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Endotracheal tube is <num> cm above the carina. An enteric tube terminates in the stomach. Right internal jugular is within the distal superior vena cava. The dense consolidation within the lingula appears unchanged. Further aeration of the left upper lobe likely reflects resolving edema and mild to moderate pulmonary edema persists. The bilateral small pleural effusions are unchanged. Moderate cardiomegaly is stable. Mediastinal contours are unremarkable.
pneumonia.
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Pa and lateral views of the chest. The lungs are clear given low lung volumes. Cardiac silhouette is normal in size. Hilar and mediastinal contours are normal. No pleural effusion. No evidence of pneumothorax.
syncope.
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A portable supine frontal chest radiograph demonstrates low lung volumes, which exaggerates the cardiac silhouette. There is mild pulmonary edema, but no focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable.
evaluate for pneumonia in a patient with altered mental status.
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Apparent enlarged heart is likely secondary to prominent epicardial fat. . The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Low lung volumes. Bibasilar atelectasis. No pleural effusion or pneumothorax is seen. Known left-sided rib fractures are better visualized on same-day ct.
history: <unk>f with mvc // ? ptx
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As compared to chest radiograph from earlier today, small right apical pneumothorax is unchanged. Right pigtail catheter in unchanged positions. No other relevant change.
<unk> year old man with ptx, chest tube clamped for <num> // assess for recurrent ptx
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Lung volumes are low. The lungs are clear of consolidation or large effusion. The cardiomediastinal silhouette is within normal limits for technique. No displaced fractures identified.
<unk>m with chest pain, abd pain // dissection, free air
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As compared to prior chest radiograph from the same day, there has been interval placement of a left sided pacemaker. There is persistent enlargement of the cardiac silhouette with elevated pulmonary venous pressures. Pulmonary edema has worsened. Bilateral pleural effusions persist.
<unk>-year-old male with past medical history of diabetes type <num>, hypertension, new onset of chf and bradycardia status post pacer, now with hypoxia. evaluate mediastinal widening as complication of procedure. question pulmonary edema.
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There is a small left pleural effusion. The heart is upper limits normal in size. Ng tube tip is off the film, at least in the stomach.
pleural effusions.
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Frontal and lateral views of the chest. Left chest wall dual lead pacing device is again seen. Mildly prominent interstitial markings are seen in the lungs without evidence of frank pulmonary edema. Blunting of posterior costophrenic angles suggestive of trace effusions, likely larger on the left. The cardiac silhouette is enlarged but unchanged. Cardiac stent is visualized as well as median sternotomy changes and mediastinal clips. No acute osseous abnormality is detected. The left shoulder arthroplasty again seen.
<unk>-year-old male with coronary artery disease and congestive failure with dizziness.
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New left retrocardiac opacity, consider an infiltrate. Rounded medial retrocardiac opacity, may represent distended mild esophageal hiatal hernia, better seen on ct <unk>. Stable mild left costophrenic angle, opacity. Improved right basilar opacity. Mildly prominent interstitial markings, similar. Heart size upper limits are normal. Trace right pleural effusion, new or better seen. Aortic calcification.
<unk> year old woman with rising wbc, hypotension // ?pneumonia
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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. Dextroscoliosis of the thoracic spine is noted.
history: <unk>f with weakness
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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. There is no free air under the diaphragm or in the mediastinum.
history: <unk>f with acute onset epigastric pain, severe pain // ?free aid
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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>m with weakness and cough // pna
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The known, nondisplaced rib fractures involving the left ninth and eleventh ribs are not well appreciated on this study. There is no pleural effusion or pneumothorax. There is bibasilar atelectasis, however, there is no focal airspace consolidation worrisome for pneumonia. Heart is normal size. Mediastinal and hilar contours are unremarkable.
low back pain. evaluate for a rib fracture.
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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.
<unk>f with recent pna dx, here with cp.
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Frontal and lateral views of the chest were obtained. Blunting of the left costophrenic angle is consistent with a moderate pleural effusion with overlying atelectasis. Small right pleural effusion is difficult to exclude. There is mild-to-moderate interstitial pulmonary edema. The cardiac silhouette is mildly enlarged. The aorta is calcified. A left-sided picc is again seen, distal aspect not well appreciated; however, seen to at least the level of the low svc. Left base opacity may be due to combination of pleural effusion and atelectasis; however, underlying consolidation is not excluded.
