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The lungs are clear aside from linear bibasilar atelectasis. There is no pleural effusion or pneumothorax. The heart is normal in size with tortuous thoracic aorta.
intermittent cough and chest pain, assess for infiltrate or edema.
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The lungs are mildly hyperinflated suggesting background copd. No pleural effusion, focal consolidation or pneumothorax is present. The pulmonary vasculature is not engorged. The cardiac silhouette is mildly enlarged but stable with a left ventricular configuration. The aortic knob is partially calcified, with a markedly tortuous and unfolded thoracic aorta. Calcification of the central tracheobronchial tree is also noted. Scoliosis and degenerative changes of the thoracic spine are seen with probable loss of vertebral height, but no compression fractures.
<unk>-year-old female with fever, productive cough and dyspnea, here to evaluate for pneumonia.
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Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No overt pulmonary edema is seen.
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Frontal and lateral views of the chest were performed. There is bibasilar atelectasis. Obscuration of the left hemidiaphragm is thought to reflect an epicardial fat pad. This appears unchanged from <unk>. A small granuloma is again seen in the right lung base. There is no pneumothorax or focal airspace consolidation to suggest pneumonia. There is a tortuous and calcified aorta which indents upon the trachea. There is no displaced rib fracture.
chest pain, evaluate for pneumonia.
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Ett is in standard position. Right internal jugular vein catheter tip is unchanged in position. Left is picc line upper svc. Bilateral consolidation, greater on the right upper lung may reflect a component of edema in the setting of mild pulmonary vascular engorgement and volume overload that is overall unchanged. Possible superimposed pneumonia in the right upper lung cannot be excluded as over the days, this consolidation is relatively stable, less typical of pneumonia. Day-to-day changes in left consolidations are likely edema. Small left pleural effusions overall unchanged. No pneumothorax. The heart size is normal.
<unk> year old man with as above // s/p aaa resection w/reintubation-evaluate lung fields
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Pa and lateral views of the chest provided. There has been interval removal of the right ij central venous catheter. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is stable with mild cardiomegaly. 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 fever post renal xplant // eval pneumonia
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Frontal and lateral views of the chest. No pleural effusion, pneumothorax, or focal airspace consolidation. Normal heart size, mediastinum, and hilus. Pleural structures are unremarkable.
wheezing on exam with shortness of breath.
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The lungs are hyperinflated. There is no pleural effusion, pneumothorax or focal airspace consolidation. The cardiac and mediastinal contours are normal. The hilar structures are unremarkable.
chest pain. evaluate for pneumonia.
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Pa and lateral views of the chest provided. Surgical clips project over the left chest wall. There is a small right pleural effusion. No convincing signs of pneumonia or edema. No pneumothorax. Cardiomediastinal silhouette appears normal. Imaged bony structures are intact.
<unk>f w/htn, asthma presenting with <num>-wk hx of doe, <num>-lb weight gain, hand/periorbital swelling // eval for chf vs pna
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Pa and lateral views of the chest provided. Lung volumes are low on the frontal projection though allowing for this, there is no definite sign of pneumonia or chf. No effusion or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax.
preoperative for laparoscopic appendectomy.
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Left-sided aicd device is noted with single lead terminating in the region of the right ventricle, unchanged. Severe enlargement of cardiac silhouette is again noted. Mediastinal and hilar contours are unchanged. There is mild upper zone vascular redistribution with mild pulmonary vascular engorgement, not changed in the interval and likely chronic. Minimal atelectasis is noted in the right lung base. No focal consolidation, pleural effusion or pneumothorax is identified. No acute osseous abnormality is present.
history: <unk>m with shortness of breath, tachycardia, tachypnea
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As compared to the previous radiograph, the patient shows newly appeared bilateral moderate pleural effusions with areas of atelectasis, mild pulmonary edema and moderate cardiomegaly associated with retrocardiac atelectasis. Co-existing pneumonia cannot be excluded. No pneumothorax.
sepsis and bibasilar crackles, evaluation.
