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As compared to the previous radiograph, there is no relevant change. The lung volumes remain low, monitoring and support devices are in constant position. The bilateral pleural fluid collections are unchanged. The retrocardiac lung areas have slightly increased in transparency, likely reflecting improved ventilation. No new parenchymal opacities.
fluid overload, status post sepsis, evaluation for interval change.
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Frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. There is persistent elevation of the right hemidiaphragm. Right hilar opacity and consistent with known lesion in the superior segment of the right lower lobe. Radiation changes are present within the mediastinum. There is no pneumothorax, pleural effusion, or consolidation.
history: <unk>m with leg swelling // eval for pulm edema
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The patient has been extubated, but a tracheostomy tube has been placed. A nasogastric tube terminates in the stomach, however the side port sits at the level of the ge junction. A right-sided picc line terminates in the upper svc. A left basilar airspace opacity containing air bronchograms is not appreciably changed. Scattered reticular nodular opacities, including a rounded opacity at the right base, are in keeping with the known diagnosis of multifocal pneumonia.
<unk> year old man with new trach and og tube // placement of og tube and new trach
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The left sided dual-chamber pacemaker/aicd device is noted with leads terminating in the right atrium and right ventricle. A right picc is noted which terminates in the svc/right atrial junction. The heart remains moderately enlarged but stable. The mediastinal contours are unchanged. There is mild pulmonary vascular congestion. Small bilateral pleural effusions, right greater than left are not significantly changed in the interval. No new areas of consolidation are present, and there is no pneumothorax. Diffuse demineralization the osseous structures is noted with unchanged compression deformities of several mid thoracic vertebral bodies.
shortness of breath.
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As compared to chest radiograph from the same day, overall no substantial change of the right lung. Slight improvement in the left lung. Ett is <num> cm from the carina. The tip of the nasogastric tube in the stomach, partially beyond view of this chest radiograph. Mild pulmonary edema and moderate bilateral effusions unchanged. Persistent lower lobe opacities likely reflect atelectasis and effusions. No pneumothorax.
<unk> year old man with interval bronch // <unk> year old man with interval bronch
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Endotracheal tube terminates <num> cm above the carina. Dobbhoff tube terminates below the diaphragm. Catheter of a right chest wall port terminates in the right atrium. Right pleural tube terminates in similar position. Pa catheter has been removed. Widespread heterogeneous opacities are similar to prior, and compatible with pulmonary edema. Bibasilar atelectasis is present. No pneumothorax.
<unk>-year-old female, hypoxic respiratory failure. evaluate for change.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is seen.
chest pain.
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As compared to the previous radiograph, the air in the soft tissues has almost completely resolved. However, better seen on the lateral than on the frontal radiograph, partial middle lobe atelectasis has developed. Unchanged tortuosity of the thoracic aorta and borderline size of the cardiac silhouette. Unchanged position of the postoperative <unk>.
right video assisted thoracoscopic wedge resection of a nodule with wire location. evaluation for interval change.
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The patient has been intubated, with tip of endotracheal tube terminating approximately <num> cm above the carina. Cardiomediastinal contours are within normal limits allowing for rightward patient rotation. Lungs are grossly clear except for minimal linear atelectasis at the left base, and there is no radiographic evidence of either pleural effusion or pneumothorax.
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There is an opacity in the right posterior lung could be a pneumonia. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
<unk> year old man with bacteremia, rule out pneumonia. // consolidations?
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There is significant enlargement of the cardiac silhouette, similar to prior study. Mild pulmonary vascular congestion is seen. There is a streaky opacity in the right mid lung. No evidence of pneumothorax or pleural effusion.
<unk>-year-old male with cough and shortness of breath, question pneumonia.
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The patient is status post median sternotomy and cabg. Heart size is normal. Mediastinal and hilar contours are unremarkable. Lungs are clear and the pulmonary vascularity is normal. There is no pleural effusion or pneumothorax. Mild degenerative changes are present within the thoracic spine.
hypertension, headache.
