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Mild enlargement of the cardiac silhouette is unchanged. Mediastinal contours are unremarkable. The pulmonary vasculature is not engorged. Patchy opacities in the lung bases, particularly in the left lung base, are worse compared to the previous study. There may be a trace right pleural effusion. No pneumothorax is present. No acute osseous abnormality is seen.
history: <unk>f with positive blood cultures sent in for iv antibiotics
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As compared to the previous radiograph, the patient is extubated and the nasogastric tube has been removed. The right internal jugular vein catheter persists. Moderate cardiomegaly but no evidence of parenchymal opacities. No pleural effusion. No pneumothorax. No pulmonary edema.
known pe, evaluation for interval change.
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Cardiac silhouette is mildly enlarged. Main pulmonary artery is enlarged as demonstrated on prior cta of the chest. Lungs and pleural surfaces are clear. No acute skeletal findings.
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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. No nodules concerning for malignancy are identified. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable. Apparent nodular opacity overlying the left posterior <num>th rib is likely secondary to overlapping ribs.
history of renal cell carcinoma. please evaluate.
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The lungs are well inflated and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax.
<unk>f with cough, evaluate for pneumonia.
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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.
chest pain
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There has been interval removal of the right central venous catheter. Bibasilar pulmonary opacities, left greater than right, appear similar compared to prior and likely represent a combination of effusion and atelectasis, although left lower lobe pneumonia cannot be excluded. Mild pulmonary edema appears slightly worse in the interval. No pneumothorax is detected on this view. Heart size is enlarged. The aorta is calcified. Median sternotomy wires and mediastinal clips likely reflect prior cabg.
<unk>-year-old female with chest pain postoperatively.
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A right pigtail pleural catheter is present. No significant interval change in the loculated appearing fluid at the right lateral lung base. Unchanged right hilar and perihilar mass. The left lung is clear. The size the cardiac silhouette is within normal limits.
<unk> year old man with ptx, malignant pleural effusion, ct // ?ptx
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Right-sided large-bore central venous catheter is again seen terminating in the right atrium. Dual lead right-sided pacemaker is stable in position. There is persistent blunting of the bilateral costophrenic angles suggesting trace pleural effusions with overlying atelectasis. Perihilar opacities are consistent with pulmonary edema which appear grossly stable to possibly minimally decreased as compared to the prior study. The cardiac silhouette remains enlarged. The aorta is calcified.
history: <unk>f with dyspnea and productive cough // ? process
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As compared to the previous radiograph, the previously malpositioned catheter has been pulled back. The tip of the catheter now projects <num> cm above the carina. There is no evidence of complications, no pneumothorax. Mild atelectasis at the left lung bases, potentially combined to a minimal left pleural effusion.
status post tube re-positioning.
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Vague opacity is identified at the right lung base on the frontal view. It is better seen on <num> of the <num> lateral views than on the other. The lungs are otherwise clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>m with c/o gen weakness with fever/chills // ? pna
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
hypertension with pleuritic chest pain. evaluate for acute process.
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Relatively low lung volumes and elevation of the right hemidiaphragm are again noted. Streaky bibasilar opacities are likely secondary to atelectasis. Superiorly the lungs are clear. There is no effusion. The cardiomediastinal silhouette is within normal limits, prosthetic valve is again noted. Median sternotomy wires are again noted.
<unk>m with low grade fever, weakness and memory loss. // pneumonia?
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In comparison with the study of <unk>, there is little change and no evidence of acute cardiopulmonary disease. No focal pneumonia, vascular congestion, or pleural effusion. As on the previous study, there is area of relative opacification at the right base, which could represent pectoral tissues pressed against the cassette.
cough with low-grade fever.
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There is a persistent opacity at the right lung base likely a combination a pleural effusion atelectasis however, in the absence of a lateral view, pneumonia cannot be excluded in the appropriate clinical setting. There is a small left pleural effusion. Stable moderate pulmonary vascular congestion. Mild cardiomegaly is stable. Mediastinal widening is stable. Right port-a-cath terminates in the low svc. There is no pneumothorax.