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Again seen is a pigtail type chest tube at the base of the left lung. No pneumothorax is detected. As before, there are increased markings in left upper zone, with faint density correspond to the known spiculated mass there. Associated with this, there is poor definition of the left superior hilum. Also again seen is increased density at to left base. This could represent a combination of left lower lobe collapse and/or consolidation and possible small amount pleural fluid. The appearance is similar, possibly slightly worse, compared <num> day earlier. Minimal atelectasis at the right lung base again noted. Otherwise, the right lung is grossly clear. No chf or focal infiltrate identified. The cardiomediastinal silhouette is unchanged .
<unk> year old man with possible lung cancer, small stable pneumothoroax, and loculated l pleural effusion // how does ptx compare and loculated pleural effusion to prior?
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Ap portable upright view of the chest. Intervally, there has been placement of a pigtail left chest tube with decreasing size of left hydro pneumothorax. Right lung remains clear. A stent within the left mainstem bronchus is noted.
<unk>m with nsclc, with recurrent effusions. effusion on l-side today
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Compared with prior radiograph, lung volumes are lower accentuating the moderately enlarged cardiac silhouette. Indistinctness of the pulmonary vasculature is consistent with pulmonary vascular congestion and there is mild pulmonary edema. No focal consolidation, pleural effusion or pneumothorax is present. Multiple lines and drains overlie the lower thorax and upper abdomen, likely relating to recent surgery.
status post <unk> with acute-onset chest pain. acute pulmonary process?
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Lungs are well expanded and clear. There are no lung opacities concerning for pneumonia. Cardiomediastinal and hilar contours are normal. There is no pleural effusion.
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The heart is normal in size. The mediastinal and hilar contours appear unchanged including mild unfolding of the thoracic aorta. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures are unremarkable.
fever.
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Compared to the previous radiograph, there is no relevant change. New small retrocardiac atelectasis. No effusions. No pneumothorax. No pulmonary edema or pneumonia. Unchanged normal size of the cardiac silhouette.
liver donor kidney, evaluation for post-operative baseline.
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Right-sided port-a-cath tip terminates in the low svc. Heart size is normal. Known mediastinal mass seen on outside imaging is not well assessed on this current radiograph, although there is suggestion of narrowing of the central airways, as seen on the prior ct. Lungs are hyperinflated with emphysematous changes noted in the apices. No focal consolidation, pleural effusion or pneumothorax is present. Compression deformity of a vertebral body at the thoracolumbar junction is unchanged from the prior ct examination where it was demonstrated to be a pathologic fracture.
history: <unk>f with hematemesis/hemoptysis with lung cancer
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Frontal and lateral views of the chest. Relatively low lung volumes are seen. Bibasilar opacities are seen, likely due to atelectasis. Superiorly the lungs are clear. The cardiac silhouette is mildly enlarged. No acute osseous abnormalities.
<unk>-year-old female with chest pressure for <num> days.
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There is minimal streaky density in the region of the lingula, most likely representing subsegmental atelectasis or scarring. The lungs appear essentially clear. The heart is normal in size. Mediastinal structures are otherwise unremarkable. The bony thorax is grossly intact.
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There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. There is no acute skeletal abnormality.
<unk>-year-old woman with two days of acute onset right-sided pleuritic pain, rule out pe, history of tinu in adolescence.
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There is moderate to severe pulmonary edema. There is are modearte to large bilateral pleural effusions. Dense calcifications are seen within the aorta. Assessment of the cardiac silhouette is limited given the diffuse parenchymal abnormality.
shortness of breath. evaluate for an infiltrate.
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In comparison with study of <unk>, there is continued evidence of the right hemidiaphragmatic contour with dilated gas-filled loops of bowel consistent with a dynamic ileus or possible obstruction. Atelectatic changes are seen at the right base. However, the heart remains within normal limits in size and there is no evidence of vascular congestion or acute focal pneumonia.
desaturation with shortness of breath.
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The dobbhoff feeding tube is in the distal esophagus at the ge junction and should be advanced. Note that the lung apices are excluded from this film. A right picc terminates in the cavoatrial junction. There is new opacity in the right lower lobe which likely represent layering effusion. Bilateral parenchymal opacities are stable. The heart size is unchanged.
cabg and mitral valve replacement, evaluate for dobbhoff tube.
