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There is no evidence for lobar consolidation, pleural effusion, or pneumothorax. Diffuse coarsened interstitial markings are noted, and likely reflect underlying chronic lung disease. The heart is mildly enlarged and there is minimal pulmonary edema. Blunting of the bilateral costophrenic angles likely reflects atelectasis versus scarring. There is no displaced rib fracture identified.
history: <unk>f s/p fall from standing. // ptx?
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Cardiac size is normal. Multifocal consolidations are present in the upper lobes, rml and right lower lobe, more severe in the right lower lobe. There is no pneumothorax or pleural effusion. Catheter in the upper abdomen is partially imaged
<unk> year old man with aspiration pna // severity of aspriation
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Portable semi erect frontal chest radiograph demonstrates interval removal of swan-ganz catheter with persistent right internal jugular sheath in place. Stable moderate cardiomegaly and unchanged mediastinal and hilar contours. Improved aeration of the right lower lobe. No new focal consolidation identified. No pneumothorax.
<unk>-year-old male with congestive heart failure.
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The lungs are well expanded and clear. The cardiomediastinal silhouette is unremarkable. The hilar and pleural surfaces are normal with no evidence of pleural effusion. There is no pneumothorax or pulmonary edema. No evidence of pneumonia.
chest pain.
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No focal consolidation is seen. There are chronically increased interstitial markings bilaterally. No focal consolidation is seen. There is no pleural effusion or pneumothorax. Stable mild biapical pleural thickening. The cardiac and mediastinal silhouettes are stable.
history: <unk>f with constipation and sob // pna
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Lines and tubes are grossly unchanged. The cardiomediastinal silhouette is unchanged. Extensive opacities in both lungs are similar to the prior film, allowing for technical differences. No pneumothorax detected. Widened right and left ac joints noted, ? Postsurgical on the right.
<unk> year old man with vap, endocarditis. // evaluate for interval changes
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An enteric catheter passes below the level of the diaphragm, seen to end within the stomach on accompanying radiographs from <unk>. There is minimal linear left lower lung atelectasis. Lung volumes are slightly low. The heart size is normal. Mediastinal contours are normal. Blunting of the bilateral posterior costophrenic angles could indicate trace pleural effusions. There is no pneumothorax. No free air is seen under the diaphragm.
recent abdominal surgery with nausea, vomiting, and abdominal pain. assess for free air.
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Bilateral low lung volumes with flattened contours of bilateral bases on the lateral view, possible small subpulmonic effusions.the lungs are clear without focal consolidation. No pneumothorax is seen. The cardiac and mediastinal silhouettes are unchanged. Extensive calcification of the descending aorta and the aortic knob. Gallstones are noted in the right upper quadrant.
<unk> year old man with chronic cough // any evident reason for cough?
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Right ij line is been removed and the sheath remains. Right chest tube is unchanged in location. Moderate left basilar atelectasis persists. No large pleural effusion. Heart size is enlarged, as before.
<unk> year old man s/p cabg, mvr // eval for hemothorax
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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.
<unk> year old woman with ulcerative colitis - r/o tb // <unk> year old woman with ulcerative colitis - r/o tb
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The cardiomediastinal silhouette is normal. The hila and bilateral pulmonary vasculatures are normal. There is a right lower lobe ill-defined hazy opacities with air bronchogram. No pneumothorax. No fractures.
<unk> year old man with hiv, autoimmune anemia, fever. // eval for infiltrate
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In comparison with study of <unk>, there is little change and no evidence of pneumothorax. Pacer leads are essentially unchanged, as is the remainder of the study. Dense calcification of the mitral annulus is again seen.
biventricular pacer upgrade with multiple subclavian attempts, to assess for pneumothorax.
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Pa and lateral views of the chest demonstrates persistent postsurgical appearance status post right upper lobe lobectomy from <unk>. Additionally, median sternotomy wires and dual lead pacemaker device as well as aortic valve replacement are unchanged. An ivc filter is in place. Persistent left apical scarring is again seen. There is vague opacification within the right lower lobe posteriorly, less conspicuous than on recent chest ct, but likkly still present possibly representing aspiration or pneumonia. Prominence of the pulmonary vessels is less apparent compared with radiographs from <unk>. No new focal opacities are identified. There is no pneumothorax. The cardiomediastinal silhouette is stable in appearance.
cough and dyspnea. rule out pneumonia or chf.