<unk> year old man with cholangiocarcinoma, now w/ fever // evaluate for interval change, infiltrate
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As compared to the previous radiograph, opacity at the right lung base has minimally decreased in extent. The lateral radiograph shows that the opacity is dominant in the anterior lung regions. However, the radiograph also shows a new parenchymal consolidation in the posterior parts of the right lung, not evident on the previous image. This opacity is likely to represent a new focus of pneumonia. Unchanged scarring and postoperative changes at the right apex and the level of the left hilus. No pleural effusions. Unchanged size of the cardiac silhouette. The referring physician, <unk>. <unk> was pageable at the time of dictation. The telephone number was not operational. Therefore, an e-mail was sent at the time of dictation and observation, <time> a.m., on <unk>.
right back pain, history of recent pneumonia, evidence of right lower lung opacity.
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The et tube terminates in standard position. The ng tube courses into the stomach and terminates outside the field of view. The cardiomediastinal silhouette is stable. The lungs remain clear. There is no interval change from <unk>.
copious secretions in the setting of intraventricular hemorrhage.
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The lungs are clear. The heart and mediastinal structures are unremarkable. The bony thorax is grossly intact.
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Frontal and lateral views of the chest. Endotracheal tube is no longer visualized. There is some blunting of the left lateral costophrenic angle potentially due to pleural thickening or atelectasis/scar. There is no blunting of the posterior costophrenic angle suggests layering effusion. The lungs are otherwise clear and there is no pulmonary vascular congestion. Cardiomediastinal silhouette is within normal limits. There is tortuosity of the descending thoracic aorta. No acute osseous abnormality is detected.
<unk>-year-old male with dyspnea and new atrial fibrillation.
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Stable cardiomegaly accompanied by pulmonary vascular congestion and interstitial edema. Small-to-moderate bilateral pleural effusions are similar to the prior study when allowances are made for positional differences between the exams.
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Allowing for differences in technique, the cardiomediastinal silhouette is stable. Pacemaker wires are unchanged in position. Lung volumes are slightly lower. There is no focal consolidation, pleural effusion, or pneumothorax.
history: <unk>f with fall, cough // ptx?
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Lung volumes are low. The cardiac silhouette is stably enlarged. The mediastinal and hilar contours are similar to the prior examinations. No definite focal consolidation is identified. There is no pleural effusion or pneumothorax. A hiatal hernia is noted.
<unk>f w/shortness of breath, please eval for occult pna // <unk>f w/shortness of breath, please eval for occult pna
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The lungs are clear. The there is no effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with chronic neck and back pain, s/p fall w/ worsening l lateral neck pain, l posterior/lateral back/chest wall pain
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Endotracheal tube is seen with tip <num> cm from the carina. Otherwise, there has been no significant interval change. Lungs are grossly clear where not obscured by overlying leads. Cardiomediastinal silhouette is within normal limits.
<unk>f with post intubation // post intubation film
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The lungs are well expanded and clear. Minimal biapical thickening is unchanged. No pleural effusion or pneumothorax is seen. The heart size is normal. The mediastinal and hilar contours are unremarkable.
<unk> year old woman history of asthma cough for <num> weeks with scattered wheezes and chills // please eval asthma exac vs pna
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Compared to most recent prior exam, mild pulmonary edema has improved. Lung volumes are improved with minimal bibasilar atelectasis. No focal consolidation, pleural effusion, or pneumothorax is detected. There has been interval extubation. Right internal jugular catheter is in similar position with tip projecting at the level of the cavoatrial junction.
<unk>-year-old male with increasing oxygen requirement.
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Pa and lateral views of the chest were provided. Lungs are clear. Cardiomediastinal silhouette is normal. No effusion or pneumothorax. Bony structures are intact.
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Frontal and lateral radiographs of the chest show appropriate inspiratory lung volumes. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. No pulmonary vascular congestion or edema is present. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits. No acute osseous abnormality is identified.
<unk>-year-old male with dyspnea, here to evaluate for pneumonia.
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The heart is top-normal in size. The the mediastinum and hilar contours are unremarkable. The lungs are well expanded and clear. No pleural abnormality is seen.
