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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. There is minimal atelectasis at the base of the right lung. Otherwise the lungs are clear. There is persistent elevation of the right hemidiaphragm, similar in appearance to <unk> no pleural effusion or pneumothorax is seen. Left subclavian vascular stent is unchanged in position.
<unk>m with dka // infiltrate?
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Comparison is made to prior study from <unk>. There is again seen a left-sided central line with the distal tip in the brachiocephalic/svc junction. This could be advanced several centimeters for more optimal placement. Heart size is within normal limits. The endotracheal tube is unchanged. There remains bilateral pleural effusions and left retrocardiac opacity, stable.
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Cardiac silhouette is mildly enlarged but stable since prior postoperative radiographs. Mild-to-moderate pulmonary edema has minimally worsened particularly in the right lower lung region, and is superimposed upon known underlying chronic lung abnormalities including emphysema and interstitial lung disease. These have been more fully characterized on recent chest ct.
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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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Frontal and lateral views of the chest were obtained. The cardiac and mediastinal silhouettes are grossly stable given differences in patient position and technique. No definite focal consolidation is seen. There is no pleural effusion or evidence of pneumothorax. Evidence of dish is seen along the thoracic spine. Minimal anterior wedging of a lower thoracic vertebral body is stable.
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Oblong sclerotic focus is again seen projecting over the anterior right second rib, stable since earlier this month. The lungs remain hyperexpanded but clear. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Hilar contours are stable.
history: <unk>m with hx copd, chf, now with doe // eval heart and lungs
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A left lower lobe opacity may represent atelectasis or pneumonia the cardiomediastinal and hilar contours are within normal limits. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable.
history: <unk>m with dyspnea // r/o infection
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Frontal and lateral radiographs of the chest demonstrate normal heart size, mediastinal and hilar contours. Clear lungs. No pneumothorax or pleural effusion.
chest pain
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Heart is normal size and cardiomediastinal contour is unremarkable. Lungs are well expanded and clear. There is no pleural effusion or pneumothorax.
history: <unk>f with poor po intake, hx of bipolar // evaluate for acute process
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There has been interval progression of disease with more dense consolidation identified in both the right middle and lower lobes. Somewhat patchy and retrocardiac opacity is new. Superiorly, the lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Surgical clips project over the right lower chest wall. Peg tube is identified.
<unk>f with cough, hypoxia // eval for pna, interval change
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The lungs are clear of focal consolidation, pleural effusion or pneumothorax. The heart continues to be enlarged. A left aicd is in stable position. The mediastinal contours are normal.
<unk>m with shortness of breath
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There is extensive peribronchial cuffing with interstitial abnormality. In the left upper lobe in the perihilar region, there is a large consolidation. A small consolidation is seen in the right upper lung lateral to the hilus. No pleural effusion or pneumothorax is seen. Heart size is stably enlarged. The aorta is calcified and tortuous.
<unk>-year-old female with seizure, bradycardia, and cough.
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Once again seen is the right-sided pleural effusion with fluid tracking along the fissure which is unchanged from the <unk> examination. In the right apex, radiation fibrosis and fluid is stable. Within the left lung, the left lower lobe pleural effusion has substantially increased in size since the prior radiograph and appears loculated. Kyphoplasty/vertebroplasty changes are seen within the thoracic spine along with the compression fracture of one of the thoracic vertebrae. No focal opacities are noted.
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Evaluation is somewhat limited by patient rotation. Endotracheal tube terminates approximately <num> cm from the carina. An enteric tube tip is within the stomach. Cardiac and mediastinal contours appear within normal limits. Lung volumes are low with patchy opacities in the lung bases, potentially atelectasis, but infection or aspiration cannot be excluded. There is likely a small right pleural effusion. There is mild upper zone vascular redistribution which may be accentuated by supine technique. No overt pulmonary edema is demonstrated. No large pneumothorax is identified. There are no acute osseous abnormalities detected.
history: <unk>f with unresponsive intubated in field
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There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal silhouette is normal. The osseous structures and upper abdomen are unremarkable. Bronchial wall thickening is minimal.
<unk>f with altered mental status, evaluate for acute cardiopulmonary process.
