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Mild cardiomegaly is re- demonstrated. Aortic knob calcifications are present. Mediastinal and hilar contours are unchanged. Mild pulmonary edema is re- demonstrated, not substantially changed in the interval. Low lung volumes with patchy opacities the lung bases may reflect atelectasis. Small bilateral pleural effusions are re- demonstrated, unchanged. No pneumothorax is present.
history: <unk>f with chf
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No evidence of pneumonia. Stable cardiomegaly with stable mild pulmonary edema. There is a small pleural effusion. Otherwise, lung fields are unremarkable with no areas of focal consolidation or evidence of pneumothorax. The pleural surfaces are within normal limits. Sternotomy wires are again seen. Note is made of multilevel degenerative changes seen along the thoracic spine.
<unk>-year-old woman with fevers despite antibiotic therapy.
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Endotracheal tube terminates approximately <num> cm above the level of the carina. Enteric tube courses below the level the diaphragm, terminating in the very proximal stomach, side port in the distal esophagus. Suggest advancement so that it is well from the stomach. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with dka, intubated // eval et tube, pneumonia
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Again is seen a significant portion of large and small bowel within the right lower portion of the chest, compatible with patient's known history of morgagni hernia. A hiatal hernia is also present. The extensive bowel gas within these herniated loops limits assessment for subtle free air. Heart and mediastinal contours are within normal limits. The visualized lung portions show basal atelectasis, likely secondary to the herniated viscera. There is no large pleural effusion or pneumothorax.
<unk>-year-old female with severe epigastric pain.
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The lungs are clear. There is no consolidation, effusion, pneumothorax or vascular congestion. The cardiomediastinal silhouette is normal. No acute osseous abnormalities identified.
<unk>m with new onset sob and palpitations in the setting of recent weight gain. // ?edema
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Ap upright and lateral views of the chest provided. The lung volumes are somewhat low, causing bronchovascular crowding. There is no focal consolidation, effusion, or pneumothorax. The aorta is tortuous. The cardiomediastinal silhouette is otherwise normal. Imaged osseous structures are intact. Levoscoliosis is similar to prior. No free air below the right hemidiaphragm is seen. Small hiatal hernia was better evaluated on prior ct.
history: <unk>f with fever // r/o pna
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The lungs are well inflated. There is a left lower lobe ill-defined peribronchial opacity concerning for pneumonia. There no pneumothorax nor pleural effusion appreciated. The cardiomediastinal and hilar silhouettes are normal . The heart size is normal. There is no acute bony abnormality nor evidence of acute fracture.
<unk> year old woman with advanced cervical cancer p/w fever // r/o consolidation
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The lungs are clear. There is no pneumothorax. The heart size appears smaller on today's exam, and is now within normal limits. Mediastinal contours are stable. Left lateral chest wall postsurgical changes are also stable. Mild spinal degenerative changes are unchanged.
<unk> year old woman s/p l vats, excision of chest wall mass (neurofibroma in <unk> with increased chest congestion and chills. please eval for infectious process/fluid
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Lung volumes are slightly low with bibasilar atelectasis or scarring similar to prior. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is similar to prior. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
history: <unk>f with cough // eavl for infiltrate
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As compared to the previous radiograph, there is an improvement, with near-complete resolution of the pre-existing right pleural effusion. The heart continues to be borderline in size and the retrocardiac areas of atelectasis persist. There is no evidence of pneumonia. The monitoring and support devices are constant.
seizure, intubation, rule out pneumonia.
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In comparison with the earlier study of this date, there is no interval change following placement of the chest tube on waterseal. No evidence of pneumothorax. Patient has taken a somewhat better inspiration.
chest tube on waterseal, to assess for pneumothorax.
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There continues to be an alveolar infiltrate on the right and central areas of volume loss on the left with more dense volume loss in left lower lung spinal fixation devices are again seen. Right-sided picc line tip is poorly visualized but is at least at the cavoatrial junction
<unk> year old man history of lung cancer s/p chemoradiation, mssa osteomyelitis and bacteremia, recently intubated, with hypoxia. // question of lll opacity from previous cxr.
