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A left pigtail thoracostomy tube is unchanged in position, terminating at the left lung base. There is overall decreased retrocardiac density as compared to the <unk> radiograph, likely reflective of interval drainage. No new consolidation or collection is detected. There is no pneumothorax. Mild left basilar atelectasis has improved.
left empyema, post drainage.
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Pa and lateral views of the chest are compared to previous exam from <unk>. The lungs remain clear. The cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with two weeks of productive cough and fevers and chills.
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No focal consolidation, pleural effusion or pneumothorax. The size the cardiomediastinal silhouette is within normal limits. The previously noted infiltrate in the right lower lobe has resolved.
<unk> year old man s/p liver transplant with leukocytosis // please eval for infiltrate or edema
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As compared to the previous radiograph, the nasogastric tube has been re-positioned. The course of the tube is unremarkable, the tip of the tube projects over the middle parts of the stomach. No evidence of complications, notably no pneumothorax. The lung volumes remain low. Moderate cardiomegaly persists.
nasogastric tube replacement. evaluation for nasogastric tube position.
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In comparison with the study of <unk>, the monitoring and support devices remain in place. Diffuse opacification in the lower lungs is consistent with moderate bilateral pleural effusions and underlying compressive atelectasis. The pulmonary vascularity remains slightly elevated.
sepsis, on ventilator.
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Frontal and lateral views of the chest demonstrate no acute cardiopulmonary process. The cardiomediastinal, pleural and pulmonary structures are unremarkable. There is no pleural effusion or pneumothorax. The heart size is normal. There are no areas of consolidation concerning for pneumonia. There are no suspicious osseous lesions seen.
chest pain, evaluate for infiltrate.
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Left chest cardiac device with lead tips in the right atrium and right ventricle appear similar to prior. Prosthetic heart valve is again seen. Pulmonary vascular congestion is mild. There is no focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is normal. Sternal wires are intact. Compression deformities of multiple vertebral bodies is similar to prior.
<unk> year old man with crackles at both bases // ? fluid
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Single frontal view of the chest demonstrates low lung volumes without pleural effusion, focal consolidation or pneumothorax. The hilar and mediastinal silhouettes are unremarkable. Heart size is normal. Partially imaged upper abdomen is unremarkable.
patient status post bicycle collision.
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In comparison with the study of <unk>, there are continued low lung volumes that may account for much of the prominence of the transverse diameter of the heart. Pulmonary vascular congestion continues to improve. Streaks of atelectasis are seen at both bases. No large pleural effusion.
hypoxemia treated for pneumonia with worsening mental status.
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Frontal and lateral views of the chest were obtained. Moderate cardiomegaly is again noted with small to moderate bilateral pleural effusions, increased in size compared to the prior examination. Increased opacification in the medial right lower lung zone with obliteration of the right heart border reflects consolidation or atelectasis in the right middle lobe. There is mild vascular congestion. There is no pneumothorax.
<unk>-year-old female with chf, shortness of breath, evaluate for infiltrates.
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Pa and lateral views of the chest provided. There is peripheral pleural and parenchymal scarring in the right upper lobe, better demonstrated on prior ct. Otherwise lungs are clear bilaterally except for minimal left apical scar. There is no focal consolidation, effusion, or pneumothorax. The tip of the left picc terminates <num> cm below the level of the carina, unchanged from <unk>.
<unk> year old woman with relapsed aml after transplant // evaluate for cause of fever
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with chest pain.
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Pa and lateral views of the chest show well expanded and symmetric lungs. Cardiomediastinal silhouette including mild cardiomegaly is unchanged. In comparison to the prior examination, however, there is increased diffuse bilateral opacities with perihilar predominance, consistent with worsening mild pulmonary edema. A horizontal linear band of opacification in the mid left lung likely represents a focus of atelectasis. There is no focal consolidation. There is no pleural effusion or pneumothorax.