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Portable upright chest radiograph was provided. A left chest wall dual-lead pacemaker is seen with leads in the right ventricle and right atrium. Median sternotomy wires are intact. Lung volumes are slightly low. There is no focal consolidation, pleural effusion or pneumothorax. There is no evidence of pulmonary edema. Prominent interstitial markings at the lung bases are unchanged since the prior studies, likely representing nsip and better assessed on the recent chest ct. The cardiomediastinal silhouette is notable for a tortuous and calcified aorta. The heart is minimally enlarged.
history of shortness of breath and abnormal ekg. question pneumonia or fluid overload.
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In comparison with the study of <unk>, there is little change and no evidence of acute cardiopulmonary disease. Slight elevation of the right hemidiaphragm with blunting of the costophrenic angle, most likely reflecting pleural thickening. Specifically, no evidence of acute pneumonia or pneumothorax.
cough with history of spontaneous pneumothorax.
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Moderate left and small right bilateral pleural effusions are re- demonstrated, similar in extent compared to the previous exam. The cardiac silhouette size is difficult to assess given obscuration from the adjacent pleural effusions. Bibasilar airspace opacities likely reflect compressive atelectasis though infection cannot be excluded. The mediastinal and hilar contours appear unchanged. There is no pulmonary edema. Degenerative changes are noted within the imaged thoracolumbar spine. On the lateral view, there is focally dilated small bowel loop measuring up to <num> cm.
dyspnea on exertion, lower extremity swelling
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A single portable semi-erect chest radiograph was obtained. Low lung volumes exaggerate the heart size and interstitial markings. The lungs are clear. There is no focal consolidation, effusion, or pneumothorax. The heart size is top normal. Mediastinal contours are normal. Cholecystectomy clips are visible in the right upper quadrant. There is no displaced rib fracture.
trauma.
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Single frontal view of the chest. Heart size is top normal and mediastinal contours are stable. Moderate interstitial edema with probable tiny pleural effusions. Retrocardiac opacity could represent atelectasis or consolidation. No pneumothorax.
shortness of breath and missed dialysis.
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The lungs are relatively well expanded and grossly clear. There is eventration of the right hemidiaphragm, with mild right basilar atelectasis. The heart size is top-normal in size, and the cardiomediastinal silhouette is unremarkable. There is no pleural effusion, pulmonary edema, pneumothorax, or focal consolidation concerning for pneumonia.
history: <unk>f with sob/cough fever. // r/o pna
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Endotracheal tube tip terminates <num> cm from the carina. An enteric tube tip is within the stomach. Heart is moderately enlarged. The aorta is tortuous. Fullness of the right superior mediastinal border may be due to tortuous vascular structures. There is no pulmonary edema. Consolidative opacity with air bronchograms is noted in the left lung base. No pleural effusion or pneumothorax is identified. No acute osseous abnormality seen. There are multilevel degenerative changes in the imaged thoracic spine.
history: <unk>m with intracranial hemorrhage, endotracheal tube placement
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In comparison with the study of <unk>, there has been dramatic opacification of the left hemithorax. This suggests collapse of the left lung related to mucus plug, though some element of fluid within the pleural space could be considered. The right lung remains essentially clear. A subsequent image was obtained prior to this study being dictated.
pneumonia and sepsis, to assess for change.
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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. No bony abnormalities.
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The lungs are clear. The cardiomediastinal silhouette is stable. There is no effusion are pneumothorax. Right-sided dual-lumen central venous catheter seen with distal tip in the upper svc.
<unk>f with subclavian hd line which has been pulled out <num>cm. // ?hd line placement
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In comparison with study of <unk>, there is continued enlargement of the cardiac silhouette with some widening of the superior mediastinum. Pulmonary vessels are slightly more indistinct, suggesting some elevated pulmonary venous pressure. Bibasilar opacification is consistent with pleural effusions and compressive atelectasis, though some of this may merely reflect overlying soft tissues.
cabg.
