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The lungs are clear without consolidation, effusion, or pulmonary edema. Cardiac silhouette is stable. Median sternotomy wires are intact. No acute osseous abnormalities.
<unk>m with sob // pna, pulm edema?
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The heart size, mediastinal, and hilar contours are normal. The lungs are clear without pleural effusion, focal consolidation, or pneumothorax. Mild scoliosis of the imaged spine appears unchanged since the prior study.
<unk>f with shortness of breath. evaluate for acute process.
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The cardiac, mediastinal and hilar contours appear stable including mild cardiac enlargement. There is no pleural effusion or pneumothorax. The lungs appear clear. Mild loss in height among several lower thoracic vertebral bodies appears unchanged. The bones are probably demineralized. There has been no significant change.
shortness of breath and dizziness.
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Single lead left-sided aicd is seen with lead extending the expected location of the right ventricle. Status post median sternotomy. Increased interstitial markings again seen bilaterally consistent with chronic lung disease, although appear slightly more prominent compared to the prior study which may be due to component of superimposed pulmonary edema. No pleural effusion is seen. Cardiac and mediastinal silhouettes are stable.
history: <unk>m with pmh of chf with increasing sob and fall with l knee pain // ?chf, as well as rib fracture and knee fracture
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There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is normal. Osseous structures are unremarkable.
<unk>-year-old male with cough, rule out infiltrate.
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Supine portable radiograph of the chest demonstrates slight elevation of the left hemidiaphragm with minimal left basilar atelectasis. No focal consolidation concerning for pneumonia is identified. There is no pneumothorax, pleural effusion or pulmonary edema. The cardiomediastinal silhouette is within normal limits, allowing for portable technique. Calcified mediastinal lymph nodes are incidentally noted.
<unk>-year-old female with svt. evaluation for pneumonia.
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Interval placement of an endotracheal tube which projects <num> cm from the carina. Two right internal jugular central venous lines are present, unchanged. The costophrenic angles are not included on this radiograph. Unchanged appearance of the visualized lung parenchyma including bilateral layering pleural effusions. The size of the cardiac silhouette is unchanged.
<unk> year old man with trach, needed to be re-intubated // ett tube placement?
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The heart is at the upper limits of normal size. The mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. There is a slight interstitial abnormality with peribronchial cuffing, but somewhat less prominent. This could be seen with slight fluid overload or pulmonary vascular congestion, but inflammation of lower airways or perhaps infection could also be considered in the appropriate clinical setting. Moderate osteophytes are noted along the lower thoracic spine.
recent upper respiratory infection, complaining of shortness of breath at rest.
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Pa and lateral views of the chest provided. Blunting of the right cp angles unchanged and may reflect chronic pleural thickening given unchanged appearance compared with <unk>. No signs of pneumonia or edema. Cardiomediastinal silhouette is normal. No acute bony abnormalities.
<unk>m with hx of asthma with cough and dyspnea // r/o infiltrate
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Left-sided port-a-cath is again noted. There is a small right pleural effusion, likely smaller since <unk>. The lungs are otherwise clear without focal consolidation or pulmonary edema. Nipple shadows project over the lung bases bilaterally. The cardiomediastinal silhouette is stable. No acute osseous abnormalities, subtle height loss of the mid thoracic vertebral body is unchanged. Surgical clips noted in the right upper quadrant.
<unk>f with shortness of breath, <unk> edema // please eval for pneumonia and pulmonary edema
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As compared to the previous radiograph, the pre-existing pulmonary edema has slightly decreased in extent and severity. Moderate cardiomegaly persists. Sternal wires are in unchanged position. No new parenchymal opacities. A left catheter, likely positioned in the persistent superior vena cava, is unchanged.
evaluation of pulmonary edema.
