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The mediastinal and hilar contours are stable. Patient is post cabg. Left pacemaker is seen with tips terminating in the right atrium and right ventricle. There are low lung volumes, which account for the apparent new parenchymal opacities. There is no focal consolidation concerning for pneumonia. Pulmonary vasculature is within normal limits.
worsening shortness of breath.
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There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal.
history: <unk>m with h/o alzheimer's with worsening symptoms over previous <num> weeks // eval pneumonia
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The lungs are clear. Cardiomediastinal silhouette is stable. Median sternotomy wires and prosthetic aortic valve are again noted. No acute osseous abnormalities, chronic right lateral rib fractures are noted.
<unk> year old man with dyspnea, cp // pulm edema? other acute process?
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The lung volumes are improved with decreased bibasilar atelectasis. The bilateral asymmetric more prominent on the left upper lobe opacities has slightly improved over time. There is no pleural effusion or pneumothorax. Mediastinal and cardiac contour are within normal limits. Right subclavian line ends in the lower svc. Tracheostomy and ng tube are in adequate position.
patient with vent-dependent respiratory failure status post mvc.
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Cardiac silhouette is mildly enlarged. Upper zone vascular redistribution is present without overt pulmonary edema. Rapid interval improvement in left mid and lower lung opacities, which may have been due to aspiration and/or atelectasis. Residual linear atelectasis remains. On the right, there is a persistent partially layering moderate-sized pleural effusion with adjacent basilar atelectasis.
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The lungs are well expanded and clear. Cardiomediastinal silhouette is unremarkable. There is no pneumothorax or pleural effusion. Visualized osseous structures are unremarkable.
<unk>-year-old female with fevers and cough.
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Faint opacity is visualized overlying the right lower lobe. Otherwise, the remainder of the lungs is clear. Cardiomediastinal silhouette is normal. No acute fractures are identified. There are no pneumothoraces or pleural effusions.
chest pain.
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Indwelling support and monitoring devices are unchanged in position. Cardiomediastinal contours are stable in appearance. Rapid worsening of predominantly perihilar and basilar airspace opacities as well as more widespread peripherally predominant interstitial opacities. The distribution and rapid time course favor pulmonary edema, but followup radiographs after diuresis would be helpful to ensure resolution and to exclude other co-existing process. Bilateral small partially layering pleural effusions are also noted.
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Endotracheal tube tip terminates approximately <num> cm from the carina. The heart size is normal. The aorta is diffusely calcified. Mediastinal contours are unremarkable. Hilar contours are prominent, suggestive of underlying enlargement of the pulmonary arteries. Severe emphysema is seen within the lung apices, more pronounced on the right. Patchy opacity in the left lower lobe is concerning for an area of infection. No pleural effusion or pneumothorax is identified. No acute osseous abnormality is detected.
history: <unk>f with sepsis, intubated
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A left-sided pacemaker with leads terminating in the right atrium, right ventricle and coronary sinus remain in unchanged position. The heart remains moderately enlarged. Increased density at the right lung base is not clearly identified on the lateral view and may be partially due to overlying soft tissue, pulmonary edema and atelectasis. However an underlying infectious process cannot be entirely excluded. There is a there is mild to moderate interstitial pulmonary edema. No pleural effusion or pneumothorax identified.
history: <unk>m with cad, chf presents w/ weight gain, worsening dyspnea // ? pulmonary congestion, pna ? pulmonary congestion, pna
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In comparison with the study of <unk>, there has been dramatic clearing of the right basilar opacification. Mild retrocardiac atelectatic streaking is seen.
cardiac arrest with right lower lobe consolidation.