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Stable cardiomegaly accompanied by pulmonary vascular congestion and mild pulmonary edema. Moderate bilateral pleural effusions are partially layering on this apparently semi-erect radiograph, with persistent adjacent lower lobe atelectasis and/or consolidation.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Left lower lobe retrocardiac opacity may represent postsurgical changes. Left fissural fluid or subsegmental atelectasis is mild. Right costophrenic angle atelectasis is mild. No pleural effusion. Small left apical pneumothorax. Left chest tube ends in the posterior superior right lower lobe.
<unk> year old man s/p diaphragmatic hernia repair, now w/ ct to ws // interval change, pneumothorax/effusion
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An ng tube tip is seen coiling within the fundus of the stomach. As compared to prior chest radiograph from <unk>, there is increased retrocardiac atelectasis. There is asymmetric apical thickening, left worse than right, which is likely related to scarring and radiation fibrosis. The lungs are otherwise clear. The cardiomediastinal and hilar contours are within normal limits. There is no pneumothorax.
<unk>-year-old woman with sbo, now status post ex lap and with new ng tube placement.
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The lungs are clear without focal opacities, pleural effusion, pulmonary edema or pneumothorax. The heart is at the upper limits of normal in size. A prominent left anterior osteophyte is again noted at the thoracolumbar junction.
post-operative fever status post ventral hernia repair. evaluate for pneumonia.
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Prior vats right wedge resection no pneumothorax or pleural effusions. Subsegmental atelectasis in the lower lobes has improved. No pulmonary edema no acute focal consolidation.
<unk> year old man s/p r vats wedge // check interval change
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Single portable view of the chest is compared to previous exam from <unk>. The lungs are clear. There is no consolidation or pulmonary vascular congestion. The cardiac silhouette is within normal limits for technique and positioning. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with hypertensive urgency and syncope.
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The lungs are normally expanded and clear. The heart is not enlarged. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. There is hardware in the right glenoid, likely from prior surgical repair.
chills and nausea. evaluate for pneumonia.
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There is large area of airspace opacity in the right mid to lower lung. The right hemidiaphragm appears elevated and there may be a right pleural effusion. Left mid lung opacity is less conspicuous as compared to that on the right. No pneumothorax is seen. The cardiac and mediastinal silhouettes are grossly stable.
history: <unk>m with trach and hypoxia pls eval for placemenbt and edema/pna // history: <unk>m with trach and hypoxia pls eval for placemenbt and edema/pna
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Cardiomediastinal and hilar contours are stable with mild cardiomegaly and hilar fullness. There is no pleural effusion or pneumothorax. At least one right apical pulmonary nodule is seen, but multiple nodules are better assessed on the recent chest ct. There is no new focal consolidation concerning for pneumonia.
shortness of breath, evaluate for cardiopulmonary process.
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Frontal and lateral radiographs of the chest demonstrate increased retrocardiac opacification concerning for pneumonia in the appropriate clinical setting. The heart is not enlarged. The aorta is tortuous. There is no pneumothorax, pleural effusion, or consolidation.
<unk>m with tachycardia, htn, cough, recent sick contacts // r/o pna
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There is a dual-lead pacemaker/icd device with leads again terminating in the right atrium and ventricle, respectively. The cardiac, mediastinal and hilar contours appear unchanged. Aside from streaky basilar opacities suggesting minor atelectasis, the lungs are probably clear. There is no pleural effusion or pneumothorax. There are several incompletely characterized thoracic compression fractures along the lower thoracic spine, several of which can be compared to prior radiographs from <unk> and appear unchanged although for the most part these there are difficult to compare directly to the prior studies. In addition, there is mild to moderate mid thoracic compression deformity with a sclerotic appearance to the vertebral body, new since <unk> and also difficult to compare to the more recent radiographs, which did not include a lateral view. The bones appear demineralized.
concern for tia.
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Cardiac, mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is identified. No acute osseous abnormalities seen.
chest pain.
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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 heart size remains normal. Thoracic aorta and mediastinal structures are unremarkable. The pulmonary vasculature is not congested. No signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. No pneumothorax in the apical area. Skeletal structures of the thorax grossly unremarkable.
<unk>-year-old female patient with productive cough and chills, evaluate for consolidation or evidence of infection.
