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Ap portable upright view of the chest. There are extensive right middle and lower lobe consolidations, all new since the <unk> comparison radiograph. The heart size is normal. The hilar and mediastinal contours are within normal limits. There is no pneumothorax or pleural effusion.
<unk> year old man with pancreatitis, new hypoxemia and tachycardia // r/o 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. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with dyspnea, weakness // eval for pneumonia, pleural effusion
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The cardiomediastinal silhouette is unchanged. There is no concerning focal consolidation. There is no pleural effusion or pneumothorax.
<unk>f with fever, tachycardia, r llb ronchi // evaluate for fluid, pneumonia, pe.
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Unchanged top-normal heart size with left ventricular configuration. Mediastinal and hilar contours are also unchanged since <unk>. Streaky right basilar opacity may be due to aspiration. Likely small left pleural effusion. No pneumothorax.
<unk>f with left facial numbness with hx cva. pneumonia?
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Heart size is normal. Mediastinal and hilar contours are within normal limits. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are present.
shortness of breath.
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The heart is normal in size. The mediastinal and hilar contours appear unchanged. The lungs appear clear. There are no pleural effusions or pneumothorax.
altered mental status.
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Single ap upright portable view of the chest was obtained. Multiple old left-sided rib fractures are again seen, involving at least the left third, fourth and seventh ribs. No evidence of pneumothorax is seen. There is no focal consolidation. No large pleural effusion is seen. The cardiac and mediastinal silhouettes are stable.
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Frontal and lateral views of the chest are obtained. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable.
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A portable upright chest radiograph shows that the patient has a pacing device over the right upper chest with intact leads extending to the expected locations in the right atrium and right ventricle. There is increase in perihilar hazy density and new partial obscuration of the left hemidiaphragm compared to study from <unk>. Baseline cardiomegaly appears unchanged. Multiple right-sided rib fractures appear subacute or healed.
dyspnea, question volume status.
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The endotracheal tube, enteric tube and right ij central venous catheter are unchanged in position. The lung volumes are unchanged. Retrocardiac opacification is again seen, likely reflecting atelectasis. There is mild right basilar atelectasis. Blunting of the right costophrenic angle may reflect small right pleural effusion. The left costophrenic angle remains visible. There is no significant pneumothorax. The cardiomediastinal contours are within normal limits and stable. Known rib fractures are re-demonstrated.
mvc status post splenectomy and orif of the hip, now intubated, with fever.
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Re-identified is a left chest cardiac device with associated dual leads projecting over the ventricles, unchanged. Ekg leads overlie the chest. Lung volumes remain low. The cardiomediastinal silhouette is stable, likely accentuated due to technique and low lung volumes. The hila are within normal limits. Bibasilar opacities are increased from prior, consistent with atelectasis. There is no sizable pleural effusion. No pneumothorax.
<unk> year old man s/p biv icd (rv and lv leads only), please eval for lead position and post procedure complications.
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The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax. There is no pleural effusion. Pulmonary vascularity is normal.
<unk>-year-old woman with <num> day of right-sided chest pain.
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The cardiomediastinal contours are within normal limits. Lung volumes are slightly low, and note is made of development of linear foci of atelectasis in the left perihilar and both basilar regions. Small pleural effusions are present bilaterally, and extensive free intraperitoneal air is present below the diaphragms, in keeping with history of recent abdominal surgery. Epidural catheter is also demonstrated.
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Frontal and lateral views of the chest were obtained. The heart is of normal size with normal cardiomediastinal contours. The lungs are clear without focal or diffuse abnormality. No pleural effusion or pneumothorax. Osseous structures are unremarkable without a fracture visualized. No radiopaque foreign body.
status post fall from bike with pain in the midline scapula and lower lumbar spine tenderness. evaluate for fracture or pneumothorax.
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As compared to the previous radiograph, there is no relevant change. Minimal decrease in extent of the pleural fluid collection on the right. The position of the pigtail catheter on the right is unchanged. Unchanged moderate cardiomegaly and mild fluid overload. No evidence of pneumothorax.
parapneumonic right-sided effusion, evaluation.