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The cardiomediastinal and hilar contours are within normal limits. The lungs are well expanded and clear. There are no pleural effusions, focal consolidations, pulmonary edema, or pneumothorax. Visualized osseous structures are grossly intact.
<unk>-year-old female patient with dry cough for three weeks, malaise, rhonchi and wheezing. study requested to rule out pneumonia.
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The lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal. Irregularity of the left tracheal margin is likely postoperative.
pt s/p peg placement and s/p tracheal resection // post op check
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Frontal and lateral views of the chest were obtained. There has been removal of previously seen right picc. Large area of consolidation in the right lower lobe is worrisome for pneumonia. The left lung is clear. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable.
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In comparison to prior radiograph, there is no overall change. There is thickening of the minor fissure with volume loss in the right lower lobe. There is no pleural effusion or pneumothorax. Cardiomediastinal silhouette is slightly enlarged. The lungs are clear for opacities concerning for infectious process.
<unk>-year-old woman with prior history of right lower lobe wedge resection, now with right-sided chest discomfort. please evaluate for change.
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The lungs appear slightly hyperinflated with flattening of the hemidiaphragms and a barrel-shaped chest on the lateral radiograph, which is due in part to kyphotic curvature of the spine. No focal consolidation concerning for pneumonia, pleural effusion, or pneumothorax is detected. The pulmonary vasculature is not engorged. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits. There is generalized loss of height of several thoracic vertebral bodies with a slight anterior wedge compression deformity of a mid to lower vertebral body.
acute onset of slurred speech, weakness and confusion, here to evaluate for acute cardiopulmonary process.
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Single ap upright portable view of the chest was obtained. The lower right lateral chest was not included on the image; consider repeat. The patient is status post median sternotomy and cabg. Cardiomediastinal silhouette remains stable with the cardiac silhouette enlarged, the aorta is calcified and tortuous. Mild left base atelectasis is seen. No definite focal consolidation is seen. There is no large pleural effusion given that the right costophrenic angle is not included on the image. No evidence of pneumothorax.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f pod<unk> s/p microdiscectomy, now w/ fever. evaluate for pneumonia.
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Sternotomy wires are intact and aligned. Lung volumes are low, but the lungs are grossly clear. There is no pneumothorax. The heart and mediastinum are within normal limits despite the projection.
<unk> year old man with pneumonia. // interval change
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There are numerous minimally displaced posterior left-sided rib fractures of at least the <unk>-<unk> robs. No significant pneumothorax is seen. Lungs are clear of focal consolidation or pleural effusions. The cardiac and mediastinal silhouette is normal.
<unk>f year old female with chest pain.
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Pa and lateral views of chest. The lungs remain clear. There is no effusion, consolidation or pulmonary vascular congestion. Cardiomediastinal silhouette is stable. Multiple old healed left rib fractures are again noted but there is no acute osseous abnormality detected.
<unk>-year-old female with weakness and hyperglycemia.
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Frontal and lateral views of the chest demonstrate stable top normal heart size. There is unfolding of the thoracic aorta with arch calcifications. The mediastinal and hilar contours are unremarkable. The lungs are clear. There is no pneumothorax, vascular congestion, or pleural effusion. A small inferior spur is noted in the right humeral head.
<unk>-year-old female with cough. question pneumonia.
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Frontal and lateral views of the chest are obtained. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are stable. There is no overt pulmonary edema. Surgical clips are noted in the upper abdomen on the lateral view.
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Status post removal of right-sided chest tube, with persistent small right pleural effusion and no visible pneumothorax. Cardiomediastinal contours are stable in appearance. Atelectatic changes in both lower lobes appear relatively similar compared to the prior radiograph except for slight worsening in the left retrocardiac region.
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Pa and lateral views of the chest provided. There is a right-sided cardiac pacing device with leads following the expected course to the right atrium and ventricle. Low lung volumes are persistent. Small right effusion is likely unchanged. Opacities in the left mid-lung follow the trajectory of a previously placed thoracostomy tube. A band of atelectasis at the right base is more pronounced. Mild vascular congestion is minimally changed from <unk>. Widening of the mediastinum has mildly improved from <unk>. No pneumothorax. Moderate cardiomegaly is chronic. A right ij catheter terminates in the right atrium.
<unk> year old woman s/p dual chamber ppm // assess leads placement and r/o ptx.
