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Frontal and lateral views of the chest were obtained. The heart is of normal size with normal cardiomediastinal contours. The pulmonary vasculature is unremarkable. The lungs are clear without focal or diffuse abnormality. No radiopaque foreign body. Osseous structures are unremarkable.
<unk>-year-old male with second syncopal episode in one year. rule out cardiac disease.
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Ap and lateral views of the chest. Compared to prior study, there is increased right lower lobe opacity. The small right pleural effusion is unchanged. There is mild increase in left lower lobe atelectasis. The heart size is normal. There is no pleural effusion on the left.
continued fever and cough, evaluate for progression of right lower lobe infiltrate and effusion.
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There has been interval intubation with the tip of the endotracheal tube positioned <num> cm above the carina. Also new in the interval is a ng tube with the tip of the gastrostomy tube situated in the left upper quadrant. There is persistent left upper lobe collapse. Suture material in the left upper lung is noted. Right pleural effusion and fibrotic changes are again noted.
<unk>f with intubation // check ett placement
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Compared with the immediate prior study, endotracheal and enteric tubes have been removed and a tracheostomy has been placed, which ends <num> cm from the carina. The left-sided picc line ends in the upper svc. The moderate left pleural effusion appears to have decreased, now small, though this may be due to changes in positioning. The left perihilar opacity may have improved slightly as well. Right base consolidation continues to improve. Heart size is top normal and unchanged. Spinal fusion hardware projects in unchanged position.
<unk>m s/p mvc w/ c<num> fracture intubated after developing respiratory failure now s/p c<num>-c<num> anterior fusion c/b neck swelling s/p takeback and washout; revision of anterior fusion, emergent posterior decompression fusion for cord compression // s/p trach/peg - eval position and r/o ptx
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There is a dual-lead pacemaker/icd device, which appears unchanged. The cardiac, mediastinal and hilar contours appear stable. Calcified pleural plaques along the left mid to upper left hemithorax appear similar. The degree of pleural thickening and a possible small effusion of the left appear unchanged since the more recent of the two prior radiographs. A left basilar opacity has continued to improve, however.
chest pain and hypotension.
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<num> views were obtained of the chest. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. Cardiac size is normal with mildly tortuous aortic contour.
palpitations, assess for cardiomegaly.
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Pa and lateral chest radiographs were obtained. The lungs are well expanded. A vague peribronchial opacity projects over the anterior <unk> left rib. There is no focal consolidation, effusion, or pneumothorax. Cardiac and mediastinal contours are normal.
fall <num> week ago.
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The lungs are essentially clear noting mild left basilar atelectasis. Cardiomediastinal silhouette is within normal limits. Prior median sternotomy hardware is noted as well as mediastinal clips. No acute osseous abnormalities.
<unk>f with prior hx cabg from osh w/ chest pain pain found to have cholelithiasis // preop - eval ? acute chest process
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No focal consolidation is seen. There is no pleural effusion or pneumothorax. The aorta is tortuous. The cardiac silhouette is borderline in size. No pulmonary edema is seen. Chronic appearing deformity at the posterior medial right fourth rib is seen. No evidence of free air is seen beneath the diaphragms.
history: <unk>f with epigastric pain, n/v, ruq ttp, ekg changes //
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In comparison with the earlier study of this date, the endotracheal tube has been pulled back so that the tip now lies approximately <num> cm above the carina. Nasogastric tube extends at least to the lower body of the stomach where it crosses the lower margin of the image. There are lower lung volumes. Diffuse prominence of interstitial markings reflects a combination of interstitial fibrosis and pulmonary edema.
et and og tube re-positioned.
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Frontal and lateral views of the chest were obtained. Dual-lead left-sided pacer device is again seen with leads unchanged in position, extending to the expected positions of the right atrium and ventricle. There are relatively low lung volumes. Again seen is thickening of the right pleural margin along the mid-to-lower hemithorax. No focal consolidation is seen. There is no large pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable.
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As compared to the previous radiograph, all monitoring and support devices have been removed. There are persistent opacities at both lung bases, right more than left, that are exaggerated by relatively dense breast tissue. The changes could reflect minimal fluid overload or layering pleural effusions. No circumscribed focal parenchymal opacity suggesting pneumonia. No cardiomegaly. No lung nodules or masses.
severe pancreatitis, persistent productive cough.
