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Heart size is top normal. Cardiomediastinal silhouette and hilar contours are unchanged and unremarkable. The lungs are clear. There is no pleural effusion or pneumothorax. Surgical clips project over the thyroid bed, bilaterally.
mid left back pain with fever.
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A single ap chest radiograph was obtained. The lungs are well expanded. A right lower lobe opacity is improved compared with <unk>. Mild pulmonary pulmonary edema persists, but is improved compared to the prior exam. No definite pleural effusion or pneumothorax. Mild to moderate cardiomegaly is unchanged.
elevated white blood cell count and fever.
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A central venous catheter terminates at the cavoatrial junction. The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear.
chest pain. question pneumothorax.
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There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. The imaged upper abdomen is unremarkable. The bones are intact.
history: <unk>f with cp // eval for pneumothorax
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Heart size is mildly enlarged. Aortic knob calcifications are present. The mediastinal contours are unremarkable. There is mild upper zone vascular redistribution suggestive of mild pulmonary vascular congestion, but no overt pulmonary edema. Lungs are hyperinflated. Streaky opacities are seen in the lung bases likely reflective of atelectasis. No focal consolidation, pleural effusion or pneumothorax is seen. There are mild degenerative changes noted in the thoracic spine. No acute osseous abnormalities are visualized.
history: <unk>f with copd, altered mental status today // please eval for infectious process
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with tachycardia // ptx, pna, effusion, pulmonary edema
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Heart size is normal. The mediastinal contours are remarkable for an unchanged right cardiophrenic angle opacity likely representing a pericardial fat pad as demonstrated on mr of <unk>. The pulmonary vasculature is normal. Lungs are hyperexpanded and grossly clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
<unk> year old woman with persistent cough // lesions?
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The lungs are clear. There is no pleural effusion, pneumothorax or focal airspace consolidation. The cardiac and mediastinal contours are normal. The hilar structures are unremarkable.
cough, evaluate for pneumonia.
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A right-sided port-a-cath terminates at the cavoatrial junction. The cardiomediastinal and hilar contours are within normal limits. The heart is minimally enlarged. Lung volumes are somewhat low which accentuates bronchovascular markings. There is no focal consolidation, pleural effusion or pneumothorax.
<unk> year old man with metastatic adenoca, recurrent sbo, preop for exploratory laparoscopy/laparotomy
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Since prior study, there has been no interval change in position of right chest wall port-a-cath, terminating in the upper right atrium, as well as a left chest wall pulse generator, with dual lead pacing wires terminating in the right atrium and right ventricle. Median sternotomy wires are intact. A right pleural effusion has slightly increased compared to the prior study, along with fluid tracking along the horizontal fissure on the right, and subsegmental atelectasis in the right lung base. Left basilar atelectasis is also increased, as has a small left pleural effusion. There is no pneumothorax. Biapical pleural thickening is stable. The overall heart size is unchanged.
<unk> year old woman who presented with hemoptysis, developing shortness of breath. // is there any acute change on cxr?
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Ap upright and lateral views of the chest provided. Port-a-cath over the right chest wall is again noted with catheter tip in the region of the low svc. Cardiomediastinal silhouette is unchanged. Lungs are clear. No large effusion or pneumothorax. Bony structures are intact peer
<unk>m with fever, history of multiple myeloma.
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Ap upright portable chest radiograph obtained. Lung volumes are low. There is patchy consolidation in the right mid and lower lung concerning for pneumonia. Left basal opacity is most compatible with atelectasis given the associated volume loss. No pneumothorax. Heart size cannot be assessed. Bony structures are intact.
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Frontal and lateral views of the chest were obtained. There is mild bibasilar atelectasis. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable. Mild degenerative changes are seen in the spine.
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The lungs are fully expanded and clear. There is no focal consolidation to suggest pneumonia. Cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Visualized osseous structures are unremarkable.
<unk>f with palpitations, svt // evaluate for acute process .
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Cardiomediastinal contours are stable. . The lungs are clear. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable
<unk> year old woman with asthma that has recently started smoking cocaine and has worsening asthma // ? any acute abnormality
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old female with cough and fever.