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There is an opacity at the right lung base, which may represent developing infection. Lungs are otherwise free of focal consolidation. No pleural effusion. There is a <num> cm left apical pneumothorax. No pneumothorax on the right. Cardiomediastinal contours are normal. No acute osseous abnormalities identified. No subdiaphragmatic free air.
history: <unk>f s/p fall with right rib pain and neck pain // evaluate c-spine for trauma, cxr to evaluate for pneumothorax, trauma
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In comparison with the study of <unk>, there has been a vats procedure performed with left chest tube in place. No definite pneumothorax. Subcutaneous gas is seen in the lower neck on the left as well as along the lower lateral chest wall and upper abdomen. Extensive changes in the right lung are again seen.
vats procedure.
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A port-a-cath terminates in the superior vena cava. The heart is normal in size. The mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The chest is hyperinflated. The lungs appear clear. Bony structures are unremarkable.
shortness of breath and palpitations. history of lymphoma.
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The lungs are hyperinflated and hyperlucent with flattening of the hemidiaphragms, consistent with chronic pulmonary disease, similar to <unk>. Subtle increased opacity in the left lower lobe since <unk> on the frontal view may reflect atelectasis as no corresponding opacity is appreciated on the lateral projection. Mild elevation of the left hemidiaphragm is unchanged since at least <unk>. No pleural effusion or pneumothorax. Biapical, left greater than right pleural thickening is also unchanged. The right lung is clear. No mediastinal widening. Tortuosity of the descending thoracic aorta is unchanged. Mild dextroconvex scoliosis of the upper thoracic spine is also unchanged. Slight loss of anterior vertebral body height in a mid thoracic vertebral body is probably similar to the prior exam in <unk>.
<unk>-year-old woman presenting with chest pain. evaluate 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 pleuritic chest pain and fever.
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Mild cardiomegaly is unchanged. Mediastinal and hilar contours are similar. Lungs are well expanded and clear. Pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is present. Diffuse sclerosis of the osseous structures is compatible with osseous metastases.
history: <unk>m with bacteremia. evaluating for source
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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 displaced rib fractures seen. No free air below the right hemidiaphragm is seen.
<unk>m with fall // rib fracture
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Pa and lateral chest radiographs were provided. There is prominence of the interstitial markings with kerley b lines in the lateral lung fields as well as prominent hila bilaterally consistent with interstitial edema and central vascular engorgement. There may be a small right pleural effusion. No pneumothorax is identified. The cardiomediastinal silhouette is not significantly enlarged and demonstrates normal contours. Median sternotomy wires are intact. Patient is status post tricuspid valve replacement.
<unk>-year-old female with nausea and vomiting, rule out esophageal pathology, pneumonia.
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No previous images. There are low lung volumes, which accentuate the transverse diameter of the heart in this patient with previous cabg procedure and intact midline sternal wires. Mild atelectatic changes and possible effusion at the left base. However, no evidence of vascular congestion or acute pneumonia. Nasogastric tube extends to the distal stomach.
possible fluid overload.
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Frontal and lateral views of the chest. The lungs are clear of focal consolidation, effusion, or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is detected.
<unk>-year-old female with chest pain.
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Heart size is top 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
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The right port-a-cath has been removed in the interim. Otherwise, no significant interval change. The lungs are clear. No focal consolidation, effusion, edema, or pneumothorax. The heart is normal in size. The mediastinum is not widened. The hila are unremarkable.
<unk>f w/hlh, and chills, please eval for pna.
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The heart size is normal. The mediastinal and hilar contours are unchanged, with mild unfolding of the thoracic aorta again demonstrated. Pulmonary vascularity is normal. The lungs are clear. No pleural effusion or pneumothorax is identified. No acute osseous abnormality is seen. There are mild degenerative changes in thoracic spine.
weakness and chest heaviness.
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As compared to the previous radiograph, all monitoring and support devices have been removed. There are low lung volumes and small bilateral pleural effusions. Moderate cardiomegaly without current evidence of pulmonary edema. Sternal wires are in expected position.
status post cabg, evaluation for pneumothorax.
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There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size.
history: <unk>f with pleuritic r sided cp radiating to jaw x <num> week, recent d e. // assess for pneumothorax
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Heart size and cardiomediastinal contours are stable with minimal tortuosity of the aortic contour. Biapical pulmonary scarring is similar to prior. Prominence of the right peritracheal soft tissues is similar to prior films from <unk> and <unk> and may relate to the patient's known multinodular goiter. No chf, focal consolidation, pleural effusion, or pneumothorax is detected. Slight anterior wedging of a mid thoracic vertebral body, ? T<num>, is unchanged compared with <unk>.
