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Cardiac silhouette size is mildly enlarged but unchanged. Aorta is mildly tortuous. Widening of the mediastinal contour and prominence of the right paratracheal stripe is compatible with underlying lymphadenopathy. Several scattered nodular opacities are noted within both lungs, most pronounced within the left upper lobe, not substantially changed from the prior radiograph. Suture material is again demonstrated within the right lower lobe with adjacent opacity likely reflecting a combination of postsurgical scarring and atelectasis. Blunting of the right costophrenic angle likely reflects a small pleural effusion, also unchanged. No new focal consolidation is seen. There are mild degenerative changes in the thoracic spine.
history: <unk>f with progressive mediastinal adenopathy and lung nodule presents with <num> day chest pain
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Pa and lateral views of the chest. No prior. The lungs are clear. Cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with dyspnea.
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Lung volumes are low. The heart size is accentuated as a result, and likely is mildly enlarged. There is mild pulmonary vascular congestion. The mediastinal contours are within normal limits. No focal consolidation, pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities.
altered mental status.
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Tracheostomy tube remains in standard position. Cardiac silhouette is normal in size. Pulmonary vascular congestion is accompanied by worsening interstitial edema. More confluent opacities at the bases may reflect a combination of dependent edema and atelectasis, but aspiration and infectious pneumonia are also possible in the appropriate clinical settings. Moderate right and small left pleural effusions are unchanged.
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Low lung volumes exaggerate the heart size which is mildly enlarged. There is bibasilar atelectasis. Chronic elevation of the right hemidiaphragm is present. No large pleural effusion or pneumothorax. Linear opacities in the left upper lobe likely reflect post radiation treatment changes. No focal consolidation.
cough and shortness of breath.
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Since <unk>, bilateral perihilar, right greater than left, opacities with associated atelectasis are increased and small to moderate bilateral pleural effusions, left greater than right, are also increased, most likely due to severe pulmonary edema but in the appropriate clinical setting, this could be seen in widespread pneumonia, pulmonary hemorrhage, or ards. Cardiomegaly is unchanged. No pneumothorax. The left picc line terminates in the svc atrial junction. Abdominal drainage tube is noted.
<unk> year old woman s/p extubation, multiple fails now tachyonic // r/o edema
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Cardiomediastinal contours are within normal limits and demonstrate left ventricular configuration and tortuosity of the thoracic aorta. Linear opacities are present in the right lower lobe peripherally adjacent to healed right rib fracture and probably represent a combination of linear atelectasis and scarring. New small right pleural effusion, likely accounts for lateral blunting of right costophrenic sulcus. Left pleural surfaces are clear.
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The left chest port-a-cath terminates in the upper svc, unchanged from <unk>. Lung volumes are slightly lower than in <unk>, accentuating pulmonary vasculature. The lungs are otherwise clear. There is no pneumothorax or pleural effusion.
<unk>m with weakness, hiv // eval for pna
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Subtle right basilar opacity is seen which could be due to atelectasis versus early pneumonia. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
history: <unk>f with sob, cough // eval for pnumonia
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There is no evidence of pneumonia. There is mild cardiomegaly but no pulmonary edema. There are no large pleural effusions and there is no pneumothorax. Pacemaker leads end in the right atrium and right ventricle. No change from the prior study in <unk>.
<unk>-year-old with upper abdominal pain, please assess for pneumonia.
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Cardiac silhouette size is top normal. The aorta is tortuous. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Minimal atelectasis is seen in the lung bases, and the lung volumes are low. No focal consolidation, pleural effusion or pneumothorax is present. Moderate multilevel degenerative changes are seen in the thoracic spine. Deformity of the seventh right lateral rib appears chronic. Clips are noted within the upper abdomen.
history: <unk>m with fever
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There is crowding of the pulmonary vasculature with mild engorgement, consistent with mild pulmonary congestion. Focal opacity at the lung bases seen on the lateral projection is most likely atelectasis; however, infection cannot be excluded. There is blunting of the costophrenic angles bilaterally likely due to small pleural effusions. The cardiomediastinal silhouette is top normal. Left chest wall pacemaker is seen with lead in the right ventricle. Median sternotomy wires are intact. Osseous structures are unremarkable.