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Pa and lateral views of the chest provided. Lung volumes are low. There is a retrocardiac opacity containing air-fluid level consistent with a large hiatal hernia as seen on prior. There is mild streaky left basal opacity abutting the hiatal hernia, which could represent atelectasis versus an early pneumonia/aspiration. Right lung is clear. No large effusion or pneumothorax. Scoliotic deformity of the lumbar spine is partially visualized.
<unk>f with sob // infiltrate
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The cardiomediastinal and hilar contours are within normal limits. There is minimally increased opacity at the lung bases which likely reflects atelectasis. Irregularly shaped but relatively linear opacities aligned vertically along the lateral left chest are calcified and most likely represent pleural plaques. Additional regions seen paralleling the left hemidiaphragm and potentially along the right lateral chest wall. There is no pleural effusion or pneumothorax identified.
<unk>m with <time> av block, need pacemaker // please assess for cardiopulmonary process
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Pa and lateral views of the chest are obtained. The lung volumes are low. No definite sign of pneumonia or chf. The heart is mildly enlarged, though this appears stable. Aorta is unfolded. Bony structures are intact.
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Mild to moderate hyperexpansion of the lungs with flattening of the hemidiaphragms is unchanged. The left suprahilar opacity present since <unk> is redemonstrated. The lungs are otherwise clear. The cardiomediastinal silhouette, hilar contours, pleural surfaces are normal. The thoracic aorta is calcified. There is no pleural effusion or pneumothorax.
copd presenting with <num> days of worsening breathing, fatigue and malaise. evaluate for infection.
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Frontal and lateral views of the chest. Heart size is top normal and mediastinal contours are stable. Small left lung base opacity is most likely atelectasis, though infection is not entirely excluded. No pleural effusion or pneumothorax.
<unk>-year-old female with back pain and nausea.
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Pa and lateral views of the chest show interval clearing in bilateral airspace consolidation with no increased size in spiculated common nodular pleural thickening at the right lung apex compared to <unk>. Marker of on ill volume loss in the left hemithorax related to the patient's surgery for pancoast tumor is a chronic finding and occludes upper rib resections. Bones are demineralized.
<unk> year old man with recent consolidation, copd // have his infiltrates resolved?
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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/epigastric pain // acute process
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No definite focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Hila are slightly less prominent as compared to the prior study. The patient has reported history of sarcoidosis.
history: <unk>f with dizziness and weakness // r/o acute process
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Ap and lateral views of the chest. The lungs are clear without consolidation or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities seen.
<unk>-year-old male with imbalance and headache.
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Increase in large right pleural effusion with right middle and lower lobe collapse is again noted. Cardiac size is normal. There is no pneumothorax. Left chest port with tip in the low svc. Right picc line tip in lower svc.
<unk> year old woman with nsclc, r pleural effusion. // ?progression of pleural effusion
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Moderate cardiomegaly is chronic. There is no focal consolidation or pneumothorax. Mild pulmonary edema has changed in distribution but not in severity since <unk>. Blunting of the right costophrenic angle again could represent trace pleural fluid versus pleural thickening. The visualized upper abdomen is unremarkable.
evaluate for chf or pneumonia in a patient with a history of chf presenting with bilateral lower extremity swelling.
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Ap upright and lateral views of the chest provided. Cardiomediastinal silhouette is normal. No large effusion or pneumothorax. No convincing evidence for pneumonia. A subtle <num> x <num> cm nodular opacity projecting in the left perihilar region not clearly present on prior chest radiograph, possibly the result of ap technique. No signs of edema or congestion. Bony structures are intact.
<unk>m with cp
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Pa and lateral views of the chest provided. A right port-a-cath terminates at the low svc. Lungs are well inflated and grossly clear. No pleural effusion or pneumothorax. Hilar and cardiomediastinal contours are normal.
<unk> year old man with left frontal gbm. treating with avastin and temodar. has a portacath in place with no blood return // evaluate port a cath placement.