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Pa and lateral views of the chest provided. Lung volumes are slightly low though allowing for this, 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 right flank pain //
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One ap view of the chest. There is mild cardiomegaly. There are aortic knob calcifications. The mediastinal contours are normal. There is no pleural effusion, pneumothorax, or focal consolidation.
chest pain.
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There is mild cardiomegaly. The ascending aorta may be prominent. There is mild rightward tracheal deviation at the level of the aortic arch. Lung fields are clear.
history: <unk>f with chest pain // acute process
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There are low lung volumes. Prominence and indistinctness of the hila with perihilar alveolar opacities consistent with moderate pulmonary edema. Additional right middle lobe opacity could be due to atelectasis adjacent to large hiatal hernia or pneumonia. There is a large hiatal hernia with retrocardiac air-fluid level seen.no pneumothorax is seen. The cardiac silhouette is top-normal. Mediastinal contours are grossly stable. Evidence of dish is seen along the spine.
history: <unk>f with chest pain // eval for chf/pneumonia
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In comparison with the earlier study of this date, the patient has taken a better inspiration. Cardiac silhouette remains somewhat enlarged, though there is no evidence of vascular congestion, pleural effusion, or acute focal pneumonia. Mild prominence of the azygos region, raises the possibility of some right-sided heart failure.
hypertension and asthma.
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No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac silhouette is mildly enlarged. Mediastinal contours are unremarkable. No overt pulmonary edema is seen. Rounded calcified appearing calcifications in the lateral left upper chest may represent calcified granulomas.
history: <unk>f with vague epigastric pain x <num> days // r/o pna
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Lungs appear relatively hyperinflated, suggesting chronic obstructive pulmonary disease. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The aorta is tortuous. The cardiac silhouette is top-normal to mildly enlarged. Previously noted aneurysmal dilatation of the descending thoracic aorta is better assessed on ct.
history: <unk>f with sob // presence of infiltrate, ptx
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The cardiomediastinal and hilar contours are normal. There is stable eventration of the right hemidiaphragm. Bilateral small effusions show little change since the prior study. Mild bronchial wall thickening, more pronounced in the lower lobes is unchanged. No consolidation, pulmonary edema or pneumothorax is seen.
<unk>-year-old woman with pneumonia and known effusions, to assess interval change.
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The cardiac silhouette is mildly enlarged. Median sternotomy wires are again noted. There is mild pulmonary vascular congestion. No overt pulmonary edema noted. No focal consolidations concerning for pneumonia identified. No pleural effusion or pneumothorax seen.
chest pain, dyspnea. question acute cardiopulmonary disease.
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The cardiac, mediastinal and hilar contours appear stable. There is a patchy a new opacity in the left lower lobe with a small pleural effusion concerning for pneumonia. Very mild new interstitial process suggests coinciding fluid overload or airway inflammation. There is no evidence for pleural effusion on the right.
cough and fever.
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Frontal radiographs of the chest demonstrate low lung volumes which accentuates a mildly enlarged cardiac sillouette. The mediastinal and hilar contours are normal. The lungs are clear. No pleural effusion or pneumothorax. No displaced rib fracture identified.
altered mental status. question pneumonia
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Frontal and lateral views of the chest were performed. Moderate cardiomegaly is unchanged from <unk>. Prominence of the right hilar vessels is unchanged from <unk>. Calcifications are again seen within the aortic arch. Again, there is mild pulmonary edema which is similar to <unk>. There is no pleural effusion or pneumothorax. There is no focal airspace consolidation to suggest pneumonia. Surgical clips are seen within the right breast.
cough, shortness of breath and possible copd. evaluate for pneumonia are volume overload.
