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As compared to the previous radiograph, the patient has received a nasogastric tube. Stomach continues to be over distended, the tip of the tube projects over the middle parts of the organ. No evidence of complications, notably no pneumothorax. An atypical bowel gas distribution was already documented on the previous abdominal radiograph on <unk>.
new nasogastric tube placement.
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There is a right-sided dialysis catheter terminating in the low svc. There are no new focal consolidations concerning for infection. There is a small left pleural effusion with adjacent atelectasis. There is no pneumothorax. The heart size is normal. The hilar and mediastinal contours are normal. Visualized osseous structures are normal.
<unk>-year-old man with end-stage renal disease on hemodialysis who presents for evaluation of hematemesis.
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In comparison with study of <unk>, the tip of the pic line appears to be in the left brachiocephalic vein. No evidence of pneumonia or vascular congestion. <num>
picc placement.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with dyspnea // infiltrate?
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The cardiac, mediastinal and hilar contours appear stable. There are new patchy densities in the left lower lung as well as a vague focal new opacity in the left upper lobe. These findings are concerning for pneumonia. Vague right upper lobe opacity has mostly resolved, however. There is a small pleural effusion on the left. A round <num> mm diameter focus suggests a very small nodular density of nodule, possibly calcified. The chest is hyperinflated.
cough and sputum production.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with chest pain // acute cardiopulm disease
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There are mild bibasilar opacities, which may reflect superimposed breast tissue, however atelectasis, aspiration or pneumonia could be considered in the appropriate clinical setting. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax or pleural effusion. The endotracheal tube ends <num> cm from the carina. Nasogastric tube courses into the stomach and out of the field of view.
history: <unk>f with polysubstance overdose s/p intubation // eval for ich, ett placement
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A right-sided picc is in-situ, this terminates in the mid svc. A tracheostomy tube is unchanged in position compared to the prior study. Lung volumes are unchanged with persistent right basal opacity likely reflecting atelectasis. Left lower lobe atelectasis also noted. No new areas of consolidation seen. No pneumothorax seen. Incidental note is made of an azygos fissure.
<unk> year old man with trach, quadrpleg // assess lungs
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The lungs are clear of focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits for technique. No acute osseous abnormalities identified.
<unk>m with sob // eval for pneumothorax, pna
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The cardiomediastinal and hilar contours are within normal limits. The lungs are well expanded. There is an area of increased opacity, best seen on the lateral view, projecting posteriorly and potentially projecting over the retrocardiac region in the frontal view concerning for pneumonia. There is no pleural effusion or pneumothorax. There is no pneumomediastinum or free air. Surgical clips are seen in the left upper quadrant.
vomiting and history of pancreatitis. rule out <unk>, free air under the diaphragm.
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Ap upright and lateral chest radiograph demonstrates a top-normal heart size. Linear opacities at the right lung base is most likely consistent with atelectasis. Probably small right sided effusion is present. No pulmonary edema. Osseous structures demonstrates degenerative changes throughout the thoracic spine. No acute osseous abnormality is identified.
<unk>-year-old male with fevers.
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In comparison with the study of <unk>, there has been a thoracentesis performed on the left with decrease in the amount of pleural fluid. Specifically, no evidence of pneumothorax. Engorgement of pulmonary vessels is consistent with vascular congestion. No definite acute pneumonia.
thoracentesis, to assess for pneumothorax.
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Moderate cardiomegaly is unchanged. The aorta remains tortuous and diffusely calcified. Mild pulmonary edema is relatively unchanged compared to the prior study. Unchanged enlargement of the hila bilaterally is suggestive of pulmonary artery hypertension. Bilateral pleural effusions are small to moderate in degree, and may be slightly increased on the right compared to the prior study. The left pleural effusion appears relatively unchanged. Bibasilar airspace opacities likely reflect compressive atelectasis. Old bilateral rib fractures are noted. There is no pneumothorax.
dyspnea.