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The lung volumes are normal. The size of the cardiac silhouette is unremarkable. On the right, the hilar structures are normal. On the left, the hilus is minimally enlarged and the contours are unsharp. The left hilus is also surrounded by a minimal increase in interstitial structures. If clinically relevant, this finding, potentially suggesting a chronic infectious change, should be further clarified by ct. No evidence of acute pulmonary disease. No pleural effusions. No pulmonary edema.
bronchospasm, wheezes and rhonchi, evaluation.
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The cardiac silhouette is upper limits of normal. There is no focal consolidation, pleural effusion, or signs for overt pulmonary edema. There is some prominence of the pulmonary interstitial markings. No pneumothoraces are seen.
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The patient is status post cabg and mitral valve replacement with intact sternotomy wires. The right internal jugular catheter is unchanged in positioning. There has been interval enlargement of the moderate to large left pleural effusion compared to the prior radiograph. There is worsening pulmonary vascular congestion with moderate pulmonary edema. The cardiomediastinal silhouette is stable in size and appearance. No pneumothorax is seen.
<unk> year old man with cabg // s/p ct d/c, r/o ptx
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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 pulmonary edema is seen.
history: <unk>m with new neurological changes // eval for infiltrate, edema
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The lungs are clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m w/cough
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Single portable view of the chest. Streaky bibasilar opacities are seen and there is blunting of the left costophrenic angle. Relatively low lung volumes are seen with crowding of the bronchovascular markings. Endotracheal tube tip is approximately <num> cm from the carina. Enteric tube passes below the inferior field of view with side port in the stomach. The cardiomediastinal silhouette appears enlarged and is likely accentuated due to low lung volumes and technique. Atherosclerotic calcifications seen at the aortic arch. No acute osseous abnormalities.
<unk>-year-old male status post intubation.
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Dual lead left-sided pacer device is stable in position. The cardiac silhouette remains enlarged. There is mild to moderate pulmonary edema. Bilateral pleural effusions are likely present. No pneumothorax is seen. Mediastinal contours are stable.
history: <unk>f with sob // eval for pulm edema
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Pa and lateral views of the chest. The lungs are clear. Cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications noted at the arch. Surgical clips in the right upper quadrant suggest prior cholecystectomy. No acute osseous abnormality detected.
<unk>-year-old female with syncope.
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A right internal jugular catheter has been removed since the prior study. There are small bilateral pleural effusions with associated atelectasis. There is a small left apical pneumothorax. Mild pulmonary vascular congestion is improved when compared to the prior study.
<unk> year old man with s/p cabg, cts d/c'd // evaluate for pneumothorax
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Frontal and lateral radiographs of the chest demonstrate normal heart size. The cardiomediastinal silhouette and hilar contours are normal. There is subtle retrocardiac opacity, in the correct clinical setting pneumonia cannot be excluded. No pleural effusion or pneumothorax. No displaced rib fracture identified.
fever and cough. rule out pneumonia
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In comparison with chest radiograph from <unk>, right thoracostomy tube has been removed. Tiny right apical pneumothorax has improved. Right basilar effusion has slightly increased. There is no left effusion. Lungs are otherwise clear. Mediastinal hilar contours are stable. Mild to moderate cardiomegaly is unchanged.
<unk> year old woman with alcoholic cirrhosis c/b portal htn, ascites, hepatic hydrothorax s/p chest tube pull from r side. // interval change in r pleural effusion
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Comparison is made to previous study from <unk>. There is unchanged cardiomegaly. There are stable bilateral pleural effusions, which are moderate in size. There is mild improvement of the pulmonary edema since the previous study. No pneumothoraces are seen.
<unk>-year-old woman with chf and increased oxygen requirement.
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Subtle consolidation is seen on the lateral view superimposed to lower thoracic spine. It is indeterminate in location on the frontal view. There is no pleural effusion or pneumothorax. The aorta is tortuous. The heart is not enlarged.
three weeks of cough, fever, discomfort, chest pain, wheezing, smoker, rule out pneumonia.
