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Unchanged bilateral lower lobe atelectasis. No pleural effusion or pneumothorax identified. No focal consolidation. The size of the cardiomediastinal silhouette is within normal limits.
<unk> year old woman with s/p renal transplant spiking fevers // pna?
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A dobbhoff type tube is present. The radiopaque tip lies in the region of the ge junction. The distal most portion of the radiopaque tip overlies the uppermost portion of the fundus. Note is made of a radiolucent segment measuring <num> mm between the tubing and the densely radiopaque tip. Probable background hyperinflation/copd. Possible mild cardiomegaly. Upper zone redistribution, but no overt chf. Large (<num> x <unk>.<num> cm) opacity the right base is essentially new compared with <unk> and there is now a new or slightly more pronounced small right pleural effusion. There is also increased retrocardiac opacity with air bronchograms that is slightly worse. The left hemidiaphragm remains visible and no gross left pleural effusion is seen. No pneumothorax detected. Surgical clips noted in right upper quadrant.
<unk> year old woman with aspiration, subdural hematoma with new ngt placement // ngt placement
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When compared to prior, there is no significant interval change. Indistinct pulmonary vascular markings are again noted with central venous engorgement. Moderate cardiomegaly is stable in configuration. There is no pleural effusion. Hypertrophic changes noted in the spine. Atherosclerotic calcifications seen at the aortic arch.
<unk>m with known chf and sob // eval for pulm edema
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In comparison with the study of <unk>, there is no definite change or evidence of acute cardiopulmonary disease. No pneumonia or vascular congestion. Right port-a-cath remains in good position.
transplant, now with fever.
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Endotracheal tube is seen terminating in the left upper quadrant, in the expected location of the stomach. There are low lung volumes and bibasilar atelectasis. The no large pleural effusion or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
history: <unk>m with ngt // ngt
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Lung volumes are normal. No pleural effusions. Normal size of the cardiac silhouette. No pneumonia, no masses, no lung nodules. The hilar and mediastinal contours are normal. Normal size of the cardiac silhouette.
adrenal insufficiency, weight loss, rule out granulomatous disease or other process.
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A right internal jugular central venous catheter ends in the upper aspect of the right atrium, unchanged. A left-sided swan-ganz catheter ends within the interlobar portion of the right pulmonary artery. The endotracheal tube is appropriately positioned, ending <num> cm above the level of the carina. An enteric catheter passes below the level of the diaphragm, ending within the stomach. There is mild to moderate pulmonary edema, slightly worse. There are small bilateral pleural effusions. The cardiomediastinal silhouette is unchanged.
<unk> year old man with chf // interval change w/ diuresis
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The heart size is normal. The cardiomediastinal silhouette and the hilar contour is stable. Previously appreciated consolidation which blurred the right heart border is mildly improved on today's study. The lungs are otherwise without effusion or pneumothorax. There is no subdiaphragmatic free air to suggest pneumoperitoneum. No acute bony changes identified.
fever and abdominal pain.
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As compared to the previous radiograph, there is no relevant change. No acute changes in the lung parenchyma. Two linear structures paralleling the right chest wall correspond to skin folds and do not represent pneumothorax. No pneumonia, no pleural effusions. No pneumothorax.
severe dysphagia, acute tachypnea, evaluation for aspiration.
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In comparison with study of <unk>, there are slightly lower lung volumes. The degree of pleural effusion on the left is similar to or even larger than on the previous study with extensive atelectasis at the left base. Developing right pleural effusion with basilar atelectasis is noted. The endotracheal tube has been removed.
mvr, to assess effusion.
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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>f with shortness of breath
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Frontal and lateral views of the chest were obtained. The lungs are well expanded and clear without focal consolidation, pleural effusion, or pneumothorax. Heart size is upper limits of normal. Mediastinal silhouette and hilar contours are normal. Median sternotomy wires are intact. No displaced rib fracture is identified. There is no free air under the diaphragm. Med sternotomy
restrained driver in mvc with pain between both scapulae. evaluate for pneumothorax or rib fractures.
