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Frontal and lateral views of the chest were obtained. The heart is of normal size with normal cardiomediastinal contours. The aorta is tortuous with scattered calcifications. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax. Emphysema is noted, but with low lung volumes. Severe bilateral glenohumeral osteoarthritic changes are again seen.
<unk>-year-old female with copd and dyspnea. evaluate for pneumonia.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with cough, f/c, h/o asthma // eval pna
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Frontal and lateral views of the chest were obtained. Again there are low lung volumes, which accentuate the bronchovascular markings. Minimal basilar atelectasis is seen. There is no focal consolidation. No pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable and unremarkable. Hilar contours are stable. Mild basilar atelectasis. Otherwise, no significant interval change.
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There is continued elevation of the right hemidiaphragm. The lungs are clear, and there is no pleural effusion, pneumothorax or pulmonary edema. There is a partially visualized vp shunt projecting over the left hemithorax.
<unk> year old male with headache, cough, fever. evaluate for pneumonia
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Lung volumes are low. The heart size remains mildly enlarged. The mediastinal and hilar contours are unchanged. Bilateral calcified pleural plaques are re- demonstrated, which limit assessment of the underlying lung parenchyma. There may be slightly increased patchy opacification in the left lung base, which could reflect an area of atelectasis though infection cannot be excluded. No pleural effusion or pneumothorax is identified. No pulmonary vascular congestion is present. Compression deformities at the thoracolumbar junction remain unchanged.
weakness.
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Lungs are reasonably well expanded with improved small-to-moderate left pleural effusion and left-sided chest tube, incompletely assessed. No right-sided effusion is seen. The lungs are well expanded and clear with the exception of unchanged left perihilar opacification corresponding to the mass, better assessed on ct from <unk>. Pulmonary congestion is improved. Cardiac silhouette is unchanged.
<unk>-year-old woman with non-small cell lung cancer and left pleural effusion.
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The lungs are clear. The cardiomediastinal silhouette is normal. Surgical clips seen in the right upper quadrant. No acute osseous abnormalities.
<unk> year old woman with hx cryptogenic cirrhosis s/p liver transplant <unk> on immunosuppression, antiphospholipid syndrome presenting with abdominal pain, pleuritic cp and sob. // focal infiltrate?
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Frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.
history: <unk>m with cough, congestion // r/o pna
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Lung volumes are low. Mediastinal contours, elevated, distorted left hilus, and cardiac silhouette are stable from <unk>. Calcified pleural plaque adjacent the aortic arch again noted. No pneumothorax or pleural effusion. Elevation of the left hemidiaphragm and left chest wall thoracotomy is stable from <unk>.
<unk>f with epigastric pain // evaluate for acs
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As compared to the previous radiograph, there is massive increase in extent of the soft tissue air collection on the right. The right chest tube is in unchanged position. The presence of a small right apical pneumothorax cannot be excluded. The other monitoring and support devices are constant. Constant appearance of the cardiac silhouette and of the left lung.
right pneumothorax, persistently, evaluation for interval change.
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The heart size is normal. The hilar and mediastinal contours are normal. The lungs are clear without evidence of focal consolidations concerning for pneumonia. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.
history: <unk>m with ams // infilktrate
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Single portable view of the chest demonstrates low lung volumes without pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. The descending aorta is mildly tortuous.
patient with recent catheterization, who now presents with chest pain.
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Heart size is mildly enlarged. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is normal. Minimal patchy opacity is seen in the left lower lobe, likely atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormalities seen.
history: <unk>f with hypotension
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Moderately well inflated lungs with mild prominence of lung vasculature without consolidation or frank pulmonary edema. Mild cardiomegaly is unchanged. No pleural effusions or pneumothorax. There is a dual lead aicd in appropriate position. Sternotomy sutures and surgical <unk> project over the mediastinum. There is diffuse demineralization.