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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>f with obesity, ocp use presents with atypical chest pain and shortness of breath
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Lung volumes remain low. The heart size is unchanged, and within normal limits. The mediastinal and hilar contours are similar compared to the prior exam. There is crowding of the bronchovascular structures but no pulmonary edema is demonstrated. Linear opacities within the left lung base likely reflect subsegmental atelectasis. More patchy opacities in the lung bases also likely reflect atelectasis due to low lung volumes. No pleural effusion or pneumothorax is present. No acute osseous abnormalities demonstrated.
shortness of breath
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Portable ap supine chest radiograph obtained. The heart is mildly enlarged. There is left retrocardiac opacity, which could represent atelectasis or pneumonia. There may be tiny bilateral pleural effusions. Mediastinal contour is stable with atherosclerotic calcifications noted. There are coarse calcifications in the right lateral breast. Bony structures are intact.
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The nasogastric tip projects over the gastric fundus. The sidehole is not definitely seen, although likely beyond the gastroesophageal junction. Cardiomediastinal silhouette is unchanged. Lungs are well-expanded and clear. There are no focal consolidations. There are no pleural effusions or pneumothorax.
<unk>-year-old male patient with ng tube. study requested for assessment of placement.
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A linear metallic density projects over the upper trachea on a single image. The lungs are symmetrically well expanded and well aerated. No focal consolidation concerning for pneumonia, pleural effusion, or pneumothorax is detected. The cardiac silhouette is normal in size. The right mediastinal border is prominent with soft tissue density along the right paratracheal stripe. The remainder of the mediastinal contours are within normal limits and unchanged from <unk>. The visualized upper abdomen is unremarkable.
chest pain, here to evaluate for pneumothorax.
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Severe cardiomegaly stable. Improved bilateral pulmonary edema. Large bilateral pleural effusions stable. Bibasilar atelectasis unchanged. Left retrocardiac consolidation unchanged, likely atelectasis but cannot exclude pneumonia, correlate clinically. No pneumothorax. Right hd catheter terminates in the upper right atrium. Et tube <num> cm above the carina. Ng tube traverses beyond the diaphragm and beyond the inferior margins of this film, all likely in the stomach.
<unk> year old man with copd, intubated and sedated with marked agitation undergoing work-up // interval change in pna
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As compared to the previous radiograph, the patient has changed in position and the radiograph suffers from a substantial rotational component. A minimal right pleural effusion might be present. The overall size of the cardiac silhouette has not substantially changed. In the retrocardiac lung areas there is a constant atelectasis of the left basal lung regions, potentially aggravated by a hiatal hernia. No overt pulmonary edema. No pneumonia.
stroke, evaluation for interval changes.
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Pa and lateral chest radiographs were obtained. The lungs are well expanded and clear. There is no focal consolidation, effusion, or pneumothorax. Cardiac and mediastinal contours are normal. <num> cm linear radiopaque foreign body projecting over the c<num>-t<num> transverse processes is better seen on the accompanying neck radiographs.
iv do you needle lost within the and right neck.
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Single ap upright portable view of the chest is obtained. Midline tracheostomy is seen. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable and unremarkable. There has been interval removal of a right-sided central venous catheter.
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Single portable view of the chest is compared to previous exam from <unk>. The lungs are hyperinflated with chronic changes suggestive of known underlying emphysema. There are superimposed regions of consolidation at the right lung base laterally, worrisome for superimposed infection in the appropriate clinical setting. Multiple old bilateral rib fractures are again identified. Cardiomediastinal silhouette is stable as are the osseous and soft tissue structures.
<unk>-year-old female with hypoxia and dyspnea.
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Pa and lateral views of the chest provided. Minimal lower lung atelectasis noted. Otherwise lungs are clear. No pleural 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 suspected gallstone pancreatitis. hd stable at present
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No definite focal consolidation is seen. There is mild basilar atelectasis. No pleural effusion or pneumothorax is seen. Cardiac silhouette is top-normal. Mediastinal contours are grossly unremarkable. Patient is rotated slightly to the right. No overt pulmonary edema is seen. Multilevel anterior osteophytes are noted.
history: <unk>m with new osnet atrial fibrillation // eval acute process
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There is biapical partially calcified scarring with superior retraction of the hila particularly on the right. The lungs are clear of consolidation, effusion, or edema. Opacity at the left posterior costophrenic angle, may be atelectasis or bochdalek's hernia. The cardiomediastinal silhouette is within normal limits. Old healed left posterior rib fractures are noted. No acute osseous abnormalities.