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Lung volumes are low. There is no focal consolidation, pleural effusion or pneumothorax. Heart is mildly enlarged. Mediastinal contours are normal. No acute osseous abnormalities are identified. There is no subdiaphragmatic free air.
<unk>f with chest pain
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Frontal and lateral views of the chest. The lungs are clear of focal consolidation or effusion. No pneumothorax. Increased interstitial markings seen throughout the lungs are unchanged when compared to <unk>. Cardiac silhouette is unchanged. Hilar contours are also stable dating back to <unk>. No acute osseous abnormality identified.
<unk>-year-old female with fall and right-sided pain. question pneumothorax.
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs without focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.
dyspnea.
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The heart is normal in size. The cardiomediastinal and hilar contours are within normal limits. The aorta is mildly tortuous. There is no focal consolidation, pleural effusion or pneumothorax identified. Subtle retrocardiac density is minimally increased in size from the prior exam in <unk> and likely represents a hiatal hernia.
<unk>f with chest heaviness // acute cardiopulmonary disease
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Patient is status post median sternotomy and cabg. Severe cardiomegaly is re- demonstrated. The aorta is tortuous. There is no pulmonary vascular congestion. There is minimal atelectasis in the left lung base. No pleural effusion, focal consolidation or pneumothorax is present. Multiple clips are seen in the left upper quadrant of the abdomen. There is diffuse demineralization of the osseous structures with mild right loss of height of several thoracic vertebral bodies in the lower thoracic spine.
history: <unk>f with crackles bilaterally
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Lung volumes are slightly decreased. The cardiac silhouette is unremarkable. The pulmonary vasculature is stable since prior examination. There is likely mild left basilar atelectasis ; consolidation is not excluded. No definite pleural effusion or pneumothorax is present. The left-sided port-a-cath with the tip terminating in the upper svc is stable.
<unk> year old woman with rectal cancer, new fever l shift // eval for infiltrates
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An endotracheal tube terminates <num> cm above the carina. The enteric tube courses below the diaphragm with its tip out of view. Of note, a gaseous distention of the stomach is noted. Bibasilar streaky atelectasis is identified. No focal consolidation or pneumothorax identified.
<unk>f with alered mental staus now intubated. evaluate et tube placement.
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Compared with the prior study, no significant change in the known residual left basilar pleural effusion. The previously described left upper lobe consolidation is still present. The right lung is grossly clear. No evidence of pneumothorax. Cardiomediastinal silhouette is unchanged.
<unk>m with recent l chest tube, now removed, now with acute onset shortness of breath. evaluate for pneumothorax.
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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. Prominent anterior spurs in the t-spine noted. No free air below the right hemidiaphragm is seen.
<unk>f with htn, dm, ckd presenting with chest pain
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This is a very limited exam due to low lung volumes and obscuration of the apices by the patient's chin. There is a right-sided ij whose tip is difficult to definitively visualize. Aside from bilateral atelectasis, the small visualized portion of the upper-to-mid lungs is unremarkable. No definite pneumothorax is identified. The visualized osseous structures are unremarkable.
history of nausea and elevated lactate. please evaluate for interval line placement.
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There is a large left pleural effusion with partial collapse of the left lower lobe. Moderate atelectasis is also noted on the right and overall lung volumes are low. Heart size is likely normal, although accentuated by the portable technique and low lung volumes. There is no definite consolidation in the aerated portion of the lungs; however, a left lower lobe consolidation could be obscured by the atelectasis and effusion. A vascular stent is seen extending across the anterior mediastinum. There is no pneumothorax.
history: <unk>m with chest pain // acute process pertinent history obtained from the<unk> medical record is that the patient is on dialysis for end-stage renal disease.