<unk> year old man with new ppm via l cephalic // lead position
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Pacer defibrillator leads are unchanged, terminating in the right atrium and right ventricle. There is a left retrocardiac opacity, which most likely represents atelectasis. No other focal consolidation, pleural effusion or pneumothorax. No evidence of pulmonary edema. Heart size is mildly enlarged.
history: <unk>m with b/l pulm edema // ? chf
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Frontal and lateral views of the chest. No prior. The lungs are clear of focal consolidation, effusion, or pneumothorax. Cardiac silhouette is at upper limits of normal. Median sternotomy wires. Posterior left seventh and eighth rib fractures are identified, which are not necessarily acute given suggestion of some absorption of the fracture sites; however, clinical correlation is suggested. No definitely acute displaced rib fractures identified.
<unk>-year-old male with history of rib fracture. now with fall and worsening rib pain.
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Pa and lateral chest radiographs were obtained. The lungs are well expanded and clear. There is no focal consolidation, effusion, or pneumothorax. Cardiac and mediastinal contours are normal.
chest pain.
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A single frontal view of the chest demonstrates a spiculated lesion in the left upper lung zone with a fiducial seed. The lesion measures approximately <num> x <num> cm. It is not significantly changed in size since the recent ct of the chest. No new mass or consolidation is identified. There is no pulmonary edema, pleural effusion, or pneumothorax. The heart is moderately enlarged, unchanged from the prior exam. The mediastinal contours are normal. Surgical clips project over the upper mediastinum, also unchanged from the prior exam.
history of lung cancer. new hypoxia.
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Ap portable upright view of the chest. There is a right ij central venous catheter with its tip in the region of the cavoatrial junction. The lungs are clear without focal consolidation, large effusion or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>m with s/p central line access // ?cvl in correct position
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Frontal and lateral views of the chest again demonstrate increased opacity projecting over the right middle lobe. There is obscuration of the right heart border and increased interstitial markings, slightly more peripherally. These findings appear slightly more conspicuous on the current exam with more dense consolidative component potentially due to progression of disease. Elsewhere, the lungs are clear. Surgical clips are seen in the region of the ap window. Cardiomediastinal silhouette is unchanged. No acute osseous abnormality is identified.
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Single portable view of the chest is compared to previous exam from <unk>. The lungs are clear of confluent consolidation or large effusion. There is no visualized pneumothorax. Cardiomediastinal silhouette is within normal limits. No displaced fracture is identified.
<unk>-year-old male with chest pain.
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Compared to the it chest x-ray from <num> weeks ago there is increased opacity at the left lung base laterally. However this corresponds to region of the nodule seen on the recent chest ct. This is better visualized on today's chest x-ray compared to the chest x-ray from <num> weeks ago likely due to increased in size over time. The other lung nodules are better defined on the recent ct . No focal infiltrate is seen. The right central line is unchanged.
<unk> year old man with neutropenic fever // concern for pneumonia
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An ng tube is coiled in the gastric fundus. Lung volumes are low, accentuating the transverse diameter of heart. There is a new a right lower lobe opacity, concerning for atelectasis versus aspiration, given the patient's clinical history.
<unk> year old man with diverticulitis. evaluate ng tube placement.
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The cardiac silhouette size is normal. The mediastinal and hilar contours are unremarkable. The pulmonary vasculature is normal. Lungs are clear without focal consolidation. Blunting of the left costophrenic sulcus posteriorly may suggest a trace left pleural effusion. There is no pneumothorax. No acute osseous abnormalities identified. Mild loss of height of a mid thoracic vertebral body is re- demonstrated as is diffuse osteopenia.
chest pain, scapular pain.
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Ap upright and lateral radiographs of the chest were obtained. There is no focal consolidation, pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal and hilar contours are unchanged.
intermittent chest pain with history of pericarditis. evaluate for effusion, heart size, pneumonia.
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As compared to the previous radiograph, there is unchanged evidence of a scoliosis with subsequent asymmetry of the rib cage. No acute changes, in particular no pleural effusions, no pneumonia and no pulmonary edema. Normal size of the cardiac silhouette. Normal hilar and mediastinal contours.
cough, evaluation.