<unk>-year-old female with dyspnea for four days, rule out pneumonia or effusion.
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In comparison with the study of earlier in this date, the dobbhoff tube has been pushed forwards so that the opaque portion no longer is at the level of the esophagogastric junction. Otherwise, little overall change.
dobbhoff placement.
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A portable frontal chest radiograph demonstrates a normal cardiomediastinal silhouette and fairly well-aerated lungs. There is mild left base atelectasis, without focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.
evaluate for pneumonia in a patient with chest pain.
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Frontal and lateral views of chest demonstrate well expanded clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.
fever. evaluate for pneumonia.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No evidence of free air is seen beneath the diaphragms.
history: <unk>m with epigastric pain // ?free air
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Patient is status post mitral valve replacement, with intact median sternotomy wires and multiple mediastinal clips.the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Again seen is a large calcific lesion arising from upper pole of the right kidney.
<unk>m with chest pain // eval for acute process
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The cardiomediastinal and hilar contours are within normal limits. The lungs are clear without focal consolidation, pleural effusion or pneumothorax.
history: <unk>m with cough, fever // eval for acute process
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Patient is status post median sternotomy. Cardiac and mediastinal silhouettes are stable with stable enlargement of the cardiac silhouette. Mild bibasilar atelectasis is seen. No large pleural effusion or definite focal consolidation. Right apical pleural thickening is re- demonstrated. No pulmonary edema is seen.
history: <unk>m with atrial flutter, palpitations // evaluate for pulmonary edema
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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 no past medical history presents with chest pain radiation to left arm since yesterday.
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The lungs are clear without focal consolidation, effusion, or edema. Enlargement of cardiac silhouette is likely accentuated by technique. No acute osseous abnormalities.
<unk>m with presyncope and brbpr, also with several days pulmonary sxs, thick sputum // eval ? infiltrate, edema
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Compared <unk>, there is slight increase in size in the right pneumothorax surrounding the entire pleura. Bibasilar atelectasis greater on the right than the left is unchanged. Top-normal heart size with tortuosity of the thoracic aorta stable.
<unk> year old man with h/o spontaneous ptx // ? recurrence
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Heart size and cardiomediastinal contours are normal. Lungs are clear without focal consolidation, pleural effusion, pneumothorax. Coronary artery stent, mediastinal clips, and right upper quadrant clips are stable.
history: <unk>f with altered mental status// infiltrate?
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Frontal and lateral views of the chest. Left chest wall single lead pacing device again seen with the lead tip in the right ventricular apex. The lungs are clear of consolidation, vascular congestion, or effusion. Cardiomediastinal silhouette is stable. Median sternotomy wires again noted. Midthoracic dextroscoliosis is seen without acute osseous abnormality.
<unk>-year-old male with weakness.
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As compared to chest radiograph from <num> day prior, support devices remain in similar position. Left thyroid goiter with deviation of the left internal jugular line. Overall the appearance of the lungs have not substantially changed with persistent obscure aeration of the left hemidiaphragm with associated volume loss. No pulmonary edema. Moderate cardiomegaly. No visualized pneumothorax.
<unk> year old woman with polytrauma // interval change
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Lung volumes are increased and atelectasis has improved. Trace right and small left pleural effusions are improved. Linear segmental right lower lobe opacity represents atelectasis. Normal postoperative mediastinum and heart borders. Right internal jugular central venous catheter is unchanged terminating in the right atrium. No pneumothorax. Multiple old rib fractures.
<unk> year old man s/p cabg // eval for pleural effusions
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Stable osseous lesions, <num> extrapleural masses. Prominent perihilar opacities may be from shallow inspiration; right upper lung infiltrate cannot be excluded.