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An orogastric tube is present with the port terminating at the gastroesophageal junction. Left-sided picc terminates in the distal superior vena cava. Cholecystectomy clips are again noted. A catheter projects over the soft tissues of the right neck, perhaps within the external jugular vein. There is improved aeration of the left lung base. There is no pleural effusion or pneumothorax. Cardiac and mediastinal contours are stable.
altered mental status, somnolence and leukocytosis despite therapy. evaluate for any interval change.
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Lung volumes are low. Heart size is accentuated as a result and appears mildly enlarged. Mediastinal and hilar contours are normal. Minimal atelectasis is seen in the lung bases without focal consolidation. No pleural effusion or pneumothorax is identified. Pulmonary vasculature is normal. No acute osseous abnormality is demonstrated. Remote left-sided rib fractures are again noted.
history: <unk>m with syncope
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Single portable view of the chest. Low lung volumes again seen with secondary crowding of the bronchovascular markings. Increased interstitial markings which could represent a component of interstitial edema or chronic lung disease. No definite large confluent consolidation identified. Cardiomediastinal silhouette is stable. Left chest wall single-lead pacing device is again seen.
<unk>-year-old male with chf and shortness of breath and cough.
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Ap upright and lateral views of the chest were provided. There is moderate cardiomegaly with pulmonary edema. Relative sparing of the upper lungs suggests underlying emphysema. No large effusion is seen. Mediastinal contour is normal. Degenerative changes are notable at both shoulders. Mottled appearance of the bone and the proximal humeri is of unclear etiology. Please correlate clinically.
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In comparison to the prior radiograph performed on <unk>, there has been interval development of an ill-defined opacity in the left midlung/left lung base suspicious for pneumonia. There is also mild pulmonary vascular congestion. No pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
history: <unk>m with fever, altered mental status // infectious source
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The lungs are clear of focal consolidation. The cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with two weeks of worsening cough despite increased mdi and steroid taper.
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Compared with <unk>, an intra-aortic balloon pump has been removed. Heart size is normal. Cardiomediastinal silhouette is stable. There is no focal consolidation. No pneumothorax or pleural effusion.
<unk> year old man with stemi, now w/ a iabp // iabp placement
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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. Minimal streaky opacity in the lingula is suggestive of minor atelectasis or scarring. The lungs appear otherwise clear. Bony structures are unremarkable.
right upper quadrant pain and upper respiratory infection. question pneumonia.
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Supine and portable ap view of the chest was provided. There has been interval intubation with tip of the endotracheal tube residing approximately <num> cm above the carina. Recommend at least <num> cm retraction. There has also been placement of an ng tube with its tip in the left upper quadrant, likely in the stomach. Otherwise no change.
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The heart size is normal. The hilar and mediastinal contours are normal. A nodular opacity is seen projecting over the right lower lobe, which represents the nipple shadow. There are no focal consolidations. There are no pleural effusions or pneumothorax. Visualized osseous structures are unremarkable.
<unk>-year-old female patient with cholecystitis. study requested for evaluation of acute lung pathology.
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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. Slight residual left lower lung opacity remains but improved since the prior examination from <unk>, with no definite new focal opacity. An exostosis along the course of the superior right second rib appears unchanged.
left shoulder pain and fever.
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Low lung volumes are noted. There is secondary crowding of the bronchovascular markings. There is no confluent consolidation. Blunting of the left lateral costophrenic angle could be due to atelectasis however underlying effusion is possible. The cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications noted at the aortic arch. No displaced fractures noted.
history: <unk>f with dyspnea // eval effusion, infiltrate <unk>f with dyspnea // eval effusion, infiltrate
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There are low inspiratory volumes, with rotated positioning. No central line is detected on the current study. No obvious pneumothorax is detected. There are low inspiratory volumes. The cardiomediastinal silhouette is slightly prominent. The right hemidiaphragm is elevated, similar prior. There is increased retrocardiac density, consistent with left lower lobe collapse and/or consolidation, and a probable small left effusion. Pleural fluid is seen tracking along the right chest wall into the right lung apex. There is upper zone redistribution. Allowing for low inspiratory volumes, no definite chf, though thickening of the minor fissure is noted.
