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The heart size is normal. The hilar and mediastinal contours are normal. The lungs are clear without evidence of focal consolidations concerning for pneumonia. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.
history of tachycardia, leukocytosis, please 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>m with chest pain, sob // eval for infiltrates
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Heart size, mediastinal and hilar contours are normal. Lungs are clear except for a tiny calcified granuloma in the left lower lobe, unchanged since the prior studies. There are no pleural effusions or pneumothoraces. Post-surgical changes are present in the imaged portion of the right shoulder.
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The heart size is normal. There is mild bibasilar atelectasis. The aorta is tortuous. Otherwise, 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 of fall. please evaluate for acute process.
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Portable semi-upright radiograph of the chest demonstrates stable bibasilar atelectasis. Cardiomediastinal and hilar contours are unchanged. There is no pneumothorax or pleural effusion. Swan-ganz catheter ends in the region of the pulmonary valve. A right-sided supraclavicular subclavian line is seen with the tip terminating in the distal svc. A right internal jugular central venous line terminates at the origin of the right brachiocephalic vein. Nasogastric tube is seen with tip outside the borders of this image. Endotracheal tube is seen at the level of the thoracic inlet, but is more than <num> cm above the carina.
<unk>-year-old man status post liver transplant, status post bronchoscopy. evaluate for pneumothorax.
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Pa and lateral views of the chest provided demonstrate no focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette appears normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm.
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No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is identified.
history: <unk>f with chest pain // pneumonia? rib fx?
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Et tube terminates <num> mm above the carina. The transesophageal tube terminates within the stomach but its side port above the ge junction. The right internal jugular swan-ganz catheter terminates in proximal right pulmonary artery. A new right internal jugular venous transducer terminates in upper svc. Lung volume is low. There is no consolidation, pneumothorax, or large pleural effusion. Vascular congestion is mild. Cardiomediastinal and hilar silhouettes are normal size.
<unk> year old woman with s/p liver transplant // eval for line placements, acute cardiopulmonary process
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Pa and lateral chest radiographs demonstrate clear lungs. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
presyncope.
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The lungs are clear with no evidence of a consolidation or effusion. There is no pneumothorax. Cardiomediastinal silhouette is normal.
fever.
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The heart size is normal. The hilar and mediastinal contours are normal. The lungs are well expanded, and clear without evidence of focal consolidations concerning for pneumonia. There is no pneumothorax or pleural effusion. Note is made of old right <unk> and left <num>th rib fractures. There is no pleural effusion or pneumothorax.
history of alcohol intoxication, rule out pneumonia, aspiration.
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Heart size is top normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is demonstrated. Minimal right basilar patchy opacity may reflect atelectasis. There are mild multilevel degenerative changes in the thoracic spine. No acute osseous abnormality is identified.
history: <unk>m with fall head strike
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The lungs are clear with relatively low lung volumes. The heart size is top-normal. The mediastinal silhouette, hilar contours, and pleural surfaces are normal. Mild linear atelectasis is noted in the lower left lung. No pneumothorax, pulmonary edema, or pneumonia.
<unk>m with near-syncope, leukocytosis // eval for acute process, attn to pna
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Frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation. There are no displaced rib fractures.
chest pain. evaluate for pneumothorax, pneumonia or rib fracture.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The aorta is calcified and tortuous. The cardiac silhouette is mildly enlarged. There is no overt pulmonary edema.
aortic stenosis with worsening dyspnea on exertion and presyncope.
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The heart size is normal. The hilar and mediastinal contours are normal. The lungs are clear without evidence of focal consolidations concerning for pneumonia. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.
history of chest pain. please evaluate.
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Frontal and lateral views of the chest were obtained. There is slight blunting of the posterior costophrenic angle, similar compared to the prior study, which may be due to pleural thickening, less likely trace pleural effusions. There are areas of bilateral scarring/atelectasis. Slight prominence of the central pulmonary vasculature may be due to mild vascular engorgement. No definite focal consolidation. The cardiac and mediastinal silhouettes are stable.
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There are relatively low lung volumes. Mild bibasilar atelectasis is seen. There is no focal consolidation, pleural effusion, or evidence of pneumothorax. The aorta is calcified and slightly tortuous. The cardiac silhouette is top-normal to mildly enlarged. Degenerative changes are seen along the spine including mild anterior wedging of a thoracolumbar vertebral body.
cough.