<unk> year old woman with mm and now with chills, and severe pain // eval for pna
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The lungs are clear (a potential spine sign on the initial lateral radiograph clears with better inspiration on the second view). There is no evidence of pneumonia, pneumothorax, or pleural effusion. Cardiac silhouette is normal in size.
history: <unk>f with cough // eval for pna
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Evaluation is slightly limited due to patient's positioning. Within this limitation, the patient is status post median sternotomy and coronary artery bypass graft surgery. The cardiac silhouette remains moderately enlarged but unchanged. The mediastinal contours are prominent, which is related in part to unfolding of the thoracic aorta and patient's positioning with slight rotation to the right. The hilar contours appear unchanged. The right hemidiaphragm remains elevated compared to the left. The inspiratory lung volumes remain low. Streaky opacification of the right lung base is increased, which may represent worsening atelectasis. Mild opacification of the left lung base most likely reflects atelectasis. A small right pleural effusion is present. The left costophrenic angle is clear. No pneumothorax is detected.
cough and dyspnea, here to evaluate for pneumonia.
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The cardiac silhouette size is normal. The aorta remains tortuous calcified. Mediastinal contours are unchanged. Rounded opacities posteriorly along the diaphragmatic contours are unchanged, likely bochdalek hernias. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. Remote left <unk> posterior rib fracture is again noted.
cough and shortness of breath.
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The heart size is top normal. The mediastinal and hilar contours are within normal limits. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is present. Degenerative changes of both acromioclavicular joints are present. Anterior cervical spinal fusion hardware is noted.
asthma, copd, nausea, vomiting, shortness of breath.
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Since <unk>, an increase in pulmonary vascular congestion is noted. No evidence of pneumonia, pleural effusion, or pneumothorax. Severe cardiomegaly is unchanged. There has been interval removal of large bore vascular cannula from the right atrium. The known calcified mass in the right upper quadrant is unchanged.
<unk> year old man with pd catheter removal c/o pleuritic chest pain // ? ptx vs pe
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Ap portable upright view of the chest. The heart remains mildly enlarged. Mild hilar congestion. There is no frank edema. No large effusion or pneumothorax. A coronary stent is seen projecting over the left heart border. Bony structures are intact.
<unk>m with chest pain // eval for acs
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There is been interval placement of a right-sided chest tube. There is significant improvement in the right-sided pleural effusion. There is a small pneumothorax, measuring <num> mm. The cardiac silhouette and pulmonary vasculature are unremarkable. No definite consolidation is noted.
<unk>m with chest tube, pls eval interval change on right
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In comparison with the study of <unk>, the degree of hyperexpansion of the lungs is less prominent. Cardiac silhouette is within upper limits of normal in size and there is no vascular congestion or acute focal pneumonia. Central catheter remains in place.
fever and cough, to assess for pneumonia.
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There has been interval removal of the endotracheal tube. The gastric tube extends into the stomach. There is no focal consolidation, pleural effusion or pneumothorax identified. There are mildly increased hazy opacities at the right lung base which may reflect aspiration. There is mild pulmonary vascular congestion.
<unk> year old woman with iph // ngt placed, eval placement
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Heart size remains mild to moderately enlarged. The mediastinal and hilar contours are similar. Pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is visualized.
history: <unk>m with leg pain and leukocytosis
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There is mild diffuse increased interstitial lung markings of unknown etiology. This could be related to pulmonary edema with small bilateral pleural effusions. Because the heart contour and azygous vein are not dilated, it would be a non cardiogenic edema. There is no pneumothorax.
patient with infiltrate.
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Heart size is normal. Coronary artery stenting is re- demonstrated the mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. Scarring within the lung apices is unchanged. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Hypertrophic changes are noted in the upper thoracic spine.
history: <unk>m with chest pain, history of coronary artery disease
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The cardiac, mediastinal and hilar contours are normal. Ill-defined interstitial and nodular opacities are noted diffusely, more so on the right, concerning for infection. No pleural effusion or pneumothorax is present. There are moderate multilevel degenerative changes seen in the thoracic spine.
