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Frontal and lateral chest radiograph demonstrates clear lungs with no focal consolidation. There is no pleural effusion or pneumothorax. Re- demonstration of a left-sided picc which terminates in the right atrium. For placement confidently with the superior vena cava, this line would have to be pulled <num>-<num>cm. The cardiomediastinal and hilar contours are stable in appearance. There is evidence of pneumoperitoneum as demonstrated by air under the right hemidiaphragm and cardiac border. This appears stable if not minimally decreased when compared to chest radiograph dated one day prior and expected after recent peritoneal abscess drainage.
<unk>-year-old male with fevers and recent ercp..
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The heart size is mildly enlarged but unchanged. The mediastinal and hilar contours are normal. The pulmonary vascularity is not engorged. No focal consolidation, pleural effusion or pneumothorax is present. The distal left clavicle and several left-sided ribs demonstrate increased sclerosis likely compatible with metastatic disease.
syncope and fall.
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Low lung volumes. Heart size is normal and unchanged. 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.
<unk>-year-old man with <num> week of intermittent positional chest pain associated with dyspnea. evaluate for pneumothorax or infiltrate.
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Pa and lateral views of the chest are provided. A calcified granuloma resides at the right lung base. Calcified lymph nodes are noted in the subcarinal region on the lateral view. The lungs appear somewhat hyperinflated, though there is no definite evidence of pneumonia or overt chf. Mild bibasilar atelectasis is noted. The heart is within normal limits of size. The aorta is unfolded. Bilateral shoulder replacements are present. The thoracic spinal aligns normally.
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The lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
<unk> year old man with cp x <unk> weeks, hx htn, sleep apnea, asthma and allergies // any worrisome lesion?
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Support and monitoring devices are unchanged in position. The side port of nasogastric tube is in close proximity to the expected ge junction and could be advanced to ensure positioning distal to this structure. Subtle areas of opacity in the left mid and lower lung region show improvement in the left retrocardiac area. These findings are nonspecific but could potentially be due to aspiration or developing aspiration pneumonia in the setting of recent seizure activity. Short-term followup radiographs may be helpful in this regard.
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Interval removal of previously seen right central venous catheter. Moderate to large left pleural effusion with overlying atelectasis, underlying consolidation is not excluded. Interval decrease in right pleural effusion with minimal to no right pleural effusion seen currently. Bilateral perihilar and right basilar opacities could be due to fluid overload although atypical infection is not excluded.
history: <unk>f with hypotension and cough // pna? cough
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Pa and lateral views of the chest provided. Dual lead left-sided pacer device is seen with leads extending to the expected positions of the right atrium and right ventricle. There is no focal consolidation, large pleural effusion, or pneumothorax. Cardiac silhouette size is top-normal to mildly enlarged. No overt pulmonary edema is seen.
history: <unk>f with recent admission for urosepsis now with sob. // pneumonia?
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Minimal opacity in left costodiaphragmatic angle is probably atelectasis. Mediastinal and cardiac contours are normal. There is no pneumothorax or pleural effusion. The patient had prior thoracic spine kyphoplasty.
patient with cough, infiltrate?
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Compared to exam on <unk> at <time>, there is no significant change. Lungs are hyperinflated because of extremely severe emphysema, particularly large biapical bullae. Small right pneumothorax, if any, has not changed, though the assessment is unreliable in setting of bullous emphysema. Blunting of the right costophrenic sulcus and basal opacity likely reflect pleural effusion and atelectasis. The left lung appears unchanged from prior with scarring and atelectasis at the apex. Heart size is within normal limits.mediastinal and hilar contours are unremarkable. There is no evidence for pulmonary edema or pulmonary consolidation. Pigtail catheter is in place, unchanged in position. Valves are seen at the right hilum, unchanged in position.
<unk> year old man h/o spont r ptx, s/p ebv placement.