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There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. Bronchial wall thickening is noted. The cardiomediastinal silhouette is within normal limits.
history: <unk>m with leukocytosis, somnolence // evaluate for pneumonia
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The patient is rightward rotated limiting evaluation. The lungs are normally expanded and clear. Heart size is likely within normal limits. There is no pleural effusion or pneumothorax. Mild atelectasis in the right base is slightly improved. Atelectasis at the left base is minimal.
history: <unk>f with chest pain // please evaluate for acute intrathoracic process
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Patchy left lower lobe opacity could be due to atelectasis or less likely subtle/very early pneumonia. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with cough // pneumonia
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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
chronic cough.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Heart size is normal. No displaced rib fractures are visualized.
history: <unk>m with right chest pain s/p fall, tenderness to mid-axillary line, <unk>th ribs // eval for rib fracture
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The lungs are clear without focal consolidation or effusion. The cardiomediastinal silhouette is normal. No acute osseous abnormalities.
<unk>f with cough // acute process?
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The heart is normal in size. There is slight unfolding of the thoracic aorta. Otherwise the mediastinal and hilar contours appear unchanged. The lungs appear clear. There are no pleural effusions or pneumothorax. The chest is mildly hyperinflated. Slight degenerative changes are noted along the thoracic spine.
left-sided chest pain.
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Mild lingular and left base atelectasis/scarring is again seen. No focal consolidation, pleural effusion, or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable. No pulmonary edema is seen. No displaced fracture is identified.
history: <unk>f with chest pain // eval for acute process
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An endotracheal tube is seen with the tip terminating approximately <num> cm above the carina. A transesophageal tube is also seen, the tip of which is not definitively visualized. The lungs are grossly clear without confluent consolidation noting some mild motion. The cardiac silhouette is unremarkable.
<unk>f with ett placed pls eval placement // history: <unk>f with ett placed pls eval placement
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The mediastinal silhouette is normal. Imaged bony structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with abd pain, nausea, diarrhea
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Pa and lateral chest radiograph demonstrates a dual lead left chest pacer device, its leads which appear intact and in unchanged position relative to prior examination. Patient is status post median sternotomy with aortic valve replacement. Heart size is enlarged though stable relative to prior examination. There is no evidence of pulmonary edema. Lungs appears slightly hyperinflated to suggest underlying emphysematous changes. A nodule in the right upper lung zone is unchanged since <unk>, most compatible with granuloma. There is no pleural effusion or pneumothorax.
history: <unk>f with palpitations // ? acute cardiopulm process
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Pa and lateral views of the chest provided. Mild linear basilar atelectasis is noted. There is no evidence of pneumonia, effusion or pneumothorax. Cardiomegaly is stable from priors. Mediastinal contour is normal. Bony structures are intact. Clips are noted in the left upper quadrant.
<unk>m with fever, on ctx
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The heart is probably is at the upper limits of normal size. The mediastinal and hilar contours appear within normal limits. Opacities at the left lung base are consistent with atelectasis. There is a very small pleural effusion on the left. A surgical drain projects over the left upper quadrant of the abdomen. There is no free air.
surgical infection.
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As compared to the recent radiograph of earlier today, there is now near complete opacification of the left hemi thorax, which appears to correspond to a combination of known large loculated fluid collection and collapse of the left lower lobe in this patient status post left upper lobe resection. Within the right hemi thorax, mild pulmonary vascular congestion is noted.
<unk>m with <unk>'s and hx prostate cancer presenting with lul squamous cell ca now s/p vats converted to open thoracotomy, lul lobectomy <unk> s/p removal of one chest tube c/b mucous plugging/lll colapse, s/p multiple bronchs, s/p reintubation x<num> and reinsertion of pigtail for hemopneumothorax // s/p chest tube removal - please do at <num>pm
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The inspiratory lung volumes are appropriate. The lungs are well aerated without focal consolidation concerning for pneumonia, pleural effusion, or pneumothorax. The pulmonary vasculature is not engorged, and there is no overt pulmonary edema. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits. Mild calcification at the aortic knob is noted. The trachea is midline. The visualized upper abdomen is unremarkable. No acute osseous abnormality is detected.
headache and nausea, here to evaluate for acute cardiopulmonary process.