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Frontal and lateral radiographs of the chest show interval removal of the left apical pleural pigtail catheter from the preceding radiograph. The small left apical pneumothorax is unchanged in size or distribution. The inspiratory lung volumes are appropriate. The lungs are otherwise clear without focal consolidation or pleural effusion. The cardiomediastinal silhouette is within normal limits and unchanged.
<unk>-year-old male with spontaneous left pneumothorax, here to reevaluate pneumothorax, status post chest tube removal.
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Ap single view of the chest has been obtained with patient in semi-upright position. Comparison is made with the next preceding similar study of <unk>. A previously identified ng tube is again noted reaching below the diaphragm. The patient is moderately rotated to the left, which explains the heart's unusual presentation to the left of spinal column. At least moderate cardiac enlargement is present as it was before. The left-sided diaphragm is obliterated suggesting the possibility of an atelectasis. Finding existed already on the previous examination. General haze mostly over the pulmonary basal vasculature is suggestive of pleural effusions layering in the dependent portions of the posterior pleural sinuses. A previously existing and described right internal jugular approach central venous line remains in place.
<unk>-year-old female patient with shortness of breath, evaluate for pneumonia.
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Ap portable upright view of the chest. Midline sternotomy wires and mediastinal clips are noted. Overlying ekg leads are present. The lungs appear somewhat hyperinflated without focal consolidation concerning for pneumonia. No large effusion or pneumothorax is seen. Coarsened interstitial markings suggest underlying chronic lung disease, similar to prior imaging studies. No definite signs of hilar congestion. Heart size is top-normal. Mediastinal contour is normal. Bony structures appear intact.
<unk>f with hypotension // eval for pna
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Since <unk>, new endotracheal tube is seen with tip in the right mainstem bronchus and will need to be pulled back. The left lung appears diffusely atelectatic, likely from right mainstem bronchus intubation. Lung volumes are low. The heart size is top normal. The tip of the right internal jugular venous central line is seen in the right atrium. No pneumothorax.
<unk> year old woman with ett intubation for airway protection // ett placement
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As compared to the previous radiograph, there is unchanged evidence of massive lymphadenopathy and presence of pulmonary nodules. In addition, today's radiograph is suggestive of fluid overload. A left-sided chest tube has been placed. No pneumothorax is visible. Borderline size of the cardiac silhouette.
left nephrectomy, chest tube.
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In comparison with the study of <unk>, the endotracheal tube and the nasogastric tube remain in place. There is little overall change in the appearance of the heart and lungs. Hazy opacification at the bases is consistent with layering pleural effusion. In the retrocardiac region, there is dense opacification most likely representing significant volume loss in the left lower lobe. However, supervening pneumonia would have to be considered in the appropriate clinical setting.
respiratory failure with pulmonary edema.
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As compared to the previous radiograph, there is no relevant change. Borderline size of the cardiac silhouette without evidence of overinflation or pulmonary edema. No evidence of pneumonia. No pleural effusions. Normal appearance of the hilar and mediastinal contours.
asthma, evaluation for pneumonia.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with cough and yellow sputum // eval pneumonia
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The patient is status post median sternotomy, cabg, and mitral valve replacement. Moderate cardiomegaly is unchanged. The aorta remains tortuous and diffusely calcified. There is new mild interstitial pulmonary edema. Lungs remain hyperinflated with flattening of the diaphragms suggestive of underlying copd. No focal consolidation, pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Surgical clips are again demonstrated in the right upper quadrant of the abdomen.
bilateral rales, dyspnea.
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An nasogastric tube terminates in the left upper quadrant, likely in the stomach. Lung volumes are unchanged compared to the prior study. There is persistent vascular prominence of the bilateral hila, likely reflecting pulmonary arterial hypertension. Assessment of heart size is limited by technique but unchanged from the prior study. No consolidation, pleural effusion or pneumothorax seen. .
<unk> year old man with fever // eval for pna
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As compared to the previous radiograph, the lung volumes are slightly increased, likely reflecting improved ventilation or a stronger inspiratory effort. Atelectasis at the right lung bases and in the retrocardiac lung areas, however, persist. Coronary stent is better visualized than on the previous image. Unchanged left subclavian catheter. Borderline size of the cardiac silhouette without pulmonary edema.
shortness of breath, wheezing.