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In comparison with study of <unk>, the tip of the endotracheal tube is approximately <num> cm above the carina. Nasogastric tube appears to extend only to the upper stomach. The side hole is not sharply seen, though it probably is above the esophagogastric junction and the tube should be pushed forward. Continued hyperexpansion of the lungs with areas of increased opacification at the bases, consistent with areas of consolidation. Relative paucity of vessels in the upper lobe persist, consistent with severe emphysema.
to assess interval change in pneumonia.
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Cardiomediastinal contours are normal. The lungs are hyperinflated and clear. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable
<unk> year old man with h/o pneumothorax (spontaneous) in <unk> // r/o r ptx
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Comparison is made to prior radiographs performed on <unk>. The endotracheal tube and nasogastric tube are again seen; however, again the tip of the nasogastric tube is not well seen due to technique and the patient's body habitus. There is cardiomegaly. There are again seen diffuse airspace opacities bilaterally, many of which appear nodular. No pneumothoraces are identified.
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The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable. Interposition of the colon between the liver and the diaphragm is seen.
nausea.
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Semi-upright portable radiograph of the chest demonstrates persistent left pleural effusion and no significant change in degree of pulmonary edema since the prior study. The left internal jugular central venous catheter and tracheostomy tube are unchanged in position since the prior study. The heart size is stable.
<unk>-year-old male with septic shock due to mesenteric ischemia status post ex lap, now with respiratory failure. evaluation for interval change.
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In comparison with the study of <unk>, there is again enlargement of the cardiac silhouette with pulmonary edema and bilateral pleural effusions, more prominent on the left. No definite acute pneumonia is appreciated.
fever and acute mental status change.
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As compared to the previous radiograph, the patient has received a dobbhoff catheter. The course of the catheter is unremarkable, the tip of the catheter projects over the mid parts of the stomach. There is no evidence of complications, notably no pneumothorax. Otherwise, the radiograph is normal and unchanged.
dobbhoff placement.
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In comparison with the study of <unk>, the tip of the endotracheal tube remains about <num> cm above the carina. Nasogastric tube extends well into the stomach. There has been the development of increased opacification at the left base, probably related to volume loss in the lower lobe and associated effusion. However, in the appropriate clinical setting, superimposed pneumonia would have to be seriously considered. The right lung is essentially clear.
et tube placement.
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Ap and lateral views of the chest. Right central venous line is no longer seen. The lungs are clear. There is no effusion or consolidation. The cardiomediastinal silhouette is within normal limits and notable for median sternotomy wires and mediastinal clips. No acute osseous abnormality detected. Calcification seen adjacent to the right greater tuberosity, potentially calcific tendinitis or bursitis.
<unk>-year-old female with end-stage renal disease on hemodialysis with chest pain.
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Frontal and lateral radiographs of the chest demonstrate normal heart size. Stably tortuous aorta. Normal mediastinal contours. Asymetric prominence of the superior right hilus is unchanged from prior; however, a nonemergent ct scan is recommended to exclude a slow growing malignancy. No pleural effusion or pneumothorax. Clear lungs. Telephone notification to dr <unk> by dr <unk> at <num> am on <unk>.
chest pain and left arm tingling. evaluate for pneumonia or other acute process.
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The cardiac, mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vasculature normal. No pleural effusion or pneumothorax is detected. There are no acute osseous abnormalities. Cholecystectomy clips are demonstrated in the right upper quadrant of the abdomen. There are mild degenerative changes in the lower thoracic spine.
chest pain.
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An endotracheal tube has been placed with the tip terminating below the thoracic inlet, approximately <num> cm above the carina. An enteric tube is in place, which courses below the diaphragm and out of view on this image. Elevation of the right hemidiaphragm is unchanged. There is blunting of the right costophrenic angle compatible with a small right pleural effusion with increased underlying atelectasis of the right lung base compared to the most recent prior study. The left lung is clear. No pneumothorax is detected. The pulmonary vasculature is not engorged. The cardiomediastinal and hilar contours are within normal limits. Calcification of the aortic knob is noted.
status post intubation, here to evaluate endotracheal tube placement.