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Endotracheal tube is still slightly low, <num> cm above the carina. Ngt tip is in the stomach. There is mild pulmonary vascular redistribution. There are bilateral lower lobe infiltrates left greater than right. There is a left pleural effusion. This volume loss in the left lower lobe.
near drowning intubated with fever.
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Lung volumes are low. There is no focal consolidation. Moderate cardiomegaly is not significantly changed. The descending thoracic aorta is mildly tortuous, as before. There are no definite pleural effusions. No pneumothorax is seen.
syncope.
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Pa and lateral views of the chest provided. The lungs are clear without focal consolidation, effusion or pneumothorax. The heart is top-normal in size. The mediastinal contour appears normal. On the lateral view, there is a contour abnormality involving the sternum which raises potential concern for a fracture. No evidence of pneumomediastinum. No free air below the right hemidiaphragm. No displaced rib fractures are seen.
<unk>f with chest pain r/o rib fracture, ruptre esophogus s/p heimlich maneuver
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Frontal and lateral views of the chest. The lungs are clear of consolidation, effusion, or pulmonary vascular congestion. Mitral valve replacement is again seen with postoperative changes of median sternotomy. Degree of cardiomegaly has not significantly changed. No acute osseous abnormalities detected.
<unk>-year-old female with increase cough and shortness-of-breath. recently taken off rate control.
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In comparison with the study of <unk>, the left subclavian catheter has been removed. There is increased opacification at the left base that most likely reflects atelectatic change. In the appropriate clinical setting, supervening pneumonia would have to be considered.
central line pulled out.
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Lower lung volumes seen on the current exam. There is no focal consolidation or large effusion. The cardiac silhouette is within normal limits. No acute osseous abnormalities.
<unk> year old man with ss dz, chest pain // acute chest syndrome
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The new right picc tip projects in the proximal right atrium, <num> cm below the carina. It should be withdrawn approximately <num>-<num> cm for optimal placement. Tracheostomy tube and left subclavian catheter tip are unchanged in position. The large layering left pleural effusion with adjacent atelectasis and right lower lobe atelectasis are unchanged from the prior study. There is probably a small right pleural effusion. The heart appears mildly enlarged. No new focal consolidation or pneumothorax detected.
<unk>-year-old man with recent picc placement. evaluate positioning.
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A right internal jugular dual-lumen catheter is unchanged in position. A small to moderate left pleural effusion with associated bibasilar atelectasis is unchanged from prior exam. Effusion and right atelectatic change make evaluation of the cardiac border difficult, however the heart is likely enlarged. Severe compression deformity of the t<num> vertebral body is unchanged.
myeloma presenting with increasing cough.
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The cardiac, mediastinal and hilar contours are normal. The pulmonary vasculature is normal and the lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
leukocytosis.
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Frontal and lateral radiographs of the chest show interval resolution of right middle lobe opacification from <unk> with residual bronchial thickening. The inspiratory lung volumes are appropriate. The lungs are clear without pleural effusion, pneumothorax or new focal consolidation. The pulmonary vasculature is not engorged. The cardiac silhouette is top normal in size. The mediastinal and hilar contours are within normal limits. The patient is status post median sternotomy with intact wires.
<unk>-year-old female with pneumonia diagnosed in <unk>, here to evaluate for resolution of pneumonia.
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Pa and lateral views of the chest were provided demonstrating no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Bony structures are intact. There is no free air below the right hemidiaphragm.
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Left chest wall dual lead pacing device is again seen. On the current exam there is more dense consolidation at the left lung base now silhouetting the hemidiaphragm. There is a small right-sided pleural effusion as well. There is no pneumothorax. The cardiomediastinal silhouette is difficult to assess. No acute osseous abnormalities identified.
<unk>m with pleural effusions, hypotension // eval for pleural effusion
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The lungs are clear. The cardiomediastinal silhouette and hilar contours are within normal limits. The pleural surfaces are clear without effusion or pneumothorax. There is no lymphadenopathy appreciated.
history of fever.