<unk> year old man s/p failed portacath placement // eval ptx . review of o prior studies indicates a history of metastatic lung cancer.
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Lung volumes are low. No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. Heart size is exaggerated by low lung volumes and therefore difficult to evaluate. No rib fracture is detected on these views.
<unk>-year-old male status post assault with left chest pain.
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Portable chest radiograph demonstrates improved vascular plethora and decreased interstitial fluid consistent with overall improved pulmonary edema. Bilateral small pleural effusions are mildly increased in size. Mild cardiomegaly is unchanged. The right minimally enlarged hila is unchanged. Redemonstration of old left healed clavicular fracture.
<unk>-year-old female with pulmonary edema being diuresed. evaluate for interval change.
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In comparison with study of <unk>, there is little overall change. Specifically, no evidence of acute focal pneumonia. Elevation of the right hemidiaphragmatic contour persists. No vascular congestion or pleural effusion.
hiv and cirrhosis with recent fever.
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Pa and lateral views of the chest provided. Lungs are clear with upper lobe lucency compatible with known emphysema. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is stable with borderline cardiomegaly. Imaged osseous structures are intact. No displaced rib fractures. No free air below the right hemidiaphragm is seen.
<unk>f with left sided chest pain // ?ptx.
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Heart size, mediastinal and hilar contours are within normal limits and without change. Subtle area of increased opacity has developed in the right retrocardiac region, correlating to the posterior basilar segment of the right lower lobe on the lateral view. Lungs are otherwise grossly clear, and there are no pleural effusions or acute skeletal findings.
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Evaluation is extremely limited due to underpenetration on technique and patient body habitus. Low lung volumes accentuate the cardiac silhouette and bronchovascular structures. No evidence of pulmonary edema or focal pneumonia. No pleural effusion or acute skeletal abnormalities.
gradual dyspnea over the past three days, here to evaluate for acute cardiopulmonary process.
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Catheter overlying the heart is thought to represent an inferior-approach dialysis catheter, similar in position compared with the <unk> cxr. Inspiratory volume are slightly low. The heart is not enlarged and the cardiomediastinal silhouette is essentially unchanged. The azygous fissure is minimally enlarged (<unk>.<num> mm) on today's exam, but may be accentuated by low lung volumes. No chf, focal infiltrate, effusion, or ptx is detected.
fever while on hemodialysis.
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The lungs are well-expanded and clear. The cardiomediastinal silhouette is unremarkable. There is no pleural effusion, pulmonary edema, pneumothorax, or focal consolidation worrisome for pneumonia.
history: <unk>f with n/v, fever // eval for consolidation
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Heart size is normal. The aorta is mildly tortuous. The mediastinal and hilar contours are otherwise unremarkable. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>m with chest pain // eval for widened mediastinum
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Pa and lateral chest radiographs was obtained. Heart is normal size and cardiomediastinal contours are unremarkable. No discrete hilar lymphadenopathy. Lungs are well expanded and clear with normal pulmonary vasculature and no focal consolidation. No pleural effusion. No pneumothorax.
<unk>-year-old man with iritis, loss of vision in the right eye, left eye involved as well, looking for pulmonary sarcoid?
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As compared to the previous radiograph, the pre-existing opacity at the right lung base has slightly decreased in extent. However, a minimal increased radiodensity in the region of the left hilus is denser and slightly bigger than before. In the appropriate clinical context, pneumonia must be suspected. At the time of dictation and observation, <time> a.m., on <unk>, the referring physician, <unk>. <unk> was paged for notification. Unchanged overinflation. No pleural effusions, no pneumothorax. Unchanged position of the nasogastric tube and the endotracheal tube. Unchanged left central venous line. Stabilization devices in the cervical spine are visible on today's image.
evaluation for pulmonary process.