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The cardiomediastinal and hilar contours are within normal limits. Lungs are well expanded. Streaky opacities at the lung bases bilaterally are likely secondary to atelectasis. There is no focal consolidation, pleural effusion or pneumothorax.
history: <unk>f with copd/asthma here with dyspnea // ?pna ?pna
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Single ap view of the chest provided. Et tube ends <num> cm above the carina. A transesophageal tube ends in the proximal stomach. Patchy diffuse, bilateral interstitial and alveolar opacities, some of which have a nodular appearance are improving from <unk>. No pleural effusion or pneumothorax. Hilar and cardiomediastinal contours are normal.
<unk> year old man with ca-p, intubated // eval for interval change, position of ett
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The study is somewhat limited by motion. There is improved aeration at the lung bases with increasing consolidation of the right mid-lung. There is no pleural effusion or pneumothorax. Cardiac and mediastinal contours are normal.
pneumonia and possible aspiration.
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Pa and lateral views of the chest were provided. There is poorly defined airspace consolidation in the left lower lung which is concerning for pneumonia. The right lung appears essentially clear. No large effusions or pneumothorax is seen. Cardiomediastinal silhouette appears normal. There is a nodular opacity projecting over the head of the right clavicle, which could represent superimposed overlapping structures, though a true nodule would be difficult to exclude. Bony structures appear grossly intact.
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A small left pleural effusion is new. There is no focal consolidation, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.
<unk>m with llq pain and tenderness, lethargy, evaluate for acute process.
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Since prior, right-sided central venous catheter has been retracted. The tip now projects over the lower svc. Otherwise, there has been no change. Low lung volumes are noted with crowding of the bronchovascular markings. Bibasilar opacities likely due in part to atelectasis although underlying infection/effusion would be possible. Cardiomediastinal silhouette is within normal limits, dense mitral annular calcifications are noted. Left chest wall dual lead pacing device is again noted.
<unk>f with right ij, pulled back // eval line placement
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In comparison with the study of <unk>, the patient has taken a slightly better, though still quite low, inspiration. The monitoring and support devices remain in place. Bibasilar opacifications are consistent with atelectasis and effusion. Left chest tube remains in place and there is no evidence of pneumothorax.
tracheostomy with multiple medical problems.
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Cardiomediastinal and hilar contours are within normal limits. No focal consolidation, pleural effusion, or pneumothorax. Patient is post median sternotomy cabg and mitral valve replacement.
<unk>m with nstemi, etoh w/d ams, new wheezing after vomiting c/f aspiration. evaluate for aspiration or edema.
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Frontal and lateral views of the chest were obtained. Chronic mild cardiomegaly is stable. Several calcified mediastinal lymph nodes, including within the aortopulmonic window, are compatible with inactive granulomatous disease. Pulmonary vascular markings are normal. The lungs are hyperinflated with flattened diaphragms, suggestive of mild copd. Curvilinear opacities overlying the right mid and lower lung fields are similar to prior and compatible with focal scarring. No focal consolidation, pleural effusion, or pneumothorax. No radiopaque foreign body.
<unk>-year-old male with immunosuppression, presenting with fever. evaluate for pneumonia.
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As compared to the previous radiograph, the right pleural effusion has minimally decreased in extent. On the left, the pleural effusions limited to the costophrenic sinus and only seen on the lateral radiograph. Pre-existing left apical air inclusion is no longer visible, but the left ap hilar mass is unchanged. Unchanged size of the cardiac silhouette.
evaluation for pleural effusion.
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Frontal and lateral views of the chest. Moderate cardiomegaly and mediastinal contours are stable. Pulmonary vascular markings are prominent, consistent with congestion. No overt pulmonary edema, focal consolidation, or pneumothorax is appreciated. Chronic left rib fractures are again noted.
chest pain.
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In comparison with study of <unk>, there is slightly better inspiration with continued elevation of the right hemidiaphragm and atelectatic changes at the right base. Lungs are essentially clear and there is continued blunting of the right costophrenic angle suggestive of a small pleural effusion. Stable enlargement of the cardiac silhouette without pulmonary vascular congestion. Dialysis catheter again extends to the right atrium.
shortness of breath.
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The lung volumes are normal. Normal size of the cardiac silhouette. At the medial aspect of the right lung bases, seen in the right lower lobe on the lateral radiograph, is an area of increased radiodensity with air bronchograms. In the appropriate clinical setting, this could reflect pneumonia. No other changes. No pleural effusions. Normal hilar and mediastinal structures. At the time of dictation and observation, <time> p.m., on <unk>, the referring physician, <unk>. <unk>, was paged for notification and the findings were discussed over the telephone.
chest pain.