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In comparison with study of <unk>, there has been development of increased opacification in the right mid and upper zone consistent with upper lobe pneumonia. There is also opacification at the left base consistent with probable pneumonia and possible pleural effusion in this region as well. This information was telephoned to dr. <unk> at <time> p.m. On <unk>.
pneumonia.
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The patient is status post median sternotomy, cabg, and aortic valve replacement. Heart size is moderately enlarged. The aorta appears tortuous. There is mild pulmonary vascular congestion. Prominence of the hila bilaterally is noted. Small bilateral pleural effusions are present. Retrocardiac opacity likely reflects atelectasis. There is no pneumothorax. There is no acute osseous abnormalities are present.
aphasia.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
history: <unk>f with pleuritic l-sided chest pain // evaluate for acute process
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In comparison with the study of <unk>, there is little change and no evidence of acute cardiopulmonary disease. Hypertrophic spurring is again seen at several mid thoracic levels, but no evidence of compression fracture or displacement of the paravertebral stripe.
atypical left posterior paraspinal pain.
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The right lower lung zone atelectasis and pleural effusion are improved today; however, the right lower lobe is still not fully re-expanded. In addition, the appearance of the left lower lobe consolidation and pleural effusion is also improved. There is a new focal bulge below the level of the aortic knob, which may represent atelectatic lung compressed against the hilum. There is no pneumothorax. Support devices remain in good position.
<unk>-year-old woman with hypoxia.
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Right chest wall port is seen with catheter tip in in the mid svc. Lungs are clear noting that the right lateral costophrenic angle is excluded from the field of view. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>f with pain s/p port placement // port placement
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As compared to the previous radiograph, there is a minimal decrease in extent of the right pleural effusion. Otherwise, no relevant change is seen. Moderate cardiomegaly, left pectoral pacemaker, calcified cardiac aneurysm. No pulmonary edema. No pneumonia, no pneumothorax.
pleural effusion, evaluation.
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Pa and lateral views of the chest shows clear lungs with no focal opacity, pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal. There are prominent gas-filled loops of bowel in the abdomen.
dyspnea.
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The lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
<unk>f nstemi r/o widened mediastinum // <unk>f nstemi r/o widened mediastinum
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Extensive pleural disease and calcification is present. Subtle chf may be difficult to exclude in this field of the increased interstitial markings which was present on the previous study. The interstitium markings may have increased slightly. The heart is grossly enlarged and has increased in size somewhat since the previous study. This could be due to cardiac decompensation, but a pericardial effusion might be considered.. The osseous structures are normal for age. The patient has median sternotomy closures and mediastinal clips consistent with coronary artery bypass graft.
<unk> year old man with <unk> yo m transfer with cabg, paf on xarelto, pulm htn, pulm asbestosis, diastolic chf presents to the ed for hf decompensation and has had fevers to <unk>.<num>. // pneumonia?
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Low lung volume accentuates the heart size and pulmonary vasculature. Heart size is upper limits of normal. Mediastinal and hilar contours are unremarkable. There is no evidence for pulmonary consolidation or pleural thickening. There is moderate right pleural effusion. Compression fracture of t<num> is better evaluated on thoracic spine radiograph and mri from <unk>.
<unk> year old woman with etoh cirrhosis and etoh abuse awaiting detox placement. evaluate l for active tb for detox placement.
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Portable ap upright chest radiograph provided. Lung volumes are low. There is probable mild bibasilar atelectasis. No large consolidation, effusion, or pneumothorax is seen. The heart size appears grossly unchanged, though poorly visualized. Mediastinal contour is normal. Bony structures are intact. No free air below the right hemidiaphragm.
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The cardiac, mediastinal and hilar contours appear unchanged. The lungs appear clear. There are no pleural effusions or pneumothorax.
neutropenic fever.
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Ap and lateral views of the chest are compared to previous exam from <unk>. Again low lung volumes are seen. Bibasilar opacities, left greater than right air likely due to secondary atelectasis. Cardiomediastinal silhouette is within normal limits for technique and unchanged. Osseous and soft tissue structures are unremarkable. Surgical clips in the right upper quadrant suggest prior cholecystectomy.
<unk>-year-old female with tachypnea.