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Ap upright and lateral views of the chest provided. Low lung volumes limit assesment. 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. Pacing leads are unchanged in position.
history: <unk>f with leukocytosis and lethargy, headaches // eval for pneumonia
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A left-sided internal jugular catheter is in-situ, the tip appears to be in the proximal right atrium, this could be withdrawn <num> cm to be positioned at the cavoatrial junction. Moderate cardiomegaly and prominence of the bilateral hila is similar in appearance when compared to the prior study. Prominence of the pulmonary vasculature is consistent with a degree of congestive heart failure. There is unchanged bibasal atelectasis, infection cannot be excluded.
<unk>f s/p opcabg (lima-lad) <unk> // r/o pna in setting of confusion postop
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Multiple known pulmonary metastases are better evaluated on prior ct. Cardiomediastinal silhouette is unchanged. There is no focal lung consolidation. Pleural effusion is small, if any.
<unk> year old man with aspiration, delirium, evaluate for interval change.
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Prior cxr from <unk>. Mild vascular congestion and rigth basilar opacity. Early interstitial pulmonary edema. Cardiomediastinal silhouette and hila are normal. There is no pleural effusion or pneumothorax.
<unk>-year-old with chest pain.
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Frontal and lateral radiographs of the chest demonstrate well expanded clear lungs. There is no pneumothorax, pleural effusion or consolidation. The cardiomediastinal and hilar contours are unchanged. Old healed rib fracture along the lateral right <num>th rib is again seen. There is atherosclerotic calcification of the aortic knob. No displaced rib fracture is identified.
rib pain and dyspnea. evaluate for pneumonia.
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A new endotracheal tube is in appropriate position. A nasogastric tube enters the stomach and terminates off the radiograph. Normal lungs, heart, pleural and mediastinal surfaces.
history: <unk>m s/p intubation // eval ett position
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Sternotomy wires intact. Interval improvement in pulmonary edema on a background of predominantly upper lobe pulmonary fibrosis. Residual bilateral upper lobe and peripheral heterogeneous opacities with minimal interval improvement. Emphysema, pleural calcifications, and diaphragmatic calcifications are better characterized on ct from <unk>. Mild decrease in heart size with normal mediastinal contour and unchanged hila. No bony abnormality.
male with dyspnea and abnormal chest ct. status post diuresis. assess for interval change.
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The lungs are clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Surgical clips noted in the right upper quadrant.
<unk>f with fever, cough, and asplenia. // pneumonia?
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Single ap portable radiograph through the chest demonstrates an enlarged heart. There is an opacity which appears to obscure the left heart border concerning for consolidation within the lingula of the left upper lobe. There is additional a pulmonary vascular congestion though no findings convincing of pulmonary edema. No large pleural effusion is identified. There is no pneumothorax. Visualized osseous structures demonstrates no acute abnormality.
<unk>-year-old female with shortness of breath.
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Relatively low lung volumes are noted with secondary streaky left basilar opacity which is likely atelectasis. Elsewhere, lungs are clear. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Compression deformity of the visualized upper lumbar vertebral body is unchanged.
<unk>f with fatigue // please eval for acute cp process
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The cardiomediastinal contours are within normal limits. Small-to-moderate bilateral pleural effusions appear slightly improved, but positional differences may contribute to this apparent change. Persistent adjacent atelectasis at the lung bases with otherwise grossly clear lungs except for an incidental calcified granuloma in the right mid lung region.
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The lungs are clear without focal consolidation, effusion, or edema. Cardiomediastinal silhouette is normal. No acute osseous abnormalities identified.
<unk>f with hyponatremia, dizzness // evaluate for acute process
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There has been interval placement of a dobbhoff tube which projects over the trachea and appears to enter the left mainstem bronchus in course inferiorly, presumably penetrating the diaphragm and with distal tip projecting over the mid left abdomen. There is a large left pneumothorax with rightward shift of mediastinal structures. There is stable position of right-sided port with distal tip projecting over cavoatrial junction. Allowing for changes due to mediastinal shift, the cardiomediastinal silhouette is unchanged. The bilateral hila are not well visualized. The left lung is collapsed against the left mediastinum secondary to large pneumothorax. The right lung is clear without evidence of focal consolidation. There is no right pneumothorax. There are no pleural effusions.
