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Endotracheal tube terminates <num> cm above the level of the carina, in satisfactory position. A nasogastric tube courses below the diaphragm, terminating in the left upper quadrant, in the expected position of the stomach, however the side port is at the level of the ge junction. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
endotracheal tube placed at outside hospital, question placement.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>f with congested cough
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Lower lung volumes seen on the current exam. Linear right basilar opacity is likely scarring. There is no effusion or confluent consolidation. Cardiomediastinal silhouette is enlarged similar to prior. Azygos fissure is again noted. No acute osseous abnormalities detected.
<unk>f with hx of osteoporosis, dm, htn p/w w <num> weeks r arm/shoulder/neck pain // evidence of pancoast tumor or other apical mass?
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Consolidation in the right lung base is compatible with rounded atelectasis identified on prior chest ct. Associated volume loss seen in the right hemi thorax. In addition, there is prominent pleural-based density tracking along the right hemi thorax, potentially due to pleural effusion. Left lung is clear. The cardiomediastinal silhouette is stable. No acute osseous abnormalities identified.
<unk>m with bilateral flank pain and flank/periumbilical ecchymosis // r/o retroperitoneal bleed, pancreatitis
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In comparison with the earlier study of this date, there has been right thoracentesis with removal of a substantial amount of fluid from the right pleural space. Some residual atelectasis is seen, though in the appropriate clinical setting, supervening pneumonia would have to be considered. Specifically, there is no evidence for pneumothorax. Substantial enlargement of the cardiac silhouette persists.
thoracentesis, to assess for pneumothorax.
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When compared to prior, there is new dense retrocardiac and left mid lung regions of consolidation. The right lung is grossly clear. The cardiomediastinal silhouette is stable. Atherosclerotic calcifications again noted at the aortic arch. Degenerative changes seen at the shoulders.
<unk>-year-old female with cough and fever.
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Pa and lateral views of the chest were provided. There is an acute fracture involving the mid shaft of the left clavicle. The underlying ribs appear intact. The lungs are clear without focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is normal. No free air is seen below the right hemidiaphragm.
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Frontal radiograph of the chest shows clear lungs. The cardiac and hilar contours are normal. No pleural abnormalities detected.
increasing chest pain and shortness of breath in a patient with factor v leiden mutation history.
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Relatively low lung volumes are noted. Increased interstitial markings are seen throughout the lungs without focal consolidation or effusion. Moderate cardiac enlargement is noted as well as atherosclerotic calcifications at the aortic arch. Left chest wall dual lead pacing device seen with lead tips projecting over left atrium and right ventricle. No acute osseous abnormalities.
<unk>m with hypoglycemia // evaluate for pneumonia, acute process
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Heart size is normal. Cardiomediastinal silhouette is unremarkable. Hilar contour is stable. The lungs are clear without focal consolidation, effusion or pneumothorax. No acute bony changes identified.
chest pain.
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Single portable chest radiograph was provided. The lungs are well expanded. There is no focal consolidation, pleural effusion or pneumothorax. There is bibasilar atelectasis. The cardiomediastinal silhouette is enlarged, likely due to tortuous aorta. The bones are intact.
<unk>-year-old with chest pain, evaluate for infiltrate.
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As compared to the previous radiograph, the esophageal stent and the left pectoral port-a-cath are in unchanged position. Unchanged size of the cardiac silhouette. Unchanged bilateral areas of atelectasis. The extent of the bilateral pleural effusions is also unchanged. No parenchymal opacities have newly occurred in the interval.
esophageal cancer and bilateral pleural effusions, reassessment.
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Lines and tubes are unchanged in positio. Low lung volumes with bibasilar opacities, likely representing atelectasis. No focal consolidations. The pulmonary vasculature is normal. There is a stable appearance of the cardiomediastinal silhouette. There may be a small left pleural effusion. There is no pneumothorax.