<unk>-year-old male with shortness of breath, question pulmonary edema.
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Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal lung consolidation.
<unk>-year-old man with cough and chest pain
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Tip of endotracheal tube terminates approximately <num> cm above the carinal with the neck in a flexed position. A catheter is also noted within the proximal esophagus and most likely represents an esophageal temperature probe, but clinical correlation suggested to exclude a malpositioned orogastric tube. Stable cardiomediastinal widening. Unchanged small pleural effusions. No new focal areas of consolidation to suggest pneumonia.
<unk> year old woman with <unk> y/o f w/ past medical history of progressive supranuclear palsy, sepsis // eval inerval change
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Widespread pneumonia in the right lung has progressed and continues to spare the lung apex. Small rounded lucencies within areas of consolidation could correspond to areas of spared lung and/or known underlying emphysema, but necrotizing pneumonia could produce a similar radiographic appearance. Developing airspace opacity in left lower lobe could also represent infection. Small pleural effusions are present bilaterally, right greater than left.
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Minimal right basilar atelectasis. Otherwise, the remainder of the lungs are clear. There is no evidence of an effusion or pneumothorax. Cardiomediastinal silhouette is normal. No acute fractures are identified.
dyspnea.
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There is mild pulmonary vascular congestion. No focal consolidation is identified. The cardiac silhouette is within normal limits. There is no pleural effusion or pneumothorax.
<unk>-year-old woman with altered mental status, evaluate heart and lungs.
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The lungs are clear. There is no pneumothorax. Mild cardiomegaly is stable. Radiopaque coronary stents project over the right heart border. Regional bones and soft tissues are unremarkable.
<unk> year old woman with productive cough // pneumonia?
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The cardiomediastinal and hilar contours are within normal limits. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax.
history: <unk>f w productive cough // pna? pna?
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The heart is top-normal in size. Mediastinal contour is normal. No focal consolidation, large effusion or pneumothorax is seen. No signs of congestion or edema. Bony structures are intact. No displaced rib fracture is identified.
<unk>-year-old man with fall down <num> stairs w/ headstrike <num> days ago, w/ dizziness, headache, and right hip pain
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Cardiac silhouette size is normal. Mediastinal and hilar contours are unremarkable. Consolidative opacity within the right upper lobe is compatible with pneumonia. Left lung is clear. No pleural effusion or pneumothorax is seen although the left costophrenic angle is excluded from the field of view. No acute osseous abnormalities detected.
alcoholic cirrhosis with dyspnea, hypotension and abdominal swelling.
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Pa and lateral chest radiographs were obtained. The lungs are fully expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal given patient's dextroscoliosis. There is no pleural effusion or pneumothorax.
weakness, evaluate for pneumonia.
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Cardiomediastinal silhouette and tortuosity of the thoracic aorta are grossly unchanged. Heart is not enlarged. Coronary artery stents are noted. Port-a-cath terminates in the lower svc. Lungs are clear. There is no pleural effusion or pneumothorax. Multiple surgical clips are present in the upper abdomen.
<unk>m with generalized weakness // eval for acute process
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The cardiomediastinal and hilar contours are within normal limits. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax. No radiopaque foreign bodies detected.
cough. sensation of foreign body in the neck. evaluate for acute process.
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In comparison with study of <unk>, brachial and nasogastric tubes have been removed. Low lung volumes with continued and possibly increasing vascular congestion. Opacification at the bases is consistent with developing effusions and compressive atelectasis.
trauma, to assess for pneumonia.
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Single ap view of the chest demonstrates the lungs are well-expanded and clear. There is no evidence of pneumothorax. No evidence of free air is seen under the diaphragm. The heart size is normal. There is no evidence of pleural effusion, pulmonary edema or focal opacity within the lungs.
chest pain status post stent <num> months ago. evaluation for free air under the diaphragm and aortic contour.