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Tracheostomy tube is in stable position. Pulmonary vascular congestion is again noted. Focal linear opacity in the left midlung is chronic and may be due to scarring. There is no pleural effusion. Cardiomegaly is again noted. No acute osseous abnormalities.
<unk>f with trach, difficulty breathing // eval infiltrate
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The heart size is normal. The mediastinal and hilar contours are normal. The lungs are clear. No pleural effusion or pneumothorax is identified. No acute osseous abnormalities are seen.
chest pain that worsens with inspiration.
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The lungs remain hyperinflated. There is mild right base atelectasis. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. No pulmonary edema is seen.
history: <unk>m with cough, fever // ? pneumonia
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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. There is a vague opacity projecting over the right lower lung and breast, potentially a nipple shadow; alternatively perhaps it may reflect a confluence of bronchovascular opacities or atelectasis. Elsewhere, the lungs appear clear. The lungs are hyperinflated. Small osteophytes are noted along the mid thoracic spine.
chest pain.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. No pulmonary edema is seen. Mediastinal contours are unremarkable.
history: <unk>f with chest pain, shortness of breath // eval for pna
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The cardiacmediastinal and hilar contours are within normal limits. There is scarring at the right lung base. There is otherwise no focal consolidation concerning for pneumonia. There is no pleural effusion or pneumothorax.
chest pain. assess infiltrate, pulmonary edema.
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As compared to the previous radiograph, pre-existing pneumonia in the left lower lobe has substantially decreased in severity and extent. However, remnant areas of parenchymal opacities are still visible, notably in the anterior parts of the left lower lobe (better visible on the lateral than on the frontal radiograph). Slightly lower lung volumes. An area of atelectasis is seen at the bases of the right upper lobe. This area deserves special attention at further followups. In general, radiographic followup until complete resolution is recommended.
history of aspiration, assessment for pneumonia.
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Pa and lateral views of the chest. Right chest wall port is seen with catheter tip in the upper right atrium. The lungs are hyperinflated but clear of consolidation. Biapical scarring is again noted as is a linear opacity seen on the lateral view over the lung bases likely due to scarring. The cardiomediastinal silhouette is within normal limits. Peg tube identified in the upper abdomen.
<unk>-year-old female with severe abdominal pain and nausea.
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Frontal and lateral views of the chest were obtained. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
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In comparison with study of <unk>, there is increased bilateral opacifications most consistent with worsening pulmonary vascular congestion. More localized opacification at the left base with pleural effusion is worrisome for possible supervening pneumonia.
fever.
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There are no abnormal lung opacities to suggest amiodarone toxicity. The vascular engorgement from <unk> has resolved, and the lungs are clear. A new bulge in the upper aspect of the left cardiac apex could be a ventricular aneurysm; however, there is no evidence of cardiac decompensation including pulmonary edema and pleural effusions. The mediastinal contours are normal, and there is no pneumothorax. Old left rib fractures are noted.
evaluation for signs of amiodarone toxicity in a patient with atrial fibrillation.
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Cardiac, mediastinal and hilar contours are normal, with the heart size within normal limits. The pulmonary vasculature is normal. Lungs are clear without focal consolidation, pleural effusion or pneumothorax. No acute osseous abnormality is identified including no displaced rib fractures. There are mild degenerative changes noted in the thoracic spine.
history: <unk>f with left lower lateral rib pain
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The lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. Cardiac and mediastinal silhouettes are normal. No acute fractures are identified.
right-sided chest pain.
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The patient is status post median sternotomy and cardiac valve replacement. Nasogastric tube is seen coursing below the diaphragm, terminating in the left upper quadrant. The lungs are hyperinflated with flattening of the diaphragms suggesting chronic obstructive pulmonary disease. There is persistent relative opacity over the lateral right mid to lower lung which may relate to chronic lung disease/scarring, but an early infectious process is not excluded in the appropriate clinical setting. The cardiac silhouette remains enlarged. Mediastinal contours are stable.
preop chest radiograph for patient with sbo crackles on lung exam.