<unk> year old woman with cough x <num> weeks, fine crackles lll. evaluate for pneumonia.
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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>f with chest pain // acute process
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The lungs are clear with no evidence for a consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. Incidental note is again made of an anterior right third bifid rib; otherwise, no acute fractures are identified.
chest pain.
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Frontal, lateral, and left lateral decubitus chest radiographs again demonstrate a left lower lobe opacity, which may represent atelectasis versus pneumonia. Small bilateral effusions are present. There is moderate to severe cardiomegaly and mild vascular congestion.
atelectasis versus a small pleural effusion seen on recent portable chest radiograph, in the setting of a positive strep pneumo.
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Pa and lateral views of the chest. There are bilateral band-like opacities extending towards the periphery are unchanged from most recent study and likely represents scarring. No pericardial or pleural effusion. There are no new opacities. A bulge in the right lower mediastinum represents left atrial enlargement. No evidence of pneumonia. No pulmonary vascular congestion.
history of lupus with bibasilar crackles and intermittent dyspnea, evaluate for interval change. question interstitial lung disease.
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The lungs are hyperinflated, consistent with copd. Some streaky bibasilar opacities, slightly worse on the right than the left, are likely atelectasis. There is no pulmonary edema, pleural effusion, or pneumothorax. The aorta is calcified and tortuous. The cardiac size is at the upper limits of normal, and unchanged. There are coronary artery and aortic valve calcifications, which have progressed since the prior exam. Compression deformities in the mid thoracic spine are stable. Old healed rib fractures are unchanged.
als with chest pressure.
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Pa and lateral views of the chest provided. Clips are noted in the upper abdomen. 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 dizziness
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There has been interval development of a retrocardiac opacity at the left lung base obscuring the left medial hemidiaphragm. Linear scar or atelectasis in the right mid and left lower lungs are unchanged. Cardiomediastinal contours are stable there is no evidence of pulmonary vascular congestion.
<unk> year old man with <unk>'s, presenting with gnr bacteremia, likely gu in origin. // assess for pulmonary edema in setting of ivf rehydration for sepsis.
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There is no focal consolidation, pleural effusion, or pneumothorax. Cardiomediastinal silhouette is normal. Visualized osseous structures are unremarkable.
<unk>-year-old woman with increased seizure frequency, evaluate for infiltrate.
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Mild cardiomegaly has been stable compared to the prior exam. There is mild pulmonary vascular congestion, with mild pulmonary edema. No focal consolidations concerning for pneumonia are identified. There is no large pleural effusion or pneumothorax.
history of afib and shortness of breath. please evaluate for congestive heart failure.
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As compared to the previous radiograph, the extent of the pre-existing diffuse and severe parenchymal opacities are overall unchanged. The opacities are predominating in both lung apices and at the bases of the right lung. There is unchanged moderate cardiomegaly. The presence of pleural effusions is likely. No new parenchymal opacities. Lung volumes remain low. The left pectoral pacemaker is in unchanged position.
chronic heart failure, acute oxygen desaturation, evaluation.
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The heart appears again mildly enlarged. The mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The interstitium appears prominent to a similar extent including mild upper zone distribution of pulmonary vascularity. There is no focal opacity, however.
fever, dyspnea and cough. question left basilar pneumonia.
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The patient has been extubated and the nasogastric tube has been removed. The right venous introduction sheath remains in situ. The lung volumes have slightly decreased. Unchanged appearance of the chest tube. There is no evidence of pneumothorax or pleural effusion. Unchanged size of the cardiac silhouette, unchanged alignment of the sternal wires.
evaluation for effusion, chest tube on waterseal.
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Portable semi-upright ap view of the chest provided. There are bilateral pleural effusions with ground-glass opacities in the upper lungs, which could reflect pulmonary edema. Consolidative opacities in the lower lungs, difficult to exclude. The heart size cannot be assessed. The mediastinal contour is optimally assessed due to patient leftward rotation. Bony structures appear grossly intact.