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The previous right apical pneumothorax is no longer visualized. Compared to the prior radiograph, the right ij line and ng tube have been removed. No change in positioning of the aortic valve prosthesis. Diffuse bilateral pulmonary opacifications with bilateral lung hyperexpansion are consistent with emphysema and basal fibrosis, as seen on the ct of <unk>. No pleural effusions or focal consolidation.
<unk> year old woman with severe as s/p tavr, ptc s/p chest tube placement and removal, now with leukocytosis and hypothermia, concerning for infectious process. evaluate for consolidation and interval change.
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Heart size is top normal. Calcifications of the aortic knob are noted. There are small bilateral pleural effusions with adjacent atelectasis. The lungs are well expanded. A round opacity is noted at the left base medially, which may reflect atelectasis, calcifications, or a mass.
<unk>f with hypoxia, acute process? edema?
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As compared to the previous radiograph, pre-existing opacities at the right lung base have almost completely cleared. Mild atelectasis at the left lung bases persist. There is also blunting of the left costophrenic sinus, potentially caused by a small pleural effusion on the left. Moderate cardiomegaly without overt pulmonary edema. Right internal jugular vein catheter is unchanged.
obesity, cystoscopy, ureteral stent placement.
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Subtle left basilar opacity may represent atelectasis however early infectious process is not excluded in the appropriate clinical setting. The right lung is clear. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with cough on chemo // r/o pna
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Pa and lateral views of the chest were provided. Midline sternotomy wires and mediastinal clips are again noted. There is improved aeration in the lower lungs as compared with recent prior exam. Minimal opacity persists in the right lower lung which could represent atelectasis though the possibility of pneumonia is impossible to exclude. No large effusion or pneumothorax. The cardiomediastinal silhouette is stable. The imaged osseous structures are intact.
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The right hemidiaphragm is significantly elevated, with platelike atelectasis in the right lung base. A left chest wall pulse generator with single defibrillator lead is in place. Biapical pleural thickening is noted. The heart is mildly enlarged. There is no pulmonary edema, pneumothorax, or focal consolidation.
history: <unk>f with chest pain // eval for pna
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Lung volumes are low which accentuates the size of the cardiac silhouette which appears borderline enlarged. Mediastinal and hilar contours are unremarkable. The pulmonary vasculature is not engorged. Apart from mild atelectasis in the lung bases, the lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormality is visualized.
history: <unk>m with chest pain // evaluate for pneumothorax
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The patient is status post aortic valve replacement. There has been no significant change in dilatation of the aorta. The mediastinal and hilar contours appear unchanged. The heart is at the upper limits of normal size. The lungs appear clear. There is no pleural effusion or pneumothorax.
severe chest pain; known aortic dissection.
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Comparison is made to prior study from <unk>. There is a right-sided central venous catheter with distal lead tip in the mid right atrium. This could be pulled back <num>-<num> cm for more optimal placement. There is an endotracheal tube whose distal tip is <num> cm above the carina at the level of the aortic knob, appropriately sited. The cardiac silhouette is upper limits of normal. There are airspace opacities bilaterally, most confluent in the left mid lung field. This may represent underlying infiltrate. There is also an infiltrate at the right base laterally, which appears stable. There are no signs for overt pulmonary edema. There are no pneumothoraces. The distal tip of the endotracheal tube is not included on the field of view of the study that cuts off the lung bases.
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Interval placement of a fiducial seed at the site of a left upper lobe lung nodule with no evidence of pneumothorax. The known nodule has been more fully evaluated by recent chest ct, and newly present poorly defined opacities surrounding the nodule probably represent hemorrhage in the setting of recent procedure. Heart is normal in size. Pulmonary vascular congestion is accompanied by interstitial edema. New patchy lower lobe opacities may be due to patchy atelectasis or aspiration.
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In comparison with the study of <unk>, the monitoring and support devices are again seen, with the tip of swan-ganz catheter terminating in the left retrocardiac region within the distal segmental or subsegmental branch of the lower lobe pulmonary artery. Asymmetric pulmonary edema may be slightly less prominent than on the previous study. Widening of the superior mediastinum is less prominent on the current examination.
arrest with pulmonary edema.