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Two frontal images of the chest demonstrate low lung volumes likely secondary to poor inspiration. There has been interval removal of a right ij central line and the chest tube overlying the heart shadow. There is no pneumothorax or other complication seen. Pigtail chest tube remains in appropriate position in the left chest. Right picc line is unchanged from prior exam. There is interval improvement in the left pleural effusion. The lungs are otherwise clear. Cardiac silhouette is unchanged in size.
<unk>-year-old female with pericardial effusion and left chest tube, requiring assessment for interval change.
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A right-sided picc is again seen, distal aspect difficult to discern due to overlying soft tissue but likely at least enters the proximal svc. The cardiac and mediastinal silhouettes are stable, in particular in comparison with the study from <unk>. Minimal interstitial pulmonary edema persists. The hilar contours are stable. There is no focal consolidation, pleural effusion, evidence of pneumothorax.
syncopal event, elevated white blood cell count, evaluate for pneumonia.
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The heart is markedly enlarged and probably even larger than on the earlier comparison study, protruding more posterior, suggesting marked left atrial enlargement. Opacification in the left lower hemithorax suggests a pleural effusion with associated parenchymal opacity, but decreased. A trace pleural effusion is suspected on the right. The lungs appear otherwise clear.
dementia and worsening confusion.
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Lung volumes are somewhat low. Bronchovascular markings are prominent. There is no focal consolidation. There is biapical pleural thickening. Minimal streaky density at the lung bases likely represents subsegmental atelectasis. The patient is rotated to the right. The heart is within normal limits in size. The aorta is tortuous. Mediastinal structures are otherwise unremarkable. The bony thorax is grossly intact.
subdural hematoma
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>f with tachycardia, symptomatic anemia, performing basic infectious workup prior to admission
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The heart size is normal. The mediastinal and hilar contours are within normal limits. The pulmonary vascularity is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is identified. No acute osseous abnormality is present.
chest pain.
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There is a dobbhoff tube that coils within the fundus of the stomach and then extends to the body of the stomach. Some atelectatic changes are seen at both bases.
ng tube placement.
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The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax. There is no pleural effusion. Pulmonary vascularity is normal.
<unk>-year-old woman with fever, shortness of breath, cough.
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The heart is normal in size. The aortic arch is calcified. A moderate hiatal hernia projects over the lower mediastinum, not significantly changed. More generally, the cardiac, mediastinal, and hilar contours are stable. The lungs appear clear. There are no pleural effusions or pneumothorax. The chest is hyperinflated. Minimal degenerative change is noted along the mid thoracic spine.
increasing shortness of breath.
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The heart size is normal. The mediastinal and hilar contours are unremarkable. The pulmonary vascularity is normal. Lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormalities detected.
right rib pain after fall <num> days ago.
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No biliary stent is visualized. Midline surgical <unk> are seen over the upper abdomen. Partially visualized is an abdominal drain which crosses midline and courses inferiorly out of view. Lung volumes are low with bibasilar atelectasis. A lower lobe opacity projects over the spine and is difficult to determine whether it originates in the right or left lower lobe on frontal view. A small right pleural effusion is stable from <unk>.
<unk> year old man pod <num> from hepaticojejunostomy with previously placed stents that migrated during surgery, getting xray to verify placement in bile ducts or bowel // assess where stents are in preparation for removal today
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The lung volumes are low. The tip of the endotracheal tube projects <num> cm above the carina, there is no evidence of complication. The right lung base shows an area of atelectasis. The left perihilar and upper lobe zone shows an area of increased parenchymal opacity, likely infectious in origin. Retrocardiac atelectasis. Normal size of the cardiac silhouette.
intubation.