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The lungs are clear. The heart size is top normal. Mediastinal and bilateral hilar lymphadenopathy seen on subsequent ct from <unk> is not well appreciated by conventional radiography. There are no pleural effusions. No pneumothorax is seen.
shortness of breath and chest pain. assess for pneumonia.
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The cardiac silhouette size is normal. The mediastinal and hilar contours are unremarkable. The lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. There is marked gaseous distention of the bowel loops within the abdomen.
near syncope.
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As compared to the previous radiograph, the patient has received a superior vena cava stent. The pre-existing parenchymal opacity surrounding the left hilus has largely resolved, a paramediastinal opacity, likely post-procedural, has newly occurred. The opacities at the lung bases are less severe than on the previous image, but left lower lobe atelectasis is present. The pleural drain on the left is in unchanged position. In the interval, the patient has been intubated and the tip of the endotracheal tube projects <num> cm above the carina. No evidence of pneumothorax.
interval change
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Frontal and lateral views of the chest demonstrate low lung volumes. Costophrenic angles are blunted, suggestive of trace pleural effusion. Right lung base opacity is minimal. Hilar and mediastinal silhouettes are unremarkable. Moderate cardiomegaly has improved. There is no pulmonary edema. No pneumothorax. Small hiatal hernia is noted.
altered mental status with aspiration risk. found down with hypoglycemia.
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The lungs are clear of focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications are noted at the aortic arch. There is chronic deformity of the posterior left seventh and ninth ribs.
<unk>m with fever // ?pna
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The heart is normal in size. The cardiomediastinal and hilar contours are stable. A left upper lobe opacity adjacent to the left hilus is improving when compared to the prior examination consistent with improving aeration. Right lower lobe opacity persists and could represent atelectasis. A small right pleural effusion is present and minimally decreased in size. There is no appreciable pneumothorax.
<unk> year old man s/p avr // eval for effusions -post-op baseline
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The patient's head obscures most of the right lung and the left upper lung is not visualized. A nasogastric tube terminates in the stomach. Assessment of the additional support lines and tubing is extremely limited. Visualized portions of the lungs are grossly clear. An ivc filter is noted.
<unk> year old man with new ngt // ?positioning
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The cardiac, mediastinal and hilar contours are normal. Lungs are clear. No pleural effusion or pneumothorax is present. The pulmonary vascularity is normal. No acute osseous abnormalities are seen. Degenerative changes with anterior osteophytes are noted within the imaged thoracolumbar spine.
shortness of breath.
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Heart size is mild to moderately enlarged, increased compared to the previous exam. The aorta is slightly unfolded. The mediastinal and hilar contours are unchanged. Consolidative opacity in the right lower lobe is new and concerning for pneumonia. Pulmonary vasculature is not engorged. No pleural effusion or pneumothorax is seen. Moderate multilevel degenerative changes are noted in the thoracic spine.
history: <unk>m with fever, cough
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The appearance on today's study are similar from the prior day with some hazy increased opacity in both lower lungs that could represent either atelectasis or early infiltrate again seen are diffuse degenerative changes of the lumbar spine with flowing anterior osteophytes
<unk> year old man with febrile neutropenia and cxr at <unk> suggestive of infection // eval for infection
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Worsening multifocal areas of consolidation are present, including a dominant opacity in the right infrahilar region involving portions of the right lower and right middle lobes. Additionally, relatively symmetrical perihilar opacities have progressed in the interval as well as an area of opacity in the left retrocardiac region. Small pleural effusions have increased in size.
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In comparison with study of <unk>, there is no change or evidence of acute cardiopulmonary disease. Specifically, no evidence of pulmonary or skeletal metastases.
renal carcinoma, to assess for metastases.