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Since <unk> the left thoracostomy tube has been removed and a small amount of fluid has accumulated in the previous small pneumothorax in the posterior left costal pleural space. Moderate left basal atelectasis is unchanged. The lower esophageal stent has not migrated and its caliber is intact. Small amount of contrast an agent in the mediastinum reflects prior demonstrated leakage. The right lung is clear. Right pic line ends close to the superior cavoatrial junction.
<unk> year old woman s/p esophageal diverticulum resection c/b esophageal leak, now all ct d/c'd // please eval for interval change
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The cardiac and mediastinal silhouettes are stable. There are relatively low lung volumes. The right costophrenic angle is not fully included on the image and aa small right pleural effusion would be difficult to exclude. No large pleural effusion seen. No evidence of pneumothorax. No definite lobar consolidation. Hardware again noted in the cervical spine.
history: <unk>f with ams // eval for pna
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The radiograph obtained at <time> hours shows new small bilateral pleural effusions, left greater than right. Lung volumes remain low. However, there is evidence of new mild pulmonary edema. There is no pneumothorax. The cardiomediastinal silhouette is stable. The known right <unk> thoracic rib fracture is not seen on this exam. The followup radiograph of <time> hours shows increased elevation of the right hemidiaphragm, likely due to a combination of worsening atelectasis and pleural effusion. An endotracheal tube has also been placed, terminating at the level of the clavicles. There is increased opacification along the right paratracheal location, which could be due to a developing hematoma. The left lung is clear. There is no pneumothorax.
<unk> year old man with rib fractures on r after scooter vs. truck accident, resp failure, now intubated // interval change, tube position <unk> year old man with multi trauma, likely pulm contustions on cxr, abdominal bleeding, now with increasing o<num> req. // any new consolidation or effusion?
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Median sternotomy wires and mediastinal clips are noted. Tracheostomy in stable position. Mild cardiomegaly is unchanged. Since prior, there has been no significant change in vascular congestion. There is increased left basilar opacity.
<unk>-year-old woman with pmhx of tbm, s/p trach p/w dyspnea and volume overload
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Lungs are hyperinflated. Heart size is mildly enlarged but unchanged. The aortic knob is calcified. Mediastinal and hilar contours are unremarkable. Previously noted left upper lobe nodular opacity is not distinctly visualized on the current exam. There is no pulmonary vascular congestion. Streaky bibasilar opacities most likely reflect atelectasis. Blunting of the costophrenic angles posteriorly on the lateral view could reflect trace pleural effusions or pleural thickening. There is no pneumothorax. Multilevel degenerative changes in the thoracic spine are re- demonstrated.
congestion and cough.
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The endotracheal tube terminates <num> cm above the carina. The og tube passes just below the diaphragms and should be advanced <num> cm to position the side-hole into the stomach. Left ij line terminates at the left brachiocephalic vein, with a left hd line terminating in the lower svc. No change in the right lower lobe atelectasis and pleural effusion. Heterogeneous opacity of the right middle lobe is changed and concerning for pneumonia. The heart size is slightly smaller. Small left pleural effusion is unchanged. No pneumothorax. Surgical clips in the right upper quadrant of the abdomen are unchanged.
<unk> year old man with resp failure. status post et and og tube placements. evaluate.
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Slight blunting of the right costophrenic angle is stable may be due to pleural thickening or possibly very trace pleural fluid. No focal consolidation is seen. There is no evidence of pneumothorax. The aorta is tortuous. The cardiac silhouette is mildly enlarged. No pulmonary edema is seen.
history: <unk>m with fever, weakness, immunocompromised // infiltrate
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Postoperative changes are again seen within the right hemithorax. There has been further consolidation at the right lung base which contains locules of air. A small-moderate right pneumothorax is unchanged. There has been improvement in the airspace opacities within the lower lobes. Cardiac and mediastinal contours are unchanged.
postop day <num> from a right thoracotomy and decortication. evaluate for interval change.
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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.