<unk>f with cp // evidence of pneumothorax or pneumonia
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Frontal and lateral views of the chest were obtained. The heart is of normal size with normal cardiomediastinal contours. Lung volumes are low, exaggerating bronchovascular markings. Small atelectasis is seen at the bilateral lung bases. No focal pulmonary consolidation, pneumothorax, or pleural effusion. Osseous structures are unremarkable. No radiopaque foreign body.
<unk>-year-old male with chest pressure and cough for four days. evaluate for cardiopulmonary disease or infiltrate.
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Cardiac silhouette size is normal. Mediastinal and hilar contours are normal. Atherosclerotic calcifications are noted at the aortic knob. Pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. Mild scarring is noted in the lung apices. No displaced fractures are evident.
<unk> year old woman with shortness of breath, splenic laceration// eval for pneumothorax
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The lungs are clear. The heart size is normal. The mediastinum is not widened. No pneumothorax or evidence of pneumomediastinum. No acute osseous abnormality in the thorax on this nondedicated exam. The stomach is distended with gas and ingested contents.
<unk>-year-old man presenting with fall, head injury, c<num> tenderness. eval for acute process.
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A port-a-cath terminates in the lower superior vena cava. The lung volumes are low. The cardiac, mediastinal and hilar contours appear unchanged. There is similar flattening of the left hemidiaphragmatic contour with a suspected pleural effusion, including mild relative elevation of the left hemidiaphragm, though less striking than on the prior examination. There is no pneumothorax. Compared to the prior study, aeration is much better bilaterally and the lungs are essentially clear.
shortness of breath. history of pancreatic cancer.
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Ap upright and lateral views of the chest provided. Lung volumes are low limiting evaluation. There is subtle lower lung opacity which is most compatible with atelectasis though difficult to exclude a very early pneumonia. No large effusion or pneumothorax. No signs of congestion or edema. Cardiomediastinal silhouette is stable. Bony structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with cough // eval for pna
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The lungs are clear. The heart and mediastinal structures are unremarkable. The bony thorax is grossly intact. There is no significant change.
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Pa and lateral views of the chest provided. Patient is slightly leftward rotated limiting assessment. Allowing for this, the lungs appear clear. 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 // eval for pna
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Dual lead left-sided aicd is stable in position. The lungs remain hyperinflated. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable. No pulmonary edema is seen.
history: <unk>f with h/o mi, now with similar episode of subst chest pain // ?fluid overload
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The lungs remain hyperinflated.the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Degenerative changes are seen along the spine.
history: <unk>m with cp // infiltrate?
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Large right pneumothorax has increased there is shifting of the cardiomediastinal to the left concerning for tension pneumothorax. The left lung is clear. Cardiac size is normal. Right pleural catheter is in place .
<unk>m otherwise healthy with right sided spont ptx s/p <unk>fr chest tube placed in ed. // interval change. please perform at <unk>.
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Bilateral moderate pleural effusions are unchanged. Due to positioning, the effusions are layered posteriorly. The previously seen opacification in the right mid lung is obscured by the layered effusion. There is no new consolidation or pneumothorax. The size of the cardiac silhouette is at the upper limits of normal. Calcification of the aortic arch and descending aorta are again noted.
copd exacerbation. reevaluate.
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There is mild central peribronchial cuffing. No focal consolidation or pleural effusion. The heart size is top normal and mediastinal contours are normal.
history: <unk>m with diagnosed with pneumonia yesterday. shortness of breath.
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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.
<unk>f with seizures, vomiting
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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. Heart and mediastinal contours are within normal limits. Old right rib fracture is again noted.
<unk>-year-old male with chest pain.
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Ap portable upright chest radiograph and a lateral view provided. Midline sternotomy wires and a prosthetic cardiac valve are noted. There is diffuse pulmonary edema with small bilateral pleural effusions. The heart remains top-normal in size. Mediastinal contour is stable. Bony structures appear intact with a surgical anchor in the right humeral head.
<unk>m with shortness of breath.
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No consolidation or effusion. Cardiomediastinal silhouette is within normal limits, unchanged. Right-sided port-a-cath terminates in the distal superior vena cava. Osseous structures are unchanged.