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Pa and lateral views of the chest. The lungs are clear given slightly low lung volumes. The aorta is unfolded. Cardiac silhouette is normal in size. Hilar and mediastinal contours are normal. No pleural effusion. No evidence of pneumothorax. Degenerative changes are noted along the thoracic spine.
left-sided chest pain.
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The newly placed ett tip projects <num> mm from the carina. An enteric tube tip and side-port project over the expected region of the stomach in the left upper quadrant. Lung volumes are low. There is mild left basilar atelectasis. No focal consolidation, edema, or pneumothorax. Mild cardiomegaly is unchanged. Aortic knob calcifications are also unchanged. Surgical clips in the right upper quadrant are consistent with cholecystectomy. No acute osseous abnormality.
<unk>-year-old woman status post ett placement. evaluate position.
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The lung volumes have decreased with crowding of the bronchovascular structures and new paucity. No pulmonary edema. Mild cardiomegaly with ectasia of the aorta unchanged. Right thyroid goiter with widening of the superior mediastinal border unchanged. Prior median sternotomy and cabg.
<unk> year old man with <unk>'s, ams, acute tremor and rigidity // edema, pneumonia
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A single portable semi-erect chest radiograph was obtained. Lung volumes are low. Small opacities at the right base likely represent a small amount of atelectasis. No effusion or pneumothorax is present. Cardiac and mediastinal contours are normal.
<unk>-year-old man with stroke, dysarthria, and dysphagia.
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As compared to the previous radiograph, the patient has been intubated. Course of the tube is unremarkable, the tip of the tube projects over the gastroesophageal junction, the tube should be advanced by at least <num> cm. No complications, notably no pneumothorax. Normal size of the cardiac silhouette. No pneumonia, no pleural effusions.
nasogastric tube placement.
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Right pleural catheter is subtly seen on the frontal view, grossly stable in position. Moderate right pleural effusion is similar in extent, with overlying atelectasis. Slight blunting of the left costophrenic angle is stable and may be due to a small pleural effusion. No large pneumothorax is seen. Enlargement of the cardiomediastinal silhouette is stable.
history: <unk>m with chf, cad, recurrent r pleural effusions and ptx s/p pleurx during recent admission, now w/ new o<num> requirement, r sided chest heaviness // eval ? pnuemothorax, recurrent effusion, pna, edema
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Mild pulmonary vascular congestion with minimal pulmonary interstitial edema is noted. There is no focal consolidation, pleural effusion or pneumothorax. The heart size is top-normal. The aorta is tortuous.
<unk>f with chest pain, evaluate for acute abnormality.
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Cardiomediastinal silhouette and hilar contours are normal. Lungs are clear. Incidental note is made of a azygos fissure. There is no pleural effusion or pneumothorax. No acute bony abnormality is identified.
left-sided rib pain and swelling of the <unk>. rule out pneumothorax.
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Cardiac, mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
shortness of breath.
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Heart size is top normal with mild tortuosity of the thoracic aorta. There is central pulmonary vascular congestion with moderate interstitial edema similar in severity to <unk>. There is no focal consolidation worrisome for pneumonia. There are no large pleural effusions or pneumothorax.
hypoxia, shortness of breath.
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The cardiomediastinal silhouette is normal. There is no pneumothorax or pleural effusion. There is no focal lung consolidation.
<unk>-year-old man with hypertensive emergency evaluate for pneumonia
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Midline sternotomy wires and mediastinal clips are again noted. The heart remains mildly enlarged and there is mild congestion and pulmonary edema not significantly changed from prior exam. No large effusion is seen. Mild basilar atelectasis is noted without definitive evidence of pneumonia. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>-year-old man with dyspnea and palpitations,.