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Ap supine portable chest radiograph was obtained. Diffuse pulmonary opacities raise concern for pulmonary edema. No large effusion is seen. Cardiomediastinal silhouette appears grossly unremarkable allowing for technique. Bony structures are intact.
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In comparison with study of <unk>, there appears to be a slight decrease in the enlarged cardiac silhouette. No evidence of pulmonary edema. Scattered streaks of atelectatic change are seen, especially at the left base.
pericardial effusion, to assess for change.
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The lungs are clear. Mediastinal and cardiac contours are normal. There is no pleural effusion or pneumothorax.
patient with fever, right-sided chest pain, rule out infiltrate.
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Frontal and lateral views of the chest were obtained. Status post median sternotomy. Moderate cardiomegaly persists. There is mild interstitial pulmonary edema. No pleural effusion or pneumothorax is seen. The aorta is calcified and tortuous.
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The patient is status post median sternotomy and cabg. There is mild enlargement of the cardiac silhouette, unchanged. Mediastinal and hilar contours are similar. Pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is present. Minimal atelectasis is demonstrated in the left lung base. There are no acute osseous abnormalities.
history: <unk>m with right-sided weakness
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Frontal and lateral views of the chest were obtained. The heart size and cardiomediastinal contours are normal. The lungs are clear. No focal consolidation, pleural effusion, or pneumothorax.
<unk>-year-old female with fever and productive cough. evaluate for pneumonia.
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Frontal and lateral views of the chest were obtained. There is a right-sided central venous catheter terminating in the region of the distal svc/cavoatrial junction. Bibasilar opacities have improved in the interval with the right lung base clear and possible minimal residual remaining at the left lung base. No pleural effusion or pneumothorax. Mild loss of height of a mid lower thoracic vertebral body is stable since ct of <unk>. Posterior spinal hardware is partially imaged.
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Ap single view of the chest has been obtained with patient in sitting semi-upright position. Comparison is made with the next preceding ap and lateral chest examination <unk> <unk>. The bilateral basal densities have increased markedly since the preceding study and indicate reoccurrence of advanced chf. Pleural effusion are more marked on the left side than the right. Also difficult to identify on the somewhat underexposed single view examination, there appears to be marked perivascular haze in the pulmonary circulation suggesting beginning pulmonary edema. Followup examination after treatment is recommended.
<unk>-year-old male patient with history of rheumatoid arthritis and new onset of shortness of breath overnight. evaluate for cardiopulmonary process.
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Frontal and lateral views of the chest are obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. There is no overt pulmonary edema. The cardiac silhouette is top normal. The mediastinum and hilar contours are unremarkable. Degenerative changes are seen along the spine.
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Lung volumes are slightly low. There is a left retrocardiac opacity. A dome-shaped opacity at the right base could reflect pleural fluid. The mid and upper lung fields are clear. The heart is moderately enlarged. There is no frank pulmonary edema. There is no pneumothorax.
<unk> year old woman with acute onset tachypnea, shortness of breath // pneumonia
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The lungs are hyperinflated, compatible with chronic lung disease. There is no pleural effusion, pneumothorax or focal airspace consolidation worrisome for pneumonia. Scarring/chronic atelectasis at the left lung base is unchanged. The heart is normal size. The mediastinal and hilar contours are unremarkable. A left pectoral pacemaker, sternotomy wires and mediastinal clips are constant. Chronic appearing right-sided rib fractures are noted.
weakness. evaluate for pneumonia.
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Upright ap and lateral views of the chest provided. Midline sternotomy wires again noted. The heart remains mildly enlarged. The mediastinal contour remains widened due to an unfolded thoracic aorta. There is hilar congestion and mild interstitial pulmonary edema. No large effusions are seen. Bony structures are intact.
<unk>f with low o<num> sats, abd distension and diffuse pain // eval for infection
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Hilar contours are stable, including prominence of the left pulmonary artery. Patient is status post median sternotomy. Left-sided pacer device is stable in appearance. There is no pulmonary edema.