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There are no rib fractures visualized. The patient has a right cervical rib. The visualized mediastinal structures are unremarkable. There is no cardiomegaly. The lung fields appear clear without evidence of focal consolidation. There are no pneumothoraces or effusions. There is a well circumscribed and calcified lesion which is seen on the pa projection projecting over the left upper mid abdomen. This is not well visualized on the lateral view. This correlates with a calcified splenic cyst/lesion seen on prior ct examination on <unk>.
<unk> year old woman with s/p colectomy right laparoscopic; lysis of adhesions <unk> // r/o rib fracture
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Cardiac and mediastinal silhouettes are stable. Hilar contours are stable. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. Degenerative changes are again seen along the spine.
history: <unk>m with fall. si // eval for fx, bleed
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The heart size is normal. Mediastinal and hilar contours are within normal limits. The lungs are clear. There is no pleural effusion or pneumothorax. Osseous structures are intact. Surgical clips are noted in the right upper quadrant.
<unk>f with chest pain, shortness of breath. evaluate for pneumonia.
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The patient is status post interval right internal jugular central venous line placement, with the tip terminating in the proximal right atrium. There is no evidence of consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is unchanged in appearance.
history: <unk>f with new right ij // eval new cvl
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Low lung volumes are again noted in the patient is rotated to the left. The right lung is clear. Left-sided pleural effusion is again seen as well as rounded opacity projecting over the left lung laterally, previously characterized as rounded atelectasis. Cardiomediastinal silhouette is unchanged although difficult to accurately assess hypertrophic changes no spine.
<unk>m with hypoxia // pna?
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A left-sided picc line terminates at the cavoatrial junction. The lung volumes are low with mild relative elevation of the right hemidiaphragm that appears unchanged. The cardiac, mediastinal, and hilar contours appear stable including mediastinal and left hilar lymphadenopathy. There is no definite pleural effusion or pneumothorax. There is a persistent medial left basilar opacity with a rounded contour, suggesting a pleural-based mass concerning for malignancy. Smaller nodules are not well depicted on radiographs.
question metastatic breast cancer to lungs and liver with new hypoxia.
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Compared to the prior study there is no significant interval change. There continues to be a large amount of subcutaneous emphysema, mediastinal air, free air under the hemidiaphragm,
<unk>m who had retained food bolus at home with retching. went to osh and found to have retain bolus with esophageal mucosal tear. // eval for mediastinal air/indications of esophageal perf.
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Right-sided picc line is in unchanged position. Right midzone wedge-shaped opacity is identified anteriorly within unchanged air-fluid level. There are mild bilateral fluffy interstitial changes. This is unchanged from before with relative preservation of the left base. No pneumothorax.
<unk>m w/esrd s/p dcd/ddrt in <unk> on tacrolimus and mycophenolate mofetil, presented with r-sided chest pain and was found to have pulmonary mucormycosis; s/p r middle lobectomy and r upper wedge resection on <unk>, on ambisome with <num>l ns prehydration, with dyspnea on exertion // ?pulmonary edema, consolidation, pe
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Pa and lateral views of the chest were reviewed and compared to the prior studies. A moderate right pleural effusion has slightly decreased since <unk>. Right apical opacity corresponds to the right upper lung radiation fibrosis better characterized on ct torso of <unk>. The left lung is clear, and there is no pulmonary edema or pneumothorax. Cardiac and mediastinal contours are normal.
evaluation of pleural effusions.
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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 cough and congestion
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As compared to the previous radiograph, there is no relevant change. Extensive bilateral pleural effusions that distribute in a slightly different manner, but has not substantially changed in overall extent. Subsequent areas of atelectasis at both lung bases. Mild cardiomegaly. No newly occurred focal parenchymal opacities. Monitoring and support devices are in unchanged position.
esophageal leak following paraesophageal hernia repair, evaluation for interval change.
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Postsurgical cardiomediastinal silhouette is unchanged. Heart size remains mildly enlarged. Hilar contours are unremarkable. There is no interstitial edema. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax. Median sternotomy wires are intact. Avr is re- demonstrated.
coughing and wheeze.