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Endotracheal tube ends approximately <num> cm above the carina and is appropriate in position. Left subclavian line terminates in the mid svc. Orogastric tube is seen coursing below the diaphragm into the stomach, however, the distal end is coiled with its tip pointing cranially. Small left pleural effusion and left lower lung atelectasis is unchanged. Mild right lung base atelectasis is constant. No lung opacities concerning for pneumonia. Cardiomediastinal silhouette is stable.
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The heart is at the upper limits of normal size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. Projecting over the right upper lung is a questionable nodular opacity, a possible lung nodule. Elsewhere, the lungs appear clear. No pleural effusion or pneumothorax. Moderate degenerative changes are present along the mid thoracic levels.
left arm swelling and chest pain.
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Comparison is made to previous study from <unk>. Heart size is enlarged and larger than on the prior study. There is a left-sided dual-lead pacemaker and multiple surgical clips that are unchanged. The lungs are grossly clear without focal consolidation, pleural effusions, or signs for overt pulmonary edema.
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Pa and lateral views of the chest show an ovoid calcific mass at the level of the aortic arch corresponding to partially calcified pseudoaneurysm. Some blunting of the left costophrenic angle and elevation of the left hemidiaphragm and pleural thickening are unchanged compared to the patient's preoperative film and may be related to known prior surgery in the left hemithorax. New on today's study is obscuration of the right hemidiaphragm which appears related to both some pleural fluid and some consolidation in the right middle lobe.
<unk>-year-old man with productive cough and leukocytosis, postop day <num> status post vhr.
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Frontal and lateral views of the chest were obtained. Subtle patchy right basilar opacity may be due to atelectasis although a mild/early infectious process is not excluded in the appropriate clinical setting. The left lung is clear. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable and unremarkable.
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Please note that the study is now being interpreted on <unk> due to the original transcription being lost. The heart size is mildly enlarged. The aorta is tortuous and there are mild aortic knob calcifications. The pulmonary vascularity is not engorged. Streaky bibasilar airspace opacities likely reflect atelectasis. Small bilateral pleural effusions are present, new in the interval. There is no pneumothorax. No acute osseous abnormality is detected.
chest pain and shortness of breath for one month.
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Frontal and lateral views of the chest demonstrate chronic elevation of the right hemidiaphragm, although, to a lesser degree than prior. There is linear atelectasis noted at the right lung base. There are new widespread reticulonodular opacities throughout both lungs. There is no pleural effusion or pneumothorax. The cardiac silhouette is mildly enlarged. A large mass is again seen within the ap window and appears grossly unchanged. The previously seen pulmonary nodules are too small to be appreciated on this study. The imaged upper abdomen is unremarkable.
brain mass. evaluate for pneumonia or heart failure.
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The lungs are well inflated and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. Visualized upper abdomen is unremarkable. Osseous structures are grossly intact.
chemical exposure now with shortness of breath, evaluate for pneumonia.
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Cardiac silhouette size is normal. Calcified mediastinal and right hilar lymph nodes are re- demonstrated as well as a <num> mm calcification projecting over the right lung base which on the prior ct was noted to be pleural based. These findings are compatible with prior granulomatous disease. Linear and patchy nodular opacities are again noted in the lingula and right middle lobe compatible with bronchiectasis and <unk> infection. No new focal consolidation, pleural effusion or pneumothorax is seen. The lungs are hyperinflated. No acute osseous abnormality is identified.
history: <unk>f with cough // evidence of infection
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Since prior exam, tubes have been removed. Right ij central line tip is in the low svc. Left lower lobe consolidation is stable. Stable right pleural effusion. Small left pleural effusion, not included on the prior radiograph. No pneumothorax. Stable heart size. Normal pulmonary vascularity. Stable right basilar opacity, likely atelectasis.
<unk> year old man with recent extubation with shortness of breath, and tachypnea. // please evaluate for acute cardiopulmonary process.