<unk> year old man with dobhoff placement // dobhoff placement
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Single ap upright portable view of the chest was obtained. A central venous catheter is again seen terminating in the right atrium. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. No evidence of free air is seen beneath the diaphragms.
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A left subclavian port-a-cath is in-situ. The tip terminates in the proximal to mid svc. The trachea is central. The cardiomediastinal contour is within normal limits allowing for the projection. No consolidation, pneumothorax or pleural effusion seen. No free air under the diaphragm. Deformity of the left fifth rib posteriorly consistent with an old healed fracture
<unk> year old man with ingestion s/p egd // ?free air under diaphragm
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Pa and lateral chest radiographs are provided. Lungs are hyperinflated but there is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable. Osseous structures are intact.
<unk>-year-old female with altered mental status, question pneumonia.
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Portable semi-upright radiograph of the chest demonstrates bibasilar opacities, which likely represents a combination of atelectasis and pleural effusion, however pneumonia could be considered in the appropriate clinical setting. There is increased pulmonary vascular congestion, and mild cardiomegaly.
history: <unk>f with sob, // r/o chf
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Compared with prior chest radiograph on <unk>, there is new ill-defined opacity adjacent to the right hilum. There is linear atelectasis in the right upper lung.the left lung is clear. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
<unk> year old man with hx of myeloma on chemo with cough. please r/o pna. // <unk> year old man with hx of myeloma on chemo with cough. please r/o pna.
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As compared to the previous radiograph, the patient has been intubated. The tip of the endotracheal tube projects <num> cm above the carina. The course of the nasogastric tube is unremarkable, the tip of the tube is not visualized on the image. The lung volumes have increased, likely reflecting the administration of ventilatory pressure. Unchanged size of the cardiac silhouette. Unchanged status post valvular repair and unchanged course of the pacemaker leads.
ett placement.
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Right-sided picc has been removed. Lungs are clear. No pleural effusion or pneumothorax. Mild to moderate cardiomegaly.
<unk> year old man with nhl // pre bmt eval
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Lung volumes are low with secondary crowding of the bronchovascular markings. Cardiac silhouette is top-normal but also likely accentuated by low inspiratory volumes. There is no large effusion. No acute osseous abnormalities.
<unk>m with confusion // eval for infiltrates
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Ap upright and lateral views of the chest provided. Nasogastric tube is in place with its tip outside of the imaged field. A left upper extremity picc line is seen with its tip residing in the low svc, unchanged. Bilateral pleural effusions are increased from the prior exam and are moderate in overall size with associated basilar atelectasis. Please note underlying infection/ aspiration cannot be excluded. Heart size cannot be assessed. Mediastinal contour stable. No pneumothorax is seen. Bony structures appear intact.
<unk>m with stage iv colon ca w/ ngt for sbo w/ intractable n/v despite ngt suction, concern for aspiration pneumonia.
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Cardiac silhouette is moderately enlarged. The aorta is calcified. Patient is status post median sternotomy. Triple lead left-sided pacer device, aicd is stable in position. Pulmonary edema has improved in the interval. Patchy medial right base opacity on the frontal view is not substantiated on the lateral view and may relate to overlap of vascular structures with possible atelectasis. No pleural effusion is seen. There is no pneumothorax.
history: <unk>m with sob // r/o pna
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The heart is now mild enlarged compared to the prior exam. Mediastinal and hilar contours are unchanged otherwise. There is mild perihilar haziness and vascular indistinctness compatible with mild pulmonary vascular congestion. No focal consolidation or pneumothorax is seen. Small bilateral pleural effusions are likely given slight obscuration of the costophrenic angles posteriorly on the lateral view. No acute osseous abnormality is seen.
history: <unk>f with shortness of breath
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The lungs are clear. There is no pneumothorax. The trachea is midline. The mediastinal and hilar contours are within normal limits.
history: <unk>m with new onset afib. please evaluate for acute abnormality.