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An endotracheal tube terminates about <num> cm above the carina. A nasogastric tube terminates in the stomach. A dual-lead pacemaker/icd device has leads terminating in the right atrium and ventricle, respectively. The heart is mildly enlarged. The aorta is calcified. The chest appears hyperinflated. A small calcification projecting along the left mid lung suggests a granuloma, but otherwise the lungs appear clear. There is no definite pleural effusion or pneumothorax.
subdural hematoma.
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There is moderate cardiomegaly. Prosthetic valve replacement is again visualized. There is pulmonary vascular re-distribution with perihilar haze. There are areas of volume loss and infiltrate in both lower lungs. The heart is moderately enlarged. There are bilateral pleural effusions that are moderate in size. Compared to the prior study, the fluid status is worse.
abdominal distention.
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The lungs are clear of consolidation, effusion, or pneumothorax. There is an <num>mm nodular opacity projecting over the right mid lung and the anterior right third and posterior right sixth ribs. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with cough and chest pain // eval for pneumonia and chf
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The previously described left lower lobe peripheral opacity has resolved. No new airspace opacity. The cardiac silhouette is stable with coarse calcifications of the mitral annulus. No pleural effusions or pneumothorax. Surgical clips related to prior thyroid surgery p
<unk> year old woman with recent pneumonia and hyponatremia // ? lesion
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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. There is a patchy density obscuring the left hemidiaphragm to a slight degree, although not specific.
cough and chest pain with presyncope.
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Ap single view of the chest has been obtained with patient in sitting upright position. Comparison is made with the next preceding similar study of <unk>. Mild cardiac enlargement as before. Unchanged position of right-sided picc line reaching into the lower svc and probably in the upper third of right atrium. No pneumothorax is seen. There are bilateral extensive pulmonary parenchymal infiltrates of infectious character occupying major portions of the right and left upper lobe. On the next preceding examination, they were less developed but concern for evolving infectious process was raised already. The lower areas of the lungs appear free from acute infectious processes as can be identified on this single view portable chest examination. As the lateral pleural sinuses are free, there is no evidence of significant pleural effusion. Referring physician, <unk>. <unk>, was paged at <time> p.m.
<unk>-year-old female patient status post left-sided above-knee amputation, elevated white blood count. repeat chest examination and evaluate for interval change. questionable pneumonia.
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Ap portable semi upright view of the chest. Low lung volumes limits evaluation. Bibasilar atelectasis is present. There is no convincing evidence for pneumonia or edema. No large effusion or pneumothorax. Heart size is difficult to assess. Mediastinal contour is normal. Bony structures are intact.
<unk>m with ams and fever
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A left subclavian central venous catheter ends in the lower svc. Bilateral large pleural effusions and associated compressive atelectasis of both lung bases have slightly worsened since the prior study. The remainder of the aerated lung appears unremarkable except for mild pulmonary vascular congestion. The assessment of the cardiomediastinal silhouette is limited due to the large effusions. Multiple intact sternotomy wires are present.
<unk>-year-old woman with history of atrial fibrillation/status post ablation complicated by left atrial perforation, post open repair on <unk>, now with one month of progressive shortness of breath.
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As compared to the previous radiograph, the endotracheal tube has been pulled back. The tube now projects approximately <num> cm above the carina. There is no evidence of complications. The other monitoring and support devices are unchanged.
multiple abdominal adhesions, endotracheal tube evaluation.
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Pa and lateral views of the chest were obtained. Cardiomediastinal silhouette is stable. Lungs are grossly clear, without chf or focal infiltrate. There is no pleural effusion or pneumothorax.
<unk>-year-old man with chest pain, rule out acute process.
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A port-a-cath terminates at cavoatrial junction. The patient is status post sternotomy and coronary artery bypass graft surgery. The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. There is new patchy opacity in the right lower lobe, probably compatible with atelectasis; elsewhere lungs remain clear.
shortness of breath.
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Frontal lateral views of the chest. The lungs are clear of consolidation, effusion, or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. Hypertrophic changes in the spine.
<unk>-year-old male with chest pain.