<unk> year old man with osteomyelitis, mssa bacteremia // please evaluate for interval change
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Pa and lateral views of the chest are compared to previous exam from <unk>. When compared to prior, left lung base opacity has essentially resolved. The lungs are slightly hyperinflated but now grossly clear. There is no effusion. Cardiomediastinal silhouette is within normal limits. Left-sided central line is seen with catheter tip at the ra/svc junction. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male with fever.
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As compared to the previous radiograph, there has been resolution of a pre-existing right lower lobe parenchymal opacity. The lung volumes remain low, but there is no new parenchymal opacity. Moderate cardiomegaly without evidence of pulmonary edema. No pleural effusions. Normal appearance of the mediastinum.
stroke, new leukocytosis, evaluation.
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Lung volumes are low. The cardiomediastinal silhouette is within normal limits. Lung fields are clear. There is no pleural effusion. There is no pneumothorax.
history: <unk>f with chest pain, left sided wheezing // pna?
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
<unk>f with cough for <unk> weeks, please eval for pneumonia
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There is a questionable small nodule versus vessel on-end in the right lung apex measuring approximately <num> mm. Lungs are otherwise well expanded, without focal consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are unremarkable.
<unk> year old woman with hx of stage iiib melanoma on interferon. rule out melanoma recurrence.
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The lung volumes are low to moderate. An et tube is unchanged in position. An enteric tube has its side port within the stomach. A right picc line is unchanged. There is obscuration of the left medial hemidiaphragm and blunting of the left costophrenic angle. This is most consistent with a small left pleural effusion and atelectasis.
<unk> year old man with status post orogastric tube placement.
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Since the prior chest radiograph performed <num> day earlier, there has been interval repositioning of the left picc, which now terminates in the low svc. There has otherwise been no relevant interval change. Lungs are clear of consolidation, sizeable pleural effusion or pneumothorax. Cardiomediastinal contours are normal.
<unk> year old woman with dka, picc line placement for difficult access now with new episodes of nsvt. // please eval for picc placement
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Previously seen left pneumothorax has markedly improved, but small pneumothorax remains. There is no focal consolidation or effusion. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. A small left pleural catheter is in place. There is mild left chest wall subcutaneous emphysema
history: <unk>f with ptx s/p chest tube // size ptx
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The long intestinal tube extends at least to the lower body of the stomach. No evidence of acute pneumonia, vascular congestion, or pleural effusion.
ng tube placement.
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Patient is status post right pneumonectomy, similar in appearance as compared to the prior study. No left pleural effusion. The appearance of the left lung is similar as compared to the prior study. Subtle lateral left upper-to-mid chest opacity is again seen similarly to <unk>.
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In comparison with study of <unk>, there is again substantial opacification involving right hemithorax consistent with the diagnosis of a large multilobulated pleural effusion with known associated pleural thickening. Substantial volume loss in the right lung is again noted. It is difficult to assess whether there is associated consolidation, and this determination would have to be done on clinical grounds. Mediastinal and right hilar lymphadenopathy persist. The left lung is essentially clear.
lymphoma with shortness of breath.
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Findings concerning for right lower lobe pneumonia, new compared with <unk> at <time> p.m. Patchy opacity at left base. Suspect mild chf.
cirrhosis, hypoxia, question infiltrate, fluid. chest, two views. there are low inspiratory volumes. in addition, there is obscuration of the right hemidiaphragm consistent with collapse and/or consolidation, probably with some associated pleural fluid. there is patchy opacity at the left base consistent with less pronounced left lower lobe collapse and/or consolidation. no gross left effusion. there is upper zone redistribution and mild diffuse vascular blurring, consistent with chf -- this appearance may be accentuated by low inspiratory volumes.
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Portable semi-upright radiograph of the chest demonstrates well expanded, clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion or, or consolidation. Two screws are seen in the right humeral head.
<unk>m with dmi presenting in dka // eval for infection.
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Lung volumes are low but the lungs are clear. Cardiac and medistinal contours are normal with mild atherosclerotic calcifications at the aortic arch. There is no pulmonary edema. No acute fractures are identified.
colangitis and bibasilar cracles.