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There are relatively low lung volumes. Patchy right upper lung opacity is worrisome for pneumonia. The left lung is clear. . No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with sob, fever // eval for pna
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Frontal and lateral views of the chest are compared to previous exam from <unk> and <unk> and ct chest from <unk>. Compared to most recent prior, there has been no significant interval change. Again seen is subtle increased right basilar linear opacities which given differences in technique have not significantly changed since <unk>. Similar findings are also seen at the left lung base. Superiorly, the lungs remain clear. Right apical pulmonary nodule is also again seen stbale dating back to ct chest from <unk>. Cardiomediastinal silhouette is unchanged. Posterior cervical fixation hardware is again noted.
<unk>-year-old male with chf presenting with persistent shortness of breath.
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Frontal and lateral views of the chest were obtained. There is persistent large left pleural effusion with associated atelectasis, stable in appearance as compared to the prior study. There is very slight rightward shift of the cardiac silhouette, stable. There is slight blunting of the posterior right costophrenic angle which may be due to a trace right pleural effusion. No focal consolidation is seen in the right lung. There is no pneumothorax. The cardiac and mediastinal contours are stable, although not well evaluated given the large left pleural effusion.
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There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits. There are no increased interstitial markings to suggest amiodarone toxicity. Overall, there is little change from the prior study of <unk>.
<unk> year old man with as, af on amiodarone // evaluation for amiodarone toxicity
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Since the chest radiograph obtained <num> hour prior, there has been interval removal of a dobhoff tube from the patient's airway. There are otherwise no significant changes.
<unk> year old man with hypoxia s/p failed dobhoff attempt // please evaluate for ptx
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Compared with prior radiographs on <unk>, again seen is opacification at the right base, with an effusion and fluid in the right minor and major fissures. This opacification could be due to atelectasis and effusion, however in the appropriate clinical setting, could represent pneumonia. There is increased aeration of the left lung base. There is no change in mild vascular congestion. There is no edema. No pneumothorax is seen. The cardiac and mediastinal silhouettes are unchanged. A right picc is unchanged in position.
<unk> year old man with cirrhosis , persistent severe dyspnea in setting of volume overload // persistent volume overload
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New airspace opacity in the anterior segment of the right upper lobe is likely post biopsy hemorrhage. No pneumothorax. Minimal subsegmental atelectasis in the right lower lobe. The lungs are otherwise clear. Mild cardiomegaly.
<unk> year old woman with h/o lung cancer p/w increasing rul nodule. s/p transbronch bx of rul and ln bx bilat // ptx?
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Again seen is an et tube, tip approximately <num> cm above the carina, and an ng tube, tip extending beneath diaphragm off film. The cardiomediastinal silhouette is unchanged. Mild upper zone redistribution is similar to the prior study. Patchy retrocardiac opacity is more pronounced, with new obscuration of the medial left hemidiaphragm. Otherwise, no focal infiltrate. No gross effusion.
<unk> year old woman with intubation, secretions increased // evidence of pna, effusion
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Frontal and lateral chest radiograph demonstrates well expanded and clear lungs without evidence of pleural effusion, focal consolidation, or pneumothorax. The patient is status post cabg with intact sternotomy wires. There is no pulmonary edema.
<unk>-year-old male with expiratory bronchi. evaluate for pneumonia.
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Frontal and lateral views of the chest were obtained. Prominence of the vascular markings is consistent with pulmonary vascular congestion. Increased interstitial markings may be chronic. No substantial pleural effusion. No pneumothorax. Flattening of the diaphragm suggests copd. Moderate cardiomegaly is similar to prior.
<unk>-year-old male with fever and productive cough. rule out pneumonia.
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Pa and lateral views of the chest provided demonstrate no focal consolidation, effusion, pneumothorax. No free air below the right hemidiaphragm. Cardiomediastinal silhouette appears normal. Bony structures are intact.