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The endotracheal tip terminates <num> cm above the carina. Nasogastric tube ends in the body of the stomach. Stable dense retrocardiac right lower lobe consolidation, may represent infection or atelectasis. New heterogeneous consolidation in the left infrahilar region, is worrisome for pneumonia or pulmonary edema. The cardiomediastinal and hilar contours are stable, with mild cardiomegaly. A small left pleural effusion is present. There is no pneumothorax.
<unk>-year-old man with severe sepsis, status post intubation.
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Pa and lateral views of the chest were obtained. Lungs are well expanded and clear. The heart is normal in size and cardiomediastinal contour is unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old man with cough, evaluate for pneumonia.
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Heart size is normal. The patient is status post right upper lobectomy with unchanged rightward shift of mediastinal structures and unchanged right apical fluid. Pulmonary vasculature is not engorged. Scarring within the anterior aspect of the left lung is unchanged, compatible with radiation fibrosis. The remainder of the lungs are clear. No focal consolidation, new pleural effusion, or pneumothorax is identified. No acute osseous abnormalities present. Cervical hardware is not well assessed on this exam.
history: <unk>f with chest pain, cough
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Lung volumes are low. The cardiac silhouette is mildly enlarged. There is no pleural effusion or pneumothorax. Opacity in the right infrahilar region likely represent vascular crowding, though pneumonia is not entirely excluded.
<unk>m with syncope x <num>, history of brain tumor in fourth ventricle // cxr eval for panhead ct eval for ich/mass effect cerbral edema
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The lung volumes are chronically low. The heart is mildly enlarged. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lateral radiograph is degraded by motion artifact but an opacity projects over the lower spine.
developmental delay and altered mental status and vomiting. evaluate for pneumonia.
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Comparison is made to the previous study from <unk>. There is again seen a left-sided chest tube. There is a small left apical pneumothorax which is unchanged in size. Median sternotomy wires are seen, and there is scoliosis of thoracic spine. There is again seen a left retrocardiac opacity with areas of consolidation and likely left-sided pleural fluid. There is a small right-sided pleural effusion. The right lung is relatively well aerated. Overall, these findings are all unchanged.
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The cardiac, mediastinal and hilar contours appear unchanged. Findings are very similar to the prior examination and again suggest pulmonary venous hypertension with somewhat indistinct prominent upper zone redistribution of the pulmonary vascularity. Otherwise, the lungs appear clear. There are no pleural effusions or pneumothorax. Bony structures are unremarkable.
chest pain.
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In comparison with study of <unk>, the pulmonary vascular congestion has improved. Central catheter remains in place. Residual opacification at the left base with poor definition of the hemidiaphragm is consistent with layering effusion and atelectasis. In the appropriate clinical setting, supervening pneumonia would have to be considered.
altered mental status.
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In comparison with the earlier study, the right chest tubes have been removed. No evidence of pneumothorax. The overall appearance of the heart and lungs is essentially unchanged.
chest tube removal.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with cough // r/o acute process
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Heart size is normal. The aorta is unfolded. Mediastinal and hilar contours are otherwise unremarkable. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities identified.
history: <unk>m with new onset hypertension
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The patient is status post sternotomy. The heart is borderline in size. Patchy calcification is noted along the aortic arch. Hilar contours are unremarkable. There is no pleural effusion or pneumothorax. Parenchymal detail is blurred somewhat but there is suspicion for a developing opacity in the right upper lung lobe.
shortness of breath, hypoxia, and wheezing.
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The patient's prior extensive multifocal pneumonia appears to have somewhat improved since the most recent prior studies. No new opacities are seen. The heart size is within normal limits. The aorta is tortuous. There is no pleural effusion or pneumothorax identified.
dyspnea, mechanical fall, question pneumonia.
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In comparison with the study of <unk>, the right subclavian catheter has been removed. The left hemidiaphragm is slightly better seen, consistent with some better aeration of the left lower lobe. Areas of consolidation and metastatic nodules are again seen with bilateral pleural effusions. Extensive pneumoperitoneum persists.
upper right lobe pneumonia with metastatic cancer, now with left chest pain.