<unk>f w/sob // <unk>f w/sob
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The heart size is normal. Mediastinal and hilar contours are unchanged, with mild upward retraction of the right hilum compatible with postsurgical changes. Apart from subsegmental atelectasis in the left lung base, the lungs are clear. No focal consolidation, pleural effusion or pneumothorax is present. Sclerotic osseous metastatic lesions with remote fractures are again demonstrated in the ribs bilaterally.
lung cancer, prior pulmonary embolism, copd with increased cough, chest pain and fever.
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The lungs are clear. There is no focal consolidation, effusion, or edema. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f smoker with dyspnea // eval for pneumonia
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Pa and lateral chest radiographs are limited by body habitus. Despite this limitation, the lungs are well expanded and clear. There is no focal consolidation, effusion, or pneumothorax. Cardiac and mediastinal contours are normal.
shortness of breath and chest pain.
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The left lower lobe consolidation is improved but still present. No pleural effusion or pneumothorax is seen. Heart and mediastinal contours are within normal limits. Hardware is again noted to be overlying the left lower chest laterally with leads coursing to the neck.
<unk>-year-old male with increasing seizure frequency.
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Compared to prior, there is no significant change. The lungs are well expanded and clear. The heart size is normal. The mediastinal and hilar contours are normal. No pleural abnormalities are seen.
<unk> year old woman with history of ewing sarcoma <unk> years ago, routine surveillance x ray.
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Pa and lateral views of the chest are provided. The port-a-cath has been removed. There is a right pleural effusion, moderate in size with associated compressive right lower lobe atelectasis. Probable also right middle lobe atelectasis. There is a small left pleural effusion. The heart size cannot be assessed. The mediastinal contour appears grossly unremarkable. There is no pneumothorax.
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Pa and lateral views of the chest. There is elevation of the right hemidiaphragm. There is a small right pleural effusion. There is mild pulmonary edema. No pneumothorax. Sternotomy wires and mediastinal clips are stable. There is at least mild cardiomegaly. There is an unchanged right glenoid spur.
altered mental status.
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On the first radiograph, obtained at <unk>, there was malposition of the dobbhoff catheter in the right bronchial system. No evidence of pneumothorax or other complications. On the radiograph performed at <unk>, the dobbhoff catheter follows the course of the esophagus, with the tip in the proximal parts of the stomach. Again, no complication such as pneumothorax is seen.
dobbhoff placement.
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Compared to prior, there is significant improved appearance of the bilateral apices with no residual pulmonary edema. However, moderate right worse than left bilateral pleural effusions, and moderate bibasilar atelectasis remain. A moderate hiatal hernia is stable. The heart size is difficult to evaluate. The vascular pedicle is not enlarged. Right picc is unchanged in position. Vertebral compression deformity and free joint body are unchanged. Right clavicular fracture is of unknown chronicity.
<unk> year old woman with acute heart failure, large pleural effusions, leukocytosis now diuresed // ? improvement in pleural effusions, any underlying infiltrate?
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Et tube terminates <num> cm above the carina while the neck is flexed. Transesophageal tube courses below diaphragm and out of view. Right internal jugular venous line terminates at the low svc. Diffuse bilateral pulmonary opacities appear similar to <unk>. Cardiomediastinal silhouette is within normal size and unchanged.
<unk> year old woman with mrsa bacteremia, intubated // eval for interval change
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Left-sided central venous catheter has been removed. The heart size is normal. The mediastinal and hilar contours are unchanged. Evidence of volume loss in the right lung with elevation of the right hemidiaphragm and collapse of the right middle lobe appear chronic. Linear opacities within the right lung base likely reflect right lower lobe subsegmental atelectasis. Left lung is clear. No pleural effusion is identified. The pulmonary vascularity is not engorged, and there is no pneumothorax. No acute osseous abnormality is identified. Partially seen is anterior cervical fusion hardware.
hypotension, on chemotherapy.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. Cardiomegaly is mild. Hila are equivocally prominent. Mediastinal contour is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with cough, malaise // pna?