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Right chest wall power injectable port-a-cath is present, the tip extending into the right atrium. No focal consolidation, pleural effusion or pneumothorax identified. The size of the cardiomediastinal silhouette is within normal limits. The supraclavicular, axillary and mediastinal lymphadenopathy previously described on the pet-ct are not evaluated radiographically.
<unk> year old woman with triple hit lymphoma // please evaluate for infection
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. There is no large pleural effusion. Distal right clavicular fracture is as seen on dedicated films. No displaced rib fractures on these nondedicated views.
<unk>m with fall <num> wk ago. // eval for fractures
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The cardiac silhouette is mildly enlarged. The aorta is tortuous. No focal consolidation, pleural effusion, evidence of pneumothorax is seen. There is minimal vascular congestion.
history: <unk>f with chest pain // ? acute cardiopulm process
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Mild enlargement of the cardiac silhouette is stable. The thoracic aorta appears to be tortuous, but cardiomediastinal contours are otherwise unremarkable. The lung volumes are reduced, and there is increased ap diameter of the chest secondary to known severe kyphosis of the thoracic spine with evidence of old compression fractures at multiple levels. There is also evidence of old rib fractures on the left. Lungs are clear. No pleural effusions and no pneumothorax.
<unk>-year-old lady with left posterior chest pain and history of ulcerative colitis with subtotal colectomy and severe kyphosis, ? new chest lesion left posterior.
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Feeding tube tip is in the proximal stomach, new since prior. Otherwise stable cardiopulmonary findings.
<unk> year old man with dobhoff placement. // please evaluate for location of dobhoff. <num> step protocol.
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Single frontal portable view of the chest was obtained. The patient is rotated with respect to the film and is in lordotic position. The heart is of normal size. A large hiatal hernia is similar to prior. Lungs are clear without focal or diffuse abnormality. No pleural effusion or pneumothorax. No radiopaque foreign body. Mild degenerative changes are present in bilateral glenohumeral joints.
<unk>-year-old male with chest pain. evaluate for acute process.
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As compared to the previous radiograph, the tip of the endotracheal tube has been slightly pulled back. The tip now projects approximately <num> cm above the carina. The tip could be advanced by approximately <num>-<num> cm. Unchanged are the other monitoring and support devices. Unchanged sternal wires and clips after cabg. Unchanged extent of bilateral pleural effusions with subsequent areas of mild basal atelectasis. Unchanged borderline size of the cardiac silhouette with tortuosity of the thoracic aorta.
status post intubation, respiratory failure, evaluation for endotracheal tube placement.
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An et tube is present, tip approximately <num> cm above the carina. An ng tube is present, tip overlying stomach. There are low inspiratory volumes with bibasilar atelectasis. Mild prominence of the cardiomediastinal silhouette including the right paratracheal vessels is unchanged. No frank consolidation or gross effusion is identified. No pneumothorax detected. Right upper quadrant surgical clips noted.
<unk> year old man with esrd and seizure disorder s/p intubation with et tube in place. // please assess for interval change
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Et tube terminates <num> cm above the carina. The og tube terminates at the expected location of stomach ; however, the side port is at the ge junction. No consolidation, pneumothorax, or large pleural effusion is identified. Cardiomediastinal and hilar silhouettes are normal size.
history: <unk>m with confrimation of og intubation placement // confrimation of og intubation placement
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Cardiomediastinal silhouette is within normal limits. There is no focal consolidation, pleural effusion, or pneumothorax. Left basilar opacities likely represent atelectasis. The bones are grossly unremarkable.
history: <unk>m with head trauma // assess for ich, c-spine fx, pna
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In comparison with the study of <unk>, there is no interval change or evidence of acute cardiopulmonary disease. Specifically, no parenchymal or skeletal metastasis.
melanoma, to assess for disease status.
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An endotracheal tube ends in the mid thoracic trachea. Patchy opacities which are worse at the lung bases are significantly increased from the study <num> hour prior. This may represent worsening edema or aspiration. An enteric tube courses below the diaphragm and off the inferior aspect of the film.
history: <unk>m with new ett, // intubated, og tube
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Pa and lateral chest radiographs were provided. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is unremarkable. There are no acute skeletal abnormalities or free air under the diaphragm.