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There are multiple nodular opacities bilateral lung bases, similar to <unk>. There is trace bilateral pleural effusions. There is no pneumothorax. Cardiomediastinal and hilar silhouettes are normal size.
<unk> year old woman with fever pleural efussion and pulmonary nodules // interval changes
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There is no evidence of pneumothorax or pneumomediastinum. Cardiomediastinal contours are within normal limits. Multifocal lung opacities have substantially improved with residual faint ground-glass opacities remaining, affecting the right lung to a greater degree than the left. Some of these have a round or nodular configuration as demonstrated on prior ct. Known mediastinal lymphadenopathy in the subcarinal region is evidenced by fullness in the infrahilar region on the lateral view.
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Heart size is normal. Some calcification of the thoracic aorta minor unfolding is seen. Unchanged left upper lobe pulmonary granuloma. The lung parenchyma is clear. No evidence of congestive change. The visualized osseous structures are grossly normal
<unk>f w/ stage v ckd secondary to membranous nephropathy from probable sarcoid and htn who presents for dialysis initiation // needed for dialysis initiation
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There is a subtle opacity in the left lower lobe which appears to be new compared to the prior radiograph in <unk>. This could represent atelectasis, but pneumonia should be considered in the appropriate clinical setting. No pleural effusions or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
history: <unk>m with pmh asthma, presenting with cough, sore throat and subjective fever // please eval for pna
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Portable ap view of the chest demonstrates et tube terminating <num> cm above the carina. Nasogastric tube is positioned in the stomach. Low lung volumes. Costophrenic angles is obscured, suggestive of small pleural effusions. No pneumothorax is present. Hilar and mediastinal silhouettes are unremarkable. Moderate pulmonary edema appears minimally progressed since prior, expecially in the upper lobes. Left lung base consolidation likely represents atelectasis. Spinal fixation hardware is noted.
patient with urosepsis.
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Ett in standard position. The nasogastric tube traverses midline within the tip is not seen. Right internal jugular vein sheath is unchanged in position. Left picc line ends in the mid svc. No pneumothorax. Mild pulmonary edema persists. Right perihilar focal opacity is becoming slowly and increasingly more conspicuous since <unk>, concerning for superimposed pneumonia in the appropriate clinical setting. Moderate dependent right pleural effusion and probably mild left pleural effusion and are overall unchanged. The heart size is normal.
<unk> year old man s/p open aaa repair and subsequent colectomy, still intubated ; evaluate for interval change.
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The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
history: <unk>m with <num> week of fever to <num>, sob // eval for consolidation
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Ap and lateral views of the chest. Low lung volumes seen on the current exam. There are increased reticular markings in the lungs bilaterally, similar to priors. Given stability, these are most suggestive of chronic underlying process, either interstitial disease or scarring potentially from aspiration. Cardiomediastinal silhouette is within normal limits. Multiple old left rib fractures are identified. Orthopedic screws seen in the right humeral head and extensive chronic changes seen at the left shoulder. Compression deformities seen in the lower thoracic and upper lumbar spine, not definitely new since prior. There is no free air below the diaphragm.
<unk>-year-old female with diffuse abdominal tenderness and vomiting with fever.
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The lungs are clear. There is no consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with chest pain // eval for pna
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There relatively low lung volumes. No definite focal space is seen. There is no pleural effusion or pneumothorax. Cardiac mediastinal silhouettes are stable. Of note, the patient is rotated to the left.
history: <unk>m with hypoxia // acuteprocess
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The cardiac, mediastinal and hilar contours are normal. Pulmonary vascularity is normal. Lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are detected. Multiple old right-sided rib fractures are re- demonstrated.
chest pain.
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There is mild right basilar atelectasis versus scar. Cardiomediastinal and hilar contours are unchanged. The aorta is mildly tortuous. No pneumothorax, pleural effusion, or consolidation.
history: <unk>m with new seizure, infectious w/u // infiltrate?
