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As compared to the previous radiograph, there is no relevant change. The monitoring and support devices are constant. Persisting bilateral left more than right small pleural effusions. Mild-to-moderate cardiac enlargement. No pneumothorax.
accident, multiple factures.
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Heart size is normal. Mediastinal contour is unchanged. Prominent right hilum is unchanged. Pulmonary vasculature is not engorged. Elevation of the right diaphragm is similar. Patchy opacities in lung bases likely reflect areas of atelectasis. No new focal consolidation, pleural effusion or pneumothorax is seen. Multiple clips are noted in the region of the gastroesophageal junction. Pneumobilia is again noted in the right upper quadrant.
history: <unk>m with fever, epigastric abdominal pain, nausea and vomiting.
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Left-sided port-a-cath tip terminates in the svc, unchanged. The cardiac, mediastinal and hilar contours are stable, with the heart size within normal limits. Aortic knob calcifications are again demonstrated. There is no pulmonary vascular congestion. Linear bibasilar opacities likely reflect atelectasis. Linear scarring within the medial right lung apex is unchanged. There is no focal consolidation, pleural effusion or pneumothorax. Vertebra plana of the t<num> vertebral body and compression deformity of the t<num> vertebral body are unchanged. Expansile lesions within several right-sided ribs are compatible with the patient's diagnosis of myeloma.
abdominal pain, coarse breath sounds.
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Low bilateral lung volumes. Left basilar atelectasis unchanged. New mild pulmonary vascular congestion. No pleural effusion or pneumothorax identified. The size the cardiomediastinal silhouette is unchanged.
<unk> year old man with sob, tachypnea // volume overload?
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The cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion or pneumothorax. Lungs are well-expanded without focal consolidation concerning for pneumonia.
<unk>m with ams.
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Lungs remain hyperinflated. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac, mediastinal and hilar contours are stable. No pulmonary edema is seen.
history: <unk>m with sob and cp for <num> days, // ?pna
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Pa and lateral views of the chest are compared to previous exam from <unk>. The lungs are essentially clear noting minimal linear opacities less conspicuous compared to prior, in the left lower lung and right mid lung. There is no acute consolidation, effusion, or pulmonary vascular congestion. Cardiomediastinal silhouette is within normal limits. Hypertrophic changes are noted in the spine. No acute osseous abnormality is detected.
<unk>-year-old female with fall. question pneumonia.
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Frontal and lateral views of the chest were obtained. Subtle right base patchy opacity is seen, which could be due to overlapping structures or could be due to small foci of consolidation. The left lung is clear. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable and unremarkable.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with cough // evaluate for infiltrate
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No focal consolidation, pleural effusion, or pneumothorax is seen. Biapical pleural thickening is noted. Heart and mediastinal contours are within normal limits.
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Right port-a-cath terminates in the upper right atrium as before. The lungs are normally expanded. There is a new opacity in the right lower lung, likely lower lobe. There is no pleural effusion or pneumothorax. Heart size is normal. The mediastinal and hilar contours are normal.
<unk>m with dyspnea // eval for pna
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Pa and lateral views of the chest provided demonstrate no focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is normal. The imaged bony structures are intact. There is no free air below the right hemidiaphragm.
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Single portable supine chest radiograph was provided. An endotracheal tube projects in the trachea approximately <num> cm above the carina. Nasogastric tube courses below the diaphragm into the stomach. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. Clips are seen in the right upper quadrant. There are no displaced fractures.
history of epidural abscess and intubated. question et tube line placement.
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Both lungs are symmetrically hyperinflated with flattening of the bilateral hemidiaphragms, compatible with copd. Biapical opacities are likely related to scarring. No significant pleural effusion, focal consolidation, or pneumothorax is detected. No pulmonary edema is noted. The cardiac silhouette is normal in size. The mediastinal contours are within normal limits. The visualized upper abdomen is unremarkable.
<unk>-year-old male with shortness of breath, here to evaluate for acute cardiopulmonary process.