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No previous images. Endotracheal tube tip lies approximately <num> cm above the carina. Nasogastric tube extends at least to the lower esophagus, where it crosses the lower margin of the image. Cardiac silhouette is within normal limits. There is some engorgement of ill-defined pulmonary vessels, consistent with elevated pulmonary venous pressure. No acute focal pneumonia is appreciated.
intubation.
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Lung volumes are very low, resulting in bronchovascular crowding. Cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation. There has been interval removal of the right upper extremity picc. No free air is seen beneath the right hemidiaphragm. Bilateral nephrostomy tubes are partially imaged.
history: <unk>f with cervical ca, // eval ? diaphragmatic free air, pna
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures are unremarkable.
right-sided chest pain.
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In comparison with the study of <unk>, there is little overall change. Monitoring and support devices remain in place. Bilateral large layering pleural effusions with compressive basilar atelectasis persist. There is again evidence of mild-to-moderate fluid overload.
aspiration.
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The lungs are hyperinflated. On the lateral view, there is patchy opacity at the posterior, inferior chest, worrisome for pneumonia. No large pleural effusion is seen. There is no evidence of pneumothorax. The cardiac and mediastinal silhouettes are unremarkable. There may be a hiatal hernia.
history: <unk>f with cough // pna?
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Pa and lateral views of the chest provided. Interval removal of the right picc line noted. A spinal stimulator catheter projects over the mid thoracic spine. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is stable with mild cardiomegaly again noted. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with fever // r/o pna
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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>m with chest pain
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The lungs are clear of focal consolidation, pleural effusion or pneumothorax, and there is bibasilar atelectasis. The heart size is normal. The mediastinal contours are normal. A left port-a-cath is in appropriate position.
<unk>f with fall, weakness
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As compared to the previous radiograph, there is unchanged evidence of moderate pulmonary edema with bilateral areas of pleural effusions and atelectasis. No new parenchymal opacities. The monitoring and support devices are constant. No new findings. No pneumothorax.
history of colectomy for crohn's disease, multisystem organ dysfunction, evaluation for fluid overload.
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Pa and lateral views of the chest. There is a small right pleural effusion. Low lung volumes limit evaluation for lower lung pathology. Streaky left basilar atelectasis is noted. No definite consolidation or pneumothorax.
<unk>-year-old male with shortness of breath after wedge resection.
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In comparison with the ct scout film of <unk>, there is again a right upper lung mass consistent with a metastatic lesion. There also is a mass involving the seventh rib laterally on the left, consistent with metastatic disease. Port-a-cath remains in place. No acute focal pneumonia or vascular congestion.
cough.
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Normal heart size, mediastinal and hilar contours. No focal consolidation, pleural effusion or pneumothorax. Calcification of the aortic knob is unchanged. A <num> cm round density in the right neck is unchanged, possibly reflecting a calcified thyroid nodule. Surgical anchor screws in the right humeral head are stable.
history: <unk>m with pna // eval for pna
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Allowing for low lung volumes, heart is upper limits of normal in size, and pulmonary vascularity is normal. Lungs and pleural surfaces are clear.
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Lung fields are wall inflated and clear. There is no pleural fluid or pneumothorax. The heart size is top normal and enlarged since last cxr. There are aorta profile is slightly elongated, but normal.
a <unk>-year-old man with fever.
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Pa and lateral views of the chest. The patient is slightly rotated. There is no focal consolidation, pleural effusion or pneumothorax. The heart size is mildly enlarged. The mediastinal and hilar contours are unchanged, with mild tortuosity of the thoracic aorta.
confusion, question pneumonia.
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Right-sided port-a-cath terminates in the low svc without evidence of pneumothorax. Low lung volumes persist. No focal consolidation is seen. Re- demonstrated minimal bibasilar patchy opacities most likely represent atelectasis or overlap of vascular structures. No large pleural effusion is seen. The cardiac and mediastinal silhouettes are stable.
history: <unk>f with shortness of breath // ?pneumonia
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The cardiomediastinal contours are stable in appearance. Previously described opacification in the left hemithorax has partially cleared with residual perihilar haziness and scattered interstitial opacities remaining. This could be due to improving asymmetrical pulmonary edema or a resolving infection if the patient has been under antibiotic therapy. Right lung and pleural surfaces are clear.