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Cardiomediastinal contours are unchanged with cardiomegaly. Mediastinal and hilar lymph nodes are better seen in prior ct from <unk>. The main pulmonary artery is top-normal. Pulmonary edema has almost completely resolved. There is no pneumothorax. Small right effusion is decreased. . The osseous structures are unremarkable
<unk> year old woman with hcv cirrhosis, htn, copd, laparoscopic bso for bilateral adenexal masses, presented with dyspnea, now with spike in wbc. // rule out pneumonia
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Ap upright and lateral chest radiographs demonstrates clear lungs bilaterally. No focal consolidation concerning for pneumonia is identified. Cardiomediastinal and hilar contours are stable in appearance. No overt pulmonary edema is identified. There is no pleural effusion or pneumothorax. Note is made of a left brachiocephalic stent in unchanged position. No free air is seen under bilateral diaphragms.
history: <unk>m with hd t/th/s p/w nausea, vomitting // r/o ll pna
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The ett terminates approximately <num> cm above the carina. The right picc terminates in the low svc. Ng tube courses below the diaphragm, however the tip is out of the field of view. The pulmonary edema has almost resolved. The left pleural effusion may have slightly decreased in size, however this may be positional. Small right pleural effusion is stable. Cardiomediastinal silhouette is stable. No pneumothorax.
<unk> year old woman with flash pulmomary edema, with sepsis, and now c diff colitis. // eval for interval change
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Ap and lateral views of the chest were performed with the patient positioned upright. There is a mild pulmonary edema with stable cardiomegaly. Left basal opacity could reflect atelectasis, likely with small effusion. There is no pneumothorax. Mediastinal contour appears stable. The bony structures appear unchanged with a compression deformity at the thoracolumbar junction seen on lateral view, unchanged.
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Cardiomediastinal contours are normal. There is minimal biapical pleural thickening greater in the right side. The lungs are clear. There is no pneumothorax or pleural effusion. There are mild degenerative changes in the thoracic spine. There is s-shaped scoliosis. Compression deformities of a mid and lower thoracic vertebral bodies are unchanged
<unk> year old woman with ongoing cough. please assess for infiltrate. // chronic cough - evidence of pneumonia/infiltrate?
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Right picc line tip is in unchanged position, terminating in the mid-to-lower svc. There is mild chronic pulmonary edema. There is no pneumothorax. Interval blunting of left costophrenic angle may represent a small pleural effusion. Hiatal hernia is noted. Mild cardiomegaly is unchanged.
<unk>-year-old female patient with picc line. study requested to check placement.
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Pulmonary vascular markings are diffusely increased with prominent septal markings, suggestive of mild edema. No new focal consolidation is identified. Chronic opacity at the left costophrenic angle is similar to prior and consistent with a combination of loculated effusion and atelectasis. Rounded opacity projecting posteriorly over the thoracic spine is also similar to prior and consistent with round atelectasis. No pneumothorax. The heart is mildly enlarged. Cardiomediastinal contours are otherwise unremarkable. Chronic left clavicular and left rib fractures.
history: <unk>m with dyspnea, copd, cough, fell onto l-shoulder last night // evaluate for acute process
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Frontal and lateral views of the chest were obtained. Mild bibasilar atelectasis is noted. No pleural effusion or pneumothorax noted. The cardiomediastinal and hilar contours are unchanged from the prior examination. Mild low lung volumes are noted with crowding of bronchovascular markings. No rib fractures are visualized.
<unk>-year-old female with shortness of breath, rule out congestive cardiac failure or rib fracture or pneumonia.
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A portable frontal chest radiograph demonstrates a normal cardiomediastinal silhouette and fairly well-aerated lungs without focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.
evaluate for pneumonia in a patient with cirrhosis, undergoing rfa today.
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Pa and lateral views of the chest provided. There is a stable appearance of the right upper lobe band like opacity compatible with scarring. The heart is mildly enlarged. Hilar prominence is stable and likely represents prominent hilar vascular structures as better assessed on prior ct. Retrocardiac streaky opacity is present on the lateral projection which raises potential concern for atelectasis versus pneumonia though no correlate opacity is present on the frontal view. No large effusion or pneumothorax is present. Imaged bony structures appear intact. No free air below the right hemidiaphragm is seen.
<unk>f with doe and elevate d-dimer // r/o acute process
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Frontal and lateral views of the chest were performed. There is no free air beneath the diaphragm. There is no pleural effusion, pneumothorax or focal airspace consolidation. Biapical scarring is evident. The cardiac silhouette is mildly enlarged but is unchanged. A slightly dilated and calcified tortuous aorta is re- demonstrated. The hilar structures are unremarkable.
epigastric pain, rule out perforation or free air.