<unk>f with fatigue, weakness // eval for acute process
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There are linear opacities in the left lower lung, which represents atelectasis or scarring. Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
<unk> year old woman with hx of mds. <unk>. left sided chest pain. please r/o acute process. // <unk> year old woman with hx of mds. <unk>. left sided chest pain. please r/o acute process.
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Pa and lateral radiographs of the chest demonstrate clear lungs and normal hilar and cardiomediastinal contours. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.
dyspnea, cough, wheezing.
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There is mild pulmonary edema, which has slightly improved since the radiograph on <unk>. There is also a small left pleural effusion with adjacent atelectasis. No pneumothorax. Stable mild cardiomegaly. Patient is now status post orif for left humeral fracture.
<unk> year old man with atrial fibrillation // eval for pulmonary edema
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The tip of the left picc line in and projects over the the superior cavoatrial junction. No focal consolidation, pleural effusion or pneumothorax identified. The size of the cardiomediastinal silhouette is within normal limits.
<unk> year old man with diarrhea. has picc // picc eval
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Left-sided icd with the tip in the right ventricle. Low lung volumes with crowding of the bronchovascular markings. Right lower lung zone opacity may reflect a combination of atelectasis, crowded vessels and posterior rib, rather than pneumonia. No overt pulmonary edema. Mild cardiac enlargement. No pleural effusions or pneumothorax.
<unk> year old man with icd // rule out pneumothorax and lead placement
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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 identified. Degenerative changes seen at the acromioclavicular joints.
<unk>-year-old female with copd and worsening cough and wheezing.
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Ap single view of the chest x-ray shows unchanged right internal jugular catheter with tip ending in right atrium. Lung volume is still low with new widespread opacity due to mild vascular congestion and worsening lung base consolidation, especially to the right, compatible with pneumonia. There is a new bilateral pleural effusion, larger to the left. Cardiomediastinal silhouette is unchanged since <unk>.
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No studies for comparison. There is left ventricular prominence. There is calcification in thoracic aorta. There is some mild pulmonary interstitial edema with prominence of the interstitial markings. No definite areas of consolidation are seen. There is no pneumothoraces. No large pleural effusions are present.
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The lung volumes are low, causing exaggeration of the heart size and accentuation of the pulmonary vasculature. There is subsegmental bilateral lower lung atelectasis. The heart is top normal in size. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen. There is no free air under the diaphragm. Scattered non-dilated loops of small bowel within the anterior abdomen demonstrate small air-fluid levels, best seen on the lateral projection, nonspecific in nature.
history of hypertension and "hlid," presenting with epigastric pain and nausea. assess for free air under the diaphragm.
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Dual lumen central venous catheter terminates within the proximal right atrium. Heart size is normal. Mediastinal contours unremarkable. Patchy ill-defined opacity is seen within the right lower lobe, concerning for pneumonia. Pulmonary vasculature is not engorged. Small left pleural effusion is demonstrated. There is no pneumothorax.
history: <unk>m with renal transplant, on immunosuppression, with chills
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As compared to the previous radiograph, there is no relevant change. The patient has been extubated and the nasogastric tube has been removed. As a consequence, the lung volumes have minimally decreased. Otherwise, however, pre-existing parenchymal changes and the pleural effusion as well as the retrocardiac atelectasis are still present. The size of the cardiac silhouette is constant.
wheezing, status post extubation, rule out pulmonary edema.
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As compared to the previous radiograph, the patient has received two left-sided chest tubes. No pneumothorax can be detected. The extent of the left effusion has markedly decreased, however, there is a small amount of remnant pleural effusion, associated moderate degree of left basal and retrocardiac atelectasis. Relatively extensive soft tissue air collections in the left lateral chest wall and cervical soft tissues. Small right lung volumes with crowding of the vascular structures but without evidence of overt pulmonary edema or pneumonia.
left malignant pleural effusion with status post medical pleuroscopy and chest tubes, evaluation for chest tube placement.
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The cardiomediastinal silhouette is unremarkable. Again noted is bilateral hilar prominence, right greater than left, with calcified lymph nodes, and increased interstitial markings, consistent with patient's known sarcoidosis. There is no pleural effusion or pneumothorax. No definite consolidation is identified.