<unk> year old man with composite lymphoma // new doe and fever/neutropenia, eval for pna
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As compared to the previous radiograph, the extent of the bilateral pleural effusions has minimally decreased. Effusions, however, are still present. The bilateral parenchymal opacities are overall unchanged in extent and severity. Unchanged appearance of the cardiac silhouette. In the interval, the patient has been extubated, the left internal jugular vein catheter and the left pectoral pacemaker are in constant position.
pneumonia, small bowel resection, evaluation for interval change.
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The lungs are clear, the cardiomediastinal silhouette and hila are normal. There is no pleural effusion and no pneumothorax. Small pneumoperitoneum is seen, post-surgical.
<unk>-year-old after cholecystectomy yesterday with worsening post-operative pain.
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Lung is well inflated and clear, there is no consolidation or nodules. Cardiomediastinal silhouette is normal. There is no pneumothorax or pleural effusion. There is no evidence of subdiaphragmatic free air. Moderate air distention of the colon.
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There has been interval removal of the left-sided chest tube. No pneumothorax seen. A left perihilar opacity likely reflects a small amount loculated pleural fluid, a tiny adjacent metallic density is likely a surgical clip. This is unchanged in appearance compared to the prior study. The right lung appears grossly clear. Volume loss in the left lung consistent with recent surgery. Small amount surgical emphysema. Degenerative changes throughout the thoracic spine.
<unk> year old woman with lingular segment pulmonary nodule, s/p vats lingulectomy // post-pull film
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Surgical chain sutures project over the left hemidiaphragm as on prior. Adjacent contour abnormality in the retrocardiac region is unchanged. Lung volumes are relatively low and there is stable prominence of the interstitial markings although no confluent consolidation nor effusion. Cardiomediastinal silhouette is stable noting moderate cardiomegaly. No acute osseous abnormalities. High-density material seen within the colon, likely related to recent enteric contrast.
<unk>f with history of pulmonary fibrosis, with worsening subacute dyspnea. // eval for pna, interstitial , cardiomegaly.
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As compared to the previous radiograph, the pre-existing right pneumonia has substantially improved, with resulting decrease and near complete resolution of the pre-existing opacity at the right lung base. The pre-existing right pleural effusion is also completely resolved. Minimal atelectasis persists at the right lung bases but no new opacities have occurred in the interval. Low lung volumes. Moderate cardiomegaly without pulmonary edema.
cirrhosis, evaluation for fever.
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In comparison with study of <unk>, the dobbhoff tube has been removed. Central catheter remains in place. Patient has taken a somewhat better inspiration. Cardiac silhouette is within upper limits of normal in size. Extensive tortuosity of the descending aorta is again seen. No definite vascular congestion, pleural effusion, or acute focal pneumonia. Mild atelectatic changes are seen at the left base.
pneumonia, now with chest pain.
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Bilateral lower lung opacities are seen, as seen on concomitant ct abdomen. Lung volumes are low. Heart size is mildly enlarged. There may be trace right pleural effusion.
<unk>-year-old male with hypoxia.
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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 man with <num> weeks of ongoing productive cough and treatment with abx for bronchitis with no resolve, right anterior rib pain // please eval for infection/pna/as well as right anterior rib fx
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Mild left basilar opacity is identified, likely atelectasis. The lungs are otherwise clear. The cardiomediastinal silhouette is stable. Atherosclerotic calcifications noted throughout the thoracic aorta. No acute osseous abnormalities detected.
<unk>f with nausea, generalized weakness // r/o ich
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The heart is normal in size. The mediastinal and hilar contours are stable. There is no pleural effusion or pneumothorax. The lungs appear clear. Mild degenerative changes are similar along the mid-to-lower thoracic spine.
chest pain.
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As compared to the previous radiograph, the right internal jugular vein catheter has been pulled back by approximately <num> to <num> cm. The line now projects over the cavoatrial junction with its tip. There is no evidence of complications, notably no pneumothorax. Unchanged course of the nasogastric tube. Moderate unchanged retrocardiac atelectasis.
central line pulled back, check correct position.
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Two portable views of the chest. Left chest wall dual-lead pacing device is identified, and there is moderate-to-severe cardiomegaly. The lungs are clear of confluent consolidation, although indistinct pulmonary vascular markings are seen suggesting pulmonary vascular congestion. Known right-sided pneumothorax is not seen. Posterior right sixth rib fracture is identified.