<unk>f with headache, imbalance, ams // pna
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Pa and lateral views of the chest provided. Left subclavian access dialysis catheter is noted with tip in the low svc. There is no focal consolidation, large effusion or pneumothorax. There is mild pulmonary vascular congestion. No frank edema. Cardiomediastinal silhouette is unchanged. Bony structures appear intact. There is a chronic appearing deformity of the right humeral head.
<unk>f with shortness of breath // acute process?
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Mild prominence of the mediastinum, likely a combination of patient position as well as azygos vein engorgement. Heart size is slightly enlarged compared to prior, which considered in conjunction with mild central pulmonary vessel engorgement suggests degree of mild heart failure. The opacification in the left lung base appears to correspond with prominent cardiac fat pad and eventration of the left hemidiaphragm evident on the <unk> ct, but not significantly changed compared to prior radiograph. No pleural effusion identified, though left costophrenic angle is excluded from view. No pneumothorax evident.
chest pain, question cardiomegaly.
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The heart is at the upper limits of normal size. The mediastinal and hilar contours appear within normal limits. There is a streaky opacity in the right mid lung, suggesting minor atelectasis or scarring. Otherwise, the lungs appear clear. There are no pleural effusions or pneumothorax. Bony structures are unremarkable.
right-sided pleuritic chest pain; question pneumonia.
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The patient is somewhat rotated. No focal consolidation is seen. No pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable and unremarkable.
history: <unk>f presenting with lethargy and fever concerning for sepsis. // ? pneumonia
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Ap portable view of the chest. There are bilateral mainly central parenchymal opacities consistent with moderate pulmonary edema. There are likely small bilateral pleural effusions. The heart size is normal. Again seen is a densely calcified thoracic aorta. There is no pneumothorax.
shortness of breath and cough.
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Ap upright and lateral views of the chest provided. Lung volumes are somewhat low. Allowing for this, lungs are clear. No large effusion or pneumothorax. Cardiomediastinal silhouette appears normal. Bony structures are intact.
<unk>f with s/p fall, assess for signs of intrathoracic trauma.
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The lungs are well inflated and clear. The cardiomediastinal silhouette and hilar contours are normal. There is no pleural effusion or pneumothorax. No definite rib fractures identified. Included upper abdomen is unremarkable.
<unk>f with hx of dvt and mult falls, and hip surg, now with fall and head trauma, evaluate for rib fractures.
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Right picc is identified with tip projecting over the upper svc. Coarse interstitial markings seen throughout the lungs without focal consolidation. Moderate cardiomegaly is again seen. Median sternotomy wires and prosthetic aortic valve are identified. No acute osseous abnormalities.
<unk>m with fever, hypotension // eval for pna
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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 shortness of breath and cough // effusion?
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In comparison with study of <unk>, the monitoring and support devices remain in place. Cardiac silhouette is again mildly enlarged. The degree of pulmonary vascular congestion has decreased. No definite evidence of acute focal pneumonia.
intubation.
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Ap view of the chest provided. Again seen are diffuse nodular opacities in bilateral lungs, little change compared to prior study. There is minimal right-sided subcutaneous emphysema, likely from recent biopsy. No pneumothorax seen.
<unk> year old woman with diffuse pulmonary nodules status post vats wedge biopsy
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There are somewhat low lung volumes, but the lungs are clear. The cardiomediastinal silhouette is unremarkable. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.
cough with green brown sputum.
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There are bilateral, right greater than left, heterogeneous lower lobe opacities with a small right pleural effusion. No left pleural effusion. Again seen is a <num> x <num> cm rounded opacity within the right upper lobe with a radiopaque clip which is unchanged since prior examination. Mild cephalization of vasculature is noted. Stable mild cardiomegaly which is obscured due to overlying parenchymal abnormality. Small right pneumothorax. No left pneumothorax. Mediastinal contour and hila are otherwise unremarkable.
<unk>f with dyspnea. assess for chf.
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There is mild worsening of right focal opacities, that were not present on <unk>, likely representing pneumonia. Left base opacity is likely due to atelectasis. In addition, there is widening of the vascular pedicle with dilated azygos vein and bilateral diffuse opacities, likely indicating pulmonary edema. Pleural effusions are unlikely. Again seen are extensive bilateral interstitial opacities, previously described as nsip, unchanged from prior. Pigtail catheter is seen projecting over left mid lung. No appreciable pneumothorax is seen.
<unk> year old man with ptx and now respiratory distress.