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A left-sided pacemaker is noted with three intact leads which remain unchanged in position. The lungs are hyperinflated but grossly clear. There is no lobar consolidation, pneumothorax, or right pleural effusion. Probable trace left pleural effusion with adjacent atelectasis is noted. Mild-moderate cardiomegaly is unchanged. Calcifications are noted in the aortic knob. S-shaped scoliosis is unchanged, with a rotary and dextroscoliotic component centered in the mid thoracic spine.
history: <unk>f with weakness // infiltrate, worsening chf
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Frontal and lateral chest radiographs demonstrate a slightly ectatic descending thoracic aorta with atherosclerotic calcifications identified along the ascending portion and arch. Cardiomediastinal and hilar contours are otherwise unremarkable. Lungs are clear. No pleural effusion or pneumothorax identified. No osseous abnormality is present.
hypoglycemia, altered mental status. assess for pneumonia.
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The patient is rotated somewhat to the right. There are relatively low lung volumes. Given this, no focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Thoracolumbar scoliosis is partially imaged.
history: <unk>f with cough/dyspnea // acute process
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As compared to the previous radiograph, the left-sided parenchymal opacities have minimally increased in extent. The right-sided parenchymal opacities are constant. No evidence of pleural effusions. No change in normal size of the cardiac silhouette.
recent colectomy, pneumonia, evaluation for worsening.
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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.
<unk>f with tachycardia. evaluate for pneumonia.
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Ap portable upright view of the chest. The heart is enlarged. There is prominence of the upper mediastinum, unchanged since <unk>, representing an aortic aneurysm seen on the <unk> ct. The central pulmonary vessels are in course, however, there is no overt edema. No superimposed consolidation, pneumothorax, or effusion is seen.
<unk> year old man with pna, chf and worsening tachypnea // please assess for pna vs fluid overload
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Pa and lateral images of the chest. Pacer is seen overlying the left anterior chest with intact leads in appropriate positions. The lungs are well expanded. There is opacity in the right lung base consistent with pneumonia. Small bilateral pleural effusions are seen. The cardiomediastinal silhouette is top-normal in size.
fever.
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Portable ap upright chest radiograph obtained. Exam is limited due to poor patient positioning. Underpenetrated technique also limits the evaluation. Allowing for this, there is no significant interval change with no definite signs of acute consolidation or large pneumothorax/effusion. Please note the left lung base is poorly assessed. Bony structures appear grossly intact.
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Frontal and lateral views of the chest show no pleural effusion, pneumothorax or focal airspace consolidation. The cardiac and mediastinal contours are normal. The hilar structures are unremarkable. The known ground-glass opacities are too small to be appreciated on this study.
right upper quadrant pain.
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Widespread subcutaneous emphysema is again demonstrated, as well as pneumomediastinum, pneumoperitoneum, and small right apicolateral pneumothorax. Indwelling support and monitoring devices are unchanged, and cardiomediastinal contours are stable in appearance. Overall, little change in the appearance of the chest since the recent radiograph of a few hours earlier, with the exception of improved aeration at the lung bases.
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Heart size is normal. The mediastinal and hilar contours are unremarkable. Lung volumes are low which results in crowding of bronchovascular structures. No overt pulmonary edema is present. Minimal atelectasis is seen in the lung bases. No focal consolidation, pleural effusion or pneumothorax is detected. Clips project over the left axilla. No acute osseous abnormality is visualized. Anterior cervical spinal fusion hardware is incompletely assessed.
history: <unk>f with crackles bilateral lung bases
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Assessment is slightly limited by patient rotation. Endotracheal tube tip terminates approximately <num> cm from the carina. An enteric tube courses distal to the gastroesophageal junction, with tip off the inferior borders of the film. The side-port however appears proximal to the gastroesophageal junction and should be advanced by at least <num> cm. Numerous mediastinal clips are demonstrated. Heart size is mild to moderately enlarged. Perihilar ill-defined opacities are more pronounced on the right, and most likely reflective of moderate asymmetric pulmonary edema. No large pleural effusion or pneumothorax is clearly visualized.
history: <unk>f with cardiac arrest // eval for line placement
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Cardiac silhouette is normal in size. The aorta is mildly tortuous. Linear atelectasis in the right mid lung field is unchanged. Remainder of the lungs are clear. No pleural effusion or pneumothorax. No acute osseous findings. There is a hiatal hernia.