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Right-sided port-a-cath is unchanged in position. There has been interval placement of a left pleurx catheter. The cardiomediastinal and hilar contours are within normal limits and unchanged. There is a moderate pneumothorax seen at the left base with adjacent collapse of the base of the left lung. Additionally, there is a small amount of pleural air seen at the apex of left lung. The right lung is clear. There is a small right pleural effusion.
<unk> year old man with pleurx placement // f/u effusion
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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 female with shortness of breath.
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The patient is status post median sternotomy. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No pulmonary edema is seen. No displaced fracture is seen.
chest pain radiating to left arm, improvement when sitting forward.
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Frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is top normal. There is no pulmonary edema. Partially imaged upper abdomen is unremarkable.
fever and abdominal pain.
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Pa and lateral views of the chest provided. Lung volumes are somewhat low with mild elevation of the left hemidiaphragm. The heart is mildly enlarged. The hila are slightly engorged. Calcified granulomas are seen projecting over the right mid to upper lung. There is no large effusion or pneumothorax. Mild interstitial edema is suspected. No convincing evidence for pneumonia. Aortic calcification is noted. There is a vertebral body compression fracture at the lower thoracic spine with acute kyphotic angulation at this level.
<unk>f with sob, weight gain // chf?
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The cardiac, mediastinal and hilar contours are unremarkable with the exception of mild aortic knob calcifications. The heart size is normal. Lungs are clear. No pleural effusion or pneumothorax. No pulmonary vascular congestion. No acute osseous abnormalities are detected.
chest pain and desaturation.
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Ap and two lateral radiographs of the chest were obtained. There are no prior studies for comparison. There is scarring and atelectasis at the right middle lobe and the cardiac area. No focal consolidation or nodule is present. The left hilus is prominent. There may be a small left effusion. There is eventration of the right hemidiaphragm. Cardiomegaly is mild.
<unk>-year-old man with cough and fever, evaluate for pneumonia.
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The lungs are clear of focal opacities concerning for an infectious process. There is hyperexpansion of the lungs consistent with chronic obstructive pulmonary disease. Cardiac silhouette is mildy enlarged. Hilar contours appear grossly unremarkable. Osteopenia of the bones is noted, but no obvious fractures.
<unk>-year-old female with syncope. evaluate for effusions, cardiomegaly.
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Ap and lateral radiographs of the chest demonstrate clear lungs and normal hilar and cardiomediastinal contours. The aorta is in an unfolded configuration. There is dextroscoliosis of the thoracic spine. There is no pneumothorax or pleural effusion. Pulmonary vasculature is normal.
weakness. evaluate for pneumonia.
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Ap upright and lateral views of the chest were provided. Patient is markedly rotated to her left, which limits the evaluation. No definite consolidation is seen. The heart and mediastinal contour cannot be assessed. Osseous structures appear intact.
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Frontal lateral radiographs of the chest demonstrate normal heart size, mediastinal and hilar contours. No focal consolidation, pleural effusion or pneumothorax.
uri and painful cough. rule out pneumonia.
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Heart size is mild to moderately enlarged, unchanged. Mediastinal and hilar contours are within normal limits. Linear and streaky opacities in the lung bases appear relatively unchanged compared to the previous exam with minimal increased atelectasis noted at the right lung base. No focal consolidation, pleural effusion or pneumothorax is identified. There is no pulmonary edema. No acute osseous abnormality seen. Mild degenerative changes are noted in the thoracic spine.
history of arrhythmias, dyspnea on exertion for <num> month
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Pa and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar study of <unk>. The heart size remains unchanged and is within normal limits. Observed that bilateral basal anteriorly located fat pads in the cardiac apical area and in the right-sided cardiodiaphragmatic angle obscures the lower portions of the cardiac contour. This observation existed already on the previous study. The thoracic aorta is unremarkable for age and no local contour abnormalities are present. The pulmonary vasculature is not congested. No signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. No pneumothorax exists in the apical area. Skeletal structures of the thorax are grossly unremarkable. When comparison is made with the next preceding examination of <unk>, the chest findings are stable and thus, there is no evidence of cardiac enlargement, pulmonary congestion or acute pulmonary infiltrates in this <unk>-year-old female patient with history of cough and fever. A previous chest ct of <unk>, was also reviewed. Findings are grossly unremarkable; however, a small vascular abnormality consistent of a left upper lobe pulmonary vein connecting with the systemic left-sided brachiocephalic vein was observed. This clinically seen minor abnormality cannot be identified on the plain chest examinations.