history: <unk>m with cough
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There is a vague <num> cm nodular opacity projecting over of the right anterior sixth rib on the frontal view. Normal heart size, mediastinal and hilar contours. No focal consolidation, pleural effusion or pneumothorax. A round dense opacity projecting over the mid thoracic spine appears to correspond to an osteophyte on the frontal view.
history: <unk>m with seizure // eval for pneumonia
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Retrocardiac opacity likely represents left basal consolidation. The right lung is mostly clear. There is no significant pleural effusion bilaterally. There is no pneumothorax. The heart size is enlarged. There is blunting of the ap window and wide mediastinal silhouette, which may be due to thoracic aortic aneurysm. Ett terminates approximately <num> cm from the carina, periphery positioning. The enteric tube courses below the diaphragm and out of view.
<unk> year old woman intubated post-procedure // eval for placement of ett, ogt
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Pa and lateral images of the chest. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
epigastric and right upper quadrant abdominal pain.
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Pa and lateral views of the chest were provided, demonstrating clear well expanded lungs without focal consolidation, effusion, or pneumothorax. The heart and mediastinal contours are normal. Bony structures are intact.
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Lung volumes are normal. Other than streaky left retrocardiac atelectasis, remainder of the lungs are clear. No pulmonary edema, pleural effusion or pneumothorax. Cardiomediastinal contours are normal.
<unk>-year-old male with small bowel gist, now presenting with fever
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No focal consolidation, pleural effusion, or pneumothorax is seen. Heart and mediastinal contours are within normal limits. There is no evidence for pulmonary edema.
<unk>-year-old female with leukocytosis and gastrointestinal bleeding.
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Streaky opacities in the left lower lobe are compatible with atelectasis versus a prominent fat pad. There are no consolidations concerning for pneumonia. There is no pulmonary edema, pleural effusion, or pneumothorax. The cardiac silhouette is normal in size.
copd, cad and hypoxia. evaluate for acute process.
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Aicd is in appropriate position. As compared to the prior exam, there are increasing perihilar opacities and vascular indistinctness compatible with moderate pulmonary edema. The heart size is moderately enlarged. No pleural effusion. No pneumothorax. Assessment of the lung apices is obscured by the patient's chin and neck soft tissues projecting over this region. Multiple clips are noted in the upper abdomen.
history: <unk>f with dyspnea on exertion
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Heart size is top normal. Mediastinal and hilar contours are unremarkable. New ill-defined opacities are noted within the both lower lobes and right upper lung field, likely within the superior segment of the right lower lobe. No pulmonary vascular engorgement, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
chest pain.
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Endotracheal tube tip projects <num> cm cephalad to the carina. Left picc tip projects over the low superior vena cava. Nasogastric tip projects below the diaphragm, however the side hole projects at the level of the gastroesophageal junction. Layering left pleural effusion is unchanged. Left mid and upper lung opacities have increased. Diffuse interstitial markings throughout the remaining lungs are unchanged. Heart size is not enlarged. Mediastinal silhouette is not widened.
<unk> year old man with hypoxemia s/p bronch broad antibiotics persistent fevers. // fevers? fevers?
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is seen.
chest pain.
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Heart size is normal. Mediastinal and hilar contours are unchanged. The patient is status post right upper lobectomy with multiple clips again noted within the right hemithorax and evidence of volume loss in the right lung. Loculated right apical fluid is re- demonstrated. Pulmonary vasculature is not engorged. Streaky scarring is noted within the right lower lobe. Left lung remains hyperinflated but without focal consolidation. No pneumothorax is demonstrated. No acute osseous abnormalities are present.
history: <unk>m with poorly controlled hiv, presents with subjective fever and cough
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The cardiomediastinal and hilar contours are within normal limits. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax.
nausea, lactic acidosis. evaluate for pneumonia.