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Moderate size right pleural effusion appears slightly decreased in size compared to the previous radiograph, a component of which is loculated laterally as well as within the major fissure. Lateral spiculated nodular opacity within the right upper lobe remains grossly stable. Right basilar opacity likely reflecting combination of compressive atelectasis and tumor is not changed. Linear opacities within the right upper lobe may reflect scarring and are also not substantially changed, though lymphangitic spread of tumor cannot be excluded. Cardiac and mediastinal contours are otherwise unchanged. The left lung demonstrates emphysematous changes without focal consolidation. Minimal blunting of the left costophrenic sulcus suggests a trace left pleural effusion. No pleural effusion or pneumothorax. No acute osseous abnormality is detected.
history: <unk>m with nsclc presents with acute on chronic right chest pain exacerbation
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Pa and lateral chest radiographs demonstrate hyperexpanded lungs and flattening of the diaphragms consistent with emphysema. Lungs are without a focal consolidation convincing for pneumonia. Cardiomediastinal and hilar contours are stable in appearance relative to prior examination. There is no pneumothorax, pleural effusion, or pulmonary edema. Slight asymmetric differences in densities within the hemithoraces thought likely technical. Osseous structures are without an acute abnormality.
<unk>-year-old male with cough and rhonchi.
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In comparison with the study of <unk>, progressive slight decrease in the size of the left apical pneumothorax in this patient with an incompletely formed pigtail catheter in place. No evidence of acute pneumonia, vascular congestion, or pleural effusion. Unchanged apical pleural thickening on the right.
pneumothorax, to assess for change.
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Left right-sided port-a-cath tip terminates at the confluence of the brachiocephalic veins. Lung volumes are low. Heart size is mildly enlarged. Widening of the superior mediastinal contour may be due to low lung volumes. Atherosclerotic calcifications are noted at the aortic knob. Hazy opacities are noted in the mid lung fields bilaterally, more so on the left. Small left pleural effusion is likely present. No pneumothorax is identified. No acute osseous abnormality is detected.
history: <unk>m with hypoxia
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Support devices: the right picc has been pulled back and now terminates near the cavoatrial junction. The lungs are clear. The hilar cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.
<unk> year old man with rcently readjusted picc (pulled back <num>cm at <time> am). please conform picc placement for home infusion company.
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The lungs are well expanded. Bilateral reticular opacities are noted, most notably in the right upper lung, unchanged from prior exams and consistent with known emphysematous changes. There is biapical pleural thickening and thickening of the pleura along the minor fissure, similar to prior exams. Trace pleural effusions are seen, minimally increased from prior exam. The cardiomediastinal silhouette is unremarkable.
<unk> year old man with worsening ascites and hx of hep cirrhosis c/b hcc // eval for e/o hepatic hydrothorax or pna
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There is increased vascular plethora with pulmonary vascular redistribution and enlarged hila that have worsened in appearance compared to the study from the prior day. In addition there is volume loss in compressive changes at both bases. The particularly in the retrocardiac region superimposed infectious process can't be excluded
<unk> year old woman with fever // r/o pna
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Portable ap upright chest radiograph obtained. There is peripheral reticular opacities which appear stable from prior exam which could indicate underlying interstitial lung disease. There is vague opacity at the left cp angle which is stable and is suggestive of scarring. No definite effusion or pneumothorax. No definite signs of chf. Heart and mediastinal contours appear stable. Bony structures are intact with old deformity of the left mid clavicular shaft.
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As compared to the previous radiograph, there is unchanged evidence of a minimal right apicolateral pneumothorax. The <unk> of the pneumothorax have not changed. The right chest tube and the right venous introduction sheath are in constant position. Moderate cardiomegaly, status post valve replacement. No pulmonary edema. No pneumonia.
evaluation for right pneumothorax.
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The lungs remain clear with no nodules, hilar mass or focal consolidation to suggest pneumonia. Heart and mediastinal contours appear unchanged and no suspicious bone lesion is seen.
<unk> year old woman with left renal mass // ? lung lesion
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The lungs are hyperexpanded with flattening of the diaphragms and increased ap diameter. There is mild right middle lobe atelectasis. Otherwise, the lungs are clear. No pleural effusion, pulmonary edema, or pneumothorax. The heart is top-normal in size. The ascending and descending aorta are slightly tortuous or ectatic. The mediastinum and hila are unremarkable. There is diffuse bony demineralization. Mild degenerative changes are noted throughout the thoracic spine with loss of intervertebral disc height and endplate sclerosis. Anterior compression deformity of mid-thoracic vertebral body appears chronic (approximately <unk>% loss of vertebral body height).