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There are bilateral diffuse interstitial opacities with foci of more patchy consolidation along the right lung base, which is significantly worsened compared with <unk>. There are bilateral pleural effusions, right worse than left, also significantly worsened from prior. Assessment of the cardiac size cannot be performed due to obscuration of the lateral margins. There is a large combined hiatal/left diaphragmatic hernia with the contents extending to the left lateral thoracic wall, unchanged from <unk>. There is no evidence of pneumothorax.
<unk>-year-old female with dyspnea. evaluate for evidence of pneumonia.
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The cardiomediastinal and hilar contours are normal. The lungs are well expanded and clear. Pectus carinatum accounts for the appearance of a large perceived retrosternal airspace on the lateral film, and this should not be interpreted as a sign of hyperinflation. There is no pulmonary edema, pleural effusion, or pneumothorax.
<unk>-year-old woman with shortness of breath.
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Comparison is made to prior study from <unk>. There are low lung volumes due to poor inspiratory effort. There are again seen bilateral pleural effusions which are stable. There is some hazy opacity at the lung bases which is also unchanged. There is likely a small element of mild pulmonary edema, stable.
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Frontal and lateral views of the chest. As on prior, there are small-to-moderate effusions, not significantly changed. Degree of cardiomegaly is unchanged with possible underlying effusion not excluded. Prominence of interstitial markings is again seen but slightly improved compared to prior exam. No acute osseous abnormality is identified.
<unk>-year-old female with chest pain and prior fluid overload. evaluate volume status.
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Since chest radiographs obtained <num> weeks prior, there has been interval improvement in lingular and left lower lobe atelectasis, minimal elevation of the left hemidiaphragm, and resolution of the right pleural effusion. A small, left pleural effusion is unchanged. Median sternotomy wires are midline and intact.
<unk> year old man with chest discomfort, fever // eval for effusion, consolidation, atelectasis, widened mediastinum
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Pa and lateral views of the chest are provided demonstrates no focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact. There is no free air below the right hemidiaphragm. Mild anterior spurs are noted in the mid thoracic spine.
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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 adenopathy.
possible lymphadenopathy.
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Postoperative alterations in the right hemithorax related to recent upper lobe resection appear similar. Diffuse consolidation in the left lung has slightly improved, but heterogeneous opacities in the right lung have worsened. Findings could be due to asymmetrical edema, hemorrhage and/or infection. Similar appearance of right pleural effusion, with no visible pneumothorax.
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In comparison with the earlier study of this date, there are again diffuse bilateral pulmonary opacifications, though the degree of aeration is slightly improved and the vascular congestion appears to be slightly less prominent.
shortness of breath and desaturation after extubation.
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The patient has undergone right thoracocentesis. The right pleural effusion is almost completely resolved. There is no evidence of pneumothorax. Borderline size of the cardiac silhouette. Normal hilar and mediastinal structures.
hepatic hydrothorax, status post thoracocentesis.
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Compared with chest radiograph performed earlier on same day, there has been interval placement of the et tube, which terminates <num> cm above the carina. An enteric tube is difficult to follow throughout the entire chest, but terminates below the level of the diaphragm in the stomach. There is left basilar atelectasis. Left perihilar and right basilar opacities are increased from prior and likely represent asymmetric edema or aspiration. Cardiomediastinal silhouette is stable.
<unk> year old man with copd and ams, intubated // ett placement
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There is leftward rotation of the patient current radiograph. Tracheostomy tube is again seen in grossly appropriate position. Allowing for differences in technique, the cardiomediastinal silhouettes are stable. There are low lung volumes and a sub-optimal inspiratory effort. Right lower lung and retrocardiac opacities likely represent basilar atelectasis, however, pneumonia cannot be excluded in the correct clinical setting. Small bilateral pleural effusions are likely still present. Central hilar prominence may represent mild pulmonary vascular congestion without evidence of frank pulmonary edema. There is no pneumothorax.
a <unk>-year-old man with fever and cough, evaluate for pneumonia.
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Pa and lateral views of the chest demonstrate no areas of focal consolidation. No pneumothorax or pleural effusion. Cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is seen.
chest pain.