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Surgical clips overlie the right upper abdominal quadrant. The cardiomediastinal silhouettes are stable, reflective of a mildly tortuous thoracic aorta and mild cardiomegaly. The hilar within normal limits. There is no pulmonary vascular congestion or pulmonary edema. Equivocal lower lobe opacity best appreciated on lateral view appears new since prior exam, not clearly localized on pa projection. Otherwise come the lungs are clear. There is no pneumothorax or pleural effusion.
history: <unk>f with fever and sickle cell crisis // infiltrate? infiltrate? <unk>f with fever and sickle cell crisis, evaluate for infiltrate.
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Right port catheter line ends at the proximal right atrium. The lungs are clear, the cardiomediastinal silhouette and hila are normal. There is a small right pleural effusion and no pneumothorax.
patient with question pneumonia. she is <unk>-year-old with weakness.
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Patient is status post median sternotomy, cabg, and coronary artery stenting. Mild cardiomegaly is re- demonstrated. Mediastinal hilar contours are unchanged. There is no overt pulmonary edema. No focal consolidation, pleural effusion or pneumothorax is demonstrated. No acute osseous abnormalities seen.
history: <unk>m with chest pain and dyspnea on exertion
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Frontal and lateral chest radiographs demonstrate low lung volumes, with increased prominence of the cardiac silhouette and bronchovascular crowding, specifically in both lower lobes. No definite consolidation identified. There is no pleural effusion or pneumothorax. The visualized upper abdomen is unremarkable. Visualized bones are unremarkable.
evaluate for pneumonia, in a patient with a headache.
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In comparison with the study of <unk>, the monitoring and support devices remain in place. Continued enlargement of the cardiac silhouette with pulmonary edema and right pleural effusion with underlying compressive atelectasis.
liver transplantation.
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When compared to priors, there has been no significant interval change. Moderate to large right pleural effusion is again seen. Linear underlying parenchymal opacities may be due to atelectasis versus scarring although underlying consolidation or lesion is not excluded. Left lung remains clear. Cardiac silhouette is unchanged. Hypertrophic changes are noted in the spine.
<unk>m with shortness of breath // eval for infiltrate
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Portable ap semi upright chest radiograph was provided. There is mild pulmonary interstitial edema with small bilateral pleural effusions. The patient's chin partially obscures the lung apices though no definite pneumothorax is seen. Heart size is difficult to assess. The mediastinal contour is overall stable with atherosclerotic calcifications involving the thoracic aorta. The imaged osseous structures appear grossly intact.
<unk>-year-old man with shortness of breath, evaluate for chf.
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Rotated positioning. Right-sided port-a-cath tip lies near the cavoatrial junction. <num> separate tubes overlie the right lung base, similar to prior. The possibility of a small residual right apical pneumothorax cannot be excluded. The prior study raise the possibility that there was fluid associated with the pleural space in this area. Subcutaneous emphysema in the right supraclavicular fossae, extending into the right lower neck, is similar to the prior film. There is cardiomegaly, similar to prior. The previous right cardiophrenic opacity has improved. A small right pleural effusion is now visible. Ppacity retrocardiac opacity is again seen, slightly more pronounced. Doubt chf.
<unk> y/o f with pmhx of dlbcl s/p chemotherapy (<unk>) who was found to have a r pleural effusion for which she underwent medical thoracoscopy with tpc placement on <unk>, requested for ip for ct removal // r/o any abnl
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The cardiomediastinal and hilar contours are within normal limits. The lungs are clear without focal consolidation, pleural effusion or pneumothorax.
history: <unk>f with cp, left sided // pna?
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The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are well-expanded and clear without focal consolidation concerning for pneumonia.
history: <unk>f with dm<num>, gastroparesis, <num> wk n/v, now w/ epig pain and constant chest burning // eval ? free air, mediastinal abnormalities
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The lung volumes remain low. The cardiac, mediastinal and hilar contours are stable, although it is difficult to resolve the cardiac contour. There is a new perihilar fullness, upper zone re-distribution, and hazy opacity suggesting pulmonary vascular congestion. In addition, the left hemidiaphragm is more obscured suggesting that possibly there is a developing left lower lobe or lingular process. There is no pneumothorax.
hypoxia and poor air movement.