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There is persistent mild cardiomegaly. The right hemidiaphragm is obscured, due to a right lower lobe opacity. This is likely due to a combination of atelectasis and pleural fluid. No other focal consolidation. No evidence of pneumothorax. The thoracic aorta is calcified and tortuous. Height loss of a lower thoracic vertebral body is unchanged.
<unk>f with itchy throat/sore throat. evaluate for infectious process.
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As compared to the previous radiograph, the right subclavian catheter has been removed. The other monitoring and support devices, including the bilateral chest tubes, are in unchanged position. There is unchanged distribution and severity of the pre-existing bilateral parenchymal opacities. Unchanged retrocardiac atelectasis, unchanged size of the cardiac silhouette. No new opacities. No convincing evidence of pneumothorax.
hypoxia, rule out pneumonia.
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As compared to the previous radiograph, the patient has received a nasogastric tube. The tip of the tube projects over the gastroesophageal junction. The device should be advanced by approximately <num> to <num> cm. There is no evidence of complication, notably no pneumothorax. Unchanged massive cardiomegaly and massive bilateral parenchymal opacities with predominance of the interstitial component.
hypoxia, nasogastric tube placement.
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Interval removal of nasogastric tube. Central venous catheter remains in standard position. Stable cardiomegaly but slight worsening of pulmonary edema. Persistent bibasilar atelectasis and bilateral pleural effusions with worsening on the right.
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A single portable radiograph of the chest was acquired. The lungs are clear. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen.
stab wounds to the left shoulder. evaluate for acute intrathoracic process.
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Pa and lateral views of the chest were obtained. As seen previously, there is a large retrocardiac opacity containing multiple air-fluid levels and large bowel haustrations compatible with large hiatal hernia. The lungs appear clear and well expanded. No signs of pneumonia or chf. No pleural effusion is or pneumothorax. Given the large hiatal hernia, the cardiac size is difficult to accurately assess. The mediastinal contour is unremarkable. The bony structures are intact. No free air below the right hemidiaphragm is seen.
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A right jugular central venous line ends in the upper right atrium. An enteric tube ends likely in the stomach. The apical portions of the lungs were not imaged, but no large pneumothorax is seen. Bibasilar consolidations are again seen. There is slight increase in atelectasis at the right lung base. No large pleural effusion. Cardiomediastinal and hilar contours are stable.
immunosuppression and acute desaturation.
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The cardiomediastinal contour is within normal limits. Increased density of the left hilum is consistent with known left hilar mass, better assessed on prior chest cta examination. Lungs are otherwise well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax.
history: <unk>m with hemoptyosis // eval for hemopytosis eval for hemopytosis
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No free air detected beneath diaphragms. The right hemidiaphragm is elevated. Probable background hyperinflation, which can be seen with copd. There is mild cardiomegaly. There is upper zone redistribution, but no overt chf. The lung apices are obscured by the clavicular heads on this lordotic view. No focal infiltrate or effusion is detected.
<unk> year old woman with diverticulitis, now with peritoneal signs on exam. please have patient sit upright. // eval for free air under diaphragm
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There are new right basilar and decreased left basilar opacities. Lungs are otherwise well expanded. No pleural effusion or pneumothorax. Heart size is top-normal. Cardiomediastinal hilar silhouettes are unremarkable. Interval removal of an enteric tube.
<unk> year old man with s/p <unk>m with a h/o etoh abuse and unknown pmh was found unresponsive on the side of the road with a bike on top of him after an unwitnessed event. // wet cough and fine crackles right base
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Portable semi-upright frontal view of the chest. Increased opacity in the right lower lobe is new since <unk> and although this opacity was present in <unk>, it has significantly worsened. A small-to-moderate-sized right pleural effusion is unchanged. There is left lower lobe atelectasis, which is minimally increased since <unk> and patchy opacity in the left infrahilar and retrocardiac refions. Doubt chf. The heart size is at the upper limits of normal. The aorta is tortuous. There is no pneumothorax. Suspect bacground copd. Incidental note mad eof old healed resection of both distal clavicles and bilateral glenohumeral osteoarthritis.