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Single portable view of the chest. No prior. There is volume loss in the right hemithorax with <unk> pleural effusion. There is hasy opacity in the rul raising concern for pneumonia. Left lung appears grossly clear noting that the costophrenic angles excluded from the field of view. Mild interstitial edema is likely present. Mild cardiomegaly noted. Evaluation of mediastinum limited.
fever, lactate, question pneumonia.
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Portable ap chest radiograph. Median sternotomy wires are intact. A right ij catheter is in the mid svc. Left-sided chest tube is in stable position. Lung volumes remain low with bibasilar atelectasis, worse on the left. There is no pneumothorax. Small pleural effusion is also present on the left. The cardiomediastinal silhouette is stable.
cabg. evaluation for pneumothorax.
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Ap single view of the chest has been obtained with patient in semi-upright position. Analysis is performed in comparison with the next preceding pa and lateral chest examination of <unk>. Moderate cardiac enlargement similar as before. Comparison of the frontal views suggests that the mild blunting of the lateral pleural sinuses has regressed. No evidence of new pulmonary parenchymal infiltrates can be found, and there is no pneumothorax in the apical area. Interval regression of mild pleural sinus blunting suggestive of regression of previously described chf. Single view portable chest examination does not permit evaluation of pleural effusions that may remain in the posterior dependent pleural sinuses. No evidence of new pulmonary parenchymal infiltrates is present. No pneumothorax is seen.
<unk>-year-old female patient with cough, wheezing, volume overload on examination, chf versus copd exacerbation versus healthcare-associated pneumonia (hcap).
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Frontal and lateral views of the chest were obtained. There is minimal left base atelectasis/scarring. No focal consolidation, pleural effusion or evidence of pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable. Hilar contours are also stable and unremarkable. No displaced fracture is seen.
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Heart size is mildly enlarged. The mediastinal and hilar contours are unremarkable. There is no pulmonary edema. Patchy opacities in the lung bases may reflect atelectasis though infection cannot be completely excluded. No pleural effusion or pneumothorax is visualized. Clips are noted within the right upper quadrant of the abdomen.
fever to <num> degrees.
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Pa and lateral views of the chest. The lungs are clear. Cardiomediastinal silhouette is normal. No acute osseous abnormality. No free air below the diaphragm.
<unk>-year-old female with epigastric and chest pain.
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Ap upright and lateral views of the chest were provided. Diffuse ground-glass pulmonary opacities could reflect pulmonary edema. Please note underpenetrated technique could also contribute to the aforementioned findings. Basilar atelectasis and low lung volumes noted. No large effusion is seen. The cardiomediastinal silhouette appears slightly prominent, though this is due to technique. Bony structures are intact.
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As on the prior studies, there is some obscuration of left hemidiaphragm on the frontal view, seen dating back to at least <unk>. The cardiac and mediastinal silhouettes are stable since that time. No pulmonary edema is seen. No large pleural effusion or pneumothorax is identified. No focal consolidation is seen.
history: <unk>m with chest pain // chest pain/sob
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In comparison with the study of <unk>, the dobbhoff tube extends to the lower body of the stomach, then coils back on itself so that the tip lies in the upper stomach near the esophagogastric junction. There is layering of a substantial right pleural effusion with increased opacification at the left base consistent with left effusion and volume loss in the left lower lobe. There is also an area of increased opacification in the left mid zone. This and the basilar changes could represent supervening pneumonia.
new feeding tube.
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Lung volumes are slightly low. There is slightly increased pulmonary vascular prominence compared to prior. No focal consolidation, pleural effusion, or pneumothorax is detected on this study; of note, the left costophrenic angle is incompletely imaged on lateral view. Right suprahilar and right upper lobe masses are again seen. Aortic tortuosity is again noted. Heart size is top normal.
<unk>-year-old female with shortness of breath.