<unk>-year-old woman presenting with chest pain and general weakness status-post fall. evaluate for infiltrate.
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Again seen is a dual-lumen catheter with both lumens overlying the right atrium. There is moderate cardiomegaly, probably less pronounced and with better definition of the cardiomediastinal borders. There is upper zone redistribution, but there has been marked improvement in the chf/ remain pulmonary edema findings. Mild residual vascular blurring a is present. Probable residual left base atelectasis, seen is increased retrocardiac density, but the left hemidiaphragm is now distinctly visible. No gross effusion. The right hemidiaphragm is elevated. No pneumothorax is identified. Clips noted over left thoracic inlet. Densely calcified tortuous splenic artery is again noted.
<unk> y.o f with esrd, on hd, presenting with dyspnea, found to have pulmonary edema, now s/p <num>l fluid removal // interval change of pulmonary edema
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Ap portable upright view of the chest. The heart size is normal. The hilar and mediastinal contours remain within normal limits. Again seen are multiple suture lines throughout the right lung, reflecting recent vats. There is no pneumothorax. A small right pleural effusion is unchanged. There is blunting of the left costophrenic angle, suggestive of a small left pleural effusion. No superimposed focal consolidation is detected.
<unk> year old woman s/p r vats wedges // interval eval
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Compared to <unk>, the lung volumes are lower, likely due to increased bilateral atelectasis. Moderate right and small left pleural effusion persists. Round atelectasis on the right is partially visualized pulmonary edema has nearly resolved. The heart size is difficult to determine, though unlikely unchanged. Pleural plaques are unchanged. Right clavicle, scapular fracture appear unchanged. Vertebral fixation with screws and rods are well aligned. No pneumothorax is seen.
<unk> year old man with right sided rib fx's with increasing dyspnea and rhonchi. compared to previous xray, any interval change
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Left port tip is in low svc. Interval increase in moderate-sized left pleural effusion. Clear lungs bilaterally without pneumothorax or right pleural effusion. Heart size is partially obscured by the pleural effusion, however mediastinal contour and hila are normal. No bony abnormality.
male status post bilateral lower lobe vats on <unk> with persistent left incisional dermatomal pain. assess for interval change.
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs without focal consolidation, pleural effusion, or pneumothorax. Streaky retrocardiac opacity likely reflects atelectasis.
history: <unk>f with weakness and infectious workup
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As compared to the previous radiograph, after abdominal surgery, abdominal air is still visible in subphrenic location. The patient has received a nasogastric tube. The course of the tube is unremarkable. The tip of the tube, however, only projects over the gastroesophageal junction. The tube should be advanced by at least <num> to <num> cm. The patient has also received a left-sided hemodialysis catheter. The course of the catheter is unremarkable, the tip projects over the right atrium. There is no evidence of complications, notably no pneumothorax. Otherwise, the radiograph is unchanged.
status post abdominal surgery, nasogastric tube placement.
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Cardiac silhouette is persistently enlarged and accompanied by mild pulmonary vascular congestion, bilateral small pleural effusions, and adjacent basilar atelectasis. As compared to the prior study, the right pleural effusion has apparently decreased in size, and both lung bases are slightly better aerated.
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. Lower thoracic spine is difficult to assess due to overlapping soft tissue structures, but there is no indication for new loss in height among any vertebral body.
t<num> tenderness after motor vehicle collision.
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Linear opacities at the lung bases bilaterally likely reflect atelectasis. No focal consolidation. No pleural effusion or pneumothorax. Heart size and mediastinal contours are normal. There is evidence of prior cervical spine fusion.
<unk>m with coarse breath sounds on the right. evaluate for pneumonia.
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Since <unk>, the small right apical pneumothorax has completely resolved. A new small right pleural effusion has developed in the interim. No focal consolidation or pulmonary edema. The cardiomediastinal silhouette and hila are unchanged. The right port-a-cath appears intact and unchanged in position.
<unk>-year-old woman status post thoracoscopy. evaluate for residual pneumothorax.
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There is a mild interstitial abnormality similar to the prior study, but no focal opacification. There is no pleural effusion or pneumothorax. The cardiac, mediastinal and hilar contours appear unchanged.
right foot ulcer. cough.