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Ap and lateral views of the chest are compared to previous exam from <unk>. Lower lung volumes seen on the current exam. There are regions of bibasilar atelectasis. Superiorly, the lungs are clear. There is no evidence of pulmonary vascular congestion. Cardiomediastinal silhouette is stable. Left chest wall port seen with catheter tip at the lower svc. Osseous and soft tissue structures are unchanged. Surgical clips in the upper abdomen suggest prior cholecystectomy.
<unk>-year-old female with altered mental status. question infiltrate.
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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 fever // pna?
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Frontal and lateral views of the chest demonstrate top normal heart size, unchanged. There is unfolding of the thoracic aorta. Mediastinal and hilar contours are otherwise unremarkable. The lungs are clear, with the exption of ill defined opacity in the right middle lobe, which appears long standing. There is no vascular congestion, pleural effusion, or pneumothorax. Current exam is not tailored to assess for rib fractures; however, there is a minimally displaced fracture of the lateral right ninth rib. Slight wedge deformity along the anterior aspect of t<num> vertebral body is unchanged since at least <unk>.
<unk>-year-old female with chest pain status post fall. question acute process or rib fracture.
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Cardiac silhouette size is normal. The aorta is tortuous. Mediastinal and hilar contours are unremarkable. The pulmonary vasculature is not engorged. Linear opacities in the left lung base are compatible with subsegmental atelectasis. No focal consolidation, pleural effusion, or pneumothorax is present. Moderate multilevel degenerative changes are noted in the thoracic spine.
history: <unk>m with myelodysplasia presenting with fever
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Pa and lateral chest radiographs demonstrate clear lungs. The heart size is normal. The cardiac, hilar, and mediastinal contours are normal.
chest pain.
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Ap and lateral views of the chest. No focal consolidation, pleural effusion, or pneumothorax. There is mild left basilar atelectasis. Cardiomediastinal and hilar contours are normal. Right internal jugular central venous catheter ends in the upper right atrium.
all, status post transplant, gvhd, new cough.
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There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size. Previously seen calcified pleural plaques are not well visualized on current exam.
history: <unk>f with cough sob // r/o pna
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No definite interval radiographic change. Inspiratory volumes are low, similar to the prior study. Again seen are extensive opacities throughout both lungs. More confluent opacity at the right lung apex is again noted, similar to the prior study. There could be very slight interval improvement in the left mid-zone, but any differences quite minimal. The cardiomediastinal silhouette is obscured by the parenchymal findings, but not clearly changed. Again noted is a tracheostomy tube, right ij line with tip over proximal/mid svc and a left-sided picc line, with tip over mid svc.
<unk> year old man having high peak pressures on vent // ?interval change
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As compared to the previous radiograph, the vertebral stabilization devices are in unchanged position. In the interval, the nasogastric tube has been removed. The right picc line is in unchanged position. There is resolving atelectasis at both the right and left lung bases. The cardiac silhouette remains at the upper range of normal. There is no overt pulmonary edema. No pneumothorax is noted.
pneumothorax, rule out rib fractures.
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The lungs are clear without focal consolidation or edema. There is a small left pleural effusion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with worsening liver // pna?
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Ap upright and lateral views of the chest provided. Hyperinflated lungs. 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 cough // eval infiltrate
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The heart is moderately enlarged. The mediastinal and hilar contours are unremarkable. There is no definite pleural effusion or pneumothorax. Patchy medial left basilar opacity suggests minor atelectasis. Otherwise, the lungs appear clear. Slight opacification of the right cardiophrenic sulcus is probably due to a cardiac fat pad. Moderate degenerative changes are present along the lower thoracic spine.
hypoglycemia.
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Portable frontal radiograph of the chest demonstrates low lung volumes. Heart size is normal with normal mediastinal and hilar contours. Focal opacity at the left lung base. No pleural effusion or pneumothorax.
history: <unk>m with chest pain. // acute process
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Nasogastric tube extends well into the stomach. In comparison with study of <unk>, cardiac silhouette is within normal limits. Suggestion of some asymmetric opacification at the left base. Although this could merely reflect atelectasis, in the appropriate clinical setting, supervening pneumonia would have to be considered. Multiple old healed rib fractures are seen on the left. Opacification in the right upper quadrant that most likely is a sequela of previous interventional procedure.
nasogastric tube placement.