<unk>-year-old with right upper quadrant pain, pneumonia, question acute process.
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Frontal and lateral radiographs of the chest were acquired. There has been interval removal of a right picc and nasogastric tube. As seen on the prior study from <unk>, there is a widespread bilateral interstitial abnormality, more prominent in the lower lungs, likely chronic in nature, although mild interstitial pulmonary edema could have a similar appearance. There is no focal consolidation. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen. There is re-demonstration of multilevel vertebroplasty/kyphoplasty, not significantly changed in appearance.
status post liver transplant and splenectomy, presenting with headache and productive cough. evaluate for pneumonia.
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Mild cardiomegaly is unchanged. The cardiomediastinal contours are unremarkable. Again seen are bilateral focal areas of apical thickening, likely secondary to pleuroparenchymal thickening/scarring. The appearance of the perihilar region is unchanged. There is no evidence of acute consolidation. No pleural effusions or pneumothorax is identified. The visualized osseous structures are unremarkable. There has been interval decrease in the amount of subcutaneous gas.
<unk>-year-old female with a history of right-sided pneumothorax with subsequent reexpansion, who now presents with shortness of breath.
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Moderate cardiomegaly is re- demonstrated. The aorta is diffusely calcified and slightly tortuous. Mediastinal and hilar contours are otherwise. The pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is present. Streaky atelectasis is noted right lung base.
history: <unk>f with slurred speech x<num> minutes
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The cardiac silhouette size is normal. Mediastinal and hilar contours are unchanged, with evidence of prior left upper lobectomy and volume loss in the left lung. The lungs are hyperinflated with emphysematous changes again demonstrated. Focal patchy opacity in the right upper lobe was present on the prior ct from <unk>, and may reflect persistent or residual pneumonia. Additional previously noted areas concerning for early adenocarcinoma on prior ct particularly within the right lower lobe are not well seen on the current radiograph. No new areas of new focal consolidation are present. There is no new pneumothorax or pleural effusion. No pulmonary edema is present.
cough, fatigue, known lung cancer.
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Overall unchanged appearance compared to the prior exam. Numerous bilateral pulmonary of metastases appear unchanged from the prior exam. Probable persistent collapse of the left upper lobe, although not fully assessed without the lateral view. Stable elevation of the left hemidiaphragm. Stable cardiomediastinal silhouette. No pleural effusion. No pneumothorax. No focal consolidation to suggest pneumonia. No acute osseous abnormality. The stomach is distended. Stable appearance of the staghorn calculus in the right kidney.
<unk>-year-old woman with history of uterine cancer with lung metastases, malignant central airway obstruction, post-bronch.
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There has been interval placement of a right-sided chest tube. This has significantly reduced in the right pleural effusion with only a tiny residual effusion seen. Improved aeration of the right lung base. No pneumothorax seen. A left-sided picc has been repositioned and now terminates in the mid to distal svc. The cardiomediastinal contour is unchanged. A nasoenteric tube terminates below the left hemidiaphragm, the tip is not visualized.
<unk> year old woman with cirrhosis, hepatic hydrothorax requiring v frequent <unk>'s, so pleurex drain placed <unk>. please eval post tube placement // ?pneumo, ?complication s/p pleurex drain placement
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The lungs are fully expanded and clear. The cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no evidence of an apical mass.
<unk>f with left arm pain/swelling, evaluate for mass..
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No previous images. The heart is normal in size and there is no vascular congestion or pleural effusion. No acute focal pneumonia.
body weakness, to assess for intrathoracic process.
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Feeding tube terminates within the distal stomach. Cardiac silhouette is normal in size and accompanied by pulmonary vascular congestion. Multifocal patchy opacities with a mid and lower lung predominance have worsened in the interval. Although, possibly due to multifocal atelectasis, differential diagnosis includes an evolving infectious pneumonia and multifocal aspiration. Moderate left pleural effusion has increased in size, and small right pleural effusion is unchanged.