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The previously described ihilar opacity is no longer apparent. The lungs are clear. Cardiopericardial silhouette is not enlarged. No pleural effusions or pneumothorax.
<unk> year old woman with <unk> non-albicans fungemia, osteomyelitis, and l hilar infiltrate on ap cxr. // please eval for l hilar infiltrate
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Right picc terminates in the lower svc, unchanged. Diffuse relatively homogeneous opacification in the right lung most likely represents asymmetric pulmonary edema. More confluent opacities at the right base could represent atelectasis or consolidation. Small bilateral pleural effusions are stable. There is no pneumothorax.
<unk> year old woman with respiratory distress. technician alredy on floor., // ? pulmonary edema
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Portable ap chest radiograph demonstrates decreased lung volumes with mildly enlarged heart size when compared to prior chest radiograph dated <unk>. Small bilateral pleural effusions persist. There is no overt pulmonary edema or no pneumothorax. No focal consolidation is identified. Severe chronic degenerative changes identified in the right glenohumeral joint. Sternotomy wires appear intact.
<unk>-year-old female with congestive heart failure after recent surgical intervention for right hip fracture. new cough.
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Cardiomediastinal contours are within normal limits. Lungs are remarkable for biapical scarring and a nonspecific patchy opacity in the left retrocardiac region, most likely representing patchy atelectasis. Differential diagnosis includes focal aspiration and an early focus of pneumonia.
<unk> year old woman with history pulmonary fibrosis transferred from osh with gallbladder mass vs abscess // preop cxr
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Comparison is made to the previous study from <unk>. There are again seen numerous fractures along the left ribcage. There are also fractures of the left clavicle and healed fracture of the right clavicle. Worsening of the airspace opacities within the left lung. Some of this may represent pulmonary contusion related to rib fractures. There is again seen a chest tube on the left side with tip at the apex. There are no pneumothoraces. No pleural effusions are seen.
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Exam is limited secondary to portable technique and patient body habitus. Within this limitation, there is apparent increased degree of pulmonary vascular markings. There is no large confluent consolidation. Blunting of the costophrenic angles could be due to overlying soft tissues although effusions cannot be excluded. Cardiomediastinal silhouette is stable. Bilateral shoulder arthroplasties are identified.
<unk>m with resp ditress pls eval for pna vs edema // history: <unk>m with resp ditress pls eval for pna vs edema
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Ap chest radiograph is rotated to the right. A right apical pneumothorax is small. Right lower lobe, and perhaps the right middle lobe, is collapsed. Mediastinal position is difficult to assess due to rotation, but appears shifted to the right. The left lung is clear. There is no pleural effusion. The heart size appears normal, again given limitations.
respiratory distress.
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As compared to the previous radiographs, there is unchanged evidence of mild-to-moderate left pleural effusion with subsequent areas of atelectasis at the left lung base. Coexisting abnormalities such as pneumonia cannot be excluded. New is a small pleural effusion on the right that also causes mild atelectasis. Overall, the lung volumes have decreased and signs of mild fluid overload continue to be present. The size of the cardiac silhouette is unchanged. At the time of dictation and observation, <time> a.m., on the <unk>, the referring physician, <unk>. <unk>, was paged for notification. Findings were subsequently discussed on the telephone.
pulmonary crackles, evaluation for pulmonary edema.
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The cardiomediastinal and hilar contours are stable. Again seen are coarse reticular opacities involving the majority of the right lung, which appear increased from the prior examination and are concerning for worsening lymphangitic spread of malignancy. An opacity at the base of the right lung also appears increased from the prior study which may worsening consolidation, mass or atelectasis. Also seen is a subtle increase in the reticular opacities throughout the mid and lower zones of the left lung. There is no evidence of pneumothorax. The right-sided effusion has slightly increased since prior. There is no left pleural effusion.