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Pa and lateral views of the chest provided. There is a subtle retrocardiac opacity containing a tiny locular gas likely representing a hiatal hernia. Lungs are clear without focal consolidation, large effusion or pneumothorax. No signs of congestion or edema. The cardiomediastinal silhouette is normal. Imaged bony structures are intact. No free air below the right hemidiaphragm.
<unk>f with chest pain x <num> day
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As compared to the previous radiograph, no relevant change is noted. Vertebral fixation devices. No pleural effusions. No pneumonia. No pulmonary edema. No pneumothorax.
evaluation for pneumonia.
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Pa and lateral chest radiographs again demonstrate left apical pneumothorax. It now measures <num> mm in width compared to <num> mm at <time> a.m. The lungs are clear. Cardiomediastinal silhouette is normal. There is no pleural effusion. There is no mediastinal shift.
pneumothorax. evaluation for change.
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Stable bilateral low lung volumes with stable bibasilar and right upper lobe atelectasis. There has been an overall improvement in the pulmonary edema identified on the <unk> study. No pleural effusions definitively identified. Cardiomediastinal contours are unchanged.
patient with mssa epidural abscess with worsening respiratory status, please assess for change in pulmonary edema.
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Lungs are grossly clear. There is tenting of the right hemidiaphragm. The heart size is normal. The aorta is tortuous. No pneumothorax.
<unk>m with incarcerated hernia // pre-op - r/o occult process
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The cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
right-sided chest pain.
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There is no new consolidation. Bibasilar atelectasis more prominent on the left side is unchanged. Small pleural effusion is also stable. Mediastinal and cardiac mild enlargement is stable. Left subclavian line ends at the junction of the brachiocephalic vein and svc.
patient with cholangiocarcinoma, now with whipple, fever, evaluation for pulmonary process.
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The lungs are clear. There is no edema, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications are noted at the aortic arch. No acute osseous abnormalities.
<unk>f with palpitations and chest pain // ? cardiomegaly, pneumonia, ptx
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Since <unk>, lingular pneumonia is not changed, which may be due to superimposed fibrosis or prominent vasculature. The lungs are otherwise clear with normal volumes. The cardiomediastinal silhouette, hilar contours, pleural surfaces are normal. No pneumothorax or pleural effusion. No new focal consolidations are appreciated.
<unk> year old woman with recent lingular pneumonia // pneumonia
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Heart size is normal. Mediastinal and hilar contours are unremarkable. Lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities are visualized.
chest pain.
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In comparison with the study of <unk>, there is little interval change. Bilateral pleural effusions, more prominent on the left with compressive atelectasis at the bases. Central catheter tip is in the lower portion of the svc. No evidence of vascular congestion or acute focal pneumonia.
lymphoma with drainage of pericardial effusion.
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Since recent radiograph, there has been little interval change in the appearance of the chest except for worsening asymmetrical pulmonary opacities in the right mid and lower lung adjacent to a layering moderate right pleural effusion.
<unk> year old man with hypoxic respiratory failure // eval for interval change in pulm infiltrates
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Pa and lateral views of the chest. The lungs are clear without consolidation, pleural effusion, or pneumothorax. The cardiac, mediastinal, and hilar contours are normal. No definite rib lesions identified however these views are not optimized for assessing for rib lesions.
stage iii breast cancer status post chemo and radiation, pain in the right anterior tenth rib, worse with deep breath or cough, question of any bony lesion over lower anterior ribs on the right.
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Frontal and lateral views of the chest demonstrate low lung volumes. There is no pleural effusion or pneumothorax. Heart size is top normal. There is no focal consolidation. Diffuse interstitial reticulo-nodular opacities are more conspicuous since priors. Partially imaged upper abdomen is unremarkable.
cough for several weeks.
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Pa and lateral views of the chest provided demonstrate no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Bony structures are intact.