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Kyphotic positioning limits the evaluation. The lungs are normally expanded. There is surgical suture in the right upper lung likely from prior wedge resection. There is minimal retrocardiac opacity which appears new. There may be small right pleural effusion blunting the posterior costophrenic sulcus. There is no pneumothorax. Heart is mildly enlarged. There is no pulmonary edema. Core valve and vertebroplasties are re- demonstrated.
history: <unk>f with cough // cough
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In comparison to the chest radiograph obtained <num> day prior, there are increased opacities in the right lower lung with air bronchograms concerning for a pneumonia. Small, right pleural effusion appears minimally increased and small, left pleural effusion appears essentially unchanged. Left retrocardiac atelectasis is unchanged. Moderate cardiomegaly and mild pulmonary vascular enlargement appears unchanged. Incidental note is made of extensive left glenohumeral osteoarthritis with bursal calcification.
<unk> year old woman with sob and increased o<num> requirement. on exam rll egophany. ? blossoming into pna // ?pna
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Portable ap upright view of the chest provided. The lungs are clear and well expanded. Prominent costochondral calcification projects over the chest. No pleural effusion or pneumothorax is seen. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with tachycardia
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A tracheostomy tube is in place. The right ij central line is again noted, with tip overlying the proximal svc. Previously seen left ij line has been removed. Better seen on today's exam is tubing or catheter overlying the right lung base extending along the right side of the mediastinum. No pneumothorax detected. Cardiomediastinal silhouette, with widened superior mediastinum, is grossly unchanged. Calcified mediastinal lymph nodes again noted. Again seen is vascular plethora, and chf, possibly slightly more pronounced. There is increased opacity at both lung bases, with probable right and possible left effusion, also similar to the prior study. Balloon from gi tract tube noted in left upper quadrant.
<unk> year old man on trach for respiratory failure, being treated for stenotrophomonas infection and fluid overload, with acute worsening of respiratory distress // interval change
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As compared to the previous radiograph, there is no relevant change. On today's image, no right pneumothorax is seen. The right chest tube is in unchanged position. There is no evidence of tension or other pathological changes in the lung parenchyma, except for minimal known right basal atelectasis. Normal size of the cardiac silhouette.
right pneumothorax, chest tube on waterseal.
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The lateral view is limited secondary to patient's arms being down by his side. Best seen on the frontal view is increased opacity in left mid to lower lung. They appear more conspicuous compared to recent exam from <unk> for similar compared to previous exams from <unk>. There is no effusion. The cardiomediastinal silhouette is stable. No acute osseous abnormalities identified. Old left rib fractures are again noted.
<unk>m with hx of mr with <unk>/v, confusion // r/o infiltrate
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There are low lung volumes. There are diffuse bilateral interstitial opacities in the lungs, most consistent in appearance with pulmonary edema or possibly an atypical infection. Cardiomediastinal silhouette is unremarkable. There is no pneumothorax or pleural effusion. There is a fracture of the lateral arch of the right third rib. Internal fixation hardware is again seen in the c-spine.
<unk>-year-old male with hypoxia and recent fall.
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Lungs are clear. Mediastinal and cardiac contours are normal. There is no pleural effusion or pneumothorax.
patient with transient episodes of right-sided numbness, tia, normal chest, rule out acute process.
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In comparison with the study of <unk>, the monitoring and support devices are unchanged. Again, there is elevation of the right hemidiaphragmatic contour. No evidence of pulmonary vascular congestion or acute focal pneumonia. Minimal atelectatic changes are seen at the right base.
hypoxic respiratory failure.
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The cardiac, mediastinal and hilar contours appear unchanged. There are pleural effusions or pneumothorax. The lungs appear clear.
shortness of breath and ascites.
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Pa and lateral views of the chest were provided. There is subtle consolidation within the right middle lobe which is concerning for pneumonia. Otherwise, the lungs are clear. No large effusion is seen. No pneumothorax. Cardiomediastinal silhouette is stable. Bony structure is intact.