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Once again identified is a mild increase in interstitial markings which appears attributable to a chronic process related to the patient's airways disease as seen on the prior ct. There are no focal consolidations concerning for pneumonia. There is no pneumothorax or pulmonary edema. The cardiac size is normal. A calcified granuloma is noted in the right lower lobe. There is no free air.
history: <unk>m with hyperglycemia // pneumonia
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The patient is status post median sternotomy. The superior more <num> sternal wires are again seen to be fractured, as was also the case on the prior study. No focal consolidation, large pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. There is no overt pulmonary edema.
chest pain.
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Portable ap upright view the chest provided. Left upper extremity access picc line is again seen with its tip in the region of the low svc. Lungs are clear. No pneumothorax or effusion. Cardiomediastinal silhouette is stable. Healing left clavicular midshaft fracture again noted.
<unk>m with picc // confirm picc placement
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The lateral view is obliqued and therefore suboptimal. Within this limitation, no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. Heart and mediastinal contours are within normal limits.
<unk>-year-old male found down at home with leukocytosis.
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The lungs are clear. There is no evidence of pneumonia, pneumothorax, or pleural effusion. Cardiac silhouette is mildly enlarged, perhaps exaggerated by low lung volumes. No osseous abnormality on this non dedicated view.
history: <unk>m with injury s/p mvc, restrained // fracture? bleed? pnuemothorax?
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The lungs are normally expanded and clear. The heart is top normal. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. No pulmonary edema is detected.
chest pain. evaluate for pneumonia or fluid overload.
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The heart size is top normal in size with a left ventricular predominance but unchanged. The aorta remains tortuous. Pulmonary vascularity is normal. There are minimal linear and streaky opacities in the lung bases compatible with subsegmental atelectasis. No focal consolidation, pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
chest pain.
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As compared to the previous radiograph, a large part of the pre-existing bilateral atelectatic changes has cleared. Only minor atelectasis persists at the lung bases. The patient has been extubated. Moderate cardiomegaly without pulmonary edema. No radiographic indication for free intra-abdominal air on the current image.
rule out free air, status post ercp.
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Left-sided dual-chamber pacemaker device is noted with leads terminating in the right atrium and right ventricle. Cardiac silhouette size is mildly unchanged. The aorta remains tortuous. Mediastinal and hilar contours are similar. There is mild pulmonary vascular congestion. Patchy opacities in the lung bases may reflect areas of atelectasis with minimal blunting of the left costophrenic angle on the lateral view suggestive of a trace pleural effusion. No pneumothorax is present. Deformity of the right fourth rib posteriorly is unchanged and may reflect a remote fracture.
history: <unk>f with episode agitation
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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 cough and chest pain // assess for pna, ptx
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The lungs are clear without infiltrate or effusion. The bony thorax is normal. The cardiac and mediastinal silhouettes are unchanged
<unk> year old woman with hx of cp, neurogenic bladder, and recurrent utis w/ esbl organisms here w/ uti on cefepime and new cough and sob. // pna in the setting of newly onset cough and sob?
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Frontal and lateral views of the chest were obtained. There is mild bibasilar atelectasis. There are low lung volumes, which accentuate the bronchovascular markings. Given this, the cardiomediastinal silhouette is stable, as are the hilar contours. No overt pulmonary edema is seen.
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Upright ap and lateral views of the chest demonstrate the lungs are well expanded, with no evidence of pleural effusion, pneumothorax, or focal airspace opacification. The cardiomediastinal silhouette is stable, and the cardiac size is mildly enlarged but unchanged. There is no subdiaphragmatic free air.
<unk>-year-old female with twitching and known dementia. evaluation for infection.
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Pa and lateral views of the chest were obtained demonstrating clear well expanded lungs without focal consolidation, effusion, pneumothorax. The heart and mediastinal contours are normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm. Mediastinal contour appears normal.