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Compared with <num> day earlier, the right ij line has been removed. No pneumothorax is detected. The patient the cardiac silhouette is less pronounced than vascular plethora is slightly improved. The left pleural effusion and underlying collapse and/or consolidation are again seen. As before, there is atelectasis and a small effusion at the right base. Platelike atelectasis is again seen in the left upper and right mid zones. Sternotomy wires noted.
<unk> year old woman with s/p cabg // f/u effusions, atx
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Frontal and lateral chest radiographs demonstrate low lung volumes which result in exaggeration of the cardiomediastinal silhouette and bronchovascular crowding. Allowing for this, there is no focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable. No nondisplaced rib fracture is identified.
evaluate for evidence of aspiration in a patient status post syncope and fall.
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Compared with the prior study <unk>, the right pleural effusion has increased, now moderate in size. There is likely compressed atelectasis. There is new obscuration of the left heart border with increased left-sided airspace opacities. In the absence of pulmonary vascular engorgement, this is concerning for a left lower lobe pneumonia.
<unk> year old woman s/p sinus tachycardia ablation. symptoms of dyspnea with increased o<num> demand. // r/o pulmonary edema, pneumonia
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Single supine ap portable view of the chest was obtained. Endotracheal tube is seen, slightly low in position, terminating approximately <num> cm above the level of the carina. Recommend withdrawal by approximately <num> cm. A nasogastric tube is seen, coursing at least to the level of the diaphragm, although distal aspect is not well seen. The patient is status post median sternotomy. There is a moderate right pleural effusion. Right mid-to-lower lung airspace opacity may be due to effusion and atelectasis, however, underlying consolidation is of concern. There is mild left base atelectasis. The cardiac silhouette is not well assessed due to the right base opacity. The aorta is likely tortuous and calcified. The above findings were discussed with <unk> via telephone on <unk> at <time> p.m.
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The lungs are clear besides minimal left basilar atelectasis. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with cough. // pneumonia
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There may be a very trace right pleural effusion. No large pleural effusion is seen. The patient is status post median sternotomy and cabg. The cardiac and mediastinal silhouettes are stable with the cardiac silhouette moderately enlarged. No pulmonary edema is seen. No pneumothorax is seen. On the lateral view, projecting over the posterior aspect of <unk> mid thoracic vertebral bodies, there is a somewhat rounded opacity measuring <num> cm. While findings may be osseous in nature, it is more conspicuous as compared to the prior study, and underlying pulmonary lesion is not excluded. Recommend chest ct for further assessment.
history: <unk>f with n/v, // acute process
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A endotracheal tube terminates in appropriate position. A nasogastric tube terminates within the stomach. There is a right upper lobe opacity, and there are no pleural effusions or pneumothorax. An enlarged aorta is noted.
<unk>-year-old female status post intubation
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No displaced rib fractures are detected on the frontal view; however, if there is clinical concern, a dedicated rib series could be obtained. Coarse reticulation is noted at the lung bases and probably bronchiectasis. No significant pleural effusion, pneumothorax or focal consolidation is seen. The cardiac silhouette is normal size and the final hilar contours are within normal limits. The trachea is midline. There is no free air beneath the right hemi diaphragm.
status post assault after being kicked in the right lower rib cage, here to evaluate for rib fracture.
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Compared to <unk>, and left chest tube remains in place with a very small left apical pneumothorax if any. Subcutaneous emphysema along the left lateral chest has slightly increased compared to a prior chest radiograph from <unk>. A well-circumscribed air collection in the left lower chest projecting in the region of the postsurgical <unk> better visualized on prior chest radiograph may represent gas within bowel loops. Postsurgical pneumoperitoneum is no longer seen. Bibasilar atelectasis is unchanged. Small right pleural effusion also unchanged. The cardiac and mediastinal silhouettes are stable with postsurgical changes noted..