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The lungs are hyperinflated but clear. There is no pleural effusion or pneumothorax. Tortuosity of the thoracic aorta is stable. The heart size is normal. There is marked thoracic kyphosis with anterior wedge compression deformities of <num> adjacent mid thoracic vertebral bodies. Compression deformity of a lower thoracic vertebral body is new since <unk>.
<unk> year old woman who presents with body pain. exam with mid t-spine tenderness. evaluate for acute process.
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As compared to prior chest radiograph from <unk>, lung volumes are decreased accentuating the cardiomediastinal silhouette. There is slight rightward deviation of trachea which could be positional but could also represent a thyroid abnormality. There are no new focal consolidations. No definite pleural effusion or pneumothorax. Visualized portions of the upper abdomen appear normal. Osseous structures are grossly intact. Overlying pins are seen at the level of the mediastinum.
<unk>-year-old woman with chest pain, status post left inferior parathyroid removal and status post car accident yesterday.
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There has been interval resolution of the right pleural effusion. Linear opacities in the right lower lung are consistent with residual a atelectasis. No left-sided pleural effusion. No pneumothorax. The cardiomediastinal contour is within normal limits.
<unk> year old man s/p right thoracentesis // r/o right sided prx
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No focal consolidation, pleural effusion or pneumothorax identified. The size the cardiac silhouette is within normal limits.
<unk> year old woman with new fever // eval for new fever
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Lungs are hypoinflated. Moderate cardiomegaly persists. There is severe elongation of the calcified descending aorta, as before. No new focal consolidation is identified. There is no pleural effusion or pulmonary edema. A pleural plaque is seen projecting over the right lower lung, unchanged compared to multiple prior studies. S-shaped scoliosis is again noted.
history: <unk>f with vomiting // pna?
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. There is no free air. Bony structures are unremarkable.
worsening abdominal pain. history of crohn's disease.
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Ap view of the chest. Ap and lateral views of the chest. The lungs are clear of focal consolidation, effusion, or pulmonary vascular congestion. The cardiac silhouette is within normal limits for technique. No acute osseous abnormality is identified.
<unk>-year-old female with hypertension and diabetes with lethargy and weakness.
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Pulmonary vascular congestion with slightly more prominent interstitial markings may reflect pulmonary interstitial edema. No pleural effusion or pneumothorax. The size of the cardiac silhouette is enlarged but unchanged. Degenerative changes of both shoulders.
<unk> year old man with tachypnea, hypoxia // pulm edema
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Frontal and lateral chest radiographs demonstrate well expanded and clear lungs. There is no focal consolidation. The cardiomediastinal and hilar contour is unremarkable. No findings to suggest lymphadenopathy. There is no pleural effusion or pneumothorax.
<unk>-year-old female with elevation of ckd. evaluate for lymphadenopathy.
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Ap and lateral views of the chest. Again seen are relatively linear bibasilar opacities, left worse than right. There may have been interval progression at the left lung base compared to prior. Superiorly, the lungs remain clear. Cardiomediastinal silhouette is unchanged. Multilevel vertebroplasty changes are again seen.
<unk>-year-old male with shortness of breath. question pneumonia.
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The endotracheal tube tip seats <num> cm above the carina. A right-sided picc tip terminates at the cavoatrial junction. An endogastric tube courses inferiorly and out of the field of view. An ivc filter is present. The heart size is within normal limits. The mediastinal and hilar contours appear normal. The lungs continue to demonstrate an ill-defined opacity behind the heart which does not appear to obscure the hemidiaphragm. There is no large pleural effusion or pneumothorax.
<unk>-year-old male with persistent leukocytosis and worsening retrocardiac opacity.