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Calcified breast implant overlies the right lower hemi thorax.no focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with hf, <num>d worsening sob and doe, afib with rvr // any cpd
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As compared to the previous radiograph, the right pleural effusion has minimally decreased in extent. The small left pleural effusion slight increased. Borderline size of the cardiac silhouette. Unchanged bilateral pleural drains and right port-a-cath as well as the left pacemaker. No pulmonary edema.
<unk> year old woman with pleural effusion // eval
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There is a background of severe emphysema. Right pigtail catheter pleural drain projects over the right base. There is increased subcutaneous gas along the right chest wall. There is no evidence of residual pneumothorax or pleural effusion. Heart size remains normal.
<unk> year old man with r ptx // check interval change with ct clamped
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As compared to the previous radiograph, there is a newly appeared, massive diffuse bilateral micronodular pattern in both lungs. This pattern is now since the ct examination from <unk>. The changes could represent a combination of carcinomatosis and infection. No pleural effusions. Unchanged postoperative changes at the level of the left hilus.
non-small cell lung cancer, shortness of breath.
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The ng tube terminates in the fundus of the stomach. Surgical <unk> project over the midline abdomen. Lung volumes are low and the bibasilar atelectasis is mild. The heart may be mildly enlarged however this is exaggerated by the low lung volumes. The mediastinum is normal. There is no pneumothorax or large pleural effusion.
ng tube placement. status post trauma.
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Compared to the prior study, the patient is in true ap position, without rotation. A left ij central line is present. Allowing for differences in patient rotation, left ij line tip appears to been retracted slightly compared with the prior film. It now lies slightly to the left of the expected site of confluence of the left brachiocephalic and right subclavian veins. It does not clearly reach the svc. The opacity in the expected location of the azygous vein measures approximately <num> mm, larger than a normal azygos vein. Overall, the cardiomediastinal silhouette is similar and hazy opacities in both bases are also similar. As before, the right hemidiaphragm is partially obscured and there is dense increased retrocardiac density. There is upper zone redistribution and mild vascular plethora. No pneumothorax detected. Et tube and ng tube again noted.
<unk> year old woman with retroperitoneal hematoma // s/p l ij cvl placement; s/p slight withdraw <num>cm
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Cardiac silhouette size is borderline enlarged, unchanged. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is seen. Low lung volumes are demonstrated with minimal streaky bibasilar atelectasis present. No pleural effusion or pneumothorax is clearly evident. Extensive widespread osseous metastatic disease is again noted.
history: <unk>m with tachycardia, lower extremity edema
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In comparison with the study of <unk>, there has been some improvement in the multifocal pneumonia. There is some mild indistinctness of pulmonary vessels consistent with some elevation of pulmonary venous pressure in a patient with cardiac silhouette at the upper limits of normal or mildly enlarged.
multifocal pneumonia with pulmonary edema.
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Pa and lateral chest radiographs were obtained. Bilateral pleural effusions are small. There is no consolidation, pneumothorax or consolidation. The cardiac and mediastinal contours are normal. Mild apical fibrotic changes are stable.
dyspnea status post surgery.
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Frontal and lateral views of the chest. No prior. The lungs are clear of consolidation, effusion, or pneumothorax. The cardiac silhouette is enlarged with a left ventricular configuration. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with malaise.
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The cardiac, mediastinal and hilar contours are stable compared to the prior examination. Both lungs are relatively clear with no focal consolidation concerning for pneumonia, significant pleural effusion, or pneumothorax. The pulmonary vasculature is not engorged. The trachea is midline. The visualized upper abdomen is relatively gasless.
chest pain, here to evaluate for cardiopulmonary disease or infiltrate.
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Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, or pneumothorax is seen. Cardiomediastinal silhouettes are unremarkable.
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Frontal and lateral radiographs of the chest demonstrate normal heart size. The cardiomediastinal silhouette and hilar contours are normal. The lungs are clear. No pleural effusion or pneumothorax.
heart palpitations and chest pain. evaluate for acute cardiopulmonary disease.