<unk> year old man pod<unk> s/p thoracoabdominal esophagectomy with esophagojejunostomy // evaluate for interval change
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In comparison with the earlier study of this date, there has been placement of a dobbhoff tube with the metallic tip just distal to the esophagogastric junction. Little change in the appearance of the heart and lungs, though scattered radiation related to the size of the patient greatly obscures the image.
dobbhoff placement.
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Pa and lateral views of the chest provided. Evaluation somewhat limited through the lower lungs due to under penetrated technique. Allowing for this, there is no focal consolidation, a effusion or pneumothorax. No convincing signs of pulmonary edema. Mild congestion difficult to exclude in the correct clinical setting. The bony structures appear intact.
<unk>f with sob // eval for pna
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
cough and fever.
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As compared to the previous radiograph, all monitoring and support devices, with the exception of the pacemaker, has been removed. Minimal left basal effusion with atelectasis, mild fluid overload but no overt pulmonary edema. No pneumothorax. No focal parenchymal opacity suggesting pneumonia.
status post cabg, chest tube removal.
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There is a new opacity in the right basal lung which may be consistent with pneumonia. No pneumothorax, pulmonary edema, or effusion is noted. Median sternotomy wires are noted. The cardiac and mediastinal silhouettes are within normal limits, and no bony abnormalities noted.
<unk> year old male status post right upper lobe lobectomy with hemoptysis, evaluate for interval change.
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Compared with the prior study, lung volumes are lower, causing crowding of bronchovascular structures. Bibasilar atelectasis is identified. No focal consolidation. Cardiomediastinal and hilar silhouettes are unchanged. No free intraperitoneal air.
<unk>m with severe intractible sudden onset abd pain x <num> hr, unresponsive to <unk>mg morphine and <unk> toradol, diffuse guarding throughout. eval ? free air
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Low lung volumes accentuate cardiac silhouette and bronchovascular structures. Allowing for this factor, there is stable cardiomegaly. Multiple calcified mediastinal and hilar lymph nodes are again demonstrated as well as calcified granulomas within the lungs. Minimal linear scar or atelectasis is present at the right lung base. No confluent areas of consolidation are identified, and there are no pleural effusions or acute skeletal findings.
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Comparison is made to prior study from <unk>. There is a left-sided ij central line with its lead tip in the mid svc. There is an area of developing consolidation in the right upper lobe which is new since the previous study. This may represent developing pneumonia. The lower lung fields and bases are clear. There are no pleural effusions or signs for overt pulmonary edema. Heart size is normal.
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Pa and lateral views of the chest provided. Aicd is unchanged with pacer pack projecting over left chest wall and lead positioned in the region of the right ventricle. The cardiomediastinal silhouette is stable. Lungs are clear. No signs of pneumonia, effusion or pneumothorax. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>m with shortness of breath
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No previous images. The heart is normal in size and there is no vascular congestion, pleural effusion, or acute focal pneumonia. Specifically, no evidence of hilar or mediastinal abnormality to radiographically suggest sarcoidosis.
sarcoidosis.
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Portable ap upright chest radiograph was provided. Lung volumes are low. Allowing for this, no definite consolidation, effusion, or pneumothorax is seen. The cardiomediastinal silhouette appears normal. No free air below the right hemidiaphragm is seen. Imaged osseous structures appear intact.
<unk> year old man with weakness, chest pressure.
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Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Minimal atelectasis is noted in the lung bases without focal consolidation. No pleural effusion or pneumothorax is visualized. There are no acute osseous abnormalities.
history: <unk>m with right upper quadrant and elevated liver function tests, also cough
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The heart size, mediastinal, and hilar contours are normal. The lungs are clear without pleural effusion, focal consolidation, or pneumothorax.
<unk>f with ? asthma exacerbation refractory to steroid course. eval for acute process.
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Since <unk>, minimal pulmonary edema, small residual bilateral pleural effusions, left greater than right, and mild bibasilar and retrocardiac atelectasis are improved. Mild cardiomegaly is unchanged. No pneumothorax. Calcifications are noted in the mitral and aortic annulus.