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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 hx lupus, recent steroid wean now w/ <num>d sharp pain
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There is increased opacity at the right lung base. Some of this could be due to elevation of the right hemidiaphragm although subpulmonic effusion is possible. Patchy adjacent consolidation is also noted. Left lung is grossly clear noting motion which obscures fine detail. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with ams, hypoxia // pna?
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The cardiac, mediastinal and hilar contours appear stable. There is a small residual right-sided loculated pleural effusion but decreased with associated streaky opacities suggesting minor associated atelectasis. Overall, however, aeration is much better than the more recent of the prior radiographs. Mild degenerative changes affect the lower thoracic spine.
dyspnea on exertion.
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Pa and lateral views of the chest. The lungs are clear without consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality detected.
<unk>-year-old male with chest pain.
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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 w deep inspir pls eval for pna and edema
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Left perihilar opacification, where the patient has received cyberknife therapy, has increased slightly. There is linear atelectasis at the bilateral lung bases. There is no focal consolidation. No pleural effusion or pneumothorax. Heart size is normal. Mediastinal and hilar silhouettes and pleural surfaces are unremarkable.
<unk>m w/ productive cough, diffuse congestion on auscultation of the lungs.
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There is apparent enlargement of the cardiac silhouette likely in part due to pectus deformity seen on prior film. Tortuosity of the thoracic aorta is again noted. Surgical clips project over the right paratracheal region and there is associated right hemithorax volume loss. There are also surgical clips projecting over the left lung base, potentially within the overlying soft tissues. Lungs are clear without consolidation or edema. No acute osseous abnormality.
<unk> year old woman with dyspnea // pneumonia, atelectasis, chf, pe?
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The lungs are clear. The cardiomediastinal silhouette the is within normal limits. No acute osseous abnormalities identified.
<unk>m with left chest stab wound yesterday // r/o pmneumothorax
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As compared to the previous radiograph, the patient has received a pacemaker. The generator is in right pectoral position. The lead shows normal course, no fracture, and projects over the right ventricle. The pre-existing small left pleural effusion is constant. No evidence of complications, notably no pneumothorax. Unchanged size of the cardiac silhouette.
new pacer placement, evaluation for complications.
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Pa and lateral views of the chest. The lungs are clear. The cardiomediastinal silhouette is normal. Degenerative changes seen at the right acromioclavicular joint. No acute osseous abnormality noted. Ossification of the anterior longitudinal ligament raises possibility of ankylosing spondylitis.
<unk>-year-old male with chest pain.
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Pa and lateral images of the chest were obtained. The lungs care clear bilaterally without focal consolidation of pulmonary edema. No pleural effusion or pneumothorax. There are no bony abnormalities. The cardiomediastinal silhouette is normal. There is no free air below the right hemidiaphragm.
weakness.
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Ap frontal view of the lower chest and upper abdomen has been obtained with patient in semi-upright position. An og-tube of dobbhoff type has been placed and is seen to reach below the diaphragm where it is curled up in the fundus of the stomach. Basal pulmonary atelectasis in bilateral position appear unchanged in comparison with previous examination of <unk>.
<unk>-year-old male patient with acute pancreatitis, nasogastric tube placement, confirm position.
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Dual lead left-sided pacemaker is stable in position. There are diffuse bilateral opacities again seen, which appear stable to minimally improved since the prior study which may be due to pulmonary edema superimposed on chronic lung disease trace pleural effusions are difficult to exclude. Linear calcification is again seen along the right hemidiaphragm. The cardiac silhouette remains enlarged. Mediastinal contours are stable.
afib, tachy-brady, history of pulmonary fibrosis, pulmonary hypertension, rhonchi on exam with decreased breath sounds bilaterally.
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In comparison with the study of <unk>, the monitoring and support devices are essentially unchanged. Diffuse bilateral pulmonary opacifications again seen, possibly slightly worse, consistent with the clinical diagnosis of ards. The possibility of supervening pneumonia would be very difficult to exclude in the appropriate clinical setting.
ards with possible pneumonia.