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In comparison to the chest radiograph obtained <num> days prior, there is increased, severe pulmonary edema and unchanged severe cardiomegaly. Lung volumes appear lower, but otherwise without focal consolidation. Pleural effusions are small if any. No pneumothorax
<unk> year old man with schf and pulm htn // chest x-ray as required prior to v/q scan
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Compared to the most recent prior chest x-ray, no significant change is detected. Inspiratory volumes are slightly low. Again seen is increased retrocardiac density, with obscuration of the left hemidiaphragm. This area of retrocardiac opacity apparently includes the patient's known necrotic lung mass, which was better depicted on the <unk> ct scan. There is upper zone redistribution, without overt chf. There is platelike atelectasis at the right lung base medially. Tubing seen overlying the left hemidiaphragm likely corresponds to the the patient's pericardial drain.
<unk> year old man s/p pericardial window // interval changes
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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 consolidations.
chest pain.
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There has been interval placement of a left-sided pigtail pleural catheter, with re-expansion of the left lung. Of note, however, the catheter ends within the major fissure. There is no residual pneumothorax identified. Minimal subcutaneous air is seen along the catheter tract. The lungs are clear. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions.
pneumothorax, status post chest tube placement. evaluate for interval change.
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Normal heart size, mediastinal and hilar contours. Faint opacity in the right middle lobe concerning for developing pneumonia. No pleural effusion or pneumothorax.
history: <unk>m with cough // eval for infection
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Patient position is rotated. Evaluation of left lung base is suboptimal due to the rotated patient position. No large pleural effusion is identified. Cardiac silhouette is mildly enlarged.
history: <unk>f with confusion // pna?
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As compared to the previous radiograph, the patient has received a right pectoral port-a-cath. Minimal atelectasis is seen at the bases of the right lung. No evidence of pneumonia, no pleural effusions. No pulmonary edema. Borderline size of the cardiac silhouette.
new fever, evaluation for pneumonia.
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Pa and lateral views of the chest. The lungs are clear without consolidation or pneumothorax. Cardiomediastinal silhouette is normal. Surgical clips in the right upper quadrant suggest prior cholecystectomy. No acute osseous abnormalities.
<unk>-year-old female with chest pain and dyspnea.
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Cardiomediastinal contours are normal. The lungs are clear. There is no pneumothorax or pleural effusion. Cervical spinal hardware is partially imaged
<unk> year old man with chronic cough and weigh loss // please evaluate for any consolidation or mass
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No prior for comparison. Left-sided picc with the tip in the low svc/cavoatrial junction. Lungs are clear. Heart size is normal. No pleural effusion or pneumothorax.
<unk> year old woman @ <unk> with hyperemesis and picc // eval correct picc placement
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The patient is status post median sternotomy and cabg. The superior most sternotomy wire is fractured. Heart size is mildly enlarged. The thoracic aorta is mildly tortuous and demonstrates atherosclerotic calcifications. There is moderate interstitial pulmonary edema, slightly more pronounced on the left compared to the right. There may be tiny bilateral pleural effusions on the lateral view. No pneumothorax is seen. Scarring within the lung apices is noted. No acute osseous abnormalities demonstrated.
<num> days of confused speech.
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The lungs are clear. The heart size is top normal, not significantly changed. There are no pleural effusions. No pneumothorax is seen. Elevation of the right hemidiaphragm is unchanged. Multiple bilateral rib fractures are redemonstrated, in various stages of healing. There is no definite acute rib fracture.
syncope. assess for pneumonia.
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Moderate cardiomegaly is re- re- demonstrated. The aorta is tortuous and diffusely calcified. Mild pulmonary edema is new from the prior study with small bilateral pleural effusions. Patchy bibasilar airspace opacities may reflect atelectasis, however infection or aspiration is not excluded. There are no acute osseous abnormalities.
history: <unk>m with mds presenting with lethargy, productive cough and fever since yesterday
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Pa lateral and chest radiographs demonstrate improved aeration of the left mid and lower lungs when compared to chest radiograph dated <unk>. Multiple bilateral lung nodules are better seen on most recent ct dated <unk>. No focal consolidation concerning for pneumonia is identified. There is no pleural effusion or pneumothorax. Cardiomediastinal and hilar contours are unchanged in appearance within normal limits. No overt pulmonary edema is seen. Osseous structures are without acute abnormality.