<unk> year old man with chf exacerbation // interval change
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The lungs remain hyperinflated. There is platelike atelectasis at the left lung base seen on the frontal view, not well seen on the lateral view. No pleural effusion is seen. No definite focal consolidation. No pneumothorax. The cardiac and mediastinal silhouettes are stable.
history: <unk>m with chest pain // eval for structural injury
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs. There is no focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable. No fracture is identified.
evaluate for fracture or trauma in a patient status post motor vehicle collision with chest pain.
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Lung volumes are low, which leads to bronchovascular crowding. No focal consolidation is identified. The cardiomediastinal silhouette and hilar contours are normal. There is no pleural effusion or pneumothorax.
<unk>-year-old man with shortness of breath and productive cough. rule out pneumonia.
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Right upper lobe malignancy was treated with chemo and radiation therapy with stable paramediastinal scarring. Left lung opacification from <unk> proven to be cop has completely resolved. Area of consolidation in right lower lung has increased in size from chest ct of <unk> to pet-ct of <unk>. There is no pleural effusion or pneumothorax. Mediastinal and cardiac contours are unremarkable.
the patient with right-sided opacity to see if it can be seen on chest x-ray.
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Pa and lateral views of the chest were obtained. Heart is normal size and cardiomediastinal silhouette is unremarkable. Lungs are grossly clear, without chf or focal infiltrate. There is no pleural effusion or pneumothorax. No free air seen beneath the diaphragms.
<unk>-year-old man with new onset left upper quadrant pain and tenderness to palpation.
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The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The heart is normal in size with cardiomediastinal contours.
cough, dyspnea and fever.
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There is a moderate right pleural effusion resulting in obscuration of the right heart border. There is, however, evidence of at least mild-to-moderate cardiomegaly as well as pulmonary vascular congestion, and moderate to severe bilateral pulmonary edema.there is a small left pleural effusion as well as an adjacent focal consolidation. There is no evidence of pneumothorax.
history of new afib, question of pneumonia, please evaluate.
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Pa and lateral views of the chest were obtained demonstrating clear well expanded lungs without focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm.
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There is a moderate right pneumothorax which is slightly larger than on the prior exam. Right upper lobe pigtail catheter is again visualized. Left-sided pigtail catheter is also seen. The pneumothorax on the left is less apparent. There is pneumomediastinum and marked subcutaneous emphysema left greater than right. Et tube and ng tube are unchanged.
bilateral chest tubes.
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Pa and lateral views of the chest demonstrate the lungs are well expanded, with no evidence of pneumonia, pleural effusion, pulmonary edema or pneumothorax. The cardiomediastinal silhouette is unremarkable. A likely epicardial fat pad is noted at the left heart border.
<unk>-year-old female with prominent constitutional symptoms with malaise, dyspnea on exertion, and atypical lymphocytosis. evaluation for parenchymal lung disease, chf, or atypical pneumonia.
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Pa and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding pa and lateral chest examination of <unk>. Heart size and the appearance of mediastinal structures including thoracic aorta are unchanged and stable. The pulmonary vasculature is not congested. The on previous examination identified rather nodular appearing densities located in the right upper lobe lateral segment and in the left hemithorax in a location compatible with the lingula of the left upper lobe, remain unchanged. They have not undergone any significant alteration in appearance or density. No new pulmonary abnormalities are present, no pleural effusion has developed as the lateral and posterior pleural sinuses remain free and no pneumothorax is seen in the apical area.
<unk>-year-old female patient with nodular sarcoidosis, on prednisone treatment, follow up examination.
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Frontal and lateral chest radiographs demonstrate moderate cardiomegaly and hyperinflated lungs without focal consolidation. Emphysematous changes are seen bilaterally. There is no pleural effusion or pneumothorax. The visualized upper abdomen is unremarkable.
fever.