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Patient is status post median sternotomy. The appearance of the cardiac and mediastinal silhouettes is stable ; patient has reported history of known thoracic aortic dissection and descending aortic dilatation. There is a likely hiatal hernia. No focal consolidation is seen. No large pleural effusion or pneumothorax. No overt pulmonary edema.
history: <unk>f with ams, cough // infiltrate? bleed?
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Pa and lateral views of the chest. Right chest wall port is again seen with tip in the distal svc. The lungs are clear of consolidation or effusion. The cardiomediastinal silhouette is normal. No acute osseous abnormalities detected.
<unk>-year-old female with malaise.
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Left upper lobe opacity has improved consistent with continued improving pneumonia. There are no new lung abnormalities. Minimal atelectasis in the left base have improved. There is no pneumothorax or pleural effusion. Cardiomediastinal contours are unchanged
<unk> year old man with hypotension // any evidence of pneumonia?
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Low lung volumes cause bronchovascular crowding. There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal contour is normal. The osseous structures and upper abdomen are unremarkable.
<unk>m with chest pain, evaluate for pneumonia.
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Moderate bilateral pleural effusions with associated bibasilar atelectasis are identified. Right pleural effusion appears stable and left pleural effusion appears slightly increased compared to <unk>. There is pulmonary vascular congestion with mild pulmonary edema. Cardiac silhouette is exaggerated by low lung volumes.
history: <unk>m with sob // infiltrate or edema
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Pa and lateral views of the chest were provided demonstrating no focal consolidation, effusion or pneumothorax. The heart and mediastinal contour appears normal. Bony structures are intact. No free air is seen below the right hemidiaphragm.
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The endotracheal tube terminates <num> cm above the carina. Again seen are bilateral veil-like pulmonary opacities, unchanged in comparison to the <unk> radiographs, markedly improved since <unk>. The cardiac and mediastinal contours are unchanged. There is no pneumothorax. A small left pleural effusion is stable.
the ossific pneumonia.
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The patient is status post coronary artery bypass graft surgery. There is a left internal jugular venous catheter terminating in the superior vena cava, unchanged. The heart is again mild to moderately enlarged. There is a very small pleural effusion on the right. Opacification of the lower left hemithorax has increased substantially and includes a retrocardiac opacity with air bronchograms that is likely compatible with atelectasis; a small to moderate pleural effusion probably coincides. There is also a small pleural effusion on the right. Fissures appear mildly thickened. There is no evidence for parenchymal edema. There is no pneumothorax.
status post cabg with bilateral pleural effusions.
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Pa and lateral views of the chest provided. Overall lung volumes are low with crowding of the vessels at both bases. Bands of atelectasis are seen within the right middle lobe. There is no focal consolidation, effusion, or pneumothorax. Heart size is top-normal and exaggerated by low lung volumes. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk> year old man with persistent cough // assess for pna
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As compared to prior chest radiographs from <unk>, there is persistent elevation of the right hemidiaphragm. Increased focal opacity at the right lung base likely reflects atelectasis as it has not significantly changed since prior examination from <unk>. No focal abnormality to suggest pneumonia is identified. There is no large pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal.
history of dyspnea, wheezing, history of asthma but no exacerbation in the past <unk> years. question pneumonia.
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Et tube remains in standard position. Right picc tip is in the low svc. Ng tube remains extends to the stomach. There is no pneumothorax. There has been interval worsening of opacification at the left base. Lung volumes remain low. There is mild crowding of pulmonary vasculature without frank pulmonary edema. The size of the cardiac silhouette is enlarged which may be secondary to ap technique and lower lung volumes. There is no large pleural effusion or pneumothorax.
<unk> year old woman with sepsis and cardiogenic shock on pressors, with increasing o<num> requirements and desaturation, currently intubated. // evaluate for edema, effusion, infiltrate, pneumothorax, et tube placement.
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The heart size is top 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 back pain following mva // please assess for fracture
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There has been interval removal of an endotracheal tube and enteric tube. The heart is persistently enlarged but stable in size from the prior exam. Mild interstitial edema persists. Opacities involving the right middle lobe and left lower lobe are again demonstrated and may represent atelectasis or infection in the appropriate setting.
<unk> year old man with copd exacerbation recently extubated // acute process
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There is minor bibasilar atelectasis, but no consolidation or pleural effusion. Heart size is normal. Hilar and mediastinal contours are within normal limits. The upper paratracheal margins are normal and there is no evidence of superior sulcus tumor. Osseous structures are intact.