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In comparison with the study of <unk>, there has been clearing of the right basilar pneumonia. No evidence of acute abnormality at this time. Granuloma in the left apex is again seen.
pneumonia.
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In comparison with the earlier study of this date, there has been placement of a right ij catheter that extends to the mid to lower portion of the svc. Otherwise, little change.
right ij placement.
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The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. The lungs are clear. There is no definite pleural effusion or pneumothorax.
history: <unk>m with altered mental status // r/o pna
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The cardiomediastinal and hilar contours are within normal limits. The lungs are well expanded and clear. There is no large pleural effusion, pneumothorax or focal consolidation concerning for pneumonia. There is no evidence of free air.
rectal trauma and bleeding. rule out free air.
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A left subclavian approach tunneled port-a-cath is not significantly changed in position compared to the most recent prior study with slightly more inferior positioning of the port projecting over the left chest wall and the distal tip of the port-a-cath terminating at the confluence of the left brachiocephalic vein and the svc. The port-a-cath appears intact and continuous throughout its length. There has been interval development of a moderate left pleural effusion with associated volume loss in the left lower lobe from <unk>. In the appropriate clinical context, a superimposed infection cannot be excluded. The right lung is clear. No pneumothorax is detected. The pulmonary vasculature is not engorged. The cardiomediastinal silhouette is stable and within normal limits. The visualized upper abdomen demonstrates surgical clips in the left upper quadrant likely related to prior surgery for gastric cancer. Thoracic kyphosis is noted with mild degenerative change.
history of gastric cancer with no blood return from port-a-cath for chemotherapy, here to evaluate line position.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures are unremarkable.
sensation of chicken bone stuck in the throat with sensation referring to the sternal notch.
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Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is not engorged. Patchy ill-defined nodular opacities are noted throughout the right lung and left lung base, with sparing of the left upper lobe, concerning for multifocal pneumonia. No pleural effusion or pneumothorax is present. No acute osseous abnormality is identified.
history: <unk>f with cough, wheezing, fevers
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The heart size cannot be assessed accurately because of blunting densities in the left lung base. Significant cardiac enlargement is unlikely. Thoracic aorta of unchanged appearance without local contour abnormalities. The pulmonary vasculature is not congested. There exist some linear densities in the left upper lobe area that appear to be unchanged and most likely represent scar formations. On the left base, a moderate amount of pleural effusion obliterates the entire diaphragmatic contour and blunts the left pleural sinus. This extends into the posterior pleural sinuses as seen on the lateral view. The amount of pleural density appears to be same in comparison with the previous study of <unk>.
<unk>-year-old female patient with nausea, chest wall pain after recent lung biopsies, assess for patient's effusion.
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Frontal and lateral views of the chest are compared to previous exam from <unk> as well as chest ct from <unk>. The size of the bilateral pleural effusions appears stable when compared to prior with some fluid seen laterally on the right. Superiorly, the lungs are clear. Cardiomediastinal silhouette is enlarged, but stable. No acute osseous abnormality is detected.
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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 to mildly enlarged. Appears slightly increased in size compared to the prior study, although this may relate to ap technique and lower lung volumes. Mediastinal and hilar contours are unremarkable. There is no overt pulmonary edema.
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Heart size is mildly enlarged, increased since <unk>. Mediastinal silhouette and hilar contours are unremarkable. The lungs are clear. The pleural surfaces are clear without effusion or pneumothorax.
cough.
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The cardiac, mediastinal and hilar contours appear stable. There is similar moderate relative elevation of the right hemidiaphragm. Patchy right lower lobe opacities probably due to atelectasis associated with elevation of the right hemidiaphragm and appear only mildly increased. There is no definite pleural effusion or pneumothorax.
weakness.