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Lung volumes are low leading to crowding of the bronchovascular structures. Mild bibasilar and left retrocardiac airspace opacities likely reflect atelectasis. There is no lobar consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiac silhouette is normal in size. No acute displaced rib fractures are identified.
history: <unk>m with confusion // r/o pna
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Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No overt pulmonary edema is seen. Aortic knob is calcified but does not appear dilated.
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A right-sided internal jugular catheter terminates in the mid svc. A right-sided pleural catheter is in stable position. Aortic valve ring and midline sternotomy wires are stable. Mild cardiomegaly is similar. A miniscule left pnuemothorax is present. No new consolidation or effusion is present. Subcutaneous emphysema is similar.
<unk>-year-old man status post bentall procedure.
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Since the radiographs obtained <num> days prior, there has been interval removal of a swan-ganz catheter and placement of a tunneled central venous catheter, which terminates in the lower svc. Pulmonary vascular prominence is less marked and there is no evidence of pulmonary edema or effusion. No focal consolidations or masses. There is linear focus of atelectasis in the left lower lung. Moderate cardiomegaly is unchanged.
<unk> year old woman with pulmonary hypertension, desatting with ambulating. // any changes from previous films? pulmonary vasculature?
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As compared to the previous radiograph, the right picc line has been re-positioned. The tip of the line now projects over the cavoatrial junction. Otherwise, the image is unchanged. There is no evidence of pneumothorax or other complications.
chronic heart failure, line placement.
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The lungs are normally expanded and clear. The cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. There is no pleural effusion or pneumothorax. There is no pulmonary edema.
sudden onset mid back pain that radiates around to the abdomen with slight shortness of breath. pain worse with deep breath. rule out "pneumo."
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Right port-a-cath is again noted. Streaky right middle lobe opacity is likely in part due to atelectasis. Bulky right hilar and mediastinal adenopathy was better seen by prior cross-sectional imaging. There is however new retrocardiac opacity which is only clearly seen on the frontal view. A left apical opacity is again seen and could be due to prior radiation. There is no effusion. Surgical clips again project over the left axilla.
<unk>f with sob // effusion?
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The right costophrenic angle is excluded from view. Mild cardiomegaly is unchanged. Hilar contours are unremarkable. There is no edema. The lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.
history of atrial fibrillation and chf presenting with back pain and shortness of breath.
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A left-sided picc line terminates in the low svc. The cardiomediastinal and hilar contours are within normal limits. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax.
<unk> year old woman with pleural effusion // eval eval
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Pa and lateral images of the chest. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
chest pain.
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As compared to the previous radiograph, the left pectoral generator has been changed. There is one lead projecting over the right ventricle and one over the right atrium. No evidence of pneumothorax. Borderline size of the cardiac silhouette. No pulmonary edema. No other acute lung parenchymal changes.
check pacer placement.
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Cardiomediastinal contours are normal. The lungs are clear. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable
<unk> year old woman with c/o coughing, nasal/chest congestion // chest congestion
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The heart is mildly enlarged, slightly decreased in size compared to the prior chest radiograph, allowing for differences in technique. The lungs are well-expanded. Mild streaky opacities in the left lower lobe likely reflect atelectasis. The right lung is clear. A dual lumen, accessed right chest wall port-a-cath is in place, terminating at the cavoatrial junction. There is no pleural effusion or pneumothorax.
<unk> year old woman with hx of lymphoma on chemo and is now neutropenic with cough. please r/o pna. // <unk> year old woman with hx of lymphoma on chemo and is now neutropenic with cough. please r/o pna.
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Low lung volumes cause bronchovascular crowding and bibasilar atelectasis. Moderate pulmonary vascular congestion has increased compared with the immediate prior study. There is no frank pulmonary edema. There is no focal consolidation, pleural effusion, or pneumothorax. Of note, the right costophrenic angle is excluded the field of view. The cardiomediastinal contour is unchanged.
<unk>m with hep c, sob, evaluate for pleural effusion or pneumonia.
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The heart size is normal. The mediastinal and hilar contours are unremarkable. The pulmonary vascularity is normal. Ill-defined, somewhat oblong opacity within the right upper lobe is relatively unchanged compared to the prior study, measuring approximately <num> cm. Remainder of the lungs are clear of consolidation. No pleural effusion or pneumothorax is present. No acute osseous abnormality is seen.
seizure with recent radiation.