<unk>f with queezing chest pain with lying down
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The left pic line cannot be traced beyond the left axillary vein into the chest. The combination of moderate, loculated right pleural or thickening, basal atelectasis, and moderate edema in the right lung has not improved since <unk> while the two right basal pleural tubes, one sharply folded,are unchanged in position. Moderate cardiomegaly has been stable since at least <unk>. Mild widening of the mediastinum is stable at least since <unk>. Mild left basilar atelectasis and a small left pleural effusion are unchanged since <unk>.
<unk>-year-old man with coronary artery disease, afib, and recently diagnosed adenocarcinoma of unknown primary with malignant pleural effusion of the lungs, status post pleurodesis x<num>, who presents for evaluation of interval change.
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Two ap and one lateral view of the chest. The lungs are essentially clear noting left basilar linear opacities most suggestive of atelectasis. There is no effusion or pulmonary vascular congestion. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormality detected.
<unk>-year-old female with myalgias, hyperglycemia.
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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.
history: <unk>m with fever chills and sob pls eval for pna
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Pa and lateral views of the chest provided. Midline sternotomy wires are again noted. Lungs are clear. Cardiomediastinal silhouette is stable. No effusion or pneumothorax. No convincing signs of edema. Bony structures are intact.
<unk>f with cough, wheezing // cough
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Background diffuse nodular opacities representing metastases are stable. Slight worsening in the bibasal atelectasis with low lung volumes. The heart size is normal. The hilar and mediastinal contours are normal. No pneumothorax. A small right-sided pleural effusion is seen.
<unk> year old woman with metastatic mucinous pancreatic adenocarcinoma with worsening metastatic disease // ?perforation, patient is having acute left upper abdominal/chest pain
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Compared with the prior film, the et tube and ng tube are no longer visualized. The patient is rotated and his head is turned and the inspiratory volumes are slightly lower, which may account for slightly more prominent appearance of the superior mediastinum. There is upper zone redistribution, without overt chf. There is bibasilar atelectasis. There is patchy increased retrocardiac density, which may be slightly more pronounced than on the prior film. The right costophrenic angle is obscured by overlying materials and the extreme left costophrenic angle is excluded from the film. Allowing for this, no pleural effusions are seen on either side. Slight elevation the right hemidiaphragm is now visible. No pneumothorax detected. At the upper edge of these films, a fixation plate is seen in relation to the mandible.
<unk> year old man intubated at osh for ams, reported ct findings of r-sided infiltrates, potential aspiration event s/p intubation for airway protection, now self-extubated // inteval assessment
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Frontal and lateral chest radiographs were obtained. A left chest pacemaker has leads terminating in the right atrium and right ventricle. There is no pneumothorax. The lungs are fully expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion.
patient with left-sided pacemaker, eval lead placement.
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Pa and lateral views of the chest provided. Cervical spinal hardware projects over the neck. Minimal increased opacity on the frontal radiograph at the lung bases could represent a very early pneumonia in the correct clinical setting. Otherwise, no convincing evidence for pneumonia, edema, effusion or pneumothorax. Cardiomediastinal silhouette appears normal. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>f with cough // r/o pneumonia
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Cardiomediastinal silhouette is normal. There is right greater than left basilar atelectasis. Lungs are well aerated without focal consolidation, pleural effusion, or pneumothorax. Left-sided pacemaker leads are unchanged in position. Aortic knob calcifications are also unchanged. Overall, appearance is similar to the radiograph from <unk>.
<unk>f with chills. r/p pneumonia.
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There is no focal consolidation concerning for pneumonia. Subtle increase in perihilar opacity could reflect mild central airways inflammation. No pleural effusion or pneumothorax. The cardiac, hilar and mediastinal contours are normal. Imaged osseous structures appear intact.
<unk> year old woman with <num> week history of cough, yellow sputum, sore throat. evaluate for infection.
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Lung volumes are lower compared to the prior study. This accentuates the size of the cardiac silhouette which is likely mildly enlarged. The aorta is slightly tortuous. There is crowding of the bronchovascular structures, with mild possible mild pulmonary vascular engorgement likely present. Diffuse calcified pleural plaques limits assessment of the pulmonary parenchyma. There are likely patchy opacities in the lung bases reflective of atelectasis. Minimal blunting of the right costophrenic angle appears new compared to the prior study and may be due to a small pleural effusion. No pneumothorax is identified. No acute osseous abnormalities seen.
history: <unk>m with dyspnea and epigastric pain // evaluate heart and lungs
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Pa and lateral views of the chest. On the frontal exam, there is slight asymmetric opacity at the left lung base. Lungs otherwise are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality identified.