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Ap portable view of the chest. Multiple bilateral masses are seen most consistent with known pulmonary metastases. There is no new focal consolidation, concerning for pneumonia. No pleural effusion or pneumothorax. Cardiomediastinal and hilar contours are stable.
metastatic melanoma, with tachycardia and hypotension, shortness of breath. evaluate for pneumonia.
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The lungs are clear without consolidation, nodules, or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. There is no evidence of hilar lymphadenopathy.
history of cml with a persistent cough.
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A permanent pacemaker is in place in the left axillary position. Pacemaker wires are in the proper position in the right and left atrium. The pleurx catheter is seen at the left base. Since the prior radiograph, there has been a slight decrease in size of the left pleural effusion. A small effusion persists. The peripheral mass at the left base also appears to have slightly decreased in size. Stable atelectasis is present at the left base. There is a small right pleural effusion, unchanged from the prior exam. A right pleural mass is also unchanged. The cardiomediastinal silhouette is normal. There is no new consolidation, edema, or pneumothorax.
metastatic thyroid cancer with pleurx placement for left pleural effusion. now with minimal drainage from pleurx. evaluate for pleural effusion.
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Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is seen.
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. No radiopaque foreign object is identified in the chest.
sensation of foreign body. evaluate.
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Ap view of the chest provided. Again seen is bilateral diffuse parenchymal opacities. The heart size is larger the and vascular pedicle appears wider compared to prior study, suggesting that there is now a component of cardiac (volume dependent) edema. The effusions are small, if any. Right-sided picc line terminates in the upper right atrium. Right ij line terminates in the lower right atrium. Nasogastric tube terminates in the region of the pylorus. The endotracheal tube is in good position.
<unk> year old woman with cvid, presents with pneumonia and cardiogrenic pulmonary edema with persistent ventilator dependence, now new e. coli in sputum.
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Left basilar consolidation has resolved, and lingular consolidation has substantially improved, with only minimal residual patchy and linear opacification remaining in this region. Cardiomediastinal contours are normal. There are no pleural effusions.
<unk> year old man with recent pneumonia // follow up on pneumonia
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Pulmonary edema and pulmonary vascular congestion have improved, now mild. The right hilum is less prominent, compatible with previous vascular engorgement. There is no evidence for a hilar mass. Overall, the appearance is concerning for pulmonary valvular pathology, and an echocardiogram is recommended for further evaluation if clinically indicated. There is unchanged moderate cardiomegaly. There are probably small bilateral pleural effusions. There is no pneumothorax or focal consolidation.
<unk> year old woman with follow up pa/lat as recommended by radiology. // follow up pa/lat xray
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As compared to the previous radiograph, there is a minimal improvement of the pre-existing widespread bilateral parenchymal opacities. This improvement is particularly obvious in the right upper lung and the left lung bases. Unchanged moderate cardiomegaly. Improving areas of atelectasis at the lung bases. No larger pleural effusions. Minimally decreasing in the left lung, but otherwise almost unchanged.
copd, evaluation for pulmonary edema.
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Frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. The lungs appear clear. There is no pneumothorax, vascular congestion, or pleural effusion.
<unk>-year-old male with heart racing and palpitation. question acute process.
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There is re- demonstration of a mediastinal drain to the left of the trachea. There is an unchanged right chest tube. Residual oral contrast seen in the hepatic flexure and descending colon. Opacity along the right mediastinum is consistent with recent surgical history. Right lower lung platelike atelectasis is unchanged. There is no evidence of pneumothorax, pneumomediastinum, or consolidation. There is no evidence of pleural effusion.
<unk>f w/ worsening dysphagia from <num>cm ge junction mass s/p mie(abdominothoracic exposure, cervical anastomosis) and jt // eval for pna/leak. please get at <time> am on <unk> eval for pna/leak. please get at <time> am on <unk>
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Heart size is normal. Prominence of the right hilus with a right juxta hilar mass appears similar to the prior exam. Small to moderate right-sided pleural effusion with loculation at the right apex appears unchanged. Left lung is grossly clear. No pneumothorax.
history of lung cancer with fever and cough.