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The patient is status post cabg with median sternotomy wires. The cardiomediastinal and hilar contours are stable. There is no pleural effusion or pneumothorax. There is no focal consolidation concerning for pneumonia. There are at two displaced left lateral rib fractures. A linear lucency through the left scapular neck may represent a non-displaced fracture.
pain along the left lateral aspect of the thorax following a fall three days ago.
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A single supine chest radiograph was obtained. An endotracheal tube terminates <num> cm above the carina. A right internal jugular catheter terminates in the lower svc. An enteric catheter terminates in the body of the stomach. Lung volumes are low. There is bibasilar atelectasis. A left pleural effusion obscures the left hemidiaphragm. Cardiac and mediastinal contours are normal, however the left cardiac border is particularly sharp.
cardiac arrest.
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No focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal. The sternotomy wires are intact.
type <num> diabetes, productive cough and fever, and chest wall pain. diffuse rhonchi. evaluate for pneumonia.
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Pa and lateral views of the chest were obtained. Lungs are clear. No pleural effusion or pneumothorax seen. Cardiomediastinal silhouette is normal. Bony structures appear intact.
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There is slightly increased hazy opacity at the left lung base. The cardiac silhouette remains moderately enlarged. There is mild pulmonary vascular congestion. Small bilateral pleural effusions are noted. A double-lumen right central venous catheter, prosthetic mitral valve, and median sternotomy wires are again identified. No pneumothorax is seen. Axillary stent on the left is noted.
history: <unk>m with renal failure and positive blood cultures // rule out infiltrate
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Prominence of the interstitium is thought to reflect changes of chronic lung disease, as there is no convincing evidence for pulmonary edema. There is no pleural effusion or pneumothorax. No focal airspace consolidation worrisome for pneumonia. The cardiac silhouette is mildly enlarged, but unchanged. There is no free air seen underneath the diaphragm.
chest and abdominal pain. evaluate for pneumonia or free air.
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As compared to the previous radiograph, there is minimal decrease in lung volumes, likely by a lesser inspiratory effort, with subsequent crowding of vascular structures at the left and right lung bases. No evidence of acute changes such as pneumonia or pulmonary edema. Borderline size of the cardiac silhouette. Unchanged right central venous access line.
preoperative chest x-ray.
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Right-sided port-a-cath terminates in the right atrium without evidence of pneumothorax. There relatively low lung volumes and the right costophrenic angle not fully included on the image. Given this, no large pleural effusion is seen. Patchy left base retrocardiac opacity is seen which could be due to atelectasis although consolidation is not excluded in the appropriate clinical setting. Consider dedicated pa and lateral views if patient able for better evaluation.
history: <unk>m with ams, immunocompromised // eval for pna
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The swan-ganz and other lines and tubes are appropriately placed. The right infrahilar opacity has slightly increasing, likely due atelectasis and small effusion. There is mild new edema. Cardiomediastinal silhouette and hila are normal. There is no pleural effusion and no pneumothorax.
<unk>-year-old man after liver transplant and transfusion of multiple blood products, intubated, please assess for pulmonary edema.
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Heart size is normal. The aorta is mildly unfolded. The mediastinal and hilar contours are otherwise unremarkable. Lungs are clear and the pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
congestion, fatigue, new onset atrial fibrillation.
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The opaque portion of the dobbhoff tube extends above the esophagogastric junction on the first image. However, on the second image, it lies well into the stomach. In comparison with study of <unk>, there are lower lung volumes with bibasilar layering effusions and atelectatic changes.
dobbhoff placement.
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Moderate cardiomegaly is re- demonstrated. The mediastinal and hilar contours are unchanged with prominence of the right paratracheal stripe fullness of the ap window due to the presence of underlying lymphadenopathy, better assessed on the previous ct. No overt pulmonary edema is seen. There is mild crowding of the bronchovascular structures is a result of low lung volumes. Minimal atelectasis is seen in the lung bases without focal consolidation. No pneumothorax is identified. There may be a small left pleural effusion. No acute osseous abnormality is identified.
history: <unk>m with atrial fibrillation with rapid ventricular rate
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In comparison with study of <unk>, persistent elevation of the right hemidiaphragmatic contour. There is increasing opacification at the bases with meniscus formation bilaterally, consistent with developing pleural effusions and compressive basilar atelectasis. No vascular congestion or upper lung consolidation.
dullness at the bases and patient with pancreatitis.