<unk>-year-old male with recent productive cough now with left flank pain. question pneumonia.
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Ap upright and lateral views of the chest provided. Patient's chin obscures the left lung apex. Scattered areas of atelectasis without convincing evidence of pneumonia. Hilar congestion is suspected without frank edema. No large effusion or pneumothorax. Cardiomediastinal silhouette appears unchanged allowing for slight differences in technique. No acute osseous abnormality.
<unk>f with chest pain, diffuse twi.
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Frontal and lateral radiographs of the chest demonstrate hyperinflated, clear lungs. Cardiomegaly has decreased over the interval. The patient is status post cabg. There is no pneumothorax, pleural effusion, or consolidation.
history: <unk>m with dyspnea, leg swelling // acute process
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Frontal radiograph of the chest demonstrates right subclavian line in standard position, terminating in the upper svc. The lungs are clear bilaterally. Elevation of the right hemidiaphragm is again seen, unchanged since prior study. The previously seen lytic metastasis of the right acromion is again demonstrated on this exam, unchanged since prior radiograph from <unk>. There is no evidence of focal consolidation, pleural effusion, or pulmonary edema.
<unk>-year-old man with multiple myeloma, evaluation for proper line 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.
<unk> year old woman with left sided chest pain and numbness in left arm
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There is mild enlargement of cardiac silhouette. The mediastinal and hilar contours are unchanged. Mild pulmonary vascular congestion persists. There are streaky opacities in the lung bases which may reflect atelectasis. No focal consolidation, pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
pain and fall.
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Ap view of the chest provided. Lung volumes are low, accentuating the cardiomediastinal contour. Pulmonary vasculature is prominent in part due to low lung volumes. There is no overt edema. No large pleural effusions are seen.
<unk>m with fall, weakness // eval for traumatic injury
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Single ap upright portable view of the chest was obtained. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Skin folds are noted overlying the left upper hemithorax. No displaced fracture is seen.
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Per the radiology technologist, the patient was altered and would not hold still while the images were being obtained. There is opacity over the right mid-to-lower lung worrisome for pneumonia. There is also left basilar opacity which could be due to additional focus of infection or atelectasis. Trace pleural effusions are difficult to exclude. The cardiac silhouette is not enlarged. Mediastinal contours are unremarkable. No pneumothorax is seen. Multiple surgical clips are seen in the left upper abdomen. Old posterior right sixth rib fracture is again seen, similar to prior.
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Tip of right picc terminates in the lower superior vena cava. Cardiomediastinal contours are normal. Bibasilar atelectasis has worsened in the left lower lobe but slightly improved in the right lower lobe.
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Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. No pulmonary edema is seen.
history: <unk>f with cough // pna?
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Portable view of the chest. Right chest wall central venous catheter is seen with tip in the lower svc. The lungs are clear without consolidation or vascular congestion. Cardiac silhouette is enlarged but likely accentuated by portable technique and is likely top normal, unchanged.
<unk>-year-old male with new onset of atrial fibrillation and bone marrow transplant.
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The lungs are clear. There is no effusion, consolidation, or pneumothorax. The cardiac silhouette is top-normal. No acute osseous abnormalities.
<unk>m with chest pain // chest pain
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In comparison with the study of <unk>, there has been some improvement in the pulmonary vascular status. However, there is again huge enlargement of the cardiac silhouette with a pacer device is in place.
cardiomegaly with hypoxia and interval improvement.
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Moderate cardiomegaly is stable. Increasing opacities throughout the right lung are consistent with multifocal pneumonia. Patient has known copd. There is no evident pneumothorax or enlarging pleural effusions. Right picc tip is in mid to lower svc
<unk> year old man with copd on bipap // r/o pna
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Lungs are slightly hyperinflated. There is no consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is normal. No acute osseous abnormalities identified. Multiple remote right-sided rib fractures are again noted.