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In comparison with the study of earlier in this date, the right chest tube has been removed. Again there is a tiny apical pneumothorax. Opacification at the right base, especially medially, is again seen. Minimal atelectatic changes are seen at the left base.
chest tube removal after lobectomy.
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Upright ap radiograph of the chest. The lungs are clear. The heart size is top-normal. A hiatal hernia is present. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.
<unk>-year-old man with acute cholecystitis and upper abdominal pain. evaluate for pneumonia.
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Left picc terminates at the junction of the left brachiocephalic vein and superior vena cava. Previously reported focal opacity in the left mid lung region has partially cleared and may reflect a slowly resolving pneumonia. Lungs are otherwise clear except for linear atelectasis at the left lung base.
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Low lung volumes are noted with secondary crowding of the bronchovascular markings. The lungs are otherwise clear without consolidation or large effusion. Cardiomediastinal silhouette is stable. Hypertrophic changes noted in the spine.
<unk>f with o<num> req, hypotension, pls eval pna vs pulm edema
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Moderate to severe cardiomegaly is re- demonstrated. The mediastinal and hilar contours are similar with atherosclerotic calcifications noted diffusely about the thoracic aorta. Mild interstitial pulmonary edema persists. No focal consolidation or pneumothorax is present. Trace bilateral pleural effusions are present, with the right pleural effusion appearing new in the interval. No acute osseous abnormality is seen.
history: <unk>f with dyspnea on exertion, shortness of breath, leg swelling
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The right picc terminates in the mid svc. The ng tube terminates below the diaphragm in stable positioning. There is a large right-sided pleural effusion with associated atelectasis, unchanged. The left lung is clear. The cardiomediastinal silhouette is stable. Findings were discussed with dr. <unk>.
metastatic bladder cancer. evaluation of ng tube placement.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
shortness of breath.
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Single portable view of the chest. No prior. The lungs are hyperinflated. There is a perihilar distribution of parenchymal opacities. Left-sided pleural effusion is seen tracking laterally. There is also subtle blunting of the right lateral costophrenic angle as well. Cardiac silhouette is enlarged. Atherosclerotic calcification is seen at the arch. Median sternotomy wires and mediastinal clips are noted. Calcification in the left upper quadrant of the splenic artery. Iv line projects over the left neck as well as a surgical clip.
<unk>-year-old woman with st elevation mi.
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Tracheostomy tube is in place. Lung volumes remain low. The left lower lung is essentially airless and probably collapsed. Retrocardiac opacity persists and appears worse from prior exam, suggesting atelectasis or aspiration appropriate clinical setting. Blunting of the left costophrenic angle suggest atelectasis and/or small effusion. Platelike opacity in the right lower lung is probably atelectasis and slightly worse. The heart is severely enlarged, slightly worse compared to the prior exam. No frank pulmonary edema. The aortic valve is calcified, unchanged.
<unk> year old woman with trach // interval change?
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Multiple atelectatic bands in right lung have significantly improved. Right hemidiaphragm is chronically elevated. Left lung is unremarkable. Mediastinal and cardiac contours are normal. There is no pleural effusion or pneumothorax.
all, baseline exam prior to starting new drug.
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Lung volumes are low and there is mild bibasilar atelectasis. There is no definite pneumonia, pneumothorax or large pleural effusion. The cardiomediastinal and hilar contours are stable.
chest fluttering, rule out pneumonia.
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There are moderate bilateral pleural effusions, pulmonary vascular redistribution, and alveolar infiltrates right greater than left. The heart is mildly enlarged.
increased shortness of breath.
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In comparison with the earlier study of this date, the left chest tube has been removed and there is no evidence of pneumothorax. Opacification persists at the right base with poor definition of the hemidiaphragm, consistent with some combination of atelectasis and effusion.
chest tube removal, to assess for pneumothorax.