<unk>-year-old female patient with cough and fever, evaluate for focal lung lesion that may suggest 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 chest pain and cough // eval pneumonia
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There has been interval placement of a right-sided pacer with distal aspect coiling in the region of the right ventricle. The cardiac and mediastinal silhouettes are stable with the cardiac silhouette moderate to markedly enlarged. There is prominence of the hila suggesting pulmonary vascular engorgement without overt pulmonary edema. No large pleural effusion is seen, although the right costophrenic angle is not fully included on the image. No new focal consolidation. No pneumothorax.
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Overall similar appearance to the chest since the recent study performed less than one hour earlier when allowances are made for slightly larger lung volumes on the current study.
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well aerated lungs which are clear. There is no focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.
chest pain.
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In comparison with the study of <unk>, there are some additional atelectatic streaks at both bases. Monitoring and support devices remain in place. There is some engorgement of ill-defined pulmonary vessels, suggesting some elevated pulmonary venous pressure.
failed extubation and bronchoscopy.
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Compared to the prior study there has been a slight increase in pulmonary vascular plethora. However the size of the effusions is similar the heart continues to be moderately enlarged and there is a hiatal hernia.
<unk> year old woman with sob // r/o pleural effusions vs pna
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An ap and lateral views of the chest were obtained. There is evidence of stable left basilar atelectasis. No consolidation is identified. There is no pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. The patient is status post a median sternotomy. The wires are intact.
confusion and hypoxia. evaluate for pneumonia.
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Moderate to severe cardiomegaly is unchanged compared to the prior study. The mediastinal and hilar contours are also similar. There is mild pulmonary edema, not significantly changed compared to the prior exam. Small left pleural effusion is likely present. There is no pneumothorax. No acute osseous abnormalities are seen.
fever, back pain and abdominal pain.
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Compared to the recent prior chest ct from <unk>, there is increased opacity in the left lower lobe, particularly laterally.large areas of cavitation seen in the prior ct were better assessed on ct although there is evidence of large lucency projecting over the left upper to mid hemithorax consistent with large cavity on ct. Persistent left paratracheal prominence.
history: <unk>m with cough and pain // pna
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The lungs are clear. There is elongation of the descending aorta. The heart size is stable. No pulmonary edema, pneumothorax, or pneumonia. Prominence of the right hilum is stable dating back to <unk>, though can be further assessed by nonemergent ct. Unchanged appearance of the known left rib fracture and thoracic compression fractures.
<unk>f with weakness and hypoxia // ? pna or chf
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As compared to the previous radiograph, small bilateral pleural effusions have newly occurred. These effusions are better seen on the lateral than on the frontal radiograph. The lung volumes have decreased. There is evidence of minimal overhydration. Borderline size of the cardiac silhouette. No evidence of pneumonia. The referring physician <unk>. <unk> was paged for notification at the time of dictation, <unk>, on <unk>.
o<num> requirement, chest x-ray baseline.
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Cardiac size is normal. The lungs are clear. There is no pneumothorax or pleural effusion.
history: <unk>m with intubated transfer // eval for tube placement
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Pa and lateral views the chest provided. A tiny density projecting over the heart may be ap in full closure device. Lungs are clear. No large effusion or pneumothorax. Bony structures are intact. No free air below the right hemidiaphragm.
history of pfo, cva, tia is present with transient left arm numbness this afternoon.
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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.
history: <unk>m with chest pain // infiltrate?
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As compared to the previous radiograph, there is no relevant change. Moderate cardiomegaly. Mild pulmonary edema. Retrocardiac atelectasis and atelectasis at the right lung base. No new parenchymal opacities. No pneumothorax. No larger pleural effusions. The monitoring and support devices are in constant position.
cirrhosis, evaluation for interval change, rule out acute process.