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Frontal and lateral views of the chest are compared to previous exam from <unk>. Right chest wall port is seen with catheter tip in the upper svc. Extremely low lung volumes are seen. Streaky opacities at the lung bases are suggestive of atelectasis. Blunting of the posterior costophrenic angle may represent small effusion versus atelectasis. Cardiomediastinal silhouette is grossly unchanged. Severe compression deformity in mid thoracic spine is not significantly changed from prior. Osseous structures are otherwise grossly unremarkable.
<unk>-year-old female with tachycardia and back pain. evaluate for acute process.
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As compared to the previous radiograph, a pre-existing right pleural effusion has minimally increased in extent. No left pleural effusion. No evidence of pneumonia. No pneumothorax.
metastatic melanoma, cough, evaluation for interval change.
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The lungs are hyperexpanded consistent with advanced emphysema. There is slight assymetry of the hemithoraces, smaller on the right, unchanged compared with <unk>. The heart is not enlarged. The hilar and mediastinal contours are probably unchanged. There is a subtle increase in patchy opacification along the upper right lung compared to the prior exam. Opacity at the right base and midzone is improved. There is no frank consolidation and there is no pleural effusion or pneumothorax. No chf. The visualized osseous structures are grossly unremarkable. Tubing noted in the left upper quadrant, ? G-tube.
history of dyspnea and productive cough. please evaluate for infiltrate.
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Compared to the previous radiograph, after hemodialysis, the lung volumes have increased and the extent and severity of the pre-existing opacities have minimally decreased. However, relatively extensive right-sided and left perihilar opacities are seen. The fact that these did not so far respond to hemodialysis could be an indication for their infectious nature. Minimal right pleural effusion persists. Persistent moderate cardiomegaly. No pneumothorax.
respiratory distress, new opacities, evaluation after hemodialysis.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>f with pain, shortness of breath
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>m with sob and cp s/p stents,, // r/o chf
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Portable supine frontal radiograph of the chest demonstrates in the ett ending just below the level of the carina pointing into the right mainstem bronchus. A subclavian catheter crosses the midline into the opposite subclavian vein. A <unk> catheter seen within the stomach. Bilateral chest tubes are in place. There are bilateral lower lung opacities likely reflecting aspiration given the clinical setting; although, infection or contusion or possible. Very low lung volumes with apparent enlargement of the cardiac silhouette which is likely due to technique. No large pleural effusion or pneumothorax.
pa arrest and gi bleed. evaluate line placement.
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Single frontal view of the chest demonstrates multiple intact median sternotomy wires and evidence of prior cabg procedure. The heart is prominent, but likely accentuated by ap technique and low lung volumes. There are aortic arch calcifications, unchanged. Mild interstitial prominence is long standing and certainly less pronounced on current exam. There is no overt pulmonary edema. There is no large pleural effusion. There is subsegmental atelectasis in the retrocardiac region. There is no pneumothorax or pneumomediastinum.
<unk>-year-old male with congestive heart failure, status post egd, presents with low o<num> saturation. question pulmonary edema.
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Tracheostomy tube and central venous catheter remain in standard position. Cardiac silhouette is upper limits of normal in size and accompanied by pulmonary vascular engorgement and worsening bilateral perihilar and basilar airspace opacities. Moderate bilateral pleural effusions are present, left greater than right.
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Radiographs centered at the thoracoabdominal junction was obtained for assessment of a nasogastric tube, which coils within the stomach before directing cephalad within a large hiatal hernia. Dilated loops of bowel within the imaged upper abdomen have been more fully evaluated by recent abdominal radiographs. Within the imaged portion of the chest, there has been slight worsening in extent of left lower lobe atelectasis with persistent adjacent small pleural effusion.
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In comparison to previous studies there is prominence of interstitial lung markings consistent with known interstitial lung disease which is relatively stable told given the extent of interstitial lung disease would make it difficult to exclude a superimposed pneumonia. The cardiomediastinal silhouette is unchanged compared to previous studies. There is no pneumothorax or pleural effusions. Tracheostomy is midline and unchanged position.