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There are resolving right upper and right lower consolidations. The previously seen pulmonary vascular engorgement is improved in appearance. There are small bilateral pleural effusions. There is in interstitial abnormality, likely related to edema, which appears improved. There is mild cardiomegaly and the hila are grossly normal.
evaluation for pneumonia.
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Ap upright and lateral views of the chest provided.there is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is stable. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with recent sdh, p/w acute onset confusion
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The et tube ends <num> cm above the level of the carina. An ng tube ends near the level of the ge junction. A trauma board slightly limits evaluation of this radiograph. The lungs are clear. Lung volumes are low. The cardiac and mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen. The bony thorax is grossly intact.
status post et tube placement. evaluate position.
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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. Postcholecystectomy clips are seen in the right upper quadrant.
<unk>m with shortness of breath // ?pneumonia
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In comparison with the study of <unk>, there is probably some increase in the diffuse bilateral pulmonary opacifications. Again, this is consistent with extensive parenchymal consolidations, though some element of pulmonary vascular congestion should be considered in view of the enlargement of the cardiac silhouette. There is again probably some element of pleural effusions bilaterally.
multifocal pneumonia and respiratory distress.
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As compared to the previous radiograph, the lung volumes have increased, likely reflecting improved ventilation. The pleural effusion on the right has moderately decreased. The signs indicative of pulmonary edema have decreased in severity. The cardiac silhouette is still moderately enlarged. Atelectases are seen at both lung bases.
pneumonia, edema, evaluation.
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The lungs are clear of focal consolidation, pleural effusion or pneumothorax. The heart size is normal. The mediastinal contours are normal.
<unk>-year-old male with shortness of breath and failure to thrive.
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The lung volumes are normal. Relatively extensive bilateral basal opacities, with the morphology suggesting moderate pulmonary edema. This is supported by bilateral perihilar haze, peribronchial cuffing and a questionable small right pleural effusion. Mild cardiomegaly. No pneumothorax.
recent pelvic abscess drainage, now sepsis.
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As compared to the previous radiograph, there is unchanged evidence of a probably loculated right pleural effusion, a small left pleural effusion that is restricted to the left costophrenic sinus. Moderate cardiomegaly is unchanged. No pulmonary edema. However, at the right lung base, an indistinct parenchymal opacity is visually more obvious than on the previous image. The opacity is also seen on the lateral view and could represent atelectasis or pneumonia. Close followup is required.
diastolic heart failure, history of pleural effusion, evaluation for pneumonia.
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There is no focal consolidation, pleural effusion or pneumothorax. There is subtle opacification at the bilateral lung apices, suggestive of scarring which was better evaluated on the prior ct chest dated <unk>. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are identified. There is no free air under the right hemidiaphragm.
<unk>f with one week history of diffuse body pains, weakness, and arthralgias.
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Pa and lateral views of the chest were provided. The lungs are clear and well expanded. There is no focal consolidation, effusion, or pneumothorax. The heart and mediastinal contours are normal. Bony structures are intact. No free air below the right hemidiaphragm.
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Pa and lateral chest radiographs were obtained. Heart is normal in size, and cardiomediastinal contours are unremarkable. There is wide linear density overlying the left apex, likely representing braded hair overlying that region. Lungs are clear with no evidence of focal consolidation to suggest pneumonia. No pleural effusions and no pneumothorax.
<unk>-year-old woman with productive cough, shortness of breath, and history of bronchiectasis and swallow disorder, rule out pneumonia.
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In comparison with study of <unk>, there is no change or evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion.
cough and fever, to assess for pneumonia.
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Shallow inspiration accentuates heart size, pulmonary vascularity. Patchy bibasilar opacities, likely atelectasis. No pleural fluid
<unk> year old man with fever, stroke, concern for aspiration pna // please eval for r lower lobe infiltrate, ?aspiration
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Single frontal view of the chest was obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. No evidence of pneumomediastinum is seen. There is no pulmonary edema. The cardiac and mediastinal silhouettes are unremarkable.
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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.
shortness of breath and pancytopenia.