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Ap and lateral chest radiographs. Low lung volumes and bibasilar atelectasis are chronic. Linear opacity in the right upper lobe corresponds to one seen on prior cta which could be a scar or very slowly growing malignancy of dubious clinical significance in a <unk> year old patient. There is no pleural effusion or pneumothorax. Aortic valve replacement is in stable position. Aside from aortic tortuosity, the cardiomediastinal silhouette is normal. No rib fracture is identified.
fall.
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As compared to the previous radiograph, there is unchanged evidence of a nasogastric tube. On today's image, the nasogastric tube is slightly coiled in the fundus of the stomach. The tip of the device projects over the upper to middle parts of the stomach. There is no evidence of complications, notably no pneumothorax. Normal size of the cardiac silhouette. No pleural effusions. No pulmonary edema. No pneumonia.
nasogastric tube placement.
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Pa and lateral views of the chest are provided. Lungs are clear without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm.
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Compared to the most recent previous exam, there is persistent mild pulmonary edema with upper zone vascular redistribution, perihilar haziness and vascular indistinctness, slightly worse in the interval. Heart size remains mild to moderately enlarged. The aorta is calcified diffusely. Mediastinal contours are unchanged with multiple clips again noted about the superior mediastinum. More focal opacity in the left lung base towards the costophrenic angle may reflect an area of atelectasis with small pleural effusion, however infection is not excluded. No pneumothorax is clearly identified. Multilevel degenerative changes are noted in the thoracic spine.
history: <unk>f with congestive heart failure exacerbation status post lasix at outside hospital
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The lungs are hyperinflated. Patchy opacities at the bases bilaterally likely reflect atelectasis, however an underlying pneumonia cannot entirely be excluded. Otherwise, the lungs are clear. Small left pleural effusion. No pulmonary edema. There is moderate cardiomegaly with calcifications of the aortic knob. No pneumothorax.
history: <unk>f with s/p fall from standing with pelvic / l hip pain // evaluate traumatic injury
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The heart is enlarged. The hilar and mediastinal contours are normal. The left sided pacemaker lead terminates in the right ventricle. The lungs are well expanded and clear. There are no pleural effusions or pneumothorax. Visualized osseous structures are unremarkable.
<unk>-year-old female patient status post single-chamber ppm. study requested for confirmation of lead placement.
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Frontal and lateral views of the chest were obtained. The heart size and cardiomediastinal contours are normal. Other than mild diffuse interstitial abnormality, the lungs are clear. No focal consolidation, pleural effusion, or pneumothorax. The osseous structures are unremarkable.
<unk>-year-old male with chest pain.
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Chest pa and lateral radiograph demonstrates unremarkable mediastinal, hilar and cardiac contours. The lungs are clear. No pleural effusion or pneumothorax evident. Rounded opacities projecting over the right upper lobe correlate with third and fourth rib fractures confirmed on <unk> ct.
patient with type <num> diabetes, now with recurrent pneumonia and new cough. please evaluate for pneumonia.
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Slightly rotated positioning. Portable semi-upright radiograph of the chest demonstrates slightly low lung volumes. The cardiomediastinal silhouette and pulmonary vasculature are unchanged since the prior examination, with mild to moderate cardiomegaly and slight unfolding of the aorta again noted. Increased right paramediastinal density immediately below the right clavicular head likely represents artifact due to patient obliquity. No chf. There is no definite pleural effusion or pneumothorax. Equivocal tiny right sided effusion. No obvious focal infiltrate and no focal consolidation is identified.
history: <unk>f with ams // eval for pna
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There are moderate bilateral pleural effusions that have increased compared to the prior study. There associated areas of volume loss in the lower lobes. Spinal hardware and sternal wires are again visualized. The right ij line with tip in the right atrium is unchanged.
<unk> year old woman with s/p avr // f/u effusions, atx
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Ap and lateral views of the chest are compared to previous exam from <unk>. Compared to prior, there has been no significant interval change. Again seen are predominantly apical and pleural-based parenchymal opacities. There is superior retraction of the hila. There is no evidence of new consolidation or pulmonary vascular congestion. There is no effusion. Cardiomediastinal silhouette is unchanged as are the osseous and soft tissue structures.