<unk>f with r neck swelling, ?horner's // eval for mass
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In comparison with the earlier study of this date, there is continued low lung volume. This may account for much of the fullness of the pulmonary vasculature and mild prominence of the cardiac silhouette. Areas of more patchy opacification are seen at the left base and just above the minor fissure on the right. This raises the possibility of developing consolidation.
hypoxia with possible evolving infection.
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One ap portable upright view of the chest. Previously seen bibasilar opacities have decreased, now with only left lower lobe linear opacities likely representing atelectasis. Small left pleural effusion is unchanged. There is no pulmonary vascular congestion. The cardiac, mediastinal and hilar contours are normal. No pneumothorax.
atelectasis versus pneumonia in the left lower lobe, now with aspiration, evaluate for worsening left lower lobe consolidation.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>m with palpitation, shortness of breath // eval for acute process
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Frontal and lateral chest radiographs demonstrate a heart which is top normal in size. The lungs are fairly well-aerated and without focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.
evaluate for acute process in a patient with intermittent nonspecific symptoms and abnormal mri.
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Heart size is normal. Mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
hemoptysis.
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There may be a very trace left pleural effusion. Prominence of the central pulmonary vasculature suggests mild pulmonary vascular congestion. The cardiomediastinal silhouette is moderately enlarged. No pneumothorax is seen.
history: <unk>m with shortness of breath // eval for pna
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The inspiratory lung volumes are appropriate. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiac silhouette is mildly enlarged, which is unchanged from <unk>. Prominence of the right supracardiac mediastinal contour is likely due to enlargement of the ascending aorta, which is also stable. The hilar contours are within normal limits. No acute osseous abnormality is detected.
history: <unk>m with cp // ? left pleural abnl
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The cardiomediastinal silhouette is normal. There is bilateral apical pleural thickening. Otherwise the lungs are clear without evidence of focal opacities, pleural effusions, or pneumothorax. The hilar silhouettes are normal.
<unk>m with history of dm<num>, diabetic neuropathy who presents from<unk> clinic with cellulitis from infected left foot ulcer now with coughing concerning for aspiration // eval for pna, evidence of aspiration
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There is a right-sided picc line which terminates within the brachiocephalic vein. The heart size continues to be at the upper limits of normal. The patient is status post median sternotomy and mitral valve replacement. There is mild vascular congestion and small bilateral pleural effusions, right greater the left.
<unk> year old man with status post bental // eval picc placement
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Frontal and lateral views of the chest were obtained. There is minimal bibasilar atelectasis. Slight increase in the interstitial markings, more so at the lung bases could be artifactual, although atypical infection cannot be excluded. No lobar consolidation is seen. No large pleural effusion or pneumothorax. Cardiac and mediastinal silhouettes are stable and unremarkable.
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Irregular left perihilar opacity is again seen, better characterized by prior pet-ct. Additional linear opacity on the lateral view seen posteriorly is also unchanged likely atelectasis or scarring. Prior left lower lobectomy changes are again noted including volume loss on the left and pleural based thickening/scarring. There is no new consolidation or effusion. Cardiomediastinal silhouette is stable. No acute osseous abnormalities. Vascular stent projects over the left upper extremity and surgical clips project over the left chest laterally. Chronic deformities of the left ribs are also noted.
<unk>m with productive cough, and fevers // r/o acute process.
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The lungs are minimally hyperinflated but clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax. There is no pleural effusion. Pulmonary vascularity is normal.
<unk>-year-old woman with with a history of hiv and hepatitis-c presenting with prolonged palpitations and left shoulder pain. evaluate for pneumothorax.
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Cardiac silhouette is mildly enlarged allowing for accentuation by low lung volumes and portable technique. This factor also accentuates the pulmonary vascularity. With this in mind, there is no evidence of congestive heart failure. No focal areas of consolidation are present within the lungs, and there are no pleural effusions or pneumothoraces. Ventriculoperitoneal shunt catheter is noted.
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As compared to the previous radiograph, patient has been extubated and the nasogastric tube has been removed. Lung volumes have, as expected, slightly decreased. Borderline size of the cardiac silhouette. Small atelectasis at both lung bases, but no evidence of pneumonia, pulmonary edema, or pleural effusions.
fluid overload, evaluation.