history: <unk>m with fever on chemotherapy // eval for infiltrate
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Cardiac silhouette size is normal. The mediastinal and hilar contours are unchanged. Pulmonary vasculature is not engorged. Lung volumes are low. Patchy bibasilar airspace opacities likely reflect atelectasis. No focal consolidation, pleural effusion or pneumothorax is identified. No displaced fractures are evident.
history: <unk>m with etoh intoxication in restraints, possible traumatic injury and shortness of breath
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As compared to the previous radiograph, no relevant changes seen in extent and appearance of the relatively generalized left sided and right basal parenchymal opacity, both with rather extensive air bronchograms. No new parenchymal opacities. Unchanged size of the cardiac silhouette. Unchanged monitoring and support devices.
respiratory distress, evaluation for pneumonia.
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Lung volumes are slightly low with vascular crowding. There is no evidence of pneumonia. There is mild atelectasis at the lung bases, left greater than right. Heart size is normal. The mediastinal and hilar contours are normal. There is no large pleural effusion or pneumothorax.
history: <unk>f with sob x <num>d*** warning *** multiple patients with same last name! // concern for chf v pna
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In comparison with chest radiograph from <unk>, there is little overall change. Minimal right pneumothorax and effusion are unchanged, if at all. Two pleural drainage tubes unchanged in standard placements. Mild-to-moderate right basal atelectasis is unchanged. Small right lateral chest wall subcutaneous air has decreased. No left pleural effusion. There is no vascular congestion or pulmonary edema.
<unk> year old woman with small ptx s/p pleurodesis with <num> x rt chest tube placement // interval evaluation of ptx and effusion, edema
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Pa and lateral views of the chest were provided. Lung volumes are low with chronic interstitial opacity likely reflective of chronic interstitial lung disease with evidence of mild interval progression. Correlation with high-resolution chest ct may be helpful to further assess. The possibility of a superimposed atypical pneumonia is impossible to exclude given the underlying interstitial opacities. No large effusion or pneumothorax is seen. The heart and mediastinal contour appear overall stable. The bony structures are intact. No free air is seen below the right hemidiaphragm.
<unk>-year-old female with shortness of breath.
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Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.
sudden onset chest pain, shortness of breath.
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Pa and lateral views of the chest provided. There is chronic pleural thickening at the right lateral lung base. The lungs are otherwise clear. Heart is top-normal in size. Mediastinal contour is unremarkable. No pneumothorax. No convincing signs of pneumonia. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>f with hemoptysis vs epistaxis, currently no bleeding.
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Previously reported possible tiny left apical pneumothorax is no longer visible. A small left pleural effusion and adjacent atelectasis in the left lower lobe and lingula appear unchanged. New linear area of atelectasis has developed in the right mid lung region with otherwise no relevant short-interval changes.
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Single supine ap portable view of the chest was obtained. There is interval placement of an endotracheal tube, terminating approximately <num> cm above the carina. Additionally, a nasogastric tube is seen, distal tip projecting over the left main stem bronchus, may be in the proximal esophagus or in the airway; either way, is in inappropriate position and should be repositioned. The findings and recommendations regarding the nasogastric tube were discussed with dr. <unk> on <unk> at <time> p.m. Via telephone by dr. <unk>. There is increased right lung opacity/consolidation and left mid-to-lower lung opacity, which could be due to infection and/or aspiration. The cardiac silhouette remains enlarged. No pneumothorax is seen. No large pleural effusion.
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Linear left basilar opacity is new from <unk> but is most consistent with atelectasis. No definite focal consolidation. Cardiomediastinal silhouette is normal. There is no pneumothorax. There is slight blunting of the the right costophrenic angle which likely represents a tiny effusion.
<unk>f with dysarthria, last normal last night, rule out symptoms recrudescence due to infection
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In comparison with study of <unk>, there has been some decrease in the free intraperitoneal gas post-surgery. Atelectatic changes are again seen at both bases, more prominent on the right and perhaps slightly increased from the prior study. Blunting of the left costophrenic angle persists. Again, there is no evidence of pulmonary vascular congestion.
post-operative.
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Lungs are again hyperinflated. There is no focal consolidation. Cardiomediastinal silhouette and hilar contours are unremarkable.