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The cardiomediastinal and hilar contours are within normal limits. Extensive peribronchial opacities which predominantly occupy the upper lung lobes, right worse than left and affecting predominantly the right perihilar region, are consistent with known diagnosis of sarcoidosis. There is calcified mediastinal and hilar lymphadenopathy. There is no pneumonia, pleural effusions, or pneumothorax. Left upper lung rounded opacity has not significantly changed from prior radiographs.
<unk>-year-old female patient with history of sarcoidosis, left upper lung nodule and recent hospitalization at osh, no medical records. followup x-ray for pneumonia at an outside hospital. study requested to evaluate known left upper lung nodule and interval change.
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The lungs are symmetrically well expanded and well aerated without focal consolidation concerning for pneumonia. No significant pleural effusion or pneumothorax is detected. The pulmonary vasculature is not engorged and there is no overt pulmonary edema. The trachea is midline. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits. There is no free air beneath the right hemidiaphragm.
history of hiv and hcv, now with flu-like illness, here to evaluate for pneumonia or evidence of lymphadenopathy.
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The heart size is normal. Coronary artery stents are re- demonstrated. The mediastinal and hilar contours are unremarkable. The pulmonary vasculature is normal. Lungs are clear. Known pulmonary nodules seen on prior ct are not well seen on the current exam. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
chest pain.
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There is a small right apical pneumothorax. Left-sided chest tube has been placed with tip ending at mid lung field and anteriorly. There is no pleural effusion. Heart size is unchanged. Aorta is elongated with calcifications of the aortic arch.
<unk> year old woman with s/p r vats wedge bx x <num>
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Chronic appearing bilateral rib deformities are noted. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac silhouette is top-normal to mildly enlarged. There may be a hiatal hernia.
history: <unk>f with s/p fall // acute process?
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The heart size is normal. The hilar and mediastinal contours are normal. Compared to the study from <unk> there appears to be an interval increase in the left lower lobe focal consolidation. There is stable blunting of the bilateral costophrenic angles suggestive of small bilateral pleural effusions. There is mild pulmonary vascular congestion as well as mild pulmonary edema. There is a tracheostomy tube which appears to be in place. There is no evidence of pneumothorax.
history of trach, mssa pneumonia with increasing vent requirements. please evaluate for interval change.
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The inspiratory lung volumes are decreased from the most recent prior chest radiographs. The right hemidiaphragm is elevated, similar to prior ct. There is associated right basilar atelectasis. No significant pleural effusion or pneumothorax is detected. A right-sided port-a-cath is seen with the tip terminating in the proximal right atrium. The cardiomediastinal contours are exaggerated due to low lung volumes. Within this limitation, there is no significant change from the prior study allowing for low lung volumes.
hypertension, here to evaluate for pneumonia.
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Lower lung volumes seen on the current exam although the lungs remain clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>f with ams, abdominal pain. wbc <unk> // r/o pneumonia
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Comparison is made to the previous study from <unk>. There is an endotracheal tube whose distal tip is <num> cm above the carina at the level of the clavicular heads. There is a right-sided subclavian catheter with distal lead tip at the cavoatrial junction. There is a right ij line with distal lead tip at the distal svc. There is a feeding tube whose distal tip is below the ge junction appropriately sited. A nasogastric tube tip and side port are below the ge junction. Heart size is within normal limits. There is subcutaneous gas seen within the soft tissues of the lower neck bilaterally, stable. Lungs are grossly clear without focal consolidation, pleural effusions, or signs for overt pulmonary edema. No pneumothoraces are identified.
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Frontal and lateral chest radiographs demonstrate well-expanded lungs. Cardiomediastinal silhouette is unremarkable. Lungs do not show focal areas of consolidation. No pleural effusion or pneumothorax.
status post fall with lower right posterior rib pain
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Bronchovascular markings are exaggerated by low lung volumes. Lungs are otherwise free of consolidation, pleural effusion or pneumothorax. Cardiomediastinal contours are normal. Osseous structures are unremarkable. No subdiaphragmatic free air. Osseous structures are unremarkable.
history: <unk>f with productive cough and shortness of breath, pleuritic chest pain // rule out pneumonia
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Cardiac, mediastinal and hilar contours are unremarkable. Apart from mild atelectasis in the lung bases, the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen, although the left apex is somewhat obscured due to the patient's chin projecting over this region. The pulmonary vascularity is normal. There are no acute osseous abnormalities.
diabetic ketoacidosis.