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Pa and lateral views of the chest provided. Low lung volumes noted. There is mild right basal opacity which is most suggestive of atelectasis though difficult to exclude an early pneumonia. Left lung is clear. No large effusion or pneumothorax. No signs of congestion or edema. Cardiomediastinal silhouette is unchanged. Bony structures are intact.
<unk>m with cirrhosis, leukocytosis, tachycardia
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The right-sided drainage catheter is now coiled in the posterior inferior right hemithorax, different in position as compared to the prior study when it terminated at the level of the right hilum. The lungs remain hyperinflated. There are bilateral, right greater than left small pleural effusion with overlying atelectasis. Vascular congestion has somewhat decreased since the prior study. There is subtle prominence of the hila likely due to vascular engorgement. Basilar opacity is seen, increased since prior, which the differential diagnosis including aspiration, infection, or possibly combination of pleural effusion and atelectasis. The cardiac and mediastinal silhouettes are stable.
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Cardiac leads overlie the right chest and terminate over the right atrium and ventricle in unchanged configuration. The cardiomediastinal silhouette is stable and within normal limits. The hila are unremarkable. The lungs are clear without focal consolidation. There is no pulmonary venous congestion or pulmonary edema. The left pleural effusion has resolved. There is no right pleural effusion. There is no pneumothorax.
<unk>f with cp and sob, recent pericardial effusion, rule out acute process.
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There has been interval placement of a pigtail chest tube catheter within the right lateral lower hemithorax. Previously seen right pneumothorax has decreased in size with a small residual right apical pneumothorax noted. There has been re-expansion of the right lung. Subcutaneous emphysema is noted along the right lateral chest wall along the course of the catheter. Lung volumes are low. The heart size is normal with a left ventricular configuration. The aorta is mildly tortuous. Mediastinal and hilar contours are unremarkable. There is no contralateral shift of the mediastinum. Bibasilar opacities likely reflect atelectasis. Small left pleural effusion may be present.
right pneumothorax with pigtail catheter placement.
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Very ill-defined and faint localized increase in density in the right lower lung on the frontal view is not clearly localized on the lateral radiograph and is new since <unk>. This localizing increase is a nonspecific finding and if there is a clinical concern for pneumonia, this can be appropriately followed up after treatment at six weeks. Left lung is clear. The pleural spaces are normal. Heart size is normal, mediastinal and hilar contours are unremarkable.
to rule out infiltrates.
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As compared to chest radiograph from earlier today, interval decrease in left-sided effusion which is now minimal. Tiny left apical pneumothorax persists, appears smaller. Large hiatal hernia is again demonstrated. No other unfavorable change.
<unk> year old woman with thoracentesis // r/o ptx
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As compared to the previous radiograph, the nasogastric tube is now visible in its entire course. The tip projects over the middle parts of the stomach. The course is unremarkable. There is no evidence of complications, notably no pneumothorax. No change in borderline size of the cardiac silhouette without overt pulmonary edema.
stroke, evaluation for nasogastric tube placement.
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The heart size is normal. The hilar and mediastinal contours are unremarkable. Lungs are clear without evidence of focal consolidations concerning for infection. There is no pneumothorax or pleural effusion. Note is again made of mild rightward deviation of the trachea, likely secondary to patient's multinodular goiter.
history of hyponatremia, siadh. please evaluate for pulmonary process.
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A portable frontal chest radiograph demonstrates a right pneumothorax which is only slightly larger than on a comparably positioned exam(from approximately <num> hr prior). The remainder of the exam is unchanged.
respiratory failure, now desatting on the ventilator, with a known right pneumothorax. evaluate for interval change.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with cough > <num> weeks // ?pneumonia
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In comparison with study of <unk>, the right ij picc line has been pulled back, so that its tip lies at or slightly below the cavoatrial junction. Otherwise, little change.
picc placement.