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Lungs are clear. Cardiac silhouette is normal in size. There is no pleural effusion, pneumothorax, pulmonary edema or pneumonia. Scoliosis is present and the bones are diffusely osteopenic.
multiple sclerosis, presenting with gi bleed. question pneumonia or effusions. also with hypoxia.
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Pa and lateral chest radiographs. Lungs are well expanded. There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is normal. The imaged upper abdomen is unremarkable.
<unk>-year-old female with sarcoid and asthma. evaluate for infiltrate.
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Frontal and lateral views of the chest demonstrate top normal heart size and normal mediastinal and hilar contours. The thoracic aorta is mildly tortuous. The lungs are clear. There is no pneumothorax, vascular congestion, or pleural effusion. Trace left greater than right basilar atelectasis is present. There is no radiographically appreciable peribronchial cuffing. The airway is midline.
<unk>-year-old female with cough and rhonchi. question pneumonia.
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The lungs are well inflated and clear. No pulmonary edema. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. Limited assessment of the osseous structures are notable for multilevel degenerative changes of the thoracic spine and scoliosis.
<unk>f with dizziness and lightheadedness x<num>-<num> days. assess for cardiopulmonary change.
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Left-sided dual-chamber pacemaker/aicd device is noted with leads terminating in te right atrium and right ventricle. Heart size is mildly enlarged. Aortic knob is calcified. Mediastinal and hilar contours are otherwise unremarkable, and there is no pulmonary edema. Streaky opacities in both lung bases likely reflect areas of atelectasis. No pleural effusion or focal consolidation is present. There is no pneumothorax. No acute osseous abnormalities seen.
history of pacemaker with syncope.
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Pa and lateral views of the chest provided demonstrate clear, well-expanded lungs without focal consolidation, effusion, pneumothorax. The heart and mediastinal contours are normal. Bony structures are intact. No free air below the right hemidiaphragm is seen.
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The lungs are clear without consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Surgical clips in the right upper quadrant suggest prior cholecystectomy.
<unk>f with sore throat, headache, nasal congestion, runny nose, nausea/vomiting, and cough for the past <num> days. // ? pneumonia
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Frontal and lateral chest radiographs demonstrate unremarkable cardiomediastinal and hilar contours. Lungs are clear. No pleural effusion or pneumothorax evident.
epigastric abdominal pain and burning for two days, evaluate for acute process.
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Single portable semi erect radiograph through the chest demonstrates obscuration of the left hemidiaphragm concerning for consolidation. Cardiomediastinal and hilar contours are similar in appearance to prior study dated <unk>. No large pleural effusion is identified. Focal area of lateral pleural thickening at the level of the left chest wall is similar in appearance.
<unk>m with sob and fever
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An ap view of the chest was reviewed. There is mild cardiomegaly. The mediastinal and hilar contours are unremarkable. There is a small right pleural effusion. The pulmonary vasculature is indistinct. There is no focal consolidation concerning for pneumonia.
bilateral lower extremity swelling with worsening dyspnea.
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Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
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Endotracheal tube and nasogastric tube remains in standard position. Previously visualized aspirated barium in the right bronchial tree is no longer apparent. Bilateral layering pleural effusions are likely unchanged allowing for positional differences, with persistent adjacent atelectasis.
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The heart is mildly enlarged. The hilar and mediastinal contours are unremarkable. No focal consolidations concerning for pneumonia are identified. Note is made of mild bibasilar atelectasis. There is no pleural effusion or pneumothorax. Compression deformities of the mid thoracic spine are of indeterminate chronicity.
history leukocytosis. please evaluate.
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The endotracheal tube ends <num> cm above the carinal. A nasogastric tube ends in the stomach. The lung volumes are low which causes crowding of the bronchovascular structures. The heart size is normal. The mediastinal contours are slightly widened which may be due to technique.
<unk>-year-old male with endotracheal tube. evaluate placement.
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Left-sided picc line ends in the low svc. The right upper and lower lobe consolidations are unchanged. There are no new consolidations. Moderate bilateral pleural effusions, right greater than left, are unchanged. Heart size cannot be accurately assessed. Mediastinal contours are stable.