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There are bibasilar linear opacities, which were seen as early as <unk>, suggestive of chronic scarring. The lungs are otherwise free of focal consolidations or pleural effusions. No evidence of pneumothorax. The heart and mediastinum are within normal limits. No osseous abnormalities are identified on this radiograph.
<unk> year old man with atypical chest pain. remote smoking hx // r/o infiltrate or nodule
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Ap portable supine view of the chest. Overlying ekg leads are present. Lungs appear clear. No large effusion or supine evidence for effusion or pneumothorax. Cardiomediastinal silhouette appears normal. Bony structures appear intact.
<unk>m found down // eval acute injury, acute intrathrocic process
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The patient is status post right lower lobectomy. Right upper lobe paramediastinal fibrosis and atelectasis is again seen due to prior radiation treatment. Right upper hemithorax pleural thickening is again seen. The left lung remains clear. Patient is rotated somewhat to the right. The left aspect of the cardiac and mediastinal silhouettes are stable as is the left hilum.
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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 normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
history: <unk>m with s/p fall // eval for injuries
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Frontal and lateral chest radiographs were obtained. The lungs are fully expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax.
patient with productive cough and malaise, rule out pneumonia.
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As compared to the previous radiograph, no relevant change is seen. Known basal pleural calcifications. Known left pleural calcifications with minimal scarring of the lung parenchyma and volume loss of the left hemithorax. Moderate cardiomegaly without pulmonary edema. No new parenchymal opacities are seen on the current radiograph.
wheezes and crackles, evaluation.
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Again seen is a right apical pneumothorax, similar in size compared to prior. There are small bilateral pleural effusions with volume loss at both bases. The pericardiocentesis catheter is again seen. No other changes identified.
status post pericardial window and talc pleurodesis, question interval change.
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Low lung volumes are noted. The lungs are clear without consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. S shaped thoracolumbar scoliosis is noted. No free intraperitoneal air.
<unk>f with epigastric pain and new rbbb with twi // cardiac workup
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Frontal and lateral views of the chest show decreased lung volumes. There is no focal opacity, pleural effusion or pneumothorax. Elevation of the right hemidiaphragm is unchanged. Mild cardiomegaly is stable.
dyspnea.
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Heart size is moderately enlarged, unchanged. The aortic knob is calcified. The mediastinal and hilar contours are similar. There is no pulmonary edema. Streaky opacity in the retrocardiac region is demonstrated. No pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities.
history: <unk>f with chills, dyspnea // r/o pneumonia
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Pa and lateral views of the chest. There is a minimal right basilar atelectasis. No focal consolidation or pneumothorax. There is blunting of the right costophrenic angle which could be due to a small pleural effusion. The cardiac silhouette is top normal. The aorta is somewhat tortuous.
chest pain.
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In comparison with study of <unk>, the nasogastric tube extends to the mid portion of the stomach. The side port is probably just distal to the cardioesophageal junction. Little change in the appearance of the heart and lungs.
for ng tube placement.
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As compared to the previous radiograph, there is ongoing very high position of the endotracheal tube, with its tip projecting over <num> cm above the carina. The tube could be advanced by <num> to <num> cm. The low lung volumes, the enlarged cardiac silhouette and the known parenchymal changes are constant.
et tube placement.
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As compared to the previous radiograph, there is no relevant change. Minimally decreased in severity of the pre-existing pulmonary edema. The additional parenchymal opacities have also decreased in extent. Known rib fractures. Known moderate cardiomegaly with relatively extensive retrocardiac atelectasis that is stable. Blunting of the left costophrenic sinus, so that the presence of a small pleural effusion cannot be excluded.
left basilar opacity, evaluation.