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Frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Slight tortuosity of the descending aorta is noted. Heart is normal in size. There is no pulmonary edema. Partial image of upper abdomen is unremarkable.
intractable hiccups for one week.
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As compared to the previous radiograph, there is a minimal increase in extent of the left pleural effusion and a constant situation and appearance of the right pleural effusion. The areas of subsequent atelectasis are constant in appearance. Constant position of sternal wires, clips the left pectoral pacemaker. No evidence of pneumothorax. No pneumonia, unchanged mild cardiomegaly.
pleural effusions, evaluation.
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Pa and lateral views of the chest provided. Surgical clips project over the mediastinum as on prior. 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 s/p fall from standing onto left side with chest pain // r/o effusion, fx
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The lungs are well-expanded and clear. No focal consolidation, effusion, edema, or pneumothorax. The heart is mildly enlarged. The mediastinum is not widened. No acute osseous abnormality. Mild bilateral degenerative changes at the acromioclavicular joints are noted. Multilevel degenerative changes in the lower thoracic spine are mild.
<unk> -year-old woman with body pain, fever last night, chest tightness. evaluate for infectious process.
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Portable semi-upright radiograph of the chest demonstrates hyperexpanded lungs with interval improvement in bibasilar atelectasis. Cardiomediastinal and hilar contours are unchanged. The nasogastric tube ends in the stomach. No pneumothorax or overt pulmonary edema.
<unk> year old woman with respiratory distress // ? pulmonary edema
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Heart size is mildly enlarged, decreased in size compared to the previous radiograph. Mediastinal and hilar contours are unchanged. The pulmonary vasculature is not engorged. Patchy opacities are noted in the lung bases, potentially atelectasis but infection or aspiration cannot be excluded. Small bilateral pleural effusions are also present, not substantially changed from the prior study. No pneumothorax is present. No acute osseous abnormalities detected.
history: <unk>f with history of congestive heart failure, chronic cough and crackles right lung base
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There is a new moderate size left-sided pleural effusion. The lungs are otherwise clear, there is no right effusion. Left chest wall dual lead pacing device is noted. The cardiomediastinal silhouette is stable. No acute osseous abnormalities.
<unk>f with difficulty breathing and anemia // difficulty breathing
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Pa and lateral views of the chest provided. Lungs are hyperinflated and grossly clear. Diaphragms are flattened. No pleural effusion or pneumothorax. Hilar and cardiomediastinal contours are normal. <num> cm rounded opacity projecting over and upper thoracic vertebral body correlates with a sclerotic bone lesion from <unk>. Old fracture right clavicle.
<unk> year old woman with multiple myeloma being worked up for auto bmt
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Single portable view of the chest. New right ij central venous catheter is seen with tip in the region of the upper svc. Endotracheal tube tip is <num> cm from the carina. Enteric tube passes below the inferior field of view. There is no definite pneumothorax. Appearance of the chest is again notable for diffuse bilateral parenchymal opacities.
<unk>-year-old male with new line.
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A frontal semi-upright view of the chest was obtained portably. Small bilateral pleural effusions with adjacent atelectasis are increased on the left and decreased on the right. The upper lung zones are clear and pulmonary vasculature is within normal limits. The right apical pneumothorax is not seen on this semiupright study. Mild cardiomegaly is unchanged. The left chest wall pacemaker leads are unchanged in position.
a semi-upright view of the chest was obtained portably.
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In comparison with study of <unk>, the malpositioned dobbhoff tube in the right mainstem bronchus has been removed. Continued low lung volumes without evidence of cardiomegaly or pulmonary vascular congestion or left pleural effusion. The outermost portion of the right lung has been excluded from the images. Mild atelectatic changes are seen.
dobbhoff removal.
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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.
history: <unk>m with chest pain // evaluate for acute process
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Left-sided venous catheter is seen with an unexpected course projecting along the left aspect of the mediastinum to the midline on the frontal view and on the lateral view with a posterior course into the posterior mediastinum. The course of this line may in fact be within a venous structure involving the superior intercostal vein abutting the aortic knob with an inferior trajectory, although correlation with blood gas is suggested to exclude an arterial position. There is no pneumothorax. Lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified. Findings were discussed with dr. <unk> at <time> p.m. On <unk>.