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Endotracheal tube tip terminates approximately <num> cm from the carina. An enteric tube is noted coursing below the left hemidiaphragm, off the inferior borders of the film. The heart size is normal. The aorta is slightly unfolded. There are low lung volumes with crowding of the bronchovascular structures and mild pulmonary vascular congestion. More focal opacity within the retrocardiac region could reflect an area of atelectasis, but infection or aspiration are also possible. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities demonstrated.
endotracheal tube placement.
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In comparison with study of <unk>, there is some increased prominence of the apical component of the right pneumothorax. The gas along the right lateral chest wall is now apparently filled in primarily by fluid. The right chest tube has been removed. On the left, there are mild atelectatic changes at the base.
thoracotomy.
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Ap portable supine view of the chest. The lung bases are excluded. The endotracheal tube is seen with its tip residing <num> cm above the carina. The ng tube courses inferiorly though the tip is excluded from view though note is made of the distal side port in the region of the esophagus. The imaged portions of the lungs appear clear the. The imaged portion of the heart appears enlarged of this may be due to technique. No definite bony abnormality.
<unk>m with ett, og tube // ett? og?
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As compared to the previous radiograph, the previously malpositioned endotracheal tube has been pulled back. The tip of the tube now projects approximately <num>-<num> cm above the carina. The course of the nasogastric tube is unchanged. Unchanged appearance of the moderately enlarged cardiac silhouette and of the preexisting parenchymal opacities. These have not changed in extent and severity.
heart failure, evaluation for tube position.
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As compared to the previous radiograph, the pic line has been pulled back. The tip now projects over the mid svc. The spinal stimulator is in unchanged position. The lung volumes remain low. However, no evidence of acute pulmonary disease is seen. No pneumonia, no pneumothorax. No pleural effusion. No pulmonary edema.
back pain, preoperative evaluation.
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The lung volumes are low. The cardiac contour is accordingly difficult to assess, also given a large right-sided pleural effusion and a moderate to large left-sided one. Parenchymal opacification is probably associated with associated volume loss and atelectasis. There is no pneumothorax.
known bilateral pleural effusions.
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As compared to the previous radiograph, the pre-existing atelectasis on the left is smaller than before. The lateral radiograph reveals a mild-to-moderate bilateral pleural effusion, not visible on the frontal image. Unchanged position of the right internal jugular vein catheter. Unchanged mild cardiomegaly without pulmonary edema.
cabg, evaluation for pleural effusion.
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Patient is status post esophagectomy and right thoracotomy. The right paramediastinal /right hilar opacity has resolved since <unk> with postsurgical changes seen. There is also interval resolution of the left pleural effusion previously noted. Bilateral lungs are hyperinflated with flattening of bilateral diaphragms consistent with known severe emphysema with scarring of the right apex better seen on ct chest in <unk>.no pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unchanged.
<unk> year old man s/p mie // check interval change
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<num> views were obtained of the chest. Small left pleural effusion is seen with accompanying left basilar atelectasis. There is no right pleural effusion or focal consolidation. There is no pneumothorax with mild biapical pleural thickening. The heart is normal in size with normal cardiomediastinal contours with dual lead pacemaker noted in conventional position. Small left apical opacity projecting along the inferior border of the clavicle may represent combination of apical scarring and overlying structures, however, recommend ap lordotic view for further evaluation.
left chest pain radiating to the back. assess for pneumothorax or free intraperitoneal air.
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The contour of the aortic arch is prominent with calcification and tortuosity, but otherwise the mediastinal and hilar contours are unremarkable. There is patchy left basilar opacity, which can probably be ascribed to atelectasis. Lesser right infrahilar opacity is probably also due to minor atelectasis. There is no pleural effusion or pneumothorax.
chest pain. question wide mediastinum.
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Biapical pleural thickening, stable. Subtle linear scarring bilateral upper lungs, stable since <unk>. Mild degenerative changes thoracic spine. Remainder normal.