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As compared to the previous image, there is no relevant change. Severe pulmonary emphysema, moderate-to-severe overinflation. Small size of the cardiac silhouette. Loss of structure in the upper lung zones. An apparent increase in density at the medial bases of the right lung is caused by soft tissue superposition. No pleural effusions.
copd, evaluation for dyspnea.
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Lung volumes are slightly lower compared to prior. Otherwise, there is no significant interval change. No focal consolidation, pleural effusion, or pneumothorax is seen. Heart size is mildly enlarged. There is no pulmonary edema. Mediastinal contours are within normal limits.
<unk>-year-old female with palpitations.
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The lungs are clear. Cardiomediastinal silhouette is stable given slight rotation to the right. No acute osseous abnormality is detected.
<unk>-year-old female with agitation.
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Pa and lateral views of the chest were provided. An aicd is unchanged with leads extending to the region of the right atrium and right ventricle. Midline sternotomy wires and mediastinal clips are again noted. Prominent epicardial fat pads likely account for the subtle effacement of the right and left heart border anteriorly. Right hilar prominence is less conspicuous than on prior exams. There is no convincing evidence of pneumonia, effusion or pneumothorax. No pulmonary edema. Heart size is normal. Mediastinal contour is stable. Bony structures are intact.
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A left pacemaker is in unchanged position with the leads in the right atrium and right ventricle. A mitral valve replacement is in unchanged position. Sternal wires are intact. The lung volumes are low. The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The mediastinal contours are normal. The heart is enlarged, and appears slightly bigger than in the prior exam.
left shoulder pain radiating to the arm. evaluate for acute process.
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Frontal and lateral views of the chest were obtained. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable.
<unk>m w/ cp. // <unk>m w/ cp.
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Comparison is made to prior study from <unk> at <time> a.m. The endotracheal tube, right ij central line are unchanged in position. There is a feeding tube whose tip and side port are below the ge junction. The side port is just a few centimeters below the ge junction and this could be advanced a few centimeters for more optimal placement. There are low lung volumes and atelectasis at the lung bases. The heart size is within normal limits and unchanged. No pneumothoraces are seen. There is a humeral prosthesis.
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Sternotomy wires and mediastinal clips are unchanged. A left-sided chest tube is in place. Right-sided picc tip terminates in the mid svc. There has been improvement in the right-sided pleural effusion with only small apical and lateral pneumothoraces. There is no mediastinal shift or diaphragmatic flattening. Bibasilar atelectasis is present, worse on the left than the right. At least one lateral rib fracture is present in the left thoracic rib cage, better characterized on prior torso ct.
<unk>-year-old female status post right-sided thoracentesis.
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There is dense consolidation involving both the left upper lobe and the superior segment of the left lower lobe. Right lung is clear. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities, compression deformity of a lower thoracic vertebral body is unchanged.
<unk>m with productive cough, copd. please evaluate for signs of pneumonia //
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Single frontal view of the chest was obtained. Moderate cardiomegaly is similar to prior. Mild pulmonary edema is slightly increased since the prior exam. Moderate left pleural effusion and small right pleural effusions are similar to prior, allowing for difference in patient position. Sternotomy wires and aortic valve repair are similar to prior.
<unk>-year-old female with mitral valve repair presenting with hypoxia and dyspnea. rule out chf.
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The patient is status post median sternotomy and cabg. Left-sided aicd/pacemaker device is again noted with leads terminating in the right atrium and right ventricle. Mild enlargement of cardiac silhouette is unchanged. The mediastinal and hilar contours are within normal limits. Low lung volumes cause crowding of the bronchovascular structures, without overt pulmonary edema. Streaky opacities in the lung bases likelyreflect atelectasis. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
chest pain.
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An endotracheal tube is in-situ, the tip terminates <num> cm above the level of the carina. A nasoenteric tube is seen, the tip is not visualized lies below the level of the stomach. Lung volumes are somewhat low. No liver air collapse appreciated. No consolidation, pneumothorax or pleural effusion.
<unk>f s/p single vehicle mvc rollover, intubated at scene for combativeness, no injuries on trauma survey, failed extubation x<num>. // interval change
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The heart size is normal. The mediastinal and hilar contours are unremarkable. Subsegmental atelectasis is demonstrated within the right lower lobe. Focal opacity within the lower lobe posteriorly on the lateral view, likely within the right lower lobe is present. There is an associated small right pleural effusion. No pneumothorax is seen. The pulmonary vasculature is normal.
right-sided chest and back pain.