<unk>f with cp, sob // eval for pna, chf, effusion
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As compared to the previous radiograph, only the proximal part of the nasogastric tube (the one outside of the patient's) is seen on the image. No nasogastric tube is seen projecting over the lower neck or the esophagus. This strongly suggests, that the nasogastric tube is coiled in the oral cavity (which is supported by the information given by the patient). The tube needs to be repositioned. The ventilation of the lung bases on both the right and the left are essentially improved. Unchanged cardiomegaly. Unchanged alignment of sternal wires.
nasogastric tube, evaluation.
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The lungs to not demonstrate focal opacity, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. The bony structures are grossly intact.
chest pain. question acute cardiopulmonary process.
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Pa and lateral chest radiographs were obtained. Diffuse ill-defined opacities have become more prominent at both lung bases since the prior examinations. No pneumothorax is present. Mild cardiomegaly is stable.
<unk>-year-old woman with trouble breathing.
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Pneumomediastinum appears to have nearly resolved. Moderate left pleural effusion is stable in size. Opacity at the left base is likely atelectasis. Small pneumothoraces have mostly resolved. There is no focal consolidation. Pneumoperitoneum is stable.
<unk>-year-old woman with pneumomediastinum. assess for interval change.
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The cardiomediastinal silhouette, hilar contours, and pleural surfaces are within normal limits. The lung are well inflated, without chf, focal infiltrate, effusion, or pneumothorax. No free air seen beneath the diaphragms. Mild degenerative changes in the upper/mid thoracic spine may be present. Possible trace anterior wedging of two mid vertebral mid thoracic vertebral bodies, but no acute fracture is suggested.
history: <unk>f with dyspnea // pna?
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Tracheostomy and left-sided picc line are in adequate position. Overlying right pleural effusion is unchanged. Superimposed aspiration or infection cannot be excluded, but there is no new lung consolidation. Left lung is unremarkable. There is no pneumothorax.
patient with pneumonia, recent upper gi bleed with fever, evaluation for pneumonia, interval change.
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Pa and lateral chest radiographs were obtained. Flattening of the diaphragms and increased ap diameter are consistent with history of copd. No focal consolidation, effusion, or pneumothorax is present. Cardiac and mediastinal contours are normal.
<unk>-year-old woman with copd and increasing shortness of breath.
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Compared to the prior study, there are low lung volumes, accentuating the pulmonary vasculature and cardiac contour. New bibasilar atelectasis with evidence of mild fluid overload. No pleural effusion or pneumothorax. Tip of the endotracheal tube is above the superior margin of the clavicles, <num> cm from the carina.
<unk> year old man with retropharyngeal abscess/intubated. evaluate for interval change.
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In comparison with the study of <unk>, there is little change and no evidence of acute cardiopulmonary disease. Multiple old healed rib fractures are seen bilaterally. Low lung volumes accentuate the transverse diameter of the heart, but there is no evidence of acute pneumonia or vascular congestion. Streaks of atelectasis or fibrosis are seen on the lateral view.
night sweats.
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After thoracocentesis, there is no evidence for the presence of pneumothorax. Minimal atelectasis at the right lung bases. Overall, lower lung volumes. Mild cardiomegaly without pulmonary edema.
cirrhosis, thoracocentesis, evaluation for pneumothorax.
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Supine portable ap view of the chest provided. There has been interval intubation with the endotracheal tube tip situated <num> cm above the carina. The ng tube courses into the left upper abdomen. There is bronchovascular crowding and atelectasis/aspiration accounting for perihilar opacity in the setting of low lung volumes. There is no significant change from prior study aside from tube placement.
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The heart is mild to moderately enlarged. The mediastinal and hilar contours appear unchanged. The lung volumes are low. There is no pleural effusion or pneumothorax. A opacity in the right lower lobe appears similar and suggests pneumonia. A nodular opacity projecting over the right lung can be persistently visualized, although somewhat less conspicuous.
hypoxia and worsening pneumonia.
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Left pigtail pleural catheters and right-sided central venous catheter unchanged in position. Cardiac silhouette remains markedly enlarged. Moderate, partially loculated left pleural effusion appears similar to prior study, and a small-to-moderate right pleural effusion has slightly decreased in size in the interval. Persistent retrocardiac atelectasis and/or consolidation.