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The patient is status post median sternotomy and cabg. Lung volumes are decreased. There is mild cardiomegaly with central pulmonary vascular congestion, and mild interstitial edema. Small right and moderate left pleural effusions are noted. Bibasilar and perihilar airspace opacities have increased from the prior examination.
history: <unk>f with l-flank pain, tachycardia, vomiting // evaluate for acute process
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Again noted is mild hyperinflation of both lungs suggestive of underlying emphysema or small airways obstruction. Mild streaky opacification in the right middle lobe decreased on today's examination compared to the prior study. This may represent minimal residual atelectasis, similar to prior studies dating back to <unk>. The lungs are otherwise relatively clear without focal consolidation concerning for pneumonia, significant pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits and unchanged from the prior study. The visualized upper abdomen demonstrates overlying metallic density compatible with a belt buckle. Radiopaque densities projecting in the left upper abdomen are partially excluded from view on the frontal radiograph and of uncertain clinical significance.
history of pneumonia, now with low oxygen saturation, here to evaluate for pneumonia.
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Mildly rotated frontal radiograph. Frontal and lateral chest radiograph demonstrates moderately well inflated clear lungs. No pleural effusion or pneumothorax. Heart size and mediastinal contour are unremarkable. The left hilum is mildly enlarged and slightly more prominent when compared to <unk>, but positional differences between the exams limit comparison. Leftward deviation of the trachea is stable. Left upper lobe tiny calcified granuloma is stable. Limited assessment of the upper abdomen is within normal limits.
left-sided chest pain. assess for pneumothorax.
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Pa and lateral views of the chest provided. Lungs are hyperinflated likely due to copd. There is no focal consolidation, effusion, or pneumothorax. The heart is moderately enlarged. Mediastinal contours unremarkable. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with dizziness, fall // eval infiltrate
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Single portable view of the chest. Relatively low lung volumes are seen, and there is motion and rotation of the patient to the right. Within these limitations, the lungs are grossly clear. The cardiomediastinal silhouette is within normal limits. No displaced fractures identified.
<unk>-year-old male with fall.
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There are right pleural catheter is present unchanged. There is a persisting trace right pneumothorax. A small right pleural effusion with adjacent atelectasis is present. Unchanged right hilar prominence. The left lung is clear. The size the cardiac silhouette is unchanged.
<unk> year old man with right pleural effusion and pneumothorax s/p chest tube // ?chest tube placement and improvement in pneumothorax/pleural effusion
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Ap upright and lateral views of the chest are provided. There is a band-like opacity in the right lower lung which could represent pneumonia or possibly sequelae of aspiration. There is severe underlying emphysema as clearly seen on same-day ct cervical spine as well as a prior chest ct from <unk>. No pleural effusion or pneumothorax is seen. The heart is mildly enlarged, though appears stable. Bony structures appear intact. There are old right rib deformities noted.
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Postoperative alterations of the mediastinum appear unchanged in this patient status post esophagectomy procedure. Indwelling lines and tubes are unchanged in position, and there is no evidence of a pneumothorax. Bibasilar atelectasis has worsened, particularly in the left retrocardiac region. Otherwise no relevant short interval change.
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The cardiac, mediastinal, and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear.
chest pain and hypotension.
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Pa and lateral radiographs of the chest demonstrate clear lungs and normal hilar and cardiomediastinal contours. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.
<unk>-year-old woman with shortness of breath. evaluate for pneumonia.
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Frontal and lateral views of the chest. Heart size and cardiomediastinal contours are normal. Lungs are clear without focal consolidation, pleural effusion or pneumothorax.
<unk>-year-old female with nausea, vomiting, and generalized fatigue.
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Ap portable upright view of the chest. The heart size is normal. The hilar mediastinal contours are within normal limits. An intrathecal device and a right thoracostomy tube are present. The right lung volume is slightly decreased, with multiple suture lines present, denoting recent vats. The tiny right pneumothorax is present. There is no pleural effusion.