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Heart size is normal. Mediastinal and hilar contours are unchanged. Patchy opacities in the lung bases are re- demonstrated along with a more consolidative opacity within the right upper lobe, findings worrisome for multifocal pneumonia. Previously demonstrated suspicious nodule within the left mid lung field is better assessed on the previous ct. No pleural effusion, pneumothorax, or pulmonary vascular congestion is demonstrated. There are no acute osseous abnormalities.
history: <unk>f with shortness of breath. assess for progressive pneumonia.
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The lungs are well expanded and clear. No pleural abnormalities are seen. The cardiac and mediastinal silhouettes are normal. Curvilinear calcifications in the neck of the right humerus likely represents benign enchondroma in unchanged from <unk>.
history: <unk>m with fall down approximately <unk> steps. no chest pain currently // rib fractures?
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As compared to the previous radiograph, there is a mild enlargement of the cardiac silhouette. Overall, the cardiac silhouette is at the upper range of normal. No evidence of pulmonary edema. No pneumonia. As on the previous image from <unk>, the diameter of the vascular structures at the hilus continues to be at the upper range of normal. No pneumothorax. No pleural effusions.
rule out pneumonia.
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Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. There are low lung volumes which cause crowding of the bronchovascular structures. Linear opacities at the lung bases are compatible with subsegmental atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormalities identified.
history: <unk>f with presyncope
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Upright pa and lateral radiographs of the chest. The lungs are normally expanded and clear. The cardiomediastinal silhouette and hilar contours are normal. There is no pleural effusion or pneumothorax.
chest pain. assess for infiltrate.
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Ap and lateral chest radiographs. The lungs are clear. There is no pleural effusion or pneumothorax. Thoracic kyphosis is exaggerated with multilevel degenerative disc disease. The cardiomediastinal silhouette is normal.
cough.
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The heart size is normal. The hilar and mediastinal contours are normal. The lungs are clear without evidence of focal consolidations concerning for pneumonia. There is no pleural effusion or pneumothorax.
history of fever and cough. rule out pneumonia.
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The inspiratory lung volumes are appropriate. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiomediastinal and hilar contours are within normal limits. No acute osseous abnormality is detected.
history: <unk>m with chest pain // ? pna
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Study is severely limited due to patient's inability to lift either arm. Within this limitation, no focal consolidation is identified, although the right lung base is obscured. The mediastinum appears widened but not fully evaluated. There is no pleural effusion or pneumothorax.
mechanical fall, evaluate for fracture or pneumonia.
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Ap upright and lateral views of the chest provided. There is no focal consolidation, effusion or pneumothorax. Pulmonary vascular congestion and edema are mild. Moderate cardiomegaly. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
history: <unk>m with s/p fall, shortness of breath, chills // eval for trauma
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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 vomiting // eval for infiltrate, free air
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Frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. The hilar and mediastinal silhouettes are normal. Heart size is normal. There is no pulmonary edema. No free intra- peritoneal air is noted.
patient with gi bleed, assess for free air.
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The heart size is normal. The hilar and mediastinal contours are within normal limits. There are mild atherosclerotic calcifications across the aortic arch. The lungs are hyperinflated, with flattened diaphragms, reflecting chronic obstructive disease. There is no pneumothorax, focal consolidation, or pleural effusion. A right biceps anchor is present.
concern for pneumonia.
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In comparison with the study of <unk>, the patient has taken a better inspiration. There is no evidence of acute focal pneumonia or pulmonary vascular congestion. The costophrenic angles are now sharply seen.
tracheobronchoplasty, now with fever.
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There is no pneumothorax. There is no pleural effusion or focal airspace consolidation. The cardiac and mediastinal contours are normal. The hilar structures are unremarkable.
pleuritic chest pain. evaluate for a pneumothorax.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. Surgical clips project over the right upper quadrant. There is no free air.
left upper quadrant and chest pain.