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There are low lung volumes, which accentuate the bronchovascular markings. Given this, questionable right perihilar opacity is no longer appreciated and most likely related to vascular structures. Blunting of the costophrenic angles suggest small pleural effusions. There is likely left base atelectasis. Slight prominence of the vasculature may be due to mild pulmonary vascular congestion.
new afib.
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The inspiratory lung volumes are appropriate. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiomediastinal and hilar contours are within normal limits. No acute osseous abnormality is detected.
history: <unk>f with shortness of breath, insomnia // evaluate for pneumonia, acute process
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A right-sided chest tube is unchanged in position. Mediastinal and hilar contours are unchanged. There is mild tortuosity of the aorta which is unchanged. Again, there is minimal bibasilar atelectasis. There is no appreciable pneumothorax or pleural effusion.
<unk> year old man s/p right vats decortication // r/a pod#<num>
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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. Vertebroplasty in a lower thoracic vertebral body is again noted. No free air below the right hemidiaphragm is seen.
<unk>f with dizziness // pneumonia
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As compared to the previous radiograph, the patient has received a new nasogastric tube. The course of the tube is unremarkable, the tip of the tube projects over the middle parts of the stomach. There is no evidence of complications, notably no pneumothorax. The lung volumes have increased, likely reflecting improved ventilation. However, signs of mild fluid overload, bilateral small pleural effusions and basal areas of atelectasis are constant.
nasogastric tube placement.
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There has been replacement of the ng tube with the tip located in the proximal stomach but with the side port at the expected location of the gastroesophageal junction. There is otherwise no significant interval change compared to <unk> with persistent low lung volumes, atelectasis and cardiomegaly. Note is made of severe degenerative changes of bilateral shoulders.
ng tube placement. right mca stroke.
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Supine portable ap view of the chest is provided. The endotracheal tube is seen with its tip located approximately <num> cm above the carina. Ng tube courses inferiorly with its tip not visualized. Lung volumes are low. Vp shunt catheter courses over the right hemithorax. There is relative hilar prominence, likely reflecting crowded bronchovasculature. The possibility of scattered atelectasis and aspiration is difficult to exclude. No large effusion or pneumothorax seen. Bony structures appear grossly intact.
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In comparison with the study of <unk>, there are lower lung volumes. There is increased opacification at the right base medially. This could reflect atelectatic change and crowding of pulmonary vessels, consistent with the basilar atelectasis on the left. However, in the appropriate clinical setting, developing pneumonia would have to be seriously considered.
post-operative fever.
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Interval placement of endotracheal tube, with tip terminating approximately <num> cm above the carina. Small amount of pneumomediastinum is likely related to recent cervical spine surgery with extension of gas from the lower neck into the mediastinum. The heart size is normal. Within the lungs, a note is made of surgical clips in the right mid lung region as well as mild right-sided volume loss, likely postoperative. Right costophrenic sulcus is less well demonstrated and could reflect a small right pleural effusion. The left lung and pleural surfaces are grossly clear.
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The hepatic flexure is interposed between the liver and the diaphragm. Heart size is normal. Mediastinal and hilar contours are unchanged. There are low lung volumes. Streaky bibasilar opacities likely reflect atelectasis though aspiration or infection is difficult to exclude. There is mild pulmonary vascular congestion. No pleural effusion or pneumothorax is visualized. Diffuse demineralization of the osseous structures is re- demonstrated with a mild compression deformity noted at the thoracolumbar junction, unchanged.
<unk> disease complicated by aspiration pneumonia, shortness of breath, hypoxia, fevers.
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Re-identified are multiple median sternotomy wires consistent with prior cabg. The cardiomediastinal silhouette is stable, reflective of moderate cardiomegaly. The hila are within normal limits. Lung volumes are low. There is no pulmonary vascular congestion or pulmonary edema. Linear opacity at the right and left lung bases likely reflect atelectasis. There is no pneumothorax or pleural effusion. The right internal jugular vein catheter has been removed. At lower lung volumes, a platelike atelectasis is seen at the right lung basis.
<unk>-year-old man status post cabg presenting with left chest tightness.
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There has been recent median sternotomy and coronary artery bypass surgery. Cardiomediastinal contours are within normal limits allowing for post-operative status of the patient and accentuation by low lung volumes and leftward rotation. Indwelling support and monitoring devices are in standard position, including a left-sided chest tube, with no visible pneumothorax. Bibasilar areas of atelectasis are present, left greater than right, overall improved since the intraoperative radiograph of earlier the same date.