<unk> year old woman with s/p r vats wedge x<num> // post op eval
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As compared to the previous radiograph, the monitoring and support devices are in unchanged position. There is progression of the bilateral predominantly central parenchymal opacities, with increase in extent and severity but has increase in number of air bronchograms. Progressive retrocardiac opacity, possibly reflecting atelectasis. No larger pleural effusions. Unchanged size of the cardiac silhouette.
respiratory failure, evaluation for pneumonia.
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Ap single view of the chest has been obtained with patient in semi-upright position. Comparison is made with the next preceding similar study of <unk>. Previously present ett has been removed. Central airways appear free. Heart size unchanged. Slightly higher positioned diaphragms indicate poor inspirational effort and result in some crowded appearance of the basal pulmonary vasculature, but there is no evidence of new pulmonary parenchymal infiltrates and the lateral pleural sinuses are free from any fluid accumulation. Heart size is unchanged and there is no evidence of pulmonary vascular congestion. No pneumothorax in the apical area. As identified on previous examination, a cerebral-abdominal drainage line is overlying the right-sided hemithorax. A previously identified ng tube curls up in the fundus of the stomach as before.
<unk>-year-old male patient with shortness of breath, <unk>% oxygen. evaluate for pneumonia.
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The lung volumes a low, results in crowding of the bronchovascular structures. There is no pulmonary edema. There are trace bilateral pleural effusions. A large hiatal hernia is again noted with adjacent atelectasis. There is no focal consolidation worrisome for pneumonia. The heart is normal size. The mediastinal and hilar contours are unremarkable.
dyspnea. evaluate for pulmonary edema.
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There is mild-to-moderate interstitial pulmonary edema. The cardiac silhouette is moderately enlarged. The mediastinal contours are normal with calcification noted in the aortic knob. A left chest biventricular aicd is unchanged. There is a small left and possibly right pleural effusion without pneumothorax.
<unk>-year-old male with orthopnea, evaluate for pulmonary edema.
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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 in rollover mvc // any bleeding or fx
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Ap portable upright view of the chest. Overlying ekg leads are present. Lungs are clear. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact.
<unk>f pre-op
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As compared to yesterday's radiograph, there is minimal improvement in radiolucency of the known right predominant parenchymal opacity. However, the extent of the opacity is still very severe. On the left, the lung remains relatively transparent, with exception of a small retrocardiac atelectasis. The size of the cardiac silhouette is unchanged. Unchanged position and course of the monitoring and support devices.
endotracheal tube, ards, evaluation for interval change.
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There has been interval improvement in aeration in the lower lobes. No focal infiltrate is identified. The cardiac and mediastinal silhouettes are unchanged
<unk> year old man with previous pna seen on cxr // eval interval change in pna seen on <unk>. please perform at <num> am
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The lung volumes are low. The cardiac, mediastinal and hilar contours appear stable. Streaky opacity at the left lung base is most consistent with minor atelectasis. Otherwise, the lungs appear clear. There is no pleural effusion or pneumothorax.
three days of chest pain.
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<num> mm nodular opacity is seen projecting over the right mid to lower lung, between the posterior right ninth and tenth ribs. No definite focal consolidation is seen. No large pleural effusion or evidence of pneumothorax is seen. The cardiac silhouette is top-normal. The aorta is calcified. No pulmonary edema.
history: <unk>f with patellar fx // pre-op cxr
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The cardiomediastinal and hilar contours are within normal limits. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax.
hypotension, elevated lactate. evaluate for pneumonia.
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The patient is rotated significantly to the left. The left costophrenic angle is not fully included on the image. There is patchy right basilar opacity which could be due to aspiration or infection. There is also patchy left basilar opacity which could be due to atelectasis, although aspiration at that location is not excluded. No large pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable.