improved. Cardiac silhouette is enlarged. Chronic changes noted at the shoulders. Included image of the distal left humerus is also notable for likely chronic appearing deformity, similar to scout from ct scan from <unk>. Left upper extremity vascular access line seen terminating at the left brachial/ lower axillary level.
<unk>f with hx of chf and dyspnea // ?pneumonia or pulmonary edema
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Pa and lateral views of the chest provided. Clips in the left axilla noted. Subtle linear opacity in the left lung base likely represents atelectasis. Retrocardiac opacities compatible with hiatal hernia. Lungs otherwise clear. Cardiomediastinal silhouette is normal. Bony structures appear intact.
<unk>m with cough // acute process?
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Ap and lateral views of the chest are compared to previous exam from <unk>. The lungs are hyperexpanded but remain clear of consolidation or effusion. Cardiomediastinal silhouette is within normal limits. Osseous structures are diffusely osteopenic. Left upper quadrant catheter is again partially visualized.
<unk>-year-old female with cough and fever.
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Two portable ap views of the chest are compared to previous exam from <unk>. The lungs remain clear. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable. No free air is seen below the diaphragm.
<unk>-year-old male with abdominal pain and chest pain and back pain. history of vasculitis.
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There is no significant change compared to prior examination with redemonstration of moderate bilateral right greater than left layering pleural effusions as well as moderate pulmonary edema. Positioning of the endotracheal tube and left internal jugular central venous catheter and ng tube are unchanged. There has been interval removal of a right internal jugular central venous catheter. There is no pneumothorax.
respiratory failure secondary to fluid overload.
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New ng tube is in the stomach. Right subclavian line is at cavoatrial junction. Pacemaker has its leads in right atrium and right ventricle. As shown on ct torso, bilateral chest tubes are fissural, residual mild-to-moderate bilateral pneumothoraces are unchanged, right perihilar opacities are due to contusion, this is unchanged. Et tube ends <num> cm above the carina. Left clavicular fracture is in unchanged position.
patient with new ng tube.
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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>m with chest pain // eval for pna