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The heart appears mildly enlarged. The cardiac, mediastinal and hilar contours appear stable. There is similar mild relative elevation of the right hemidiaphragm. There is no pleural effusion or pneumothorax. The right lung remains clear. There is a medial retrocardiac opacity probably in the left lower lobe, better visualized on the two ap views compared to the lateral, not present before.
fever and cough. endometrial cancer, on chemotherapy.
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Frontal and lateral views of the chest were obtained. Mild prominence of the interstitial markings is grossly stable as compared to the prior study, which may be due to chronic underlying lung disease. Minimal left basilar atelectasis/scarring is seen. There is no definite focal consolidation. No pleural effusion or pneumothorax is seen.
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Multiple mediastinal clips are visualized. There is moderate cardiomegaly and mild vascular plethora. There are probable small bilateral pleural effusions. There is a small amount of increased opacity in the left lower lung that could represent volume loss versus infiltrate. Otherwise, the lungs are clear.
aortic stenosis and dyspnea, question fluid overload.
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The lungs are clear. The cardiomediastinal and hilar contours are unremarkable. There is no evidence of pleural effusion or pneumothorax. However, there is a radiolucent region overlying the left hemidiaphragm which appears separated from the inferior aspect of the heart. This region is incompletely evaluated due to multiple external monitoring devices.
<unk>-year-old female with history of diabetes, presenting with tachypnea and no bowel movement for a week. evaluate for intra-abdominal free air in the kub or acute cardiothoracic process.
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A single ap radiograph of the chest demonstrates a right subclavian dialysis catheter. A peg tube and tracheostomy are in place. There are bibasilar opacities, likely representing atelectasis. No free air is visualized below the right hemidiaphragm.
feeding tube in place, now with upper gi bleed. evaluate for free air.
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Pa and lateral views of the chest provided. Right hemidiaphragm remains mildly elevated. 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 // eval for pneumonia or pneumothorax
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Ap single view of the chest has been obtained with patient in upright position. Comparison is made with the next preceding similar study of <unk>. Comparison of the frontal views does not demonstrate any significant interval change. Thus, no evidence of new focal pulmonary infiltrates as can be identified on ap single chest view examination.
<unk>-year-old male patient with leukocytosis, angiosarcoma, hypotension, tachycardia, new focal opacity?
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f w/ chest pain, sob, dizziness, lightheadedness, lasting <num> minutes <num>h prior now resolved.
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Right-sided dual chamber pacemaker device is noted with leads terminating in the right atrium and right ventricle. Heart size remains mildly enlarged. Dense atherosclerotic calcifications are noted at the aortic knob. Lung volumes are persistently low. Coarse interstitial opacities are seen diffusely along with bronchiectasis, compatible with a chronic interstitial lung disease. No pulmonary edema, new focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormalities detected. Degenerative changes are noted involving both glenohumeral joints as well as within the thoracic spine.
history: <unk>f with fall, altered mental status
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The heart is at the upper limits of normal size. The mediastinal and hilar contours appear within normal limits. Fullness of the aortopulmonary window that may reflect enlargement of the main pulmonary artery and possibly lymphs, but not significantly changed. Bilateral bilateral hilar prominence appears unchanged. The cardiac, mediastinal, and hilar contours appear stable. There is mild upper zone redistribution of pulmonary vascularity without frank interstitial edema. There is no pleural effusion or pneumothorax. Mild degenerative changes are similar along the thoracic spine.
weakness.
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No previous images. No evidence of pneumonia, vascular congestion, or pleural effusion. The port-a-cath loops at the level of the jugular vein, with the tip in the upper mid portion of the svc.
lymphoma with cough, to assess for pneumonia.
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In comparison with the study of <unk>, there may be mild decrease in the diffuse bilateral pulmonary opacifications. Continued enlargement of the cardiac silhouette with monitoring and support devices unchanged. Again, the appearance could reflect volume overload or diffuse alveolar hemorrhage. In the appropriate clinical setting, supervening pneumonia would have to be considered.
volume overload.
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In comparison with the earlier study of this date, there has been placement of an endotracheal tube with its tip approximately <num> cm above the carina. Otherwise, little change.
intubation.