<unk> year old man with sharp cp lasting seconds, h/o cad with stents. no cough or fever // please eval for chest abormality
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Left lower lobe moderate atelectasis/consolidation is unchanged with possible small pleural effusion. Right lower lung opacities have increased which could be atelectasis or pneumonia. The patient has a right-sided pectoral with pacemaker with three leads, one in atrium and two in right ventricle. Severe cardiac enlargement is stable.
patient with hypothermia, rule out pneumonia.
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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 cough, fever, chest pain // ?pna
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Increased interstitial markings are seen throughout the lungs bilaterally, overall similar when compared to prior. There is no new consolidation or effusion. The cardiomediastinal silhouette is stable. No acute osseous abnormalities. Chronic deformities seen in the ribs bilaterally suggest prior fractures.
<unk>f with chest pain // evidence of infiltrate
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Compared with prior radiographs on <unk>, there has been interval loosening of one screw in the upper sternum. The sternum has overall improved alignment compared with prior. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
<unk> year old woman s/p repair of pectus excavatum // check interval change, check placement of screws
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Comparison is made to prior study from <unk>. There has been development of airspace opacities within the body of the right lung. These findings are suspicious for aspiration pneumonia given the clinical history. Left lung is relatively clear. There is a right ij central venous line with distal lead tip in the distal svc. Cardiac silhouette is within normal limits.
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear. The chest is hyperinflated.
fever and cough. question pneumonia.
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Frontal and lateral views of the chest. Mild cardiomegaly and a tortuous thoracic aorta are relatively unchanged. No focal opacity, pulmonary edema, pleural effusion or pneumothorax is identified.
left lower lobe pneumonia diagnosed in late <unk> in <unk>. for followup radiograph. is clinically better. evaluate for persistent abnormality.
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Heart size is normal. Mediastinal and hilar contours are unremarkable. The pulmonary vasculature is normal. Minimal streaky opacities in the lung bases likely reflect atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. There are mild degenerative changes in the thoracic spine. Clips are seen within the upper abdomen.
cva history,now with symptoms concerning for recurrent stroke.
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The lungs are clear. The cardiac and mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen.
hemoptysis, please evaluate for hemorrhage.
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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 pulmonary edema is seen.
history: <unk>m with palpitations and left arm numbness // any evidence of acute intrathoracic process?
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A right picc tip projects ends in the distal svc. Lung volumes are slightly low with bronchovascular crowding. No definite focal consolidation. No pleural effusion or pneumothorax. The heart is normal in size. The mediastinum is not widened. No edema. No acute osseous abnormality. Surgical clips in the right upper quadrant may reflect history of cholecystectomy.
<unk>-year-old woman woman with bilateral pelvic abscesses, productive cough, fever on immunosuppression given hx kidney transplant. evaluate for pneumonia.
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Pa and lateral views of the chest were obtained. As seen previously, plate-like atelectasis is noted in the left lower lung. There is no focal consolidation, effusion, or pneumothorax. Areas of linear scarring are noted in the upper lungs bilaterally. Cardiomediastinal silhouette is stable and normal. Bony structures are intact. No free air below the right hemidiaphragm. Degenerative changes are noted in the upper lumbar spine seen on lateral view.
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A dobbhoff tube is visualized with the tip coiled in the stomach. Otherwise, the visualized endotracheal tube has since been removed. The lungs are hypoinflated but clear with no evidence of consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Visualized osseous structures are normal.
evaluation of patient with new dobbhoff tube placement.
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Overall, allowing for significant differences in positioning and technique, the appearance is similar to <unk>. However, the chf findings are probably slightly more pronounced. The cardiomediastinal silhouette is unchanged. The rounded, masslike opacity at the left lung apexmay be accentuated by differences in positioning, but is otherwise similar. Changes at the left base including pleural fluid and/or thickening are similar to the prior study.
<unk>m with afib on coumadin, sjogren's, subacute cutaneous lupus erythematous, recently diagnosed stage iv poorly differentiated large cell