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Ap upright and lateral chest radiographs were provided. The lungs appear hyperinflated. There is no focal consolidation. Surgical clips are noted within the right infrahilar region. Cardiomediastinal silhouette appears stable relative to prior examinations. There is no pleural effusion or pneumothorax. No evidence of pulmonary edema. Imaged osseous structures demonstrate no acute abnormality. Healed posterior right fifth rib fracture is again identified unchanged.
<unk>-year-old female with shortness of breath. evaluate for acute process.
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Interval placement of a right internal jugular central venous catheter, the tip projecting over the right atrium. Low bilateral lung volumes with bibasilar opacities, likely reflective of atelectasis. Small left pleural effusion. No pneumothorax identified. The size of the cardiac silhouette is within normal limits.
<unk> year old man with <unk>, hyponatremia, hyperkalemia. // ?central line
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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 fever s/p all*** warning *** multiple patients with same last name! // acute process
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Heart size is normal. Minimal atherosclerotic calcifications are demonstrated at the aortic knob. Mediastinal and hilar contours are otherwise within normal limits. The pulmonary vasculature is normal. Lungs are clear without focal consolidation, pleural effusion or pneumothorax. No acute osseous abnormality is visualized.
history: <unk>m with pancreatitis // effusion?
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In comparison with the study of <unk>, there is progressive increase in pulmonary edema. Endotracheal tube and right subclavian catheters are unchanged. On the left, the previous catheter has been removed and replaced with a picc line that is either outside the thorax or at the outermost portion.
respiratory distress after surgery.
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The lung volumes are low which causes crowding of bronchovascular structures. No focal opacity, pleural effusion or pneumothorax is identified. The heart size is likely normal. The mediastinal contours are normal. No rib fracture is identified.
<unk> year old man with alcohol abuse. now with chest pain and dyspnea after a fall. evaluate for rib fracture.
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The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. There is mild left hilar prominence, unchanged since the prior examination. No definite focal consolidation is identified. There is no large pleural effusion or pneumothorax.
<unk> year old man here with hepatic encephalopathy // eval for pneumonia
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Lung volumes are low. However there is clear increased alveolar opacity involving the left lower lobe. The right lung is relatively clear. The heart size is unchanged in continues to be mildly enlarged
<unk> year old man with cough and elevated wbc // ?pneumonia
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In comparison with study of <unk>, the tip of the picc line is in the region of the cavoatrial junction or possibly upper portion of the right atrium. Blunting of the left costophrenic angle is seen. Minimal blunting of the costophrenic angle on the right is unchanged. No vascular congestion or acute focal pneumonia.
picc placement.
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The cardiomediastinal silhouette is normal. The hila and pleura are unremarkable. The lungs are hyperinflated with prominence of interstitial markings and widespread calcified and noncalcified miliary opacities. Such findings could represent previous history of varicella, metabolic disorder, disseminated fungal disease, or thyroid cancer, however miliary tuberculosis must be excluded. Hardware is seen overlying the left clavicle compatible with previous orif and is unchanged compared to <unk> study.
<unk> year old woman with cough and shortness of breath // ?abnormality
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The intra-aortic balloon pump tip projects <num> cm below the aortic knob apex, just at the level of the left main bronchus. Swan-ganz catheter tip projects over the left pulmonary artery. Mild cardiomegaly is unchanged. Right basilar atelectasis has improved. There are minimal pleural effusions, if any. Lungs are otherwise grossly clear. No pneumothorax. Left icd/pacemaker leads are continuous and terminate in the epicardial coronary vein and right ventricle, unchanged. The right atrial lead points medially.
<unk> year old man with chf, iabp in place. evaluate iabp position.