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Since the prior exam, there is increased pulmonary edema, which is now mild-to-moderate. There is increased left basilar atelectasis, though no focal airspace opacity to suggest a pneumonia. There are small bilateral pleural effusions, also increased in size since the prior exam. There is no pneumothorax. Calcifications are noted in the aortic arch. The heart is moderately enlarged, similar to prior exams. A left chest dual lead pacemaker device is unchanged.
persistent hypoxia. evaluate for pulmonary edema or pneumonia.
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There is some scarring in the right middle lobe which is unchanged in appearance. There is no evidence of pneumonia or pulmonary edema. The cardiomediastinal silhouette and hilar contours are normal. The pleural surfaces are normal without effusion or pneumothorax. Sternotomy wires are again seen and unchanged.
persistent cough and wheezing. evaluation for pneumonia.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Streaky bibasilar opacities likely reflect areas of atelectasis, without focal consolidation. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>f with substernal chest pain, pleuritic
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No significant interval change. The lungs are clear. No focal consolidation, pulmonary edema, pleural effusion, or pneumothorax. The heart is normal in size. No mediastinal widening. The hila are within normal limits and unchanged. Slight elevation of the left hemidiaphragm is unchanged. Mild degenerative changes with are overall similar.
<unk> year old man with mantle cell lymphoma // pre bmt
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Et tube and right internal jugular catheter are unchanged in satisfactory position. Ng tube tip not well visualized. Within the limits of this portable, somewhat tilted image, there is no pneumothorax. Otherwise, no significant interval change compared with this morning.
thoracic fractures status post repair with aspiration and intubation. evaluate post bronchoscopy changes.
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Pa and lateral views of the chest were provided. The lungs are clear bilaterally without focal consolidation, effusion or pneumothorax. Absence of the left breast shadow is compatible with prior left mastectomy. The cardiomediastinal silhouette appears normal. Bony structures are intact. No free air below the right hemidiaphragm.
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Compared with most recent prior radiograph, pulmonary vascular congestion has resolved. The bibasilar opacities have resolved with only minimal linear density at the right base likely consistent with atelectasis. The cardiomediastinal silhouette is unchanged. No pleural effusion or pneumothorax is present.
aspiration event. question pneumonitis versus pneumonia.
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As compared to the previous radiograph, there is no relevant change. Signs of mild overinflation. Borderline diameter of the right hilus. No evidence of acute lung disease such as pneumonia or pulmonary edema. Mild tortuosity of the thoracic aorta. The size of the cardiac silhouette is at the upper range of normal.
evaluation for pneumonia and pulmonary edema.
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Ap upright and lateral views of the chest provided. Mild cardiomegaly is again noted. The lungs are clear without focal consolidation, large effusion or pneumothorax. The mediastinal contour is unremarkable. There is a chronic compression deformity at l<num> with progressive loss of vertebral body height increased from prior mri of the lumbar spine dated <unk>. There is no definite evidence for thoracic compression deformity on the lateral projection.
<unk>f with mid thoracic spine // pna? compression fx?
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Et tube terminates <num> cm above the carina. Transesophageal tube courses below the diaphragm and out of view. Right picc terminates in low svc. There is mild to moderate pulmonary edema and pulmonary vessel congestion. Cardiac silhouette is mildly enlarged.
<unk> year old woman s/p inferior mi in cardiogenic shock, transfered to <unk> // please evaluate for acute processes, lines and tubes
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Ap upright and lateral chest radiograph demonstrates clear lungs with no focal opacity convincing for pneumonia. Heart size is top-normal. Cardiomediastinal and hilar contours are within normal limits. There is no pneumothorax or evidence of pulmonary edema. Small to moderate bilateral pleural effusions are identified. A left picc is noted its tip which projects over the junction of the left brachiocephalic and superior svc.
<unk>-year-old female with altered mental status.
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The enteric tube is coiled within the stomach, with its tip pointing towards the fundus. Tip of right ij catheter terminates in the mid-svc. Endotracheal tube is not visualized. The superior portion of the bilateral lungs are not captured on this radiograph. No evidence of pneumonia in the visualized lungs. No right pleural effusion. Stable cardiomediastinal silhouette. No free air under the diaphragms.