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There is a focal opacity obscuring the right heart border as well as a retrocardiac opacity with air bronchograms. The cardiomediastinal silhouette and hilar contours are normal. There is no pleural effusion or pneumothorax. Included upper abdomen is unremarkable. Osseous structures are grossly intact. Nipple shadows project over the bilateral lower lung zones and should not be mistaken for pulmonary nodules.
dyspnea and hypothermia, evaluate for pneumonia.
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs. Slightly increased opacity in the right infrahilar region could represent an early pneumonia, although there is no definite correlate on the lateral view. No pleural effusion or pneumothorax is seen. The visualized upper abdomen is unremarkable.
cough and shortness of breath. evaluate for pneumonia.
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Compared with <unk> at <time>, there has been improvement in the consolidative opacity seen in both lungs medially and at both lung bases. Previously seen coronal pleural effusions are considerably increased. Mild to moderate cardiomegaly is similar to the prior study. There is upper zone redistribution, without other evidence of chf. No new infiltrate or consolidation is identified
<unk> year old woman with flail mitral leaflet, pulm edema, now with increased o<num> requirement // worsening o<num> requirement, eval for worsened pulm edema
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In comparison with the earlier study of this date, the right chest tube has been removed and there is no evidence of pneumothorax. Overall, there is little change in the appearance of the heart and lungs.
thoracotomy with recent chest tube removal.
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Ap portable view of the chest was obtained. The exam is suboptimal due to patient rotation and patient's chin overlies the right apex. There are low lung volumes that accentuate the bronchovascular markings. Given this, the pulmonary vasculature appears mildly prominent, which could be due to pulmonary vascular congestion. Patchy left base opacity could represent a vascular structure, although an infectious process or aspiration is not excluded. A single-lead left-sided pacer is seen with the distal aspect of the lead not well seen. Cardiac and mediastinal silhouettes are not fully evaluated.
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Ap and lateral views of the chest were reviewed. The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are well expanded and clear. The right vasculature the normal limits. No displaced rib fractures are seen.
chest pain.
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Cardiac silhouette size is normal. Mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. Anterior bridging osteophytes are noted within the thoracic spine.
history: <unk>m with cough x <num> weeks
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The cardiomediastinal silhouette and pulmonary vasculature are normal. The lungs are clear. There is no pleural effusion or pneumothorax. There is no free air below the right hemidiaphragm.
<unk>m with epigastric pain // r/o infiltrate
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Portable ap upright chest radiograph was provided. There is a left ij central venous catheter in place with its tip in the region of the mid svc. The heart size appears top normal. The lung volumes are low with bronchovascular crowding and presumed atelectasis in the lower lungs. There is no definite sign of pneumonia, large effusion, or pneumothorax. The mediastinal contour appears stable.
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Pa and lateral views of the chest were obtained demonstrating clear well expanded lungs without focal consolidation, effusion, pneumothorax. Cardiomediastinal silhouette is normal. Imaged osseous structures are intact. There is no free air below the right hemidiaphragm.
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As compared to the previous radiograph, there is no relevant change. Known left pleural lipoma. Unchanged lung volumes. Unchanged mild cardiomegaly without pulmonary edema. Moderate tortuosity of the thoracic aorta. No pneumonia, no pleural effusions.
cad, history of carotid endarterectomy. evaluation.
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Right-sided port-a-cath tip terminates within the low svc. The cardiac, mediastinal and hilar contours are normal. The pulmonary vascularity is not engorged. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Clips are noted projecting over the posterior aspect of the mid abdomen, as well as <num> stents within the right upper quadrant. No acute osseous abnormalities are visualized.
history of cholangiocarcinoma and cholangitis.
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Heterogenous peribronchial opacity at the left lower lobe is concerning for pneumonia. The remainder of the lungs are clear. There is no pleural effusion or pneumothorax. Heart size is normal. Mediastinal silhouette and hilar contours are normal. No upper abdominal or osseous abnormality is identified.
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Single frontal image of the chest demonstrates low lung volumes, which makes it difficult to determine if there has been interval change in the pneumonia. There is definitely no interval improvement, but cannot say certainly if there has been worsening or not. There are no pleural effusions or pneumothorax. Tracheostomy tube is located in the same position as on previous imaging. Cardiomediastinal silhouette is unchanged. Visualized osseous structures are unremarkable.