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In comparison with the study of <unk>, there is little overall change. Again there is substantial enlargement of the cardiac silhouette with a single-lead pacer extending to the apex of the right ventricle. Continued small right pleural effusion with compressive atelectasis at the base. Smaller left effusion.
cabg, postoperative.
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The picc line and ng tube have been removed. There are bilateral pleural effusions with volume loss in the right lower lobe. There continues to be dense retrocardiac opacity consistent with volume loss/infiltrate/effusion. There is pulmonary vascular redistribution, which is increased somewhat compared to the prior. The heart size is moderately enlarged.
gram-negative bacteremia.
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As compared to the previous radiograph, there is no relevant change. No evidence of pneumothorax. The right lung apex is better expanded than on the previous image. Unchanged appearance of the opacities in the right lower lung. Decreasing amounts of soft tissue air in the right chest wall. The appearance of the left lung is constant.
lung carcinoma, status post bronchoscopy, questionable pneumothorax.
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Heart size is normal. Mediastinal and hilar contours are within normal limits. Minimal atherosclerotic calcification is noted at the aortic knob. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is present. The pulmonary vasculature is normal no acute osseous abnormality is detected.
history: <unk>f with fever and shortness of breath, history of copd
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with productive cough // pna
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The lungs are clear. Mediastinal and cardiac contours are normal. There is no pleural effusion or pneumothorax.
patient with renal cell carcinoma. please evaluate for abnormalities.
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Pa and lateral views of the chest were obtained. Lung volumes are slightly low, though accounting for this, there is diffuse interstitial prominence which could reflect known sarcoidosis. An element of superimposed interstitial edema is difficult to exclude. The heart is top normal in size. No pleural effusion or pneumothorax. No focal consolidation. Bony structures are intact.
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Pa and lateral views of the chest are provided. Aicd is unchanged. The picc line appears somewhat retracted with tip now residing in the upper svc. Old right clavicular deformity noted. The heart is mildly enlarged. Lungs are clear.
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Left chest port terminates in the right atrium. There has been interval increase in severity and extent of cardiomegaly in comparison to <unk>. Small bilateral lung volumes with elevation of the right hemidiaphragm unchanged compared to <unk>. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen.
<unk> year old woman with cough // pneumonia?
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A left picc has been replaced with a right picc, which terminates in the mid svc. The inspiratory lung volumes are appropriate. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. Right basilar calcified granuloma is noted. The pulmonary vasculature is not engorged. The cardiomediastinal and hilar contours are within normal limits. No acute osseous abnormality is detected. Surgical clips overlying the left chest wall.
history: <unk>m with picc // eval picc positioning
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As compared to the previous examination, the patient has been intubated. The tip of the endotracheal tube projects <num> cm above the carina. The newly placed nasogastric tube follows a normal course, the tip is in the distal parts of the stomach. A substantial part of the left hemithorax, notably lateral aspect, is not included in the image. The presence of larger pleural effusion is confirmed. However, the retrocardiac lung areas show a zone of newly appeared atelectatic consolidations. No evidence of pneumothorax. Biliary drain in situ.
severe pancreatitis, evaluation for pleural effusions.
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Pa and lateral views of the chest provided. There is extensive bilateral lower lobe airspace consolidation, left greater than right, not significantly changed from the most recent prior exam and remain concerning for multifocal pneumonia. No large pleural effusion or pneumothorax. Cardiomediastinal silhouette appears unchanged. Bony structures are intact.
<unk>m with dyspnea, weakness // pna,acute process
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Pa and lateral chest radiographs were provided. The lungs are well expanded. There is no focal consolidation, pleural effusion or pneumothorax. Minimal linear opacities at the left lung base are likely atelectasis. The cardiomediastinal silhouette is mildly enlarged. The aortic arch is calcified. The bones are demineralized. There is no definite fracture. The imaged upper abdomen is unremarkable.
<unk>-year-old female with weakness evaluate for acute process.