<unk> year old man with ng tube placed // ng tube placement
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Ap single view of the chest demonstrates the dobbhoff line is reversed with its tip mid portion of the esophagus. The previously existing ng tube still reaches into the stomach including its side port. Referring physician <unk>. <unk> was paged at <time> p.m.
<unk>-year-old male patient status post stroke, evaluate dobbhoff placement.
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In comparison with the study of <unk>, there is slightly more aeration at the right base on the frontal view than on the previous study. The pleural drain remains in place. However, on the lateral view, there is increased opacification more posteriorly, with a configuration suggesting a loculated pleural mass. Ct could be helpful in further clarifying the appearance. The upper zones are clear, and there is no evidence of pneumonia in the left lung.
large right pleural effusion, to assess for change.
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Heart size is normal. The mediastinal and hilar contours are unremarkable. The pulmonary vasculature is not engorged. Streaky opacity within the left lung base with suggestion of bronchiectasis and airway wall thickening is noted. Right lung is clear. No pleural effusion, focal consolidation or pneumothorax is seen. No acute osseous abnormality is identified.
history: <unk>m with shortness of breath, chest pain, peripheral swelling /
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The lungs are grossly clear. Cardiac silhouette is enlarged but given differences in positioning is not significantly changed. No acute osseous abnormalities identified, degenerative changes noted shoulder on the left.
<unk>f with chest pain // ? pna
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No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal in size. Mediastinal contours are unremarkable. No pulmonary edema is seen. What appear to be chain sutures are seen overlying the medial left lung apex. Anchor screws are partially imaged overlying the right humeral head.
history: <unk>f with confusion // consolidation
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The lungs are relatively well expanded, with persistent linear atelectasis in the left lung base, unchanged from the prior study. There is no pleural effusion, pulmonary edema, pneumothorax, or focal consolidation concerning for pneumonia. The cardiomediastinal silhouette is stable. No subdiaphragmatic free air is noted.
<unk>m with esrd on dialysis, <num>d epigastric pain // eval ? free air
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As compared to the previous radiograph, the patient has developed extensive bilateral pleural effusions. The effusions are more severe on the right than on the left, on the right, the effusions occupying approximately half of the hemithorax. There are areas of bilateral relatively extensive atelectasis following the effusions. The size of the cardiac silhouette cannot be precisely delineated. The upper mediastinal contours appear unremarkable. In the well-ventilated areas of the lungs, there is no evidence of acute lung disease. A <num>-cm soft tissue density nodule projecting over the right lung base is seen on both the frontal and the lateral radiograph and could represent the nipple.
metastatic breast cancer, dyspnea, evaluation for pleural effusions.
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There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal contour is normal.
<unk>m with left sided chest/neck pain, pna, cardiomegaly.
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The left pectoral pacer is re-demonstrated, with leads terminating in the right ventricle and left ventricle. In comparison to the radiograph performed yesterday evening, the endotracheal tube has been pulled back several cm and now terminates <num> cm above the carina. Lung volumes are low. The right lung is essentially clear. There is a moderate-to-severe left pleural effusion, which appears slightly worse compared to the prior radiograph performed yesterday evening. There is no pneumothorax.
<unk> year old man with resp failure // ett
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Swan-ganz catheter has been placed, with tip terminating in the right infrahilar region, likely at the junction of the distal intralobar and lobar segment of the right pulmonary artery. This could be withdrawn several centimeters for standard positioning. Other indwelling devices remain in standard position, and cardiomediastinal contours are stable in appearance. Bilateral diffuse airspace opacities are new, and demonstrate relative sparing of the lung periphery. In conjunction with pulmonary vascular congestion, these findings are most likely due to acute pulmonary edema. Position of swan ganz catheter discussed with dr. <unk> at <time> am on <unk> a the time of discovery.