<unk>-year-old female with mssa endocarditis and multiple embolic phenomena now with hcap and fever and somnolence.
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Heart size is normal. Cardiomediastinal silhouette and hilar contours are normal. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.
flank pain. evaluate for pneumonia.
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The heart size is within normal limits. The mediastinal and hilar contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax.
<unk>-year-old male with palpitations.
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Midline tracheostomy tube is seen. Cervical hardware is partially imaged. A right-sided venous catheter reported to be a picc line is high in position terminates projecting over the scapula. Right basilar opacity is seen which may be due to infection and/ or aspiration. There may also be a small right pleural effusion. Aside from mild left basilar atelectasis, of the left lung is clear. The cardiac silhouette is top-normal. Mediastinal contours are unremarkable
history: <unk>m with fever // acute process?
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Comparison can be made to <unk>. The heart is normal in size. The mediastinal and hilar contours appear within normal limits. Incidental note is made of an azygos fissure, which is a common normal variant. There is a similar mild prominence of central pulmonary arterial vascularity but fairly similar with no definite evidence for acute change. The bony structures are unremarkable.
epigastric vein, rigors and night sweats. patient with hiv.
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The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. There is no focal consolidation concerning for pneumonia or mass. Pulmonary vasculature is within normal limits.
asymmetric breath sounds, harsh inspiratory sounds on the right versus left. rule out mass in the right chest in a smoker.
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Left chest tubes have been removed. Stable appearance of the right chest with right pleural effusion and basilar atelectasis. There is small left pleural effusion, similar. Left basilar opacity has increased, likely atelectasis. No pneumothorax. Stable pulmonary vascularity. Heart size is difficult to estimate.
<unk> year old man with bilateral pleural effusions and small pericardial effusion s/p chest tube removal with ?reaccumulation // interval evaluation s/p chest tube removal
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The heart size is normal. The mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities seen.
chest pain.
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Cardiomediastinal contours are within normal limits without change considering positional and projectional differences. Lung volumes are low. No focal areas of consolidation are evident within the lungs, and there are no pleural effusions. Scoliosis is noted.
<unk> year old man with cough // ? pneumonia
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Bilateral multifocal opacities are unchanged compared to <unk>. There are no new opacities. No pleural effusion or pneumothorax. Cardiomediastinal and hilar contours are stable.
history of aplastic anemia, pre-allo dmt workup.
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As compared to the prior exam dated <unk>, the right lower lobe opacity is essentially unchanged. Given that no lesion was identified on the more recent cta exam, this focus likely represents overlying pectoral muscle. The remainder of the lungs are essentially clear without focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is unchanged from the prior exam.
persistent cough.
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Frontal and lateral chest radiographs demonstrate unremarkable cardiomediastinal contours. Lungs are clear. No pleural effusion or pneumothorax. Degenerative changes are noted in the thoracic spine with anterior osteophyte formation. Surgical clips are noted in the left upper abdomen.
chronic bronchiectasis, new dry cough for five days, assess for pneumonia.
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Cardiomediastinal and hilar contours are normal. The lungs are clear. There is no evidence of pneumonia, pneumothorax, or pleural effusion. Right-sided central catheter is in good position.
<unk>-year-old with all, status post allogeneic transplant, now increasing white count.
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Et tube ends <num> cm above the carina. Ng tube is in the stomach. Left-sided chest tube has the side port in the chest wall. Minimal residual apical left pneumothorax measures only <num> mm, unchanged. Bilateral widespread opacities are partly explained by increase in moderate pulmonary edema. There is bibasilar consolidation and probable pleural effusion. The cardiac contour is mildly enlarged.
patient with hypertension presenting with multiple injuries, mechanical fall downstairs, left humeral fracture. pneumothorax, chest tube removal.