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The heart is top normal in size. The mediastinal and hilar contours are within normal limits. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax.
chest pain, question acute process.
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Portable frontal radiograph of the chest demonstrates an ng tube ending at the level of the ge junction on the initial image, with a second image showing the ng tube within the stomach. A right picc line is in unchanged position of the cavoatrial junction. Otherwise, there is stable appearance of the chest with stable cardiomediastinal silhouette, no focal consolidation, pleural effusion or pneumothorax.
new ng tube placement.
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Severe cardiomegaly is stable. Small bilateral effusions left greater than right with adjacent atelectasis are unchanged. There is no pneumothorax.
<unk> year old woman with ams, hypertensive emergency, new small left pleural effusion seen on ed cxr. // progression of new pleural effusion?
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As compared to the previous radiograph, there is no relevant change. Moderate cardiomegaly, left atelectasis and left pleural effusion of unchanged extent. Unchanged moderate pulmonary edema. Unchanged position of the tracheostomy tube. The patient has a new right picc line, the tip of the line projects over the mid svc. There is no evidence of complications, notably no pneumothorax. No new parenchymal opacities.
multiple medical comorbidities, chronic respiratory failure, evaluation.
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The heart size is normal. The mediastinal and hilar contours are unchanged with tortuosity of the thoracic aorta again noted. Pulmonary vascularity is normal and the lungs are clear. No pleural effusion or pneumothorax is detected. No acute osseous abnormalities are seen.
gi bleeding.
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In comparison with the study of <unk>, there has been placement of a dobbhoff tube which is straddling the esophagogastric junction. This should be pushed forward and this information was telephoned to the nurse taking care of the patient, who informed me that the tube has been pushed forward. Opacification at the left base is consistent with some combination of volume loss in the lower lobe and pleural fluid.
ng tube placement.
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Cardiomediastinal contours are normal. The lungs are hyperinflated and clear. There is no pneumothorax or pleural effusion. There is pectus carinatum
<unk> year old man with epilepsy, stroke, headache and elevated inflammatory markers // please evaluate for masses, hilar enlargement, consolidation
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In comparison with the earlier study of this date, the degree of pulmonary edema has slightly improved. There is the vague suggestion of some increased opacification more focally at the right base. In the appropriate clinical setting, supervening aspiration could be considered. Specifically, no convincing evidence of pneumothorax or deep sulcus sign on the left.
possible pneumothorax with agitation on ventilator.
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Heart size and cardiomediastinal contours are normal. Coronary artery stent is in stable position. Increased ap diameter of chest is consistent with emphysema. No focal consolidation, pleural effusion, or pneumothorax. Previously seen nodular opacity in the right upper lobe is not appreciated on the current exam and was likely artifactual.
<unk> year old man with ?nodule on cxr // need shallow oblique views per radiologist to assess for nodules
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As compared to the previous radiograph, the patient has undergone right lower lobectomy. Tube is in situ. Post-surgical soft tissue air collection in the right chest wall. Minimal post-surgical pneumothorax, with the pleural line projecting over the right clavicle. Otherwise, the right lung shows normal post-surgical expansion. Minimal atelectasis at the left lung bases. Moderate cardiomegaly without pulmonary edema.
lung cancer, status post right lower lobectomy, evaluation for interval change.
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As compared to the previous radiograph, the dimension of the known right pneumothorax is not substantially changed. The pneumothorax still has a diameter of approximately <num> cm. Moderate cardiomegaly persists. No overt pulmonary edema. Areas of atelectasis at both the left and the right lung bases. No new parenchymal opacities. No evidence of tension.
right pneumothorax, evaluation.
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In comparison with the study of <unk>, the multiple pulmonary nodules are not definitely appreciated. There is increased opacification in the left apical region with patchy opacification above the minor fissure and continued opacification in the right costophrenic angle consistent with pleural fluid and atelectasis. Widening of the upper mediastinum and hilar region again is consistent with the patient's known malignant disease.
lung carcinoma with increased shortness of breath.