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In comparison with the study of <unk>, there is again substantial pulmonary edema with bilateral pleural effusions and compressive atelectasis at the bases. In the appropriate clinical setting, supervening pneumonia would have to be considered. The right subclavian catheter appears to extend into the right atrium.
postoperative desaturation.
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In comparison with the study of <unk>, there is still substantial enlargement of the cardiac silhouette with pericardial drain now present, with its tip just below the inferior aspect of the transverse arch of the aorta. Otherwise, little change with no evidence of vascular congestion or acute focal pneumonia.
pericardial drain for hemorrhagic effusion.
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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.
chest pain, evaluate for acute process.
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Left picc line is seen terminating in the mid to lower svc. There is no associated pneumothorax. As compared to the prior examination, there has been significant interval improvement in the previously seen bibasilar streaky opacities. There is no focal consolidation, pleural effusion, or pulmonary edema identified. The heart size is normal. Mediastinal and hilar contours are stable.
picc line placement.
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The lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal. No fracture identified.
<unk>-year-old status post motor vehicle crash with chest pain.
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No previous images. There is no evidence of post-procedure pneumothorax. Cardiac silhouette is at the upper limits of normal or mildly enlarged. No definite vascular congestion or acute pneumonia. On the lateral view, there appears to be bilateral small pleural effusions.
pericardial effusion after pericardiocentesis, to assess for pneumothorax.
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In comparison to the prior radiograph on <unk>, there are new parenchymal opacities in the bilateral lung bases, most reflective of pulmonary edema. No pneumothorax. No large pleural effusion. Heart size appears mildly enlarged.
<unk>-year-old male on hemodialysis, presenting with shortness of breath
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Comparison is made to previous study from <unk>. There is a right-sided chest tube. No pneumothoraces are seen. There is a left-sided pacemaker. There is consolidation at the right base, at the entry side of the chest tubes, likely due to parenchymal hemorrhage. There is a small left-sided pleural effusion. There is mild prominence of the pulmonary interstitial markings. Degenerative changes of the ac joint and glenohumeral joint on the right are unchanged.
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Left-sided dual-chamber pacemaker device is re- demonstrated with leads in unchanged positions. Patient is status post tavr, in unchanged position. Moderate enlargement of the cardiac silhouette is similar to the prior study. The aorta is diffusely calcified and mildly tortuous. There is mild pulmonary vascular congestion, improved compared to the previous examination. There are tiny bilateral pleural effusions which are decreased in size compared to the prior study. No focal consolidation or pneumothorax is present. There are mild multilevel degenerative changes seen in the thoracic spine.
history: <unk>f with tachycardia, history of chf
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Pa and lateral views of the chest were obtained. There is now increased right pleural effusion compared to <unk>, with consolidation at the right base. There is preservation of right upper lobe aeration. The left lung is clear. The cardiac silhouette remains enlarged. There is no pneumothorax. There are no acute skeletal abnormalities.
<unk>-year-old man with history of right pleural effusion, now with dyspnea x <unk> days, right lower lung fields diminished breath sounds, evaluate for infectious process for recurrent effusion.
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There is subtle opacity linear opacity in the lingula, slightly more prominent from the previous examination, favoured to represent atelectasis. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
<unk> year old woman with fever and cough // please assess for evidence of pneumonia
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No focal consolidation, pleural effusion or pneumothorax is detected. Heart and mediastinal contours are within normal limits. Left-sided port-a-cath appears similarly positioned.
<unk> year old male with sickle cell disease, now with shortness of breath and shoulder pain.
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Post aortic valve repair. The heart appears enlarged, likely stable from previous examination given technical differences. Diffuse increased vascular markings are noted. The cardiac borders and diaphragms are clear. There is no evidence of pleural effusion. No pneumothorax is seen. There is scoliosis of the of the thoracic spine.