<unk>-year-old female with generalized weakness and new afib/aflutter.
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Ap upright and lateral views of the chest provided. Lung volumes low. Cardiomegaly is again noted, mild with hilar congestion. No frank edema. No large effusion or pneumothorax. Mediastinal contour is stable. Significant deformity noted at both shoulders unchanged.
<unk>f with sob // r/o pna
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Right lower lobe pleural effusion has substantially decreased in size status post thoracentesis. There is an apical nodule on the right, larger in size than on the <unk> study, concerning for metastatic disease. No pneumothorax is present. Left lung is clear. Cardiomediastinal silhouette and hilar contours are unremarkable.
<unk>-year-old woman with right pleural effusion status post thoracentesis. question pneumothorax.
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Mild cardiomegaly has been stable compared to exams dated back to at least <unk>. There may be mild pulmonary vascular congestion, otherwise the hilar and mediastinal contours are normal. There is a small left pleural effusion. Ng tube extends below the diaphragm with the tip likely in the proximal stomach. There is no evidence of pneumothorax.
history of small-bowel obstruction. please evaluate location of ng tube.
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Are right internal jugular approach swan-ganz catheter terminates in expected position. There has been interval removal of an endotracheal tube and enteric tube. Lung volumes are somewhat low. There is a dense retrocardiac opacity which likely reflects atelectasis and perhaps a small effusion. There is minimal atelectasis at the base of the right lung. No pulmonary edema. No pneumothorax.
<unk> year old man with s/p avr // eval for ptx, post pull
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No focal pneumonia. No overt pulmonary edema. Minimal pulmonary vascular congestion. Mild to moderate cardiomegaly. No pleural effusion or pneumothorax. Dual lead pacer with the tips in the right atrium and right ventricle.
<unk> year old woman with heart failure, asthma fever with new shortness of breath and destruction // plum edema vs pna
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Ap upright and lateral views of the chest were provided. There is stable prominence of right pulmonary hilum compared with <unk> and <unk>. As previously recommended, a ct chest with contrast may be performed to further evaluate this finding. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is stable. No bony abnormalities are identified. No free air below the right hemidiaphragm.
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In comparison with study of <unk>, the central catheter has been removed. Cardiac silhouette remains within normal limits and there is no evidence of vascular congestion or pleural effusion. The questioned area of increased opacification on the right perihilar region is not confirmed on the current study.
myeloma and febrile neutropenia.
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The lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
history: <unk>m with dyspnea s/p smoke inhalation // eval for edema
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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 silhouette is top normal. Mediastinal contours are unremarkable.
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In comparison with the study of <unk>, there is little change in the appearance of the heart and lungs and visualized portion of the monitoring and support devices.
intubation, to assess for change.
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Ap view of the chest is reviewed. Tracheostomy tube is seen in standard position. There is a right picc line with tip terminating in the distal svc. The cardiomediastinal and hilar contours are unremarkable. The previously seen left retrocardiac opacity has improved; however, there is still mild blunting of the left costophrenic angle. There is increased opacification of the right lung base. Additionally there are small scattered opacities in the left mid lung zone. The gj tube is again seen.
hypotension.
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The heart is moderately enlarged. The mediastinal and hilar contours are stable. There is no pneumothorax or large pleural effusion. The lungs are well expanded without definite focal consolidation. Pulmonary vasculature is within normal limits. Healed right upper lateral rib fractures are noted.
<unk>f with question aspiration.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The heart is moderately enlarged. Pulmonary vasculature is engorged with questionable enlargement of the pulmonary artery. Both hila are substantially enlarged and lobular.
<unk> year old woman with esrd, cad, and type <num> dm. awaiting organ transplant. // evaluate cardiac function.
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Comparison is made to the prior radiographs from <unk>. There is a feeding tube projecting over the upper esophagus whose distal tip is in the mid esophagus. This could be advanced several centimeters for more optimal placement or removed altogether. The heart size is upper limits of normal. There are small bilateral pleural effusions, left greater than right. There is atelectasis and increased densities at the lung bases, which may represent early infiltrate. There are no pneumothoraces seen. Degenerative changes of the lumbar spine and moderate scoliosis of the upper lumbar spine are seen.