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There has been interval removal of a right-sided picc.there has been interval resolution of previously seen right pleural effusion. There is mild elevation of the right hemidiaphragm with overlying mild atelectasis. No focal consolidation is seen. Re- demonstrated are small calcified nodular opacities at the lateral left upper lobe which most likely represent calcified granulomas. No pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
history: <unk>m with fever // evaluate for acute process
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The et tube terminates approximately <num> cm from the carina. There is a right-sided ij, which terminates in the upper to mid superior vena cava with no visible pneumothorax. The enteric tube courses below the diaphragm with the tip out of the scope of the view of the film. There has been worsening of the right lower lobe and part of the right middle lobe atelectasis, compared to the study from <time>am, however stable compared to the most recent exam. Given the distribution, this is concerning for mucus plugging involving the bronchus intermedius. There has been a slight interval increase in the patchy and linear left lower lobe atelectasis at the left base compared to the most recent exam. There is a stable small left pleural effusion. No new focal consolidations are identified. There is no pneumothorax. Mild cardiomegaly is stable at least since <unk>. The hilar and mediastinal contours are unremarkable.
<unk>-year-old male with urosepsis and possible pneumonia who presents for evaluation.
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Ap upright and lateral views of the chest provided. Lung volumes are low with mild interstitial edema noted. No large effusion is seen. Heart size is top-normal. Mediastinal contour is normal. No pneumothorax or large effusion. Bony structures are intact.
<unk>f with cp // ?pna
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A single portable ap upright view of the chest was provided demonstrating increased opacity at the left lung base concerning for aspiration versus pneumonia. Given the associated volume loss in the left lower lung atelectasis also likely present. There may be an associated small pleural effusion. The right lung is clear. The cardiomediastinal silhouette is stable. No pneumothorax is seen. There are no acute bony abnormalities.
<unk>-year-old man found down. evaluate for aspiration pneumonia.
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Frontal and lateral chest radiographs demonstrates low lung volumes and mildly engorged pulmonary vasculature compared to <unk>, potentially accounted for by the lower lung volumes. There is increased opacity at the posterior costophrenic angle on the lateral view. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
fever and cough.
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Compared to chest radiograph from <unk>, there is no significant interval change. Low lung volumes are seen bilaterally with bibasilar linear atelectasis. The lungs are otherwise clear. The pleural surfaces are normal without evidence of pleural effusion or pneumothorax. Heart is partially obscured by the left diaphragmatic surface; however, is mildly enlarged and unchanged from prior study. Mediastinal contour and hila are unremarkable. Visualized osseous structures are unremarkable. Limited assessment of the upper abdomen demonstrates clips in the left upper quadrant. No intraperitoneal free air.
fever, tachycardia, post-operative. assess for pneumonia.
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Inspiratory volumes are low. Compared <num> day earlier, there is a relatively large area of alveolar opacity with air bronchograms in the left upper/mid zone, compatible with focal consolidation. There is sparing of the left lung apex and left base. No left-sided effusion. Heart size is borderline, probably unchanged. Again seen is mild patchy opacity at the right base, subtle prominence of super right suprahilar markings all and a small right effusion. Right ij central line again noted with tip over right upper right atrium. No pneumothorax detected. Slight elevation of the right hemidiaphragm is again noted, slightly more pronounced on the current study. Line/drains again noted in the abdomen, similar in configuration.
<unk> year old man s.p liver transplant, some fluid overload, received lasix diuresis over past <num> hours // interval change
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In comparison with the study of <unk>, the swan-ganz catheter has been removed. Continued low lung volumes. The left hemidiaphragm is more sharply seen, consistent with some re-expansion of the left lower lobe. There is a small-to-moderate effusion with some residual atelectasis. The right lung is essentially clear. No vascular congestion.
postoperative, to assess for effusion.
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The lungs are clear without focal opacity, pleural effusion or pneumothorax. Cardiac and mediastinal contours are normal.
<unk>-year-old man with chest pain. evaluate for pneumonia.
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The tip of the dobhoff tube projects over the proximal stomach. The tip of the right picc line projects over the distal svc. No focal consolidation, pleural effusion or pneumothorax identified. The size of the cardiac silhouette is within normal limits. Unchanged mildly displaced right lateral sixth through eighth rib fractures.