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Heart size is top normal. Aorta is mildly tortuous but unchanged. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Linear opacities in the left lung base reflect areas of subsegmental atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is detected.
history: <unk>f with liver dissease
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In comparison with the study of <unk>, there is little overall change. The right chest tube remains in place without evidence of pneumothorax. Loculated and probably free pleural fluid is again seen.
pleurodesis with chest tube.
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In comparison with the study of <unk>, the picc line has been pulled back to the upper svc. The bibasilar opacifications and pulmonary congestion has substantially improved. Any residual pleural effusions would be quite small and there are minimal atelectatic changes at the bases.
picc placement.
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The lungs are clear bilaterally. Right chest wall port is unchanged in position. No pleural effusion or pneumothorax is seen. The left hilum is smaller since the radiograph dated <unk>. The cardiomediastinal silhouette is unremarkable.
<unk> year old woman with hx of hodgkins lymphoma and new cough // assess for consolidation/infiltrate assess for consolidation/infiltrate
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Frontal and lateral views of the chest were obtained. Dual-lead right-sided pacer device is again seen with leads extending to the expected positions of the right atrium and right ventricle. Pulmonary edema persists, although appears somewhat improved since the prior study. There are likely small bilateral pleural effusions. Cardiac silhouette is slightly less prominent which may be due to differences in technique and patient position.
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Heart size is normal. Mediastinal and hilar contours are unremarkable. The pulmonary vascularity is normal. No focal consolidation, pleural effusion or pneumothorax is present. Increased hazy opacity within the lung bases on the pa view is likely due to overlying breast tissue. There are no acute osseous abnormalities.
productive cough, subjective fevers.
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The lungs are clear, the cardiomediastinal silhouette and hila are normal. There is no pleural effusion and no pneumothorax.
<unk>-year-old with chest pain.
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Pa and lateral views of the chest. The lungs are clear of consolidation, effusion, or pneumothorax. Note is made of an aortic "nipple" likely from traversing venous structure adjacent to the aortic arch. Cardiomediastinal silhouette is otherwise unremarkable. No free air seen below the diaphragm. No acute osseous abnormality.
<unk>-year-old female status post egd with chest pain radiating to the back.
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The cardiac silhouette is severely enlarged. The aorta is somewhat tortuous. There may be minimal pulmonary vascular congestion without overt pulmonary edema. Minimal left mid to lower lung linear atelectasis/scarring is seen. No lobar consolidation is seen. No large pleural effusion is seen although a small pleural effusion would be difficult to exclude on the right. There is a dual lead left-sided pacemaker with leads extending the expected positions of the right atrium and right ventricle.
history: <unk>f with ams // pna
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Pa and lateral views of the chest. Again seen is the biapical calcified scarring compatible with prior granulomatous disease and emphysematous changes involving mainly the apices. Mild chronic interstitial changes are seen in the lower lobes bilaterally, better assessed on the prior ct. There is an opacity in the left lower lobe which may represent a superimposed pneumonia. No pleural effusion or pneumothorax is seen. The cardiomediastinal silhouette is normal. The median sternotomy wires and mediastinal clips are stable. Clips are seen in the right upper quadrant. There is no free air. The osseous structures appear unremarkable.
<unk>-year-old female with fever, question pneumonia.
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Compared this prior study, i doubt significant interval change. Loculated air at the right lung base may be very slightly improved. Focal lucency at the right lung apex again noted.
<unk>f s/p trach and peg, please eval for interval change // <unk>f s/p trach and peg, please eval for interval change
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
history: <unk>f with hld, htn, dm presenting with chest pain // evaluate for intracardiac abnormality
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The lungs are clear besides calcified granuloma projecting over the left upper lung. There is no focal consolidation. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with cough, n/v // pna
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Lung volumes are low. The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. There is no pleural effusion or pneumothorax. No focal consolidation is identified.
history: <unk>f with several days dyspnea, cough, st // eval ? pna, effusion
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There has been mild improvement in the right pleural effusion status post thoracentesis, however, with still a mild-to-moderate amount of fluid remaining. There is no pneumothorax. There is otherwise no significant change compared to exam from two hours prior.
right pleural effusion status post thoracentesis with <num> ml withdrawn. rule out pneumothorax.