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Pa and lateral views of the chest. In the left costophrenic angle is a new opacity peripherally. No other consolidations are seen. The cardiomediastinal and hilar contours are normal.
history of pe, chronic thromboembolic pulmonary hypertension, pre-vq scan radiograph.
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A single frontal upright view of the chest was obtained portably. Low lung volumes result in bronchovascular crowding. Left basilar opacity is new from the study six hours earlier and may represent atelectasis versus aspiration. There is a possible associated pleural effusion. There is no free air under the right hemidiaphragm. Right atelectasis is noted. There is a hiatal hernia with air in the esophagus.
abdominal pain. evaluate for free air.
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The heart size is normal. The mediastinal and hilar contours are unremarkable. The lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. A gastric lap band is imaged in the left upper quadrant of the abdomen.
asthma.
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In comparison with the study of <unk>, there is no interval change or evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion.
hemoptysis in nonsmoker, to assess for pneumonia.
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Right-sided central venous catheter tip sits at the lower svc. There is no pneumothorax. The lungs demonstrate a suture chain in the left apex. The heart size is normal as are the mediastinal and hilar contours. A moderate right-sided pleural effusion with underlying associated atelectasis is similar in volume but has become more loculated.
<unk>-year-old male with history of metastatic melanoma who has been admitted for il-<num> therapy and recent recipient of central line.
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Heart size is normal. Atherosclerotic calcifications are seen diffusely within the thoracic aorta. Mild pulmonary edema is new compared to the previous study with small new bilateral pleural effusions demonstrated. Patchy opacities in the lung bases may reflect atelectasis however infection or aspiration is difficult to exclude. More focal ill-defined mass in the left upper lobe was better characterized on the recent chest ct as consistent with lung malignancy. No pneumothorax is present. Moderate multilevel degenerative changes are seen in the thoracic spine.
<unk> year old man with severe as, cad, cva, htn, hld, dm, ckd presenting with right sided chest pain, productive cough white sputum. recent diagnosis lul mass concerning for primary lung cancer
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An et tube terminates approximately <num> cm above the carina. An enteric tube terminates below the gastroesophageal junction outside the field of view. Peripheral and basal predominant interstitial pulmonary opacities are unchanged. No new focal opacity. No pleural effusion. Cardiomediastinal and hilar silhouettes are unchanged.
<unk> year old woman with r mca stroke // lines and tubes
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The cardiac, mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities are detected. There is marked gaseous distention of the stomach.
chest pain for <num> weeks.
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Pa and lateral views of the chest. Post-operative changes of right-sided pneumonectomy are again seen with complete opacification of the right hemithorax with associated volume loss and surgical clips and changes to the bones. The left lung is clear. No acute osseous abnormality is identified.
<unk>-year-old male with cough and chest pain.
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There are relatively low lung volumes. The lungs however, are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is seen.
syncope, fall to ground.
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Frontal and lateral views of the chest were obtained. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. No mass lesion is identified. Heart size is normal. Mediastinal silhouette and hilar contours are normal. The scapula is not well evaluated on this study.
winged scapula on the right.
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Compared with the earlier film, an ng tube has been placed. The tip and side port overlie the proximal stomach. Additional tubing overlying the chest and abdomen is thought to lie outside the patient. The left-sided indwelling catheter is again noted, unchanged. On the current film, there is faint increased opacity at both lung bases, ? Atelectasis. A small amount of pleural fluid would be difficult to exclude. Attention to this area on followup films is requested.
<unk> year old woman with ileus / early obstruction with ngt placement // ngt placement
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Stable postsurgical changes related to prior right upper lobectomy are again noted, with persistent right apical pleural fluid and slight rightward mediastinal shift due to volume loss. The cardiomediastinal silhouette is unchanged. Hazy opacity about the left hilus is also noted anteriorly, compatible with lingular pneumonia. There is no left pleural effusion or pneumothorax. Anterior cervical disc fusion hardware is unchanged in appearance.
history: <unk>f with ?pna // cough
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Mild to moderate cardiomegaly is unchanged. Prominence of the right hilum is re- demonstrated, and there is evidence of mild pulmonary vascular congestion. Trace pleural fluid is seen tracking along the fissural planes. Streaky opacity in the right lung base is likely atelectasis. No pleural effusion, pneumothorax, or focal consolidation.