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Patient status post esophagectomy. A new right lung opacity adjacent to the right hilum is slight lower. Right pleural effusion is stable. Cardiac size is normal. There is no pneumothorax or pneumomediastinum.
<unk> year old man s/p esophageal dilation // eval for mediastinal air
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Frontal radiograph of the chest demonstrates continued low lung volumes with linear atelectasis at the left base, which appears mildly improved since the prior radiograph. The right basilar opacity appears slightly more confluent, possibly indicating developing pneumonia. Otherwise, there is no area of focal consolidation. The mediastinal and cardiac contours are unchanged. Small bilateral pleural effusions are likely. No pneumothorax is detected.
white blood cell count rising to <unk>.<num>. evaluate for developing pneumonia.
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Heart size is mildly enlarged but unchanged. The mediastinal and hilar contours are similar. Pulmonary vasculature is not engorged. Linear and patchy opacities in the right upper lobe and lung bases likely reflect areas of atelectasis in the setting of low lung volumes. No focal consolidation, pleural effusion or pneumothorax is present.
history: <unk>m with history of afib, asthma/copd, who presents after <num> month vacation in <unk> with cough.
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There is a large right pleural effusion. The lung markings in the right upper lobe are not well visualized. The cardiomediastinal silhouette and hila are normal. The left lung is clear. Pacemaker wires end in the right atrium and right ventricle.
<unk>-year-old with tachypnea and right pleural effusion.
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Mildly enlarged cardiac silhouette, mediastinal silhouette and hilar contours are stable. Previously noted right lower lung heterogeneous opacities have fully resolved with baseline right middle lobe and lingular scarring which is unchanged compared to <unk>. Lungs are otherwise clear. There is no pleural effusion or pneumothorax.
right lower lobe pneumonia six weeks ago with persistent cough.
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The small lateral right pneumothorax and subcutaneous emphysema in the right chest wall have resolved since <unk>. Stable bilateral scattered ground-glass and linear opacities from interstitial lung disease. Small amount of scarring in the right lateral lung with a chest tube was previously. No pulmonary edema or focal consolidation to suggest pneumonia. No pleural effusion. Stable appearance of the cardiomediastinal silhouette and hila. Stable mild tortuosity or dilatation of the descending aorta.
<unk> year old man with ild s/p right lung wedge resection x<num>; evaluate for interval change.
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The et tube is located in the right mainstem bronchus and could be pulled back <num> cm. The left lung is still ventilated. Otherwise the pleural effusions, bibasilar atelectasis and cardiomegaly are stable in appearance. No pneumothorax.
<unk> year old woman s/p intubation // ett position ett position
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There is moderate enlargement of cardiac silhouette similar to prior. The lungs are clear without consolidation, effusion, or edema. Median sternotomy wires are intact. Mediastinal clips are again noted. No acute osseous abnormalities.
<unk>f with weakness, confusion, c/f underlying infectious process // eval ? infiltrate
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Heart size is normal. Mediastinal widening is unchanged and apparently due to mediastinal lipomatosis based on prior cta chest <unk>. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
<unk> year old woman with cough, h/o sarcoidosis. rhonchi rll. // assess lungs
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Frontal and lateral views of the chest were obtained. The cardiac silhouette remains enlarged. Prominence of the pulmonary arteries is stable. There is mild left base streaky atelectasis/scarring. There is minimal pulmonary vascular congestion. Mediastinal contours are stable. No large pleural effusion or pneumothorax.
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As compared to the previous radiograph, the pre-existing right upper lobe parenchymal opacity has almost completely resolved. However, there is a newly appeared left-sided pleural effusion of moderate extent. The effusion is not associated with a substantial elevation of the left hemidiaphragm. However, atelectasis at the left lung base has developed. Unchanged borderline size of the cardiac silhouette. The course of the dialysis catheter is constant.
acute gastrointestinal bleed, evaluation for pulmonary edema.