<unk> year old man with dobhoff placed. cxr to evaluate for placement of dobhoff tube
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Ap upright and lateral chest radiograph demonstrates median sternotomy wires which appear intact. A prosthetic mitral valve is noted. There is a small to moderate right pleural effusion decreased in size relative to prior study. Several opacities project over the right lower lung zone, likely artifactual and superimposed osseous structures. Streaky opacity within the left upper lobe is unchanged. Blunting of the left costophrenic angle likely reflect small pleural effusion. Cardiomediastinal silhouette is stable. No evidence of pulmonary edema. There is no pneumothorax.
<unk>f with recent mvr on <unk> p/w n/v, lethargy and new oxygen requirement. // acute cardiopulmonary process
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As compared to the previous radiograph, the patient has been intubated. There is a intubation of the right mainstem bronchus. Left pleural effusions are unchanged. No pneumothorax. The referring physician was informed by wet read at the time of image acquisition.
nasogastric tube placement.
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Ap upright and lateral views of the chest provided. The heart is moderately enlarged with mitral annular calcification again noted. There is hilar congestion and mild pulmonary edema. Left mid lung linear density is most compatible with platelike atelectasis. No large pleural effusion or pneumothorax is seen. No convincing signs of pneumonia. The imaged bony structures are intact.
<unk>f with chest pain
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Per technician report, patient could not be properly positioned due to underlying altered mental status. Therefore, the pa view of the chest is rotated. There is no focal consolidation, pleural effusion or pneumothorax. Surgical sutures are seen projecting over the right lung apex. Cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications are seen in the aortic arch. Surgical clips are present in the right upper quadrant. There is a healed right upper rib fracture. No acute osseous abnormalities
history: <unk>f with confusion // r/o pna
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New opacity in the right middle lobe and lower lobes could represent post-surgical scarring; however, an acute process including infection and aspiration cannot be excluded. The right costophrenic angle is blunted, which could represent a small pleural effusion. The left lung and the left costophrenic angle are clear. Intact median sternotomy wires are redemonstrated as well as left mediastinal clips. The aorta is calcified. The heart size is normal. The previously seen pneumoperitoneum and subcutaneous emphysema have resolved.
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Comparison is made to previous study from <unk>. Endotracheal tube, enteric tube, central venous lines are unchanged in position. There is a persistent left retrocardiac opacity. Heart size is unchanged. There are bilateral pleural effusions which are small. There is a minimal residual pulmonary edema which is unchanged. There are no pneumothoraces.
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Frontal and lateral views of the chest. The lungs are clear of focal consolidation or pneumothorax. There is no large pleural effusion. The cardiomediastinal silhouette is within normal limits. S-shaped thoracic scoliosis is identified. No acute osseous abnormality is identified.
<unk>-year-old female with dyspnea on exertion.
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Endotracheal tube tip terminates approximately <num> cm from the carina. Enteric tube is seen with its tip and side port in the stomach. Lung volumes are low. The heart size is mildly enlarged. The aorta is diffusely calcified. There is no pulmonary edema. Patchy opacities are noted in both lung bases. These could reflect areas of atelectasis, but infection is not excluded. No large pneumothorax or pleural effusion is seen on this supine exam. There are no acute osseous abnormalities.
endotracheal tube placement.
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Cardiomediastinal silhouette and hilar contours are normal. Lungs are clear. There is no pleural effusion or pneumothorax.
burkitt's lymphoma in remission. <num> week productive cough and dyspnea.
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No significant change compared to the prior exam. Stable bilateral low lung volumes. No focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. Persistent prominent hila, consistent with known history of sarcoidosis. Normal cardiomediastinal silhouette. Stable mildly tortuous descending aorta. Pleura are within normal limits. No radiographic evidence of interstitial fibrosis.
<unk> year old woman with hx of sarcoidosis; cough and worsening dyspnea // ?flare of sarcoid
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Single portable semi erect frontal chest radiographs demonstrate a right ij cvl tip within the lower svc. Well expanded lungs with minimal right lower lobe atelectasis. No pleural effusion or a pneumothorax. Interval increase in bilateral perihilar and interstitial opacities consistent with mild pulmonary edema. No focal opacity. Heart size, mediastinal contour, and hila are unremarkable. Limited assessment of the osseous structures are unremarkable and visualized osseous structures are within normal limits.