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Lung volumes are low. Heart size remains moderately enlarged. Mediastinal and hilar contours are unremarkable. Crowding of bronchovascular structures is present without overt pulmonary edema. Patchy opacities are seen in the lung bases likely reflective of atelectasis. No definite focal consolidation, pleural effusion or pneumothorax is present. Marked degenerative changes with diffuse idiopathic skeletal hyperostosis is noted in the imaged thoracolumbar spine. Additionally diffuse increased sclerosis of the vertebral bodies is unchanged compared to the prior ct.
history: <unk>f with lethargy, headache. fall <num> week ago with head strike
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The heart size is normal. Mediastinal and hilar contours are unremarkable. The pulmonary vascularity is normal and the lungs are clear. No pleural effusion, focal consolidation or pneumothorax is seen. No acute osseous abnormalities are visualized.
chest pain.
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Pa and lateral views of the chest provided. Right upper extremity picc line and left chest wall port-a-cath appear unchanged in position with catheter tips both terminating in the mid to low svc. Elevation of the right hemidiaphragm is again noted. There is mild residual bibasilar atelectasis which appears somewhat improved in the interval. A tiny left pleural effusion persists. Cardiomediastinal silhouette appears stable. No acute osseous abnormalities. No free air below the right hemidiaphragm.
<unk>m with sob // r/o acute process
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The cardiomediastinal and hilar contours are within normal limits. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. There is no free intra-abdominal air identified on this upright film.
history: <unk>f with abdominal pain, coffee ground emesis // evaluate for for abdominal free air, acute process
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A right chest tube is in place. Side hole is at the chest wall. There is a small right apical pneumothorax. The lungs are otherwise clear without focal consolidation or pleural effusion. There is minimal atelectasis at the left base. Known right rib fractures are not clearly identified.
right pneumothorax status post chest tube at outside hospital. evaluate for chest tube placement and status of pneumothorax.
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As compared to the previous radiograph, there is no relevant change. Borderline size of the cardiac silhouette with mild tortuosity of the thoracic aorta. No pleural effusions. No pneumonia. No pulmonary edema.
cardiopulmonary process.
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There are bilateral pleural effusions, left greater than right with slight interval enlargement on the left compared to prior. There is adjacent atelectasis particularly at the left lung base. Superiorly, lungs are clear. Cardiomediastinal silhouette is stable. Left chest wall dual lead pacing device is again noted. No acute osseous abnormalities.
<unk>f with pna earlier now w/ worsening sob // eval for worsening pna
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Comparison is made to a previous study from <unk>. There has been improvement of the mild pulmonary edema since the previous study. There is again seen cardiomegaly and a left retrocardiac opacity. There are also bilateral pleural effusions. There are no pneumothoraces.
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The cardiac, mediastinal and hilar contours are probably within normal limits. Within the limitations of ap portable technique including with low lung volumes, the right lung is probably clear. However, opacity projecting over the mid to upper lung is concerning for pneumonia. There is no pleural effusion or pneumothorax.
shortness of breath and fever.
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A left ij is seen in appropriate position with the tip in the svc. A right sided dual lumen catheter is noted with the tip at the junction of the svc and right atrium. There is no pneumothorax. There are low lung volumes. Bibasilar atelectasis is seen. There is some cephalization of pulmonary vessels consistent with mild pulmonary vascular congestion. Cardiomediastinal silhouette is unremarkable. There is no pleural effusion.
left ij central line placement.
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As compared to the previous radiograph, the patient has been extubated and has received a tracheostomy tube. The tube is in correct position. The left central line is in unchanged position. Unchanged are the known right hilar masses as well as the small right pleural effusion. No evidence of pneumothorax.
history of right non-small cell lung cancer, tracheostomy tube.
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The lungs are well expanded and clear. The mediastinal contours, hila, cardiac silhouette are normal. No pleural effusion or pneumothorax.
<unk>f with chest pain // acute cardiopulmonary process
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As compared to the previous radiograph, there is no relevant change. Atelectatic changes at the right lung base, better appreciated on the lateral than on the frontal view. No evidence of pneumonia. Severe tortuosity of the thoracic aorta, moderate cardiomegaly without overt pulmonary edema. The right picc line is in unchanged position. No pleural effusions.
upward trending white count, questionable pneumonia.
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Cardiac silhouette size is top normal. Mediastinal and hilar contours are unremarkable. There is no pulmonary edema. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is visualized. There are minimal degenerative changes in the thoracic spine.
shortness of breath.