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As compared to the previous radiograph, the small pleural catheter on the right is in unchanged position. The opacity at the right lung apex is constant in appearance. A small pleural effusion on the right is also constant. Large hiatal hernia and asymmetry caused by scoliosis. A pre-existing retrocardiac atelectasis appears to have minimally increased in severity.
lung adenocarcinoma, clamped chest tube.
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Portable ap upright chest radiograph was provided. Ba aicd appears unchanged in position with leads extending to the region of the right atrium and right ventricle. Midline sternotomy wires and mediastinal clips are again noted. The lungs are clear bilaterally. The cardiomediastinal silhouette appears grossly stable with top-normal heart size. No large effusion or pneumothorax. Bony structures are intact.
<unk>m with ams
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The left lung is well-expanded and clear. There is elevation of the right hemidiaphragm, which results in crowding of the right cardiophrenic angle by hilar vessels limiting assessment. However, there may be patchy opacity in this region as the degree of opacification is felt to be more than expected. There is leftward shift of the mediastinum due to elevated right hemidiaphragm. Otherwise cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old female with shortness of breath and fever.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
history: <unk>f with lower gi bleed // eval for infiltrate
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In comparison with the study of <unk>, there is no change or evidence of acute cardiopulmonary disease. Port-a-cath remains in good position. No evidence of acute focal pneumonia.
pancreatic cancer with altered mental status, to assess for 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>f with weakness // ? pna
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The heart is at the upper limits of normal size. The mediastinal and hilar contours appear within normal limits. There are streaky opacities in the left mid lung which appear increased, suggestin opacity superimposed on background scarring. There is also focal opacification of the left lower hemithorax on the lateral view, new since the prior study and projecting primarily over the visualized lower thoracic spine. There is no pleural effusion or pneumothorax. The patient is status post right shoulder hemiarthroplasty.
hypoglycemia.
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Frontal and lateral views of the chest were obtained. There has been interval placement of left-sided dual-lead pacemaker with leads extending to the expected positions of the right atrium and right ventricle. No evidence of pneumothorax is seen. The lateral view is suboptimal due to patient's overlying arm. There is slight blunting of the posterior costophrenic angles and trace pleural effusion may be present. Slight prominence of the interstitium may be due to minimal interstitial edema versus chronic changes. Cardiac silhouette is mild-to-moderately enlarged. The mediastinal contours are unremarkable.
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Ap upright and lateral views of the chest were provided. Fragmented midline sternotomy wires are again seen as well as abandoned pacer leads in the right chest wall. A left picc line is seen with its tip in the region of the svc. As compared with the ct of the chest from two days ago, there does appear to be interval development of pulmonary edema. The patient is known to have multiple peripheral nodular opacities compatible with septic emboli. The heart remains moderately enlarged. Small bilateral pleural effusions are again noted. Bony structures are unchanged.
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Again, there is volume loss in the right lung as compared to the left. Right cardiophrenic angle haziness is stable. Relative haziness of the right lung as compared to the left likely relates to volume loss. No large pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Partially imaged left humeral prosthesis is noted.
history: <unk>m with weakness
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Pa and lateral views of the chest. Lungs are hyperinflated. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. Vagal nerve stimulator in the left chest wall is noted.
<unk>-year-old female with tingling in arms and legs and cough. evaluate for pneumonia.
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There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are identified. No free air under the right hemidiaphragm.
<unk>f with pleuritic chest pain // eval ? ptx, effusion, pneumomediastinum
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A skin fold projects over the right lower hemi thorax. There is hyperinflation of the lungs without focal consolidation, large effusion or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>m with cough, hx pna. assess for pneumonia.
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In comparison with study of <unk>, bibasilar opacifications persist, most likely reflecting a combination of atelectasis and effusion. The dobbhoff tube takes a circuitous course, extending to the distal stomach, then coiling back on itself towards the fundus, before making another turn so that the tip faces distally. Pleural calcification on the left is again seen. Right ij catheter remains in place.
cardiac surgery with chest tube removed and dobbhoff placed.
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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 woman with weight loss,night sweats and sarcoid // r/o infiltrates,tumor
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Pa and lateral views of the chest were provided. There is no focal consolidation, effusion, or pneumothorax. The heart and mediastinal contours appear stable. No acute osseous abnormality.