<unk> year old woman with history of tongue cancer, presents with c/o <num> days of pain in l lower chest, ? pleuritic // evaluate for lesions in lll
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Again seen are multifocal parenchymal opacities in both lungs similar in appearance to the prior exam. The cardiac silhouette is unchanged the hilar contours are stable. Mild pulmonary edema is improved. There are no large pleural effusions identified. There is no pneumothorax.
<unk> year old woman with ams and pneumonia with new oxygen requirement this morning. // pulmonary edema? new foci of pneumonia?
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A single portable frontal chest radiograph was obtained. An endotracheal tube terminates appropriately above the carina. The side hole and tip of the enteric catheter are below the diaphragm. The lungs are well expanded. A triangular opacity at the right hilus/perihilar region does not obscure the right heart border. There is left base atelectasis. There is no pneumothorax or effusion. Cardiac and mediastinal contours are normal.
<unk>-year-old man status post hanging, with fever
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Lungs well expanded. There is been interval development of a homogeneous opacity in the right lung base, most consistent with a pleural fluid collection. The morphology of this collection is suspicious for possible loculated effusion. Above this fluid collection, there is an area of consolidation that could represent atelectasis but is concerning for pneumonia in the right clinical setting. There is increased retrocardiac fullness along the contour of the descending aorta, which could represent fluid in the mediastinum. A trace left pleural effusion is seen. No pneumothorax is seen. The cardiomediastinal silhouette is unremarkable. There has been interval removal of the previously seen ng tube.
<unk> year old man with duodenal perforation s/p repair now febrile // ?pna
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Pa and lateral chest radiographs again demonstrate hyperinflated lungs. However, there is no focal consolidation, pleural effusion, or pneumothorax. Minimal peribronchial cuffing is not significantly changed from priors. The cardiomediastinal silhouette is normal.
history of a mycobacterium abscessus, on bronchoscopy many years ago. patient has also been on enbrel for rheumatoid arthritis. evaluation for evidence of interstitial lung disease or bronchiectasis.
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As compared to the previous radiograph, the right perihilar opacity is almost unchanged in extent and appearance. The opacity is rounded and adjacent to the minor fissure. The opacity also cannot completely be differentiated against a structure of the right hilus. The differential diagnosis should not only include pneumonia, but also the possibility of a part solid neoplasm, potentially associated with right hilar adenopathy. This finding should best be confirmed or excluded by ct. At the right lung base, mild peribronchial thickening persists. The left lung is normal. Bilateral apical thickening is symmetrical. The presence of bilateral dorsal minimal pleural effusions cannot be excluded. Borderline size of the cardiac silhouette without evidence of pulmonary edema.
right perihilar density, mild thrombocytopenia, evaluation for developing pneumonia.
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Pa and lateral views of the chest. Very hyperinflated lungs. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal. Likely right goiter given tracheal deviation to the left.
cough.
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Compared to prior chest x-ray right picc ends in lower svc. The et tube ends at <num> cm from carina, it can be pushed down <num> cm. The ng tube ends in stomach. Left base pleural drain is unchanged ending anteriorly-inferiorly. Lung volume is still low, but with increased lung bases opacification, both for increased atelectasis and small pleural effusion, especially on the right, where focal pneumonia cannot be excluded. There is no pneumothorax. Cardiomediastinal silhouette is normal.
<unk> years old man with polytrauma and pneumothorax. please evaluate pneumothorax.
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There is no evidence of focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. The cardiomediastinal silhouette is within normal limits.
history: <unk>m with acute onset pleuritic chest pain. vitals, wnl // pleuritc chest pain, r/o pneumothorax
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The heart size is top normal. Cardiomediastinal contours are stable. Opacity at the left lung base is likely secondary to atelectasis. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.
history of vertigo, leukocytosis. please evaluate.
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Heart size is normal with mild tortuosity of the thoracic aorta. Hilar contours are unremarkable. Lungs are clear. There is no pleural effusion or pneumothorax. The osseous structures appear globally demineralized. No radiopaque foreign body projects over the imaged chest or abdomen.
swallowed titanium screw. evaluation for possible aspiration.
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Pa and lateral views of the chest provided. There has been interval placement of port-a-cath with resides over the right chest wall with catheter tip extending to the mid svc region. Tiny clips are seen in the region of the left breast. Asymmetric breast tissue likely reflect prior partial resection. Lungs are clear. No pleural effusion or pneumothorax. Cardiomediastinal silhouette is normal. No bony abnormalities. No free air below the right hemidiaphragm.
<unk>f with chest pain // eval for acute process
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Lungs are clear, although volumes are low. The cardiac size is at the upper limits of normal. Hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old female with constipation and tachycardia, rule out acute process.
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There are increased bibasilar opacities compatible with moderate effusions. Moderate pulmonary edema is identified. Atherosclerotic calcifications noted at the aortic arch. Cardiac contour cannot be assessed due to silhouetting from the effusions.
<unk>m sob // ?chf
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Ap and lateral chest radiographs demonstrate clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits. There is no evidence of pleural effusion, pulmonary edema, or pneumothorax. Imaged upper abdomen demonstrates left gastric band which projects over the left upper quadrant. There is no free subdiaphragmatic gas.
history: <unk>f with significant abdominal pain // eval for any infiltrates, eval for free air
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An endotracheal tube terminates <num> cm above the level of the carina. A nasogastric tube courses below the diaphragm with the tip not identified. Increased interstitial prominence is most consistent with mild interstitial edema, less likely an atypical infection. Clinical correlation is recommended. There is no focal consolidation, pleural effusion, or pneumothorax. Cardiac and mediastinal contours are unchanged.
history: <unk>f with intubated transfer // evaluate intubation
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Endotracheal tube ends approximately <num> cm above the carina and orogastric tube reaches to the stomach. In addition, there is another line overlapping upper neck, reaching to the level of the mid clavicle, which could be another indwelling line or outside the patient. Correlation with local inspection is suggested. Left picc line tip ends at the confluence of the brachiocephalic vessels. Mild asymmetric pulmonary edema has improved since yesterday. Mild opacity in the right infrahilar region is probably aspiration or atelectasis or evolving infection, unchanged since <unk>. Increased retrocardiac density reflecting atelectasis and/or consolidation is minimally worse since yesterday. Moderately enlarged heart size is stable. Dr. <unk> discussed the findings with dr. <unk> by phone on <unk> at <time> a.m.
respiratory failure in one year. to look for interval changes.
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There is mild biapical scarring unchanged since <unk>. Lungs are clear without consolidation, effusion, or edema. Cardiomediastinal silhouette is within normal limits. Lower thoracic dextroscoliosis is again noted. No acute osseous abnormalities. Degenerative changes seen at the acromioclavicular joints bilaterally.
<unk>m with history of cardiomyopathy and presyncope last night // eval for chf/pneumonia
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There is volume loss in the right lung with predominantly right upper lobe reticular opacities, this displaces the right hilum superiorly. Appearances are consistent with post radiotherapy change as seen on the prior ct. The right hilum is enlarged, again similar in appearance to the prior ct streaky left lower lobe opacities may reflect acute airways inflammation. No additional pulmonary opacities are seen. No pleural effusion seen.
<unk> year old man with lung cancer, ckd // weight loss
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There is mild cardiomegaly. The hilar and mediastinal contours are normal. No new focal consolidations concerning for infection are identified. There is no pleural effusion or pneumothorax. Note is made of mild degenerative changes at the right acromioclavicular joint.
history of dementia, please evaluate for pneumonia.
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Lung volumes are low. Heart size is normal. Cardiomediastinal silhouette and hilar contours are normal. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.
nausea and ecg changes.
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Two views of the chest were obtained. The lungs are well expanded with right-sided port-a-cath with slight kink at the level of the insertion into the internal jugular vein without significant change since the previous examination. It terminates in unchanged position at the level of the mid svc. Dual-lead pacemaker and mediastinal or hilar clip are unchanged. No focal consolidation is seen with persistent enlargement of the hilar contours, particularly on the lateral view, compatible with known subcarinal adenopathy.
<unk>-year-old male with metastatic renal cell carcinoma, non-functioning port, status post overnight tpa, and catheter placement.
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There is a left-sided pacemaker with leads ending in the right atrium and right ventricle. The lungs are clear without focal consolidation, pulmonary edema, pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal. There are degenerative changes in the the thoracic spine.
<unk>-year-old man with chest pain.