<unk>f cad, mr, htn/hl, ?copd, who p/w fever and cough, admitted for cap and was initially treated with ctx/azithro. on hd #<num>, bp in <num>s and hr in <num>s-<num>s (afib w/rvr), hd unstable after iv metop/dilt, so transferred to micu for bp stabilization, where she was started on dilt drip and heparin, before being sent back to floor on <unk>. broadened to vanc/zosyn on <unk>. repeat cxr showed worsening consolidation, concerning for loculated effusion; s/p r chest tube placement on <unk>. blood cx from <unk> grew mrsa in <unk> blood cx bottles. ct chest on <unk> suggesive of necrotizing multilobar pneumonia.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with fever and bodyaches
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The tiny right pneumothorax persists. Associated subcutaneous emphysema has resolved. Nodularity at both lung bases corresponding to known pulmonary nodules is unchanged. Small bilateral pleural effusions with bibasilar subsegmental atelectasis are unchanged. The heart and mediastinum are within normal limits.
<unk> year old man s/p right vats resection x<num> // pneumothorax, cardiopulmonary process surg: <unk> ()
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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 unchanged and is within normal limits. No configurational abnormality is identified. Thoracic aorta unchanged and within normal limits. A right-sided port-a-cath system exists as before seen to terminate in the mid portion of the svc. No pneumothorax is present. The pulmonary vasculature is not congested. No evidence of acute pulmonary infiltrates is present, and the pleural sinuses are free. No pneumothorax in the apical area.
<unk>-year-old female patient with multiple myeloma, baseline examination for clinical trial.
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Moderate cardiomegaly is re- demonstrated. The mediastinal and hilar contours are unchanged with a moderate size hiatal hernia re- demonstrated. Pulmonary vasculature is not engorged. Apart from bibasilar streaky atelectasis, lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Compression fracture of a vertebral body at the thoracolumbar junction is unchanged with focal kyphosis. Moderate multilevel degenerative changes are noted in the imaged thoracic spine.
history: <unk>f with weakness
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As shown on the ct of the abdomen, there is mild bibasilar atelectasis without radiologic evidence of pneumonia. The mediastinal and cardiac contours are unchanged. There is no pleural effusion and no pneumothorax.
patient with tachycardia, fever, rule out pneumonia.
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There has been no significant interval change since the prior study. No evidence of pneumothorax is seen. Slight blunting of the left costophrenic angle is stable. No focal consolidation or large pleural effusion is seen. The cardiac, mediastinal and hilar contours are stable. No displaced fracture is identified.
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Ap upright and lateral views of the chest provided. The heart is markedly enlarged as on prior. The aorta is unfolded. Lung volumes are low limiting assessment. There is no focal consolidation, large effusion or pneumothorax. No convincing signs of congestion or edema. Imaged bony structures are intact. Degenerative changes are severe both shoulders. No free air seen below the right hemidiaphragm.
<unk>f with nausea, vomiting, r foot infection distal foot and toes
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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. No definite displaced rib fracture seen.
history: <unk>m with left sided rib pain after recent fall. // ? rib fracture
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Ap upright and lateral views of the chest provided. Lungs are clear. No large effusion or pneumothorax. Heart size appears stably enlarged. Mediastinal contour is normal. Chronic deformity of the sternum noted. Mid thoracic compression deformities are unchanged.
<unk>f with fall // eval for chf/pneumonia
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Pa and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding ap single view chest examination of <unk>. Cardiac enlargement persists. No change in configuration. Unaltered appearance of moderately widened and elongated thoracic aorta. As before, there is evidence of bilateral pleural effusions blunting the lateral and posterior pleural sinuses and obliterating the diaphragmatic contours. The distribution of the pleural effusion on the right base has changed slightly, raising the possibility that pleurocentesis has been performed during the interval. There appears some mild improvement of aeration of the right lower lobe lung areas, but no new pulmonary pathology can be identified. No pneumothorax exists in the apical area.
<unk>-year-old female patient with pleural effusion, evaluate.