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Pa and lateral chest radiographs demonstrate severe cardiomegaly consistent with known history of dilated cardiomyopathy. Additionally, pulmonary vascular engorgement appears slightly worsened than <unk>. There is no pleural effusion or pneumothorax. Aicd leads are noted terminating in the right atrium and ventricle.
history of dilated cardiomyopathy. presents after aicd fired.
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Portable ap chest radiograph. The ett now terminates <num> cm above the carina. Lung volumes are very low with low with bibasilar atelectasis. There is no pneumothorax.
intubated. reevaluation of ett position.
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Interval placement of a nasogastric tube with its tip seen terminating in the expected location of the stomach in the left upper quadrant. The side port is at or just beyond the gastroesophageal junction. There is moderate cardiomegaly, small bilateral pleural effusions and areas of atelectasis at both lung bases largely unchanged when compared to radiograph obtained <num> hr prior.
<unk>-year-old female with a nasogastric tube replacement.
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Ap upright and lateral views of the chest provided. Consolidation in the left lower lobe is concerning for pneumonia. No large effusion or pneumothorax. Heart size is mildly enlarged. Mediastinal contour is stable. Bony structures are intact. Chronic degenerative changes at the shoulders again noted. Tiny surgical clips are noted projecting over the lower neck.
<unk>f with cough // pna, chf
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Ap portable upright and lateral views of the chest provided. Cardiomegaly is noted with bilateral effusions, small in size, with bibasilar atelectasis. Please note, findings are better appreciated on the ct chest performed approximately <num> minutes earlier. Right mediastinal mass-like prominence corresponds with ectatic vasculature on ct. Degenerative changes at the shoulders are also better assessed on ct.
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A new, left lower lobe airspace opacity is compatible with pneumonia. The left upper and right lung are clear. There is no large pleural effusion or pneumothorax. The cardiomediastinal silhouette is unchanged in appearance.
history: <unk>f with hemoptysis, cough, and fever // eval for pneumonia
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Frontal and lateral views of the chest were obtained. There is persistent mild elevation of the right hemidiaphragm. Bibasilar atelectasis is seen. Opacity at the right lung base could relate to atelectasis, although an underlying early consolidation not excluded. No large pleural effusion or pneumothorax. The cardiac silhouette is top normal. The mediastinum is unremarkable.
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A left-sided pacemaker defibrillator is seen with multiple leads in appropriate position. The patient is status post median sternotomy. The heart is normal in size. Cardiomediastinal silhouette and hilar contours are within normal limits. Subtle opacities at the right base are most consistent with atelectasis. There is no large pleural effusion or pneumothorax identified.
<unk>m with hx of chf, with feneralized weakness // eval pna
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The tip of the iabp has been pulled back slightly and is now perpendicular to the base of the image. The tip of the opaque portion of the tube lies about <num> cm above the ideal position just above the left main bronchus.
iabp position.
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Heart size cannot be assessed with certainty because of overlying pleural and pulmonary densities on the right side. Probably no significant cardiac enlargement is present. Thoracic aorta unremarkable. A rounded density with an average diameter of close to <num> cm is seen in the right-sided paramediastinal position similar as noted on a preceding outside chest examination of <unk>. Noteworthy is that at that time existing minor amount of pleural effusion that just blunted the lateral pleural sinus on the right side has now increased and reaches into the minor fissure and is increased along the right-sided lateral chest wall. The lateral view confirms this assessment. The left-sided hemithorax remains unremarkable and that includes the normal-appearing pleural space. No pneumothorax is present. Estimate of pleural effusion suggests <num> to <num> ml, provided that the densities are only caused by fluid, which in this patient with history of metastatic malignancy is questionable..
<unk>-year-old male patient with metastatic adenocarcinoma (unknown primary) with pleural effusion. assess degree of effusion based on outside hospital ct.
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Re-identified are sternotomy wires. There are low lung volumes. Allowing for this, the cardiomediastinal silhouette is unchanged. Prominent pulmonary vessels and diffuse interstitial prominence is likely a combination of crowding of normal bronchovascular structures and pulmonary venous congestion without overt edema. Retrocardiac opacity may represent atelectasis, however difficult to exclude superimposed pneumonia in the appropriate clinical setting. There is no pneumothorax or pleural effusion.