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There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. The imaged upper abdomen is unremarkable. The bones are intact.
history: <unk>m with chest pain s/p fall with head strike on coumadin // eval for trauma
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The lung volumes are normal. Mild to moderate enlargement of the cardiac silhouette is unchanged from chest radiograph <unk>. Bilateral hilar enlargement is compatible with enlargement of the bilateral pulmonary arteries as seen on ct chest <unk>. There are bibasilar opacities which likely represent atelectasis, however an infectious etiology cannot be ruled out. Degenerative changes of the lower thoracic spine. Mild pulmonary vascular congestion without frank pulmonary edema or pleural effusions is demonstrated. No pneumothorax.
history: <unk>f with chest pain and cough
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In comparison with study of earlier in this date, there is poor definition of the left hemidiaphragm raising the possibility of worsening volume loss in the left lower lobe and increasing effusion. Some of this may reflect the lower lung volumes. There is also increasing fullness of pulmonary vessels, raising the possibility of worsening congestion. The central catheter again extends to left brachiocephalic vein. The tip of the dobbhoff tube is not definitely seen on the current study.
cabg.
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Mild cardiomegaly is overall similar to exams dated back to <unk>. There is mild pulmonary vascular congestion with mild to moderate pulmonary edema bilateral pulmonary edema. There may be small bilateral pleural effusions. There is no evidence of a pneumothorax.
history of nausea and right shoulder pain with shortness of breath. please evaluate for acute process.
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Since the prior radiograph performed earlier this morning, there has been interval placement of a new left subclavian line that terminates at the cavoatrial junction. Remainder of the support lines and devices are unchanged. Endotracheal tube terminates <num> cm above the carina. The enteric tube is seen in the stomach, but the tip extends beyond the inferior margin of this image. There are two left-sided chest tubes and a left mediastinal drain. There is a loculated right pleural effusion that has increased since yesterday morning's cxr. Additionally, there is slightly worsening opacification of the left lung base, which is probably due to a combination of atelectasis and a small left pleural effusion. Interval improvement in extent of underlying pulmonary edema since yesterday. There is no pneumothorax.
<unk> year old man with left subclavian cvl // left subclavian cvl position
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There has been apparent interval increase in the cardiac silhouette which is mildly enlarged although differences likely due to changes in technique. Lungs are clear. There is no pleural effusion or pneumothorax.
<unk>-year-old man with history of sickle cell disease presenting with weakness and shortness of breath, rule out infectious process.
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In comparison with study of <unk>, there are areas of increased opacification at the right base and in the retrocardiac region, silhouetting the hemidiaphragm. In view of the clinical history, this could well represent areas of aspiration and early infection. Continued hyperexpansion of the lungs is consistent with emphysema. There is enlargement of the cardiac silhouette with kerley lines suggesting some elevated pulmonary venous pressure.
possible pneumonia.
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The lungs are normally expanded and clear. The cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. There is no pleural effusion or pneumothorax.
epigastric back and chest discomfort. evaluate for infiltrate.
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Ett in standard position. Right internal jugular venous catheter ends in the right atrium, unchanged. Consolidation in the right lower lung is less apparent from the exam only <num> hours earlier, suggesting some component of edema. Moderately enlarged heart is overall unchanged. No pneumothorax. No pleural effusion.
<unk> year old man with septic shock vs. heart failure // interval change?
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The heart size is normal. The hilar and mediastinal contours are normal. No focal consolidations concerning for pneumonia are identified. There is no pleural effusion, or pneumothorax. The visualized osseous structures are unremarkable.
history: <unk>f with cp // evidence of pneumothorax
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There is mild pulmonary vascular congestion without overt edema. No focal consolidation is identified. The cardiomediastinal silhouette and hilar contours are normal. There is no pleural effusion or pneumothorax. A right chest port-a-cath terminates in the cavoatrial junction. Right upper quadrant stent is noted.
<unk>-year-old female with shortness of breath after blood transfusion. evaluate pulmonary edema.