<unk>f here with fall.,recent history of productive sputum. hx of chf and as s/p tavr // ?pna, ?volume overload
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with epigastric and ruq pain and ttp. // r/o free air, pneumonia, cholecystitis
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As compared to the previous radiograph, the patient has been intubated. The tip of the endotracheal tube projects <num> cm above the carina. The lungs have substantially decreased in radiolucency, likely reflecting either pulmonary edema or a rapidly expanding infectious process. Mild overinflation of the stomach persists. Known aneurysm of the descending aorta.
shortness of breath, confirm endotracheal tube placement.
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In comparison with study of <unk>, the right lung is now essentially clear and there is no evidence of acute focal pneumonia or vascular congestion. Specifically, there is no evidence of opaque tubular structures in the visualized portion of the arm and axillary region. No pneumothorax.
failed picc placement, to assess for line remnants.
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There is mild pulmonary edema. Cardiomegaly is moderate. There is no pneumothorax. Regional bones and soft tissues are unremarkable.
<unk> year old man with dilated cardiomyopathy and pulmonry edema // please eval for chf
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As compared to the previous radiograph, no relevant change has occurred. Normal size of the cardiac silhouette. Normal hilar and mediastinal contours. Mild tortuosity of the thoracic aorta. No pleural effusions. No pneumonia, no pulmonary edema.
evaluation for mass or infection.
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No significant interval change from the prior exam. Bandlike linear opacity in the left lower lobe is unchanged, perhaps chronic scarring as well as slight blunting of the left costophrenic angle. No focal consolidation, edema, effusion, or pneumothorax. The heart is top-normal in size, overall unchanged. The mediastinum is not widened. No acute osseous abnormality.
history: <unk>f with shortness of breath, mildly elevated d-dimer // eval for pna, ptx
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Single frontal view of the chest was obtained. There is subtle increase in opacity at the left lung base which may be due to technique or atelectasis, less likely consolidation. No pleural effusion or pneumothorax is seen. The aorta is tortuous. The cardiac silhouette is not enlarged. Evidence of degenerative changes is seen along the spine.
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Right hydro pneumothorax is re- demonstrated, similar in appearance as compared to the prior study. Bilateral pleural effusions with overlying atelectasis appear similar compared to the prior study. The mediastinum is stable.
<unk>f s/p r thoracentesis, cervical med; now w r basilar ptx; pls perform xr at <time> <unk> // eval r basilar ptx; prior cxr at <time>; pls perform at <time> <unk>
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Compared to chest radiographs from <unk>, lung volumes remain low and exaggerate heart size, which is likely normal. Small bilateral pleural effusions persist. Right basilar opacity has worsened, which likely represents atelectasis, though aspiration or infection should be considered in the appropriate clinical context. Left basilar opacity have improved. No new focal consolidation. Central vascular congestion has resolved. No pulmonary edema. No pneumothorax. Right port-a-cath tip terminates at the cavoatrial junction. Left-sided ij central venous catheter terminates in the lower svc.
<unk> year old woman with trach, fevers, increased purulent sputum c/f infection // evaluation for worsening edema v. infection
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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 right costal margin pain s/p mvc // eval for fracture, ptx
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There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. Cardiomediastinal contours are within normal limits. No free air seen below the right hemidiaphragm.
<unk>m with tia symptoms // eval for infiltrate
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A new right ij catheter terminates in the right atrium. The heart size is top normal. The hilar and mediastinal contours are within normal limits. There is no pneumothorax, pleural effusion, or focal consolidation. The patient is post cholecystectomy. A left upper lobe pulmonary nodule is better seen on the ct from <unk>.
new right ij catheter.
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In comparison with the study of <unk>, the monitoring and support devices are essentially unchanged. Continued enlargement of the cardiac silhouette with some indistinctness of pulmonary vessels consistent with elevated pulmonary venous pressure. There is increasing opacification at the right base obscuring the hemidiaphragm, consistent with pleural effusion and atelectatic changes. In the appropriate clinical setting, supervening pneumonia would have to be considered. Minimal atelectatic changes are seen on the left.
mi.