<unk>-year-old with cough, evaluate for infectious process or effusion.
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Lung volumes remain persistently low. There is mild enlargement of the cardiac silhouette. The aorta is diffusely calcified. The mediastinal contour is otherwise unchanged. Mild pulmonary vascular congestion is present, increased since the previous examination. Persistent elevation of the right hemidiaphragm has been present since the ct in <unk>, however, a moderate right pleural effusion is noted, somewhat increased compared to that seen previously. There is continued atelectasis within the right lung base. No left-sided pleural effusion is present. There is no pneumothorax. Numerous clips are demonstrated in the left axilla. There are moderate multilevel degenerative changes seen in the thoracic spine.
<unk> year old woman with shortness of breath
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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>m with chest pain
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The lungs are clear. Cardiac silhouette is normal in size. There is no pleural effusion, pneumothorax, pneumonia or pulmonary edema. An overall limited evaluation of the bony structures due to technique is negative for acute pathology. Degenerative changes are seen at bilateral glenohumeral joints with probable loss of the normal joint space.
upper chest and back pain. please evaluate for bony pathology.
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The ng tube ends in distended stomach. There is improved aeration of the left lung as compared to <unk> with elevation of left hemidiaphragm. Mild pulmonary edema in the right lung is unchanged. Tracheostomy tube is midline. There is no pneumothorax. Cardiac size is indeterminate
<unk> year old man with pneumoperitoneum, s/p ngt replacement
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No evidence of rib fractures. If clinical complaints persist, a rib series would be helpful. No acute changes. No pneumonia, no pleural effusion. No cardiomegaly. No hilar or mediastinal abnormalities. No pleural effusions.
lower right rib pain, pleuritic pain, evaluation for effusion or rib fractures.
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Frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. The lungs are clear. There is no pneumothorax, vascular congestion, or pleural effusion. Mild left convex scoliosis and mild thoracic spine djd noted.
<unk>-year-old male with history of cocaine use presents with chest pain and shortness of breath. question acute process.
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Heart size is mildly enlarged but unchanged. The mediastinal and hilar contours are stable. Pulmonary vasculature appears mildly indistinct suggestive of mild pulmonary vascular engorgement. Linear and patchy bibasilar atelectasis is noted in the lung bases without focal consolidation. No pleural effusion or pneumothorax is identified. Punctate calcification in the left apex may be vascular in origin. There are no acute osseous abnormalities.
history: <unk>f with cough
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Frontal and lateral views of the chest were performed. There is no pleural effusion, pneumothorax or focal airspace consolidation. The cardiac and mediastinal contours are normal. The hilar structures and pleural surfaces are unremarkable. The imaged upper abdomen is normal.
recent diagnosis of the pulmonary embolus now presenting with worsening left upper chest and neck pain with a persistent cough. evaluate for acute intrathoracic process.
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As compared to the previous radiograph, the picc line has been pulled back. The tip is now located in the left subclavian vein, a part of the catheter is coiled in the left axillary vein. The catheter needs to be re-positioned. At the time of observation and dictation, <time> p.m., on <unk>, the referring physician <unk>. <unk> was paged for notification.
picc line placement.
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Pa and lateral chest radiographs demonstrate no focal consolidation, pleural effusion or pneumothorax. There is a nodular opacity projecting adjacent to the right interlobar artery which was also faintly seen on the prior study and likely represents overlap of vascular structures. Aortic tortuosity is unchanged. The heart size is stable.
syncope and chest pain.
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Frontal and lateral radiographs of the chest demonstrate complete opacification of the right hemithorax consistent with a combination of pleural effusion and collapse of the right lung. There is no shift of the mediastinum. The left lung is clear. There is no pneumothorax.
<unk>-year-old man with cirrhosis, for pre-liver transplant evaluation.
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Tracheostomy tube and left picc are in standard position. Heart size is normal. Confluent opacity in the left infrahilar region may reflect acute aspiration or developing infectious pneumonia in the appropriate clinical setting. Right lung is grossly clear.