<unk>m with sob. evaluate for pulmonary edema.
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Ap and lateral views of the chest. Despite lower lung volumes on the current exam, there are more distinct pulmonary vascular markings without evidence of pulmonary edema. There is no effusion. Cardiomediastinal silhouette is within normal limits for technique. Hypertrophic changes seen in the spine including mild anterior vertebral height loss of the mid-to-lower thoracic vertebral body levels.
<unk>-year-old man with shortness of breath on exertion after stopping lisinopril and spironolactone yesterday.
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Pa and lateral chest radiographs are provided. There is no focal consolidation, pleural effusion, or pneumothorax. Linear opacities in the lingula are likely atelectases. The cardiomediastinal silhouette is unchanged. There are no acute bony abnormalities.
<unk>-year-old man with shortness of breath on exertion, evaluate for pneumonia.
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Previously described right upper lobe opacity has resolved. Lungs are clear except for a small calcified granuloma in the right upper lobe. Cardiomediastinal contours are unchanged. Persistent prominence of main pulmonary artery contour. Lung volumes are increased with flattening of hemidiaphragms suggestive of copd. There are no pleural effusions or acute skeletal findings.
<unk> year old man with sputum and left sided crackles, hx ? opacity, pneumonia <unk> // evaluate lungs
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Ap upright portable chest radiograph was provided. The endotracheal tube is positioned low with its tip at the carina. Retraction by at least <num> cm is advised. The ng tube courses inferiorly into the upper abdomen, though the tip is excluded from view. The heart is mildly enlarged. Perihilar opacities could represent bronchovascular crowding. No consolidation or effusion/pneumothorax. Bony structures are intact.
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Ap view of the chest provided. Again seen is large right pleural effusion, occupying approximately half of the right hemithorax but not significantly changed from prior study from <unk>. There is still left base atelectasis. Cardiomegaly is stable.
<unk> year old man with cardiac amyloid and recurrent right pleural effusion
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There increased bilateral infiltrates with near complete opacification of the right lung and patchy opacity of the left lower lobe both hemidiaphragms are obscured likely secondary to effusion/volume loss/infiltrate there is no pneumothorax. The tracheostomy and ng tube are unchanged
<unk> year old woman with s/p tracheostomy, increasing secretions // eval for interval change
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Pa and lateral views of the chest provided. Lungs are clear and well inflated. No focal consolidation, effusion, or pneumothorax seen. Cardiomediastinal silhouette is normal. Bony structures are intact.
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An et tube is present, tip approximately <num> cm above the carina. Left ij central line is present --<unk> tip partially obscured, but likely overlying the mid svc. No pneumothorax is detected. There is extensive somewhat patchy opacification of the right lung, with air bronchograms. There is a vascular plethora in the left lung.there is increased retrocardiac density, consistent with left lower lobe collapse and/or consolidation. Probable small right-greater-than-left effusions. Biapical pleural scarring is present. A left-sided dual lead pacemaker is present, with lead tips over the right atrium and right ventricle. There is cardiomegaly. Aortic calcification is present. Osteopenia and scoliosis of the spine are noted, not fully evaluated.
<unk> year old woman with pneumonia and hemoptysis transferred here. // confirm ett placement and left ij placement
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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, as are the hilar contours. No pulmonary edema is seen.
seizure.
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Pa and lateral views of the chest were reviewed. Compared to the most recent chest radiograph of <unk>, interstitial abnormality has increased especially in the left lung which could be due to increased pulmonary fibrosis; however, interval increase in severe cardiomegaly may indicate a component of pulmonary edema due to heart failure. There is no pleural effusion or pneumothorax. Mediastinal contours are unchanged. Absence of the right fifth posterior rib is noted.
evaluation for increased fibrosis in a patient with shortness of breath and a history of sarcoidosis.