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As compared to the previous radiograph, the patient might have developed a minimal left pleural effusion. The pre-existing opacities on the left are largely less extensive than on the previous image. Otherwise, there is no relevant change, including the constant position of the monitoring and support devices.
sepsis and pneumonia, evaluation for interval change.
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Again noted is mild interstitial edema. This is similar compared to the prior study. The heart remains enlarged. There is no pneumothorax. There are trace pleural effusions.
cough.
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The right-sided pigtail catheter is again visualized. There has been near-complete re-expansion of the right lung with some residual pneumothorax best seen laterally adjacent to the region of the pigtail catheter. There is a small right pleural effusion. There is volume loss at both bases.
right pneumothorax, evaluate for interval change.
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There is a large right pleural effusion and small left pleural effusion with resultant collapse of the left lower lobe and lobar collapse at the right base. The cardiac silhouette size cannot be assessed given these changes. There is no pneumothorax. There is no focal consolidation concerning for pneumonia. The upper abdomen is unremarkable.
history: <unk>m with dyspnea, hypoxia.
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As compared to the previous radiograph, the patient has received a nasogastric tube. The tube has a normal course, the tip of the tube projects over the proximal parts of the stomach. To ensure correct position, the tube should be advanced by approximately <num> cm. No evidence of complications, notably no pneumothorax.
evaluate for nasogastric tube placement.
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There is marked improvement in the appearance of the right lower lobe with only a few residual areas of patchy opacity. Given the rapid improvement is most likely represented atelectasis rather than infection.
follow up right consolidation.
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Since <unk>, pulmonary vascular congestion and pulmonary edema have resolved. Mild cardiomegaly is unchanged. Pleural effusions are small, if any. Mild bibasilar atelectasis is unchanged to minimally improved. Lungs are otherwise clear. No pneumothorax.
<unk> year old man with sdh s/p evacuation x<num> // interval change
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Bilateral electronic devices project over the chest. The cardiomediastinal and hilar contours are within normal limits. The lung fields are clear. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable. There is a left-sided picc line with the tip best seen on the lateral projection. This is likely just at the cavoatrial junction.
history: <unk>f with picc for iv antibiotics <unk> lumbar wound, now due for abx dosing // confirm picc placement
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Right ij, et tube, and ng tube with the side port are in acceptable positions and are unchanged. Mild cardiomegaly is unchanged. Superimposed on pre-existing pulmonary edema are bilateral asymmetric opacities worse on left, improving on the right.
<unk> year old man with cirrhosis, intubated for hypoxic respiratory distress and being treated for vap // change?
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Lungs are fully expanded and clear. There is no focal consolidation, effusion, or pneumothorax. Mediastinum, hila and pleural surfaces are unremarkable. Heart size normal.
<unk> year old man with ileal crohns considering biologics // active tb
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Frontal upright and lateral chest radiographs were obtained. The lungs are well expanded. Cardiomediastinal silhouette is normal. Lungs are clear without focal consolidation or edema. There is no pleural effusion and no pneumothorax.
chest pain, evaluate for acute process.
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Frontal and lateral views of the chest were obtained. There are relatively low lung volumes, which accentuate the bronchovascular markings. Patient is status post median sternotomy and cabg. Bibasilar atelectasis. Opacity projecting over the left lung base, possibly involving a rib, is more prominent compared to prior on the lateral view, prominent costochondral calcification is seen; however, the inferior aspect of the sternum, while not well assesssed, appears mottled and heterogeneous. Given history of prostate cancer, findings could relate to metastases. Recommend further evaluation with cross-sectional imaging or bone scan. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable.
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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 cough, dyspnea, chest pain, syncope // eval for pna
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Low lung volumes account for minimal atelectasis. There is a small left pleural effusion. No focal opacities concerning for pneumonia. Cardiac silhouette is normal in size. No obvious pneumothorax.
<unk>-year-old male with hypotension. evaluate for pulmonary edema.