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Heart size is top normal with mild tortuosity of the thoracic aorta. Hilar contours are normal. Lungs are clear. There is no pleural effusion or pneumothorax. Visualized osseous structures are grossly unremarkable.
chest pain.
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A frontal view of the chest was obtained portably. The left port-a-cath ends in the lower svc. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. The cardiac silhouette is smaller than on the prior study, though still with moderate cardiomegaly, probably due to resolution of a pericardial effusion. Pulmonary vascular engorgement has decreased, and there is no pulmonary edema. Surgical clips project over the left upper quadrant.
gi bleed with lactate <num>. evaluate for infection.
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Ap upright and lateral views of the chest are provided. Lung volumes are low. There is a left upper extremity picc line with its tip residing in the low svc. Lung volumes are low. No large consolidation, effusion, or pneumothorax is seen. The heart and mediastinal contours are normal. Bony structures are intact.
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Heart size is top 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. Multilevel degenerative changes are noted in the thoracic spine.
chest pain.
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Pa and lateral views of the chest. The lungs are hyperinflated and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal.
cough and fever.
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Upright pa and lateral radiographs of the chest. The lungs are normally expanded and clear. The cardiomediastinal silhouette and hilar contours are normal. Pulmonary vasculature is normal and symmetric without pulmonary edema. There is no pleural effusion or pneumothorax. The costophrenic sulci are sharp.
chest pain and fever. evaluate for pneumonia.
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As compared to the previous radiograph, the patient is intubated. The tip of the endotracheal tube projects <num> cm above the carina. There is no evidence of complications. Diffuse bilateral parenchymal opacities persist, they are not substantially changed in extent and severity. Unchanged partial atelectasis of the left and right lower lobe, unchanged mild-to-moderate pleural effusions.
hemorrhage, status post intubation.
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The cardiomediastinal and hilar contours are within normal limits. The lungs are clear without consolidation, effusion or pneumothorax.
<unk>f with sepsis, neck stiffness // eval ? pna
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Pa and lateral views of the chest were provided. Lung volumes are somewhat low. The lungs are clear bilaterally without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. The imaged bony structures are intact. No free air is seen below the right hemidiaphragm. No displaced rib fractures are identified.
<unk>-year-old male status post accident in <num> cat today while moving snow. evaluate for left rib fracture.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is a moderate-sized eventration of the anterior right hemidiaphragm. There is no pleural effusion or pneumothorax. The lungs appear clear. Small-to-moderate anterior osteophytes project along anterior margins of mid thoracic levels.
chest pain.
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The right ij catheter has been removed. There are low lung volumes and bibasilar atelectasis. There is no pulmonary vascular congestion. The cardiomediastinal silhouette is not well visualized. There is no confluent opacification. A pleural effusion cannot be excluded.
atrial fibrillation with rvr. new oxygen requirement concerning for pulmonary edema.
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Low bilateral lung volumes. There is an opacity in the left peripheral lung base which may reflect a combination of atelectasis/ consolidation and a pleural effusion. No pneumothorax is identified. The right lung is clear. The size the cardiac silhouette is enlarged but is likely accentuated by the low lung volumes.
<unk>m on hd s/p lap nephrectomy now w somnolent o<num> req, fever to <num> // ? pna
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Single frontal view of the chest. Right port terminates in the right atrium. No kink or discontinuity is seen along the catheter of the port. Diffuse bronchiectasis, right upper lobe consolidation, and left lower lung opacities are similar to prior exams. The heart size and cardiomediastinal contours are stable.
cystic fibrosis and chf with recent port repositioning.
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There is increased right lower lobe opacity concerning for pneumonia. There is increased pulmonary vessel congestion compared to <unk>. There is small left pleural effusion. Right internal jugular venous line terminates at upper svc. Cardiac silhouette is upper limits of normal size.
<unk>m with esrd <unk> uncontrolled htn, on hd (<unk>)since <unk> via l radiocephalic avf, now s/p dcd ddrt (<unk>)now with temperature of <num>. // assess for pneumonia
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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 gradual onset chest pain, h/o pcos, arrhythmia.