<unk>f with new cvl. assess line placement.
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The cardiomediastinal and hilar contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax.
<unk>-year-old male with chest pain.
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The lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
history: <unk>m with chest pain. evaluate for pneumonia
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Semi-upright portable ap view of the chest was provided. The ng tube is now seen extending into the left upper abdomen, though the tip is not within the imaged field. There is stable pulmonary edema with left basal consolidation and effusion. Tracheostomy tube and right upper extremity picc line appear unchanged in position.
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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 chest pain
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The heart size is top normal. The hilar and mediastinal contours are within normal limits. There is no pneumothorax, focal consolidation, or pleural effusion. Moderate degenerative changes are again seen throughout the thoracic spine.
weakness.
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No focal opacity to suggest pneumonia is seen. No pleural effusion, pulmonary edema, or pneumothorax is present. The heart size is top normal. The patient is status post median sternotomy and cabg with previously noted fracture of the two superior-most sternal wires. Surgical clips project over the right upper quadrant.
weakness.
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Frontal and lateral views of the chest were obtained. The lungs are hyperinflated, as was also the case on the prior study, may relate to the patient's history of asthma. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable and unremarkable. Hilar contours are also stable.
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Frontal and lateral views of the chest were obtained. Jewelry is noted overlying the left lower hemithorax. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No evidence of free air is seen beneath the diaphragms.
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There is moderate to large left pleural effusion and small right pleural effusion. There is consolidation of bilateral lung bases, left more than right. Cardiac silhouette is obscured by pleural effusion. Mediastinal and hilar silhouettes are normal size.
<unk> year old woman with hx of bc, now cough // infiltrate?
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Pa and lateral views of the chest were provided. The lungs are clear without focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm.
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Ap single view of the chest has been obtained with patient in sitting semi-upright position. Analysis is performed in direct comparison with the next preceding portable supine chest examination obtained <num> hours earlier during the same day. On this portable frontal view, the patient is intubated. The ett is seen to terminate in the trachea <num> cm above the level of the carina. No pneumothorax is identified. A right internal jugular approach central venous line has been placed. Its tip reaches rather far into the region of the lower svc and may terminate in the upper portion of the right atrium. Withdrawal of the line by <num> cm is recommended. This chest examination does not demonstrate any new pulmonary abnormalities. The heart size appears unaltered.
<unk>-year-old female patient intubated, status post inyubation, assess ett position.
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There is nearly complete opacification of the hemithorax but without substantial net shift of mediastinal structures. This may reflect a large pleural effusion with associated atelectasis or pneumonia but is incompletely characterized. Patchy opacification is noted in the right mid to lower lung with a suspected small pleural effusion on the right. The pulmonary vascularity in the right lung is mildly prominent, suggesting mild fluid overload.
shortness of breath.
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An endotracheal tube is in satisfactory position approximately <num> cm from the carina. An enteric tube courses below the diaphragm with the tip out of field of view. A right internal jugular catheter is unchanged with the tip in the mid-to-upper svc. Extensive parenchymal opacities throughout the entire left lung and in the right middle and lower lung zones are similar to the prior exam. There is no new opacity. There are likely tiny bilateral pleural effusions. There is no pneumothorax. The cardiomediastinal silhouette is normal.
pneumonia. evaluate for change.
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Pa and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar study of <unk>. The patient has a history of previous bypass surgery. Sternal wires had to be removed related to necrotic processes in the sternum requiring removal of manubrium. Multiple surgical clips can still be identified in the anterior mediastinum and along the anterior left-sided chest wall. There is very mild cardiac enlargement postoperatively and apparently unchanged in comparison with the next previous available examination of <unk>. The pulmonary vasculature is not congested and there is no evidence of any acute pulmonary infiltrate. Very mild blunting of the lateral pleural sinuses is present, seen on the frontal views, but apparently unchanged since <unk>. The lateral pleural sinuses are free. One can, however, identify a few linear and patchy infiltrates in the left lower lung base, lateral and posteriorly, which are slightly more prominent than they were <unk> years ago. It is impossible to decide whether they represent scar formations or to some degree represent infectious processes. It is recommended to treat the patient for the ongoing infection and schedule him for a followup examination in about two to three weeks.