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Ap single view portable chest x-ray of the chest shows no major changes since prior examination, with bilateral pulmonary edema, and fine reticular opacities, which are consistent with interstial changes, such as mild fibrosis. Low lung volume is unchanged. Heart size is still enlarged but stable since prior examination. Left ij catheter is unchanged in standard position. There is no pneumothorax.
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There are low lung volumes. This causes crowding of the bronchovascular structures. Heart size is borderline enlarged, and the mediastinal and hilar contours are grossly unremarkable. No overt pulmonary edema is noted. Focal opacity within the retrocardiac region may reflect an area of pneumonia or aspiration. No pleural effusion or pneumothorax is seen. <unk> rod and spinal fusion hardware is noted within the imaged thoracolumbar spine. There are no acute osseous abnormalities.
cerebral palsy, seizures.
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In comparison with study of <unk>, there is no change. There is again hyperexpansion of the lungs consistent with chronic pulmonary disease, but no acute pneumonia. Cardiac silhouette is within normal limits and a dual-channel pacemaker device is in good position. No evidence of acute focal pneumonia.
hemoptysis, on anticoagulation.
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There is mild pulmonary edema and vascular congestion. There is right pleural effusion, and prior rib images from <unk> demonstrated a possible right lower lobe opacity. Taken together, this evidence strongly suggests a right lower lobe pneumonia. There is no pneumothorax. Hyperinflation of the lungs suggests copd. There is stable cardiomegaly and unchanged aortic calcification.
<unk>-year-old female with shortness of breath, wheeze, crackles, requiring assessment for change in volume status.
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As compared to the previous radiograph, there is minimal increase in extent and severity of the pre-existing bilateral, right basal and left perihilar parenchymal opacity. The morphology and location of the opacities suggest a combination of pulmonary edema and pneumonia. The size of the cardiac silhouette continues to be enlarged. There is no pleural effusion. The monitoring and support devices are constant.
cardiac arrest, tachypnea, fever, left upper lobe opacity, evaluation for interval change.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with chest pain, palps // ? acute cardiopulm process
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As compared to the previous radiograph, the volume of the right hemithorax has increased, likely reflecting improved ventilation. A plate-like atelectasis is seen along the minor fissure, extending laterally from the hilus that is enlarged and too dense, which is caused by the underlying neoplasm. The right main bronchus tracheal stent appears to be in correct position. Tracheostomy tube and left internal jugular vein catheter are constant. No evidence of pneumothorax. Unremarkable left lung.
right lung cancer, bronchial stent, assessment of interval change.
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Pa and lateral views of the chest were obtained. Lung fields are clear bilaterally with no focal consolidation or pulmonary edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. There are no bony abnormalities. There is no free air below the right hemidiaphragm.
stroke.
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The tip of endotracheal tube ends approximately <num> cm above the carina at the level of the clavicles. Consider advancing the et tube by additional <num>-<num> cm for better seating. Gastric tube courses below the diaphragm into the stomach and is appropriately positioned. An aortic stent graft is present extending from the level of the aortic arch till the mid descending thoracic aorta. Remarkable for engorged pulmonary vasculature and perihilar haziness suggestive of elevated pulmonary venous pressure. The heart size is normal. There is no pleural effusion or pneumothorax.
<unk>-year-old man with congestive heart failure, resolved aortic dissection.
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Lungs are mildly hyperinflated. Heart is mildly enlarged but unchanged.the mediastinal and hilar contours are within normal limits for age. No chf, pleural effusion, pneumothorax or focal airspace consolidation worrisome for pneumonia. No displaced rib fracture is detected on these lung technique films. Possible subtle pleural thickening along the right chest wall in the mid some there is mildly accentuated thoracic spine kyphosis, with mild multilevel degenerative changes and with slight anterior wedging of several mid thoracic vertebral bodies, that does not appear acute. The sternum is not well visualized due to over penetration.
shortness of breath with fall. evaluate for pneumonia or rib fracture.