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The heart size is normal. The cardiomediastinal silhouette and hilar contour is unremarkable. The lungs are clear without consolidation, effusion or pneumothorax. No acute bony abnormality is identified.
intermittent chest pain with cocaine use
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An endotracheal tube and enteric tube have been removed. Right internal jugular catheter terminates in the mid svc. Sternotomy wires are intact. The heart is minimally enlarged from the prior exam. The mediastinum is also minimally widened which may reflect a postoperative appearance and recent extubation. Lung volumes are markedly low. Left basal opacity suggests atelectasis. There is no pleural effusion or appreciable pneumothorax. Mild vascular congestion without edema.
<unk> year old man s/p cabg // eval for pneumothorax s/p ct removal
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The cardiac silhouette size is top normal with a left ventricular predominance. Mediastinal and hilar contours are normal. Pulmonary vascularity is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities are noted.
altered mental status, left facial droop and slurred speech.
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The cardiac, mediastinal and hilar contours appear stable. A central line has been removed. There is probably a trace pleural effusion on the left. Opacity has decreased in the right cardiophrenic angle and patchy retrocardiac opacity, probably due to atelectasis although not specific, is similar to slightly decreased.
fever and leukocytosis. status post tissue avr.
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Right chest wall port catheter terminates at the superior cavoatrial junction. The lungs are clear and the cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax.
<unk>m with colon cancer on chemotherapy, with new leukocytosis. evaluate for pneumonia.
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In comparison to the chest radiograph obtained <num> days prior, there has been interval improvement in bilateral pulmonary edema. There is a new right basilar consolidation or pleural effusion. Mild cardiomegaly is unchanged. No pneumothorax.
<unk> year old man with cirrhosis, recent proximal shoulder fx after a fall who presents with confusion and hallucinations with imaging and labs concerning for decompensated liver failure, hcap, <unk> and acute anemia, transfeerred ot micu for hypoxia and worsening oulmonary edema // ? interval change?
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As compared to the previous radiograph, the patient has received an endotracheal tube. The tip of the tube projects <num> cm above the carina. The patient has also received a nasogastric tube. The sidehole is approximately <num> to <num> cm distal off the gastroesophageal junction. The extensive left upper lobe opacities and the small right basal atelectasis are unchanged. The retrocardiac and left basal lung areas show minimally improved ventilation.
evaluation for endotracheal tube placement.
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Portable semi-upright radiograph of the chest demonstrates an enlarged cardiac silhouette. Mild bibasilar opacities are noted, most likely consistent with atelectasis. No definite large pleural effusion or pneumothorax is identified. The pulmonary vasculature is mildly indistinct with scattered regions of peribronchial cuffing, in the appropriate clinical context, could represent mild edema. No definite septal lines are identified.
<unk>f with dementia. // pulm edema, pneumonia?
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The lungs are symmetrically well expanded and well aerated without focal airspace opacity, pleural effusion or pneumothorax. No obvious pulmonary nodule is seen. The pulmonary vasculature is not engorged. The cardiomediastinal and hilar contours are within normal limits. No acute osseous abnormality is identified.
<unk>-year-old woman with renal cell carcinoma, here to evaluate for intrathoracic disease.
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There is again a three-lead pacemaker/icd device with leads terminating in the right atrium, right ventricle, and coronary sinus. The cardiac, mediastinal and hilar contours appear unchanged including mild-to-moderate cardiomegaly and moderate unfolding of the thoracic aorta. Similar to prior findings, there is upper zone redistribution of pulmonary vasculature and peribronchial cuffing suggesting a state of very mild vascular congestion. There is no definite pleural effusion or pneumothorax. There has been little if any change.
altered mental status.
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Right chest wall port is again seen. Enteric tube no longer visualized. The lungs are clear. The cardiomediastinal silhouette is within normal limits for technique. No acute osseous abnormalities identified.
<unk>f endometrial ca on chemo p/w weight gain // r/o edema, infiltrate, effusion
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Comparison is made to previous study from <unk>. The right-sided central line has the distal lead tip at the proximal right atrium, unchanged. Patient is status post median sternotomy. There are small bilateral pleural effusions, left side slightly greater than right. There is no pulmonary edema or pneumothoraces. There is some atelectasis at the lung bases which is unchanged.