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The patient's condition required examination in sitting position using ap frontal and left lateral views. There is status post sternotomy and evidence of bypass surgery with multiple metallic surgical clips in the anterior left-sided mediastinum and ring-shaped graft markers at the anterior wall of the ascending aorta. Heart size cannot be assessed because of right-sided basal pulmonary densities concealing the cardiac contours. Marked cardiomegaly is unlikely. The pulmonary vasculature is not congested. There is mild blunting of the left lateral and posterior pleural sinus, indicating small amount of pleural effusions on that side. Lungs are clear in the left hemithorax. On the right lung base, a diffuse density is observed obscuring completely the contour of the right-sided hemidiaphragm. This finding is identified as lobe collapse and appears to be unchanged. Comparison with a frontal chest examination of <unk>, demonstrates the findings prior to the collapse and showed normal diaphragmatic contours and well ventilated right lower lobe and middle lobe structures with absence of any pleural effusion. Status post bypass surgery existed already at that time.
<unk>-year-old male patient status post exploratory laparotomy and right-sided colectomy. several recent portable chest examinations demonstrated evidence of right lower lobe and middle lobe collapse.
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Ap and lateral views of the chest. The lungs are clear of consolidation or effusion. Cardiac silhouette is enlarged but unchanged. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male with failure to thrive.
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As compared to the previous radiograph, the patient has received a nasogastric tube. The tip of the tube is not included in the film, but likely to be positioned in peripyloric region. No evidence of complications, notably no pneumothorax. Otherwise, the radiograph is unchanged.
new nasogastric tube, evaluation.
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Comparison is made to previous study from <unk>. There has been improved aeration of the left apex since the prior study. The remainder of the left lung remains opacified. The endotracheal tube tip is again quite high and is <num> cm above the carina. Nasogastric tube tip and side port are within the stomach. The right lung including the right perihilar region appears better aerated since the prior study. There are no pneumothoraces.
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Pa and lateral views of the chest provided. Left chest wall pacer is seen with leads extending to the region the right atrium and right ventricle. Midline sternotomy wires are noted. Extensive calcified pleural plaque as seen on prior ct accounts for the scattered opacities projecting over both lungs. Given this, a subtle nodule or consolidation is difficult to exclude though none is clearly seen. No large effusion or pneumothorax. The heart is top-normal in size. Mediastinal contour is normal. Bony structures appear intact. No free air below the right hemidiaphragm.
<unk>m with cough, sob, and wt gain // eval pneumonia vs chf
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Diffuse interstitial abnormality, likely due to infectious or inflammatory process as seen on prior ct chest on <unk>, has improved in the interim. No focal consolidation is identified. The cardiomediastinal silhouette is stable. There is no pleural effusion or pneumothorax. A right ij central venous catheter terminates at the cavoatrial junction. Post pyloric feeding tube terminates at the ligament of treitz. A right upper extremity picc line terminates in the mid svc. Chain sutures are noted projecting over the left mediastinum. There is diffuse gaseous distention of bowel loops below the diaphragm. Dense barium is also noted.
<unk> year old man with bronchiectasis, evaluate for pneumonia
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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 body pain
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As compared to recent study, there has been little change in the appearance of the chest except for improved aeration at the left lung base. Diffusely distended loops of bowel in imaged portion of the upper abdomen are incompletely evaluated and dedicated abdominal imaging may be helpful in this regard if warranted clinically.
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Single portable view of the chest. Left chest wall single lead pacing device is again seen. Low lung volumes noted on the current exam with linear opacities at the left mid to lower lung. There is also crowding of bronchovascular markings likely due to lower lung volumes. The cardiomediastinal silhouette is enlarged but stable. No acute osseous abnormalities.
<unk>-year-old male with consolidation on lumbar spine ct.
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No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal to mildly enlarged. Mediastinal contours are unremarkable. No pulmonary edema is seen.
history: <unk>f with cough, chest pain, fever // eval for pneumonia
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The lungs are clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. Median sternotomy wires are again noted.
<unk>m with hypoxia // pna?