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Streaky bibasilar opacities are likely secondary to atelectasis. Superiorly, the lungs are clear. The cardiomediastinal silhouette is within normal limits. Median sternotomy is a mediastinal clips are again noted. No acute osseous abnormalities.
<unk>m with fever // infiltrate
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As compared to the previous radiograph, the patient has received a nasogastric tube. The tip of the tube can be visualized in the distal third of the esophagus but it does not reach the stomach. No evidence of complications. Unchanged right chest tube. Unchanged moderate cardiomegaly. No pleural effusions. No pulmonary edema.
status post esophagectomy, new nasogastric tube.
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The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. Scarring is seen at the lung apices. There is no pleural effusion or pneumothorax. At the left lung base, there is vague opacity, which likely represents atelectasis.
history: <unk>f with dyspnea, chest pain // eval for acute process
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The lungs are hyperexpanded and there are changes particularly in the upper lungs of bullous emphysema. The lungs are clear, however. The cardiac and mediastinal contours are normal. There are no pleural abnormalities.
hypotension, evaluate for acute cardiac or pulmonary process.
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Et tube terminates at the proximal right mainstem bronchus. A transesophageal tube courses below the diaphragm and out of view. Left internal jugular venous catheter terminates at the left brachiocephalic and svc confluence. Lung volume remains low. Bibasilar atelectasis is similar to before. There is no large pleural effusion. Cardiomediastinal silhouette is stable. No pneumothorax is identified.
<unk> year old woman with necrotizing fasciitis of the lle now s/p debridement // please assess for interval change and verify ett, ogt placement
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As compared to the previous image, the monitoring and support devices are in unchanged position. The pre-existing opacity at the right upper lobe base is no longer visible. However, bilateral pleural effusions are more extensive than on the previous image, particularly on the right. In addition, peribronchial cuffing suggests mild interstitial pulmonary edema. There is unchanged moderate cardiomegaly with a shape of the cardiac silhouette potentially suggesting pericardial effusion. Radiographic findings should be correlated with the clinical patient presentation, and complemented with echocardiography.
severe epistaxis and aspiration, rule out pneumonia.
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Ap frontal portable chest radiograph demonstrate no focal consolidation. There is increased bibasilar atelectasis with lower lung volumes. There is no large pleural effusion. Aorta is tortuous and stable in appearance when compared to images in <unk>. Heart size is normal. No pulmonary edema. There is no pneumothorax.
<unk>-year-old female with hypoxia and new cough. evaluate for pneumonia.
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Pa and lateral views of the chest provided demonstrate no focal consolidation, effusion or pneumothorax. The heart and mediastinal contours are normal. Bony structures are intact. No free air below the right hemidiaphragm is seen.
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Lungs are clear. There is no consolidation or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with cp // ? pna
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The right hemidiaphragm is elevated, as before, with a moderate right pleural effusion, and a small amount of pleural fluid tracking along the horizontal fissure. Bibasilar atelectasis is greater on the right. The left lung is otherwise clear. There is no pneumothorax. The cardiomediastinal silhouette is stable. The heart is top-normal in size. There is mild pulmonary vascular congestion.
history: <unk>f with cough, fever // infiltrate?
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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. Aortic calcifications are present. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with chest pain
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Mildly hypoinflated lungs with crowding of vasculature. Heterogeneous right lower lobe opacity is noted. No pleural effusion or pneumothorax. Mild accentuation of the heart size is likely due to patient positioning and low lung volumes. Mediastinal contour and hila are unremarkable.
<unk>f with nausea, vomiting, diarrhea, fever, mild sob. assess for pneumonia.
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Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. Cardiac and mediastinal silhouettes are stable and unremarkable.
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The lungs are well-expanded and clear. The cardiomediastinal silhouette is unremarkable. There is no pleural effusion, pulmonary edema, pneumothorax, or focal consolidation.
<unk>f with dyspnea // r/o infiltrate
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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
cough and wheezing. history of asthma and pulmonary embolism.