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Low lung volumes are present with bilateral lower lobe linear opacities compatible with subsegmental atelectasis. The cardiac, mediastinal and hilar contours are unchanged, with mild cardiomegaly again seen. No evidence of pulmonary vascular congestion. No pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities seen.
dyspnea.
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Lungs are clear. Cardiomediastinal silhouette and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old man with leukemia and increasing cough. assess for abnormality.
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Ap portable upright view of the chest. The heart size is normal. The hilar mediastinal contours are within normal limits. A right thoracostomy tube is present. Small bilateral pleural effusions are minimally changed since the ct examination on <unk>. No superimposed consolidation or pneumothorax is detected.
<unk> year old woman with pleural effusion, drain, s/p talc, chest tube placed.** please perform by <num>am** // changes compared to yesterday?
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Pa and lateral views of the chest provided. A vascular stent is again noted projecting over the mediastinum. 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 fever, immunosuppressed // infiltrate?
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There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size.
history: <unk>m awoken this evening w/ palpitations under evaluation by cards w/ prior holter monitor // eval ? edema
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A right-sided chest tube is been removed. There is a small right pleural effusion, slightly larger than on the prior study. The left lung is clear. The cardiac and mediastinal silhouettes are unchanged.
right effusion.
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As compared to the previous radiograph, parenchymal opacities are seen, mostly in the periphery of the lung. The most obvious opacities are projecting over the left costophrenic sinus, the right lung bases and the right perihilar lung areas. These changes are consistent with most of the opacities documented on the ct examination of <unk>. The lung volumes remain low. The size of the cardiac silhouette is normal. No pleural effusions. No pneumothorax.
pneumonia, evaluation.
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The lungs are well-expanded and clear. No pleural effusion or pneumothorax. Heart size mediastinal contour and hila are unremarkable. Mild scarring of the right costophrenic angle is noted. Rounded opacities projecting over the bilateral lower lobes is most consistent with nipple shadow. Visualized assessment of the osseous structures are unremarkable. No displaced rib fracture.
<unk>f with seizure disorder, ibd, who presents after mvc with right knee pain. assess for fracture.
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Ap upright 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. Dish related changes of the t-spine noted. No free air below the right hemidiaphragm is seen.
<unk>m with confusion and dizziness. pls eval ct head for acute stroke and cxr for pna
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In comparison to the chest radiograph obtained <num> day prior, mild pulmonary edema has decreased. Small, bilateral pleural effusions have minimally increased in size. Mild cardiomegaly is unchanged with mild persistent pulmonary vascular congestion. Moderate calcification of the aortic knob is unchanged. Median sternotomy wires are well aligned and intact.
<unk> year old man with cad, severe as presenting with sob. // please assess for pulmonary edema
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In comparison with study of <unk>, there has been an increase in the size of the left pleural effusion. No evidence of mediastinal shift, indicating that there is substantial volume loss in the lower left lung. No vascular congestion. The right lung is essentially clear.
pleural effusion.
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Heart size is top normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Left basilar loculated effusion is slightly decreased compared to <unk>. No pneumothorax after removal of chest tube.
<unk> year old woman with recurrent effusion s/p thoracoscopy // ? reaccumulation
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The cardiac, mediastinal and hilar contours are normal. Lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormality is identified.
chest pain after recent catheterization.
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Mild cardiomegaly is re- demonstrated. The mediastinal and hilar contours are within normal limits. Pulmonary vasculature is not engorged. Cluster of calcifications in the right upper lobe are unchanged. Small bilateral pleural effusions, left greater than right are re- demonstrated, with perhaps slight interval improvement in size of the left pleural effusion. Associated left basilar atelectasis is present. No pneumothorax is identified. There are no acute osseous abnormalities. A tips shunt catheter within the right upper abdomen along with embolization coils are again noted.
history: <unk>f with weakness, malaise, history of sbp, recurrent infections