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New since the prior study, there is relative a increase in opacity over the medial right clavicle, measuring approximately <num> cm. It is unclear whether this is secondary to overlap of structures, osseous or pulmonary in nature. Recommend apical lordotic view for further assessment. No new focal consolidation is seen elsewhere. There is no pleural effusion or pneumothorax. Cardiac and mediastinal silhouettes are stable.
history: <unk>f with r chest pain after getting hit by projectile object // r/o cardiopulm abnormaltiy
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Pa and lateral views of the chest demonstrate basilar-predominent linear opacities consistent with patient's known interstitial lung disease. There is increased opacity at the left base and left hilus concerning for acute infectious/inflammatory process on top of the patient's chronic interstitial lung disease. No pleural effusion or pneumothorax is seen. The cardiac silhouette is normal in size. Mediastinal contours are within normal limits and unchanged. The trachea is midline. There is a deformity of the right lateral <num>th rib which is unchanged from the prior study consistent healed rib fracture.
fever and weakness evaluate for pneumonia.
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Comparison is made to previous study from <unk>. The right ij central venous line, endotracheal tube, and feeding tube are unchanged in position and appropriately sited. There is stable cardiomegaly. There is again seen a right basilar opacity and consolidation which remains stable.
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Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax. No acute osseous abnormalities.
trauma, motor vehicle accident
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The lungs are clear. Cardiac silhouette is normal in size given the ap projection. There are calcifications of the aortic knob. There is no pneumothorax. These films are suboptimal for the evaluation of osseous abnormalities; however, no non-displaced rib fractures are identified. If clinical suspicion remains, consider dedicated osseous series or chest ct.
assault, chest wall bruising, question fractures.
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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 presenting after being found unresponsive on the ground today. possible seizure leading to unresponsiveness. doing full infectious workup.
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In comparison with the earlier study of this date, the malpositioned swan-ganz tube has been removed and replaced with a nasogastric tube, which extends at least to the lower body of the stomach. No change in the appearance of the heart and lungs.
ng tube placement.
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Previously seen left base opacity has resolved in the interval. Subtle patchy opacity projecting over the anterior lower lung on the lateral view, not well appreciated on the frontal view, could represent a small focus of infection or atelectasis. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with fever // eval for pneumonia
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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.
incarceration, presents with fevers and cough. question pneumonia.
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Interval placement of orogastric tube, with tip terminating within the stomach. Otherwise, no relevant short interval changes since the recent chest radiograph performed one day earlier.
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The cardiac silhouette is enlarged. The pulmonary vasculature is unremarkable. No pleural effusion or pneumothorax is identified. Faint opacity is noted in the retrocardiac region, which may represent early pneumonia. There is dextroscoliosis of the visualized thoracic spine.
history: <unk>f with ili, cough, r back pain, swelling // pna? effusion? ptx?
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The heart size is mildly enlarged. Left sided dual-chamber pacemaker is noted with leads terminating in the region of the right atrium and right ventricle. Abandoned leads are noted within the right hemithorax. Additionally, presumed spinal stimulator leads are noted terminating within the mid thoracic spinal canal. The pulmonary vascularity is not engorged. The aorta demonstrates mild calcifications, and the mediastinal contour otherwise is unremarkable. The hilar contours are normal. The lungs are slightly hyperinflated. No focal consolidation, pleural effusion or pneumothorax is present. Degenerative changes are noted in the thoracic spine with anterior bridging osteophytes. Cholecystectomy clips are seen in the right upper quadrant of the abdomen.
fever.
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The central catheter with its tip in the right atrium is unchanged in position from <unk>. Median sternotomy wires are again demonstrated and are unchanged. Vascular clips consistent with prior cardiac surgery are stable. Mild cardiomegaly is stable the cardiomediastinal and hilar contours are within normal limits. There is no focal consolidation, pleural effusion or pneumothorax. Mild pulmonary vascular congestion is present but interstitial edema has improved from most recent prior radiograph on <unk>.
<unk>f with concern for pna // is there pneumonia?