<unk> year old man with hiv, multiple pneumonias in the past from various causes, now with new vent requirement and new hcap // progression of lung disease
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Comparison is made to prior study from <unk>. There has been removal of the endotracheal tube. The right ij central line and the left-sided chest tube as well as mediastinal drains are unchanged. There is stable cardiomegaly. There has been development of a left retrocardiac opacity. There is mild pulmonary edema. There is a small left apical pneumothorax.
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Pa and lateral views of the chest provided. Widened ap diameter of the chest is again noted. Lung volumes are low. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. Vertebroplasty changes are not again noted in the lower t-spine. No free air below the right hemidiaphragm is seen.
<unk>m with chest pain // cough
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The cardiomediastinal silhouette is at the upper limits of normal. Pulmonary vascular congestion is prsent as well as asymmetrical perihilar opacities, right greater than left, with confluent adjacent infrahilar opacity on the right. Left retrocardiac region is densely opacified. Moderate left and small right pleural effusions. Endotracheal tube is in the mid trachea. Enteric tube with the tip in the stomach. Two-lead pacemaker appears in place. Mitral valve prosthesis and sternotomy wires are noted.
evaluation of patient with sepsis, status post intubation.
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The patient has received a dobbhoff catheter. The catheter is malpositioned and coils back towards the mouth, with its most distal part visible in the mid third of the esophagus. The tube needs to be re-positioned. The pre-existing parenchymal opacities, most severe on the right than on the left, are constant. There is no evidence of complication. At the time of dictation and observation, the referring physician <unk>. <unk> was paged for notification on <unk>.
dobbhoff placement, assessment.
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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. Moderate anterior osteophytes are present along the lower thoracic spine. There has been no significant change.
palpitations.
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Frontal and lateral views of the chest were obtained. There are slightly low lung volumes. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. Cardiac and mediastinal silhouettes are stable, as are the hilar contours.
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An enteric tube ends in the stomach in the pylorus, which is likely distended with fluid. The left pigtail catheter has been removed. No pneumothorax is seen. Small-to-moderate right pleural effusion is unchanged. Cardiomediastinal and hilar contours are unchanged. Right internal jugular central venous catheter ends in low svc. Thoracic aortic stent is stable. No new focal consolidations.
new dobbhoff tube, removed pigtail. evaluate for pneumothorax and dobbhoff tube placement.
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As compared to the previous radiograph, one of the two images shows that the dobbhoff catheter is correctly positioned in the stomach. Drains and post-surgical <unk> are again noted. Moderate cardiomegaly with bilateral areas of atelectasis and an unchanged diffuse opacity in the right lower lobe, combines to a small right pleural effusion.
nasogastric tube placement.
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No focal opacity to suggest pneumonia is seen. No pleural effusion, pulmonary edema or pneumothorax is present. The heart size is within normal limits. There is tortuosity of the aorta. There is suggestion of possible lucencies in the posterior ribs, for example left posterior eighth rib, incompletely evaluated.
altered mental status with slurred speech.
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On today's radiograph, there is mild distention of the pulmonary vasculature and minimal peribronchial cuffing. In combination with the cardiomegaly that pre-existed the findings are suggestive of mild pulmonary edema. There is no evidence of pleural effusion or pneumonia, but the retrocardiac atelectasis is present. At the time of dictation, the referring physician <unk>. <unk> was paged for notification at <time> a.m., <unk>.
desaturation, elevated venous pressures.
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Again seen is a large hiatal hernia. There is increased opacity at the left base with obscuration of the left cp angle that likely represents a combination of effusion and possibly a small infiltrate. The remainder of the lungs are clear. The cardiac silhouette is slightly enlarged compared to the reference exam from <unk> years ago.
bandemia and fever.
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Left internal jugular central venous catheter and enteric tubes remain in unchanged positions. Heart size is normal. Mediastinal and hilar contours are unremarkable. Lungs are clear without focal consolidation. No large pleural effusion or pneumothorax is demonstrated. No subdiaphragmatic free air is present.
history: <unk>f with bowel obstruction