<unk>-year-old male with central venous line placement.
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The lung volumes are very low, with resultant crowding of the bronchovascular structures. There is no discrete consolidation identified. Additionally, there is no evidence of pleural effusion, pneumothorax, or pulmonary edema. The heart size is top normal. No acute bony abnormality is detected.
status post stroke, now with fever.
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Frontal and lateral radiographs of the chest were acquired. The lungs are clear. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen. A <num> x <num> cm lobulated opacity projecting over the left supraclavicular region was seen to be a skin lesion on prior ct from <unk>. Multilevel degenerative changes of the thoracic spine are noted.
left-sided stroke. evaluate for acute process.
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The heart is enlarged. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax. There is prominence of the azygous vein.
altered mental status of unclear etiology. question acute process.
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Frontal lateral views of the chest . The cardiomediastinal silhouette is within normal limits for age. Streaky bibasilar opacities likely represent atelectasis. No focal consolidation is identified. There is no pneumothorax or pleural effusion. Again seen is a rounded opacity overlying the left eighth rib, unchanged from prior radiograph and likely representing a calcified granuloma.
right upper quadrant pain. evaluate for pneumonia.
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Single portable view of the chest demonstrates increased vascular shadowing and with thickened septal lines. The cardiac silhouette is enlarged. Comparisons to prior is difficult given differences in technique, however, it is enlarged. The size is greater compared to <unk>. No pleural effusion or pneumothorax is seen.
shortness of breath, evaluate for infiltrate.
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Lung volumes are slightly low. The heart size is borderline enlarged. The mediastinal and hilar contours are unremarkable. Crowding of bronchovascular structures is present without overt pulmonary edema. Minimal patchy opacities are noted in the lung bases without focal consolidation. Incidental note is again seen of an azygos lobe. No pleural effusion or pneumothorax is detected. No acute osseous abnormalities seen.
history: <unk>f with hypertension, here with intermittent chest pain, with intermittent cough from recent upper respiratory tract infection
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One limited view of portions of the chest and upper abdomen demonstrates a dobhoff tube with tip overlying the expected location of the stomach. There is a central venous line with tip at the cavoatrial junction. The visualized portions of the lungs are unchanged.
ngt reposition.
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Pa and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding single view chest examination obtained three hours earlier during the same day. Heart size and configuration unchanged. The same holds for the previously described apical pleural thickenings and scar formations in the pulmonary parenchyma, significant upwards traction of the hilar structures. The basal pneumothorax on the right side is unchanged as can be identified in comparison on the frontal views. The amount of pleural effusion is minimal and presented by a mild blunting of the most dependent posterior pleural sinus. A cluster of thin wired metallic structures on the right base is external and embedded in the chest wall soft tissue. It in contact with the meandering small caliber line that terminates within the local pneumothorax.
<unk>-year-old female patient with right-sided pneumothorax, check for interval change.
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There is no change from earlier same day examination with redemonstration of mild cardiomegaly, central pulmonary vascular congestion and mild interstitial pulmonary edema. There are linear areas of right greater than left bibasilar atelectasis. There is no large pleural effusion or pneumothorax.
dyspnea.
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As compared to the previous radiograph, the lung volumes have slightly increased, likely to reflect improved ventilation. There are still signs indicative of mild-to-moderate pulmonary edema, but these have improved as compared to the previous examination. Borderline size of the cardiac silhouette. No evidence of newly occurred parenchymal opacities. Minimal blunting of the left costophrenic sinus, potentially indicative of a small left pleural effusion.
flash pulmonary edema, evaluation for interval change.
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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 recurrent asthma exacerbations, presenting with asthma exacerbation and productive cough.
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Frontal and lateral radiographs of the chest demonstrate stable appearing atelectatic streaks in the left mid and lower lung, which are unchanged. There is no pulmonary edema. Small bilateral pleural effusions are seen on lateral view only. The cardiomediastinal silhouette is unchanged. There is a hiatal hernia. There is no pneumothorax.
<unk>-year-old female status post cabg. evaluate for pleural effusion or pneumothorax.
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Heart size remains mildly enlarged. Mediastinal and hilar contours are stable. There is no focal consolidation, pleural effusion or pneumothorax. No overt pulmonary edema is demonstrated. There are no acute osseous abnormalities. Clips are noted about the lower neck.
right lower leg pain.