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Lung volumes remain low, however are slightly improved to the earlier same day film. Bibasilar opacities are likely atelectatic. Otherwise there is no significant short-term interval change.
hypoxia. repeat examination for better inspiration.
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Ap upright and lateral views of the chest were provided. The lungs are clear without focal consolidation, effusion or pneumothorax. The heart is mildly enlarged. The mediastinal contour appears normal. Bony structures appear intact.
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Endotracheal tube tip terminates approximately <num> cm from the carina. Orogastric tube side hole is within the stomach, and the distal aspect of the tube courses off the inferior borders of the film. Heart size is borderline enlarged. There is moderate pulmonary edema with perihilar haziness and vascular indistinctness. No large pleural effusion or pneumothorax is present. No acute osseous abnormalities detected.
intubated.
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Frontal and lateral views of the chest were obtained. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Previously seen left upper lobe pneumonia has resolved in the interval.
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Ap view of the chest provided. Since prior chest radiograph, a right-sided pigtail pleural catheter has been inserted. There is no pneumothorax. Extent of right pleural effusion has decreased slightly. Moderate left pleural effusion is unchanged. Heterogeneous right upper lobe opacities have improved since prior study. Degree of pulmonary edema has also improved. Heart size is smaller.
<unk> year old man with right effusion s/p pigtail, evaluate for pneumothorax.
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Lung volumes are low. The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. The lungs are clear. No pneumothorax or large pleural effusion is identified.
<unk>f with cough, fever // eval for pna
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Upright ap and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiac silhouette size is top normal. Aorta is tortuous with atherosclerotic calcifications noted at the arch. There is mild s-shaped curvature to the thoracic spine with probable compression deformity at the thoracolumbar junction, of indeterminate age. There is no fracture. No free air below the right hemidiaphragm is seen.
history: <unk>f with new congestive heart failure, history of aortic stenosis// please evaluate for focal consolidation
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In comparison with the study of <unk>, there is little overall change. Bibasilar opacifications persist and the monitoring and support devices are essentially unchanged.
status epilepticus, to assess for resolving pneumonia.
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Lungs are poorly inflated which accounts for vascular crowding. Linear atelectases are noted in the left lower base, which are improved compared with prior exam. Otherwise, there are no focal opacities. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old female with persistent cough. evaluate for evidence of pulmonary infiltrate.
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Heterogeneous opacities in the left lower lobe are highly concerning for pneumonia. Left apical scarring/bronchiectasis was seen on prior ct from <unk>. The right lung is clear. The heart is mildly enlarged. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen. Multilevel degenerative changes of the thoracolumbar spine are noted. There is a right-sided pacemaker with associated right atrial and right ventricular leads.
fever. assess for pneumonia versus influenza.
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A left apical pneumothorax is not significantly changed though remains small. A left chest pacemaker with a single right ventricular lead is unchanged. The lung volumes remain somewhat low, though are improved compared with prior. There is a probable small right pleural effusion with bibasilar atelectasis. The pulmonary vasculature is normal. The cardiac silhouette and mediastinal contours are unchanged.
<unk>-year-old male with atrial fibrillation status post pacemaker placement with pneumothorax. evaluate for change.
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As compared to previous radiograph, no relevant change is noted. Bilateral pleural effusions with subsequent areas of atelectasis. Moderate cardiomegaly. No pulmonary edema. The sternal wires are unchanged. Unchanged upper mediastinal postoperative clips. No new parenchymal opacities. No pulmonary edema.
transthoracic needle aspiration, evaluation for masses.
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A left-sided pacemaker and its wires are unchanged. Mild cardiomegaly is persistent compared to exams dated <unk>. Overall, the pleural thickening bilaterally appears less extensive and less severe compared to the prior exam; however, this exam is limited for the evaluation of an empyema. There is no pneumothorax.
history of empyema. please follow up.
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Lordotic and slightly rotated positioning. Possibility of background hyperinflation/copd cannot be excluded. The heart is not enlarged. There is slight prominence of the ascending aorta and scattered aortic calcifications. The descending aorta is grossly unremarkable. Within the limits of plain film radiography, no hilar or mediastinal lymphadenopathy is detected. No chf, focal infiltrate, effusion, or pneumothorax is identified. Minimal bibasilar atelectasis is likely present. Focal calcification overlying the left neck is suggestive of carotid artery calcification.
history: <unk>f with hyoxia // acute