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The patient is status post cabg with clips noted in the mediastinum. Heart size is mildly to moderately enlarged. Dense atherosclerotic calcifications are seen within the thoracic aorta. Mild pulmonary edema is demonstrated with possible trace right pleural effusion. No focal consolidation or pneumothorax is present. Moderate multilevel degenerative changes are noted in the thoracic spine.
history: <unk>m with lower extremity edema and shortness of breath
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Lungs are hyperinflated consistent with underlying emphysematous changes. No focal consolidation is identified. The cardiac silhouette is normal. There is no pleural effusion or pneumothorax. Visualized upper abdomen is unremarkable. Osseous structures are grossly intact.
headache, evaluate for pneumonia.
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Dual lead left-sided aicd is stable in position. There is prominence of the central pulmonary vasculature. Subtle prominence of the interstitial markings could relate to mild fluid overload, although atypical infection is not excluded. No lobar consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
<unk> year old man with fever after zpak // check pna
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Pa and lateral views of the chest. The lungs are clear of consolidation, effusion, or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is detected.
<unk>-year-old female with history of latent tb with new fever.
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Lung volumes are low. Heart size is top normal. Mediastinal and hilar contours are normal. Lungs are grossly clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. No acute osseous abnormality is visualized.
history: <unk>m with dyspnea on exertion// evaluate for acute process
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Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable. No pulmonary edema is seen. No displaced fracture is seen. Hilar contours are stable.
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The patient is status post coronary artery bypass graft surgery as well as mitral valve replacement. The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. There is a mild prominence to the pulmonary interstitium which is a stable finding with no superimposed acute disease. Surgical clips project over the right upper quadrant. Mild-to-moderate degenerative changes are noted along the lower thoracic spine.
acute onset of left upper extremity weakness.
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As compared to the previous radiograph, the pre-existing parenchymal opacities are unchanged in severity and distribution. The changes predominate on the left, and at the level of the left lung base, several air bronchograms are seen. The morphology and constant location of this change could suggest that the pre-existing pulmonary edema is complicated by left lower lung pneumonia. Clinical correlation is required. No change in appearance of a small right pleural effusion. No pneumothorax.
chronic heart failure, evaluation for pneumonia.
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There is no focal consolidation, pleural effusion or pneumothorax. The moderate hiatal hernia is again nseen, otherwise the cardiomediastinal and hilar contours are normal.
history: <unk>m with ciough and sob pls eval pna // history: <unk>m with ciough and sob pls eval pna
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Pa and lateral chest radiographs demonstrate median sternotomy wires which appear intact. Several clips project over the left mediastinal border. A left dual lead pacing device is present, its leads which are intact and in unchanged position relative to examination dated <unk>. Heart size is stable, within normal limits. There is no evidence of pulmonary edema. Lungs are clear without a focal opacity convincing for pneumonia. There is no pleural effusion or pneumothorax.
<unk>-year-old female with syncope.
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Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal consolidation. There is no evidence of free air.
<unk>f with ruq and epigastric pain, evaluate for free air.
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The patient is rotated. Patient has been extubated. A right internal jugular central line is unchanged in position. Nasogastric tube courses below the diaphragm is incompletely imaged. Appearance of the lung parenchyma has not significantly changed. There is no pneumothorax. A small right pleural effusion has slightly decreased. The aorta remains tortuous.
<unk> year old man with copd and recent pna s/p extubation // interval changes s/p extubation
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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.
chest pain, cough, fever
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The heart is moderately enlarged. The mediastinal contours are within normal limits. Vascular indistinctness and right basilar haziness likely reflect asymmetric pulmonary edema. Bilateral pleural effusions are small, right greater than left. Patchy opacities in the lung bases likely reflect atelectasis. More focal opacification in the right mid lung field could reflect fluid loculated within the fissure, but infection or an underlying mass lesion cannot be completely excluded. No pneumothorax is detected. There are no acute osseous abnormalities.
congestive heart failure.
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The port-a-cath with tip in the right atrium is again visualized. There is volume loss at both bases, but no definite infiltrate. Compared to the prior study, the volume loss at the bases is increased.
lymphoma with new 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. Cervical fusion hardware is incompletely assessed.
status post mvc. evaluate for injury.
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Portable ap upright view of the chest provided. Tracheostomy tube is seen as well as a port-a-cath overlying the right chest wall with catheter tip in the region of the low svc. Also noted is a left ij dialysis catheter with its tip extending to the cavoatrial junction. There is chronic elevation of the left hemidiaphragm with lower lobe atelectasis and small left pleural effusion, not significantly changed from prior exam. There may be mild pulmonary edema/fluid overload. Heart size cannot be assessed. Mediastinal contour appears stable. Bony structures appear intact.
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The heart size is within normal limits. The mediastinal and hilar contours are normal. Thre is a nodular opacity projecting over the left lower lung. There is no obvious pleural effusion or pneumothorax in light of the patient's supine positioning. No obvious displaced rib fracture is seen.
<unk>-year-old female with right-sided pain.
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Ap portable upright view of the chest. A chest tube is seen projecting over the left hemidiaphragm though its exact position is difficult to assess on this single frontal portable radiograph. The left lung is significantly re-expanded when compared with the prior ct performed earlier today and the left effusion has nearly resolved with mild residual left basal atelectasis noted. There is persistent opacity in the right upper and lower lungs which remain concerning for pneumonia. Cardiomediastinal silhouette appears grossly unchanged. Bony structures are intact.
<unk>f with s/p chest tube
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The mediastinum is widened secondary to known ascending aortic aneurysm, but is unchanged from prior exams. There is no new mediastinal widening. The cardiac silhouette is stably enlarged. Bilateral moderate pleural effusions are unchanged with associated bibasilar atelectasis. There are no new consolidations. There is no pneumothorax.
postoperative hypotension with thoracic aneurysm on lovenox. evaluate for mediastinal changes.
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There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size. No displaced fracture is identified.
history: <unk>m with l back/hip pain, dyspnea/l chest pain, altered mental status s/p assault // ? fractures or acute traumatic injuries
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The lungs are moderately well inflated with unchanged mild pulmonary edema. There are persistent, unchanged bilateral layering pleural effusions with bibasilar atelectasis. Severe cardiomegaly is unchanged. Interval extubation and removal of the enteric tube. Right-sided central line terminates at the cavoatrial junction. Right chest wall pacemaker with pacer wires is in unchanged position. Ekg leads overlie the chest wall. Sternotomy sutures are in unchanged position. Diffuse demineralization is present as before.
<unk> year old man with dchf s/p multp abd surgeries for ?leaking anastomosis vs hematoma. // interval change
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Portable ap chest radiograph. Right-sided tunneled hd catheter tip is in the mid svc. Pulmonary vascular congestion and widening of the vascular pedicle are likely related to the patient's volume status, but there is no evidence of interstitial edema. There is no pneumothorax. The heart size is mildly enlarged. Widening of the posterior right <unk> and <num>th ribs is unchanged from <unk> and probably is from a prior thoracotomy.
right tunneled subclavian line placed. evaluation for position.
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Frontal radiograph of the chest demonstrates bilateral pleural effusions, right greater than left. A hiatal hernia is redemonstrated. There has been interval removal of left subclavian line and nasogastric tube. A right-sided port-a-cath is unchanged in position, terminating in the mid svc. There is no pneumothorax, focal consolidation or significant pulmonary edema. The heart size is unchanged since the prior study.
<unk>-year-old female status post whipple with persistent tachycardia.
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Cardiomediastinal contours are normal. The lungs are clear. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable
<unk> year old man with sweating and cough // infiltrate
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Mildly enlarged cardiac silhouette is unchanged. Persistent low lung volumes and bibasilar subsegmental atelectasis and-or scarring, unchanged since the prior study. No new focal consolidation is identified. No pneumothorax.
history: <unk>m with persistent cough and recent pneumonia. evaluate for pneumonia.
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A left-sided pacemaker and multiple leads are in unchanged position. Right-sided picc terminates at the cavoatrial junction as before. A left ventricular assist device projects over the lower left hemi thorax. A left basilar opacity is stable from <unk> which likely reflects a combination of a left pleural effusion and adjacent compressive atelectasis. There is minimal atelectasis at the right base which is stable. No pneumothorax. The cardiomediastinal and hilar contours are unchanged.