<unk>f with fall.
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Pa and lateral views of the chest provided. Subtle opacity in the left lung base is more suggestive of atelectasis though difficult to exclude pneumonia. No large effusion or pneumothorax. Right lung is clear. Cardiomediastinal silhouette is stable. Bony structures are intact.
<unk>m with cough
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Frontal and lateral chest radiographs demonstrate and unchanged cardiomediastinal silhouette, with mild cardiac enlargement. Mild interstitial prominence is likely related to the patient's sickle cell disease. There is a new retrocardiac opacity, which could represent a sickle crisis or pneumonia. A <num> mm nodule in the left lung apex is unchanged dating back to <unk>. There is no pleural effusion or pneumothorax. The bones appear somewhat dense and there are h-shaped thoracic vertebrae, also consistent with the patient's sickle cell diagnosis.
hyperglycemia in a patient with sickle cell disease. evaluate for pneumonia.
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The lungs are symmetrically well expanded. Streaky linear opacities in the left lung base are most compatible with atelectasis or pleural parenchymal scarring. 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. The trachea is midline. An ovoid calcified density projects over the left upper abdomen measuring <num> x <num> cm in size, which is compatible with peripherally calcified left renal structure which has not yet been fully characterized
productive cough, here to evaluate for pneumonia.
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Pa and lateral views of the chest are compared to prior from <unk>. Compared to prior, there has been near complete resolution of left base opacity which is still faintly visualized. In addition, there is new ill-defined parenchymal opacity in the right mid lung which is new. Superiorly, the lungs are clear. There is no effusion. Cardiomediastinal silhouette is within normal limits. Surgical clips are again seen in the upper abdomen. Osseous and soft tissue structures are otherwise unremarkable.
<unk>-year-old man with shortness of breath and cough. question 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 with cough // acute process? acute process?
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Mild left base atelectasis is seen. There is no definite focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac silhouette is borderline in size. The aorta is calcified and tortuous. No overt pulmonary edema is seen.
history: <unk>m with h/o a fib, htn, hld, cll with leukocytosis to <unk>. // r/o pna
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Lung volumes are very low and the film is somewhat underpenetrated. Faint bibasilar opacities are similar to yesterday's study and may reflect mild atelectasis; however, pneumonia or aspiration cannot be completely excluded. The heart is mildly enlarged. The mediastinal and hilar contours are unremarkable. There is calcification of the aortic arch. There is no large pleural effusion or pneumothorax.
dyspnea and new tachypnea. evaluate for aspiration.
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Chronic scarring and atelectasis at the right lung base is again demonstrated. There is a small right pleural effusion. Difficult to exclude a superimposed pneumonia. Heart size and mediastinal contours are normal. No pneumothorax.
<unk>m with increasing dizziness and weakness // ? cardiopulmonary changes
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Cardiomediastinal and hilar contours are unremarkable, with stable tortuous descending thoracic aorta. On a background of faint interstitial disease, scattered nodular opacifications are seen only on one view (projecting over thrid left interspace on frontal and ascending aorta on lateral). No opacification concerning for pneumonia present. No pleural effusion or pneumothorax identified.
cough, dyspnea, assess for pneumonia.
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Frontal and lateral chest radiographs demonstrate multiple sternal wires and a normal cardiomediastinal silhouette. The cardiomediastinal silhouette is normal, and the lungs are fairly well aerated. There is diffuse interstitial edema. Slightly more consolidative opacity in the right infrahilar region may represent asymmetric edema or an infectious process. There are bilateral small pleural effusions, right greater than left. No pneumothorax is seen. The visualized upper abdomen is unremarkable.
cough. evaluate for pneumonia.
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Portable ap upright view of the chest was provided. Lung volumes are low with mild pulmonary edema noted. Patient is rotated to the right, which somewhat limits the evaluation. No large effusion or pneumothorax is seen. Heart size cannot be assessed. The mediastinal contour is also difficult to assess due to patient rotation to the right. The bony structures are intact.