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In comparison with study of <unk>, there is little change and no evidence of acute cardiopulmonary disease. Specifically, no definite pneumonia, vascular congestion, or pleural effusion.
pancreatitis, to assess for pulmonary edema.
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Frontal and lateral views of the chest are compared to previous exam from <unk>. Low lung volumes are again noted with crowding of the pulmonary vascular markings. There is no evidence of confluent consolidation or effusion. The cardiac silhouette appears slightly enlarged, but this is likely accentuated due to low inspiratory effort. This is unchanged from prior exam. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male with hypertension. question cardiomegaly.
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The patient is status post median sternotomy and cardiac valve replacement. There are trace bilateral pleural effusions with overlying atelectasis. Basilar opacopacities may represent atelectasis but consolidation due to infection or aspiration is not excluded. The cardiac silhouette remains top-normal. No overt pulmonary edema is seen. There is no pneumothorax.
cough, spitting up blood.
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The lungs are clear. There is no effusion, consolidation, or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormalities identified.
<unk>m with chest heaviness and dyspnea // eval for pna or ptx
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Small to moderate left pleural effusion is a persistent finding as well as bilateral pulmonary nodules/masses and foci of post operative scarring related to prior wedge resections in this patient with history of pulmonary metastasis from renal cell carcinoma. Similarly, right hilar lymph node enlargement has been more fully evaluated on the recent ct.
<unk> year old man with pleural effusion // eval
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The lungs are well expanded. There is mild elevation of left hemidiaphragm. Atelectasis is seen in the left lung base. There may be minimal chronic interstitial abnormality without focal consolidation. There is no pleural effusion or pneumothorax. Cardiomediastinal silhouette is unremarkable. No pulmonary edema is present. Severe degenerative changes are noted in the right glenohumeral joint. Degenerative changes are partially imaged in left glenohumeral joint and may be severe as well.
history: <unk>f with tachycardia
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Right picc continues to terminate in the right atrium. The cardiomediastinal contours are stable. Lungs are clear except for linear atelectasis or scarring at the right lung base. Known subcentimeter pulmonary nodules shown on recent ct are likely below the resolution of conventional chest radiographs.
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In comparison with the study of <unk>, there is again enlargement of the cardiac silhouette with left ventricular prominence. No convincing evidence of acute pneumonia or vascular congestion at this time.
brain mass with fever.
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The lungs are clear. The cardiac and mediastinal contours are normal. There are no pleural abnormalities.
malaise, coarse breath sounds. evaluate for pneumonia.
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As compared to the previous radiograph, the patient has been extubated. The dobbhoff catheter has also been removed. The lung volumes have minimally decreased. The gastric bubble is slightly over-inflated. There is no new pneumothorax and no increase in extent of the right pleural effusion. All other lung parenchymal findings are constant.
rib fractures, evaluation for interval change.
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Opacities projecting over the right lower lobe appear lie outside of the lung fields. The cardiomediastinal silhouette is within normal limits. No focal consolidation is seen. Probable small right pleural effusion. No pneumothorax. Unchanged moderate compression fracture of a mid thoracic vertebral body. Moderate degenerative change at the left glenohumeral joint.
history: <unk>f with s/p fall, + l ankle pain // eval for ich / fx
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In comparison with the earlier study of this date, there has been placement of an endotracheal tube with its tip approximately <num> cm above the carina. Orogastric tube extends only to the distal esophagus and must be pulled back several centimeters. Generalized hazy opacification of the left hemithorax is consistent with substantial residual effusion layering posteriorly. No definite pneumothorax is appreciated. Opacification at the right base is consistent with some pleural fluid and atelectasis. Again there is evidence of previous esophagogastric pull-through, accounting for the prominence of the right paramedian contour. Striking dilatation of the gas-filled stomach is again seen.
respiratory distress with intubation.
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There are multiple air-fluid levels in the right lower hemithorax, most likely due to loculated hydropneumothorax. A consolidation at the right base is difficult to exclude. The left lung is clear. There is no left pleural effusion. There is no pulmonary edema or pneumothorax. The mediastinal contours are within normal limits. The heart size is at the upper limits of normal. Sternal wires are intact. Multiple mediastinal clips are likely from a prior cabg.
chest pain; evaluate for dissection.
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The cardiomediastinal and hilar contours are within normal limits. The lungs are clear without focal consolidation, pleural effusion or pneumothorax.
history: <unk>f with shortness of breath cough // eval for pna