<unk> year old man s/p lvad // status of residual pleural effusions
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Right-sided pleural effusion has worsened. Increased opacification along the right middle lobe is likely plate-like atelectasis. There has been interval resolution of the left small pleural effusion. The left lung is clear without focal consolidation. No pneumothorax is seen. The right heart border is obscured. Otherwise, cardiac and mediastinal silhouettes are unremarkable. Of note, there is a displaced fracture of the right clavicle which has been present since at least <unk>.
<unk> year old woman with malignant effusion s/p thoracentesis // ?ptx
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Pa and lateral views of the chest were provided. On the lateral view there is a convex opacity arising posteriorly partially overlapping with the lower thoracic vertebral bodies which is new from prior exams and is concerning for a posterior mediastinal mass. Otherwise the lungs are clear. Cardiomediastinal silhouette is normal. Bony structures appear intact. No free air below the right hemidiaphragm. Degenerative spurring is noted anteriorly in the thoracic spine.
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As compared to the previous radiograph, there is no relevant change. Mild cardiomegaly without pulmonary edema. No evidence of pneumonia, no pleural effusions. No other lung parenchymal pathology.
aml, fever, rule out pneumonia.
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As compared to the previous radiograph, there is no relevant change. Normal lung volumes. Mild atelectasis at the right lung base. No acute lung pathology, in particular no pneumonia or pulmonary edema. No pleural effusions seen on the frontal and the lateral radiograph. Normal size of the cardiac silhouette. Cervical vertebral fixation devices in unchanged position.
liver cirrhosis, hepatic encephalopathy, evaluation for pulmonary pathology.
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Pacer overlies the right chest with leads extending the expected positions of the right atrium and right ventricle. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal contours are unremarkable.
history: <unk>m with confusion // eval bleeding
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Right chest tube remains in place, with a persistent small apical pneumothorax. The basilar component described previously is no longer evident, but a small lateral component is still evident. Multifocal opacities in the right mid and lower lung show interval partial clearing and likely represent resolving contusion in the setting of right-sided rib fractures. However, dense opacity in right retrocardiac region has slightly worsened and may reflect coexisting atelectasis or aspiration. Otherwise, no relevant short interval change since recent radiograph.
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Again identified are bilateral mid and lower zone patchy opacity, unchanged compared to the prior radiograph. There is a new small right pleural effusion. No pneumothorax present. Unchanged cardiomegaly. Bony thorax is unchanged.
<unk> year old man with recetn aspiration pna, chf // interval improvement? new consolidation?
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The lungs are well inflated and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are unchanged, particularly prominence of the superior right mediastinum which is likely due to tortuosity of the brachiocephalic vessels. There is no pleural effusion or pneumothorax. Degenerative changes are present in the thoracic spine. Calcific densities are again seen at the left glenohumeral joint, likely representing loose bodies.
history: <unk>f with epigastric pain, dizziness // r/o ich, infiltrate, cholecystitis
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A portable frontal chest radiograph demonstrates unchanged mild cardiomegaly and low lung volumes. The right lower lung opacity has increased, most likely due to progression of the right lower lobe consolidation, but could be due to slightly lower lung volumes. In the case of progression of the consolidation, repeat aspiration cannot be differentiated from pneumonia. There is no pleural effusion or pneumothorax.
dermatomyositis and recent aspiration pneumonia. evaluate pneumonia versus aspiration event.
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Ap upright and lateral views of the chest were provided. Midline sternotomy wires and mediastinal clips are again noted. There has been interval placement of a right arm picc line with its tip extending to the high svc. There is left basilar opacity compatible with effusion and likely compressive atelectasis. Please note pneumonia cannot be entirely excluded. There is no right pleural effusion and the right lung appears clear. Mediastinal contour appears grossly unremarkable aside from atherosclerotic calcifications. There is right shoulder degenerative disease noted with degenerative spurring in the lower thoracic spine.