<unk>-year-old male patient with three weeks of cough, rhonchi on examination, right more than left, assess for infiltrates.
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Frontal and lateral views of the chest were obtained. Overall, there has been no significant interval change. No new focal consolidation, pleural effusion, or evidence of pneumothorax is seen. Cardiac, mediastinal, and hilar contours are stable since the prior study.
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Ap portable view of the chest demonstrates hyperexpanded lungs without pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. No free intraperitoneal air is demonstrated.
diffuse abdominal pain, assess for free air.
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The heart is mildly enlarged on this ap view. The mediastinal contours are within normal limits. Bilateral hilar enlargement suggests pulmonary vascular engorgement however there are no overt signs of pulmonary edema. Bibasilar opacities, right greater than left may reflect atelectasis or infection.
<unk>m with vtach stable // ?cp process
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A new left pectoral icd device has been placed with two leads coursing through the left transvenous approach and ending into the right atrium and right ventricle respectively. Left lung base atelectasis and accompanying pleural effusion are small. There is no pulmonary edema. There is no pneumothorax. No pleural effusion on the right side.
new icd placement.
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Compared with the prior studies, the elevated right hemidiaphragm is unchanged. Lung volumes are lower, causing bronchovascular crowding. However, no focal consolidation, effusion, or pneumothorax. Streaky bibasilar atelectasis is confirmed on the ct torso of <unk>. The thoracic aorta is tortuous, as seen on the prior study.
<unk>-year-old woman with hypertension, hyperlipidemia, history of stroke, now with chest pain and dyspnea. evaluate for acute process.
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Prominence can indistinctness of the hila and perihilar regions suggests pulmonary vascular engorgement and mild to moderate pulmonary edema. There are small bilateral pleural effusions. Cardiac silhouette remains similarly enlarged. A left-sided picc terminates in the mid svc without evidence of pneumothorax. Mediastinal contours are stable.
history: <unk>f with sob // pulmonary edema
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The lungs are hypoinflated which accounts for some bronchovascular crowding. No focal opacities are identified. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. Incidentally noticed bilateral cervical ribs. Low lung volumes account for bronchovascular crowding.
<unk>-year-old female with palpitations and subacute cough. evaluate for infectious process.
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The patient is intubated. The endotracheal tube terminates about <num> cm above the carina. An orogastric tube terminates in the stomach although the sidehole indicator projects over the distal esophagus. The cardiac, mediastinal and hilar contours are unremarkable aside from mild tortuosity of the thoracic aorta. The lungs appear clear. There are no pleural effusions or pneumothorax.
endotracheal tube placement.
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Small to moderate bilateral pleural effusions have increased in size compared with the immediate prior study of <unk>. Mild pulmonary edema is slightly improved. The right chest wall dual-chamber pacemaker leads project in unchanged position. The right-sided picc line ends in the lower svc. There is no focal consolidation or pneumothorax. The cardiomediastinal silhouette is within normal limits.
<unk> year old man with recurrent sob, chf and endocarditis. // r/o pulmonary edema
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Patient is status post hiatal hernia repair and a repair of esophageal perforation. A nasogastric tube remains in place, with the tip terminating in the expected location of the stomach, and the sideport is proximal to this level, just below the level of the carina. Tip of left picc is at junction of left brachiocephalic vein and svc, but does not make the typical downward course within the svc. Stable post-operative appearance of cardiomediastinal contours, and slight decrease in severity of left hemidiaphragm elevation. Small left pleural effusion is again demonstrated. Interval improvement in bibasilar atelectasis with residual left lower lobe atelectasis remaining. Drains are present adjacent to the operative site.
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Pa and lateral views of the chest demonstrate well-expanded and clear lungs. Cardiomediastinal silhouette is stable. There is no pleural effusion or pneumothorax. There is no pulmonary edema. Degenerative changes in the spine and old rib fractures are noted.
<unk>-year-old man with a history of cad with chest pain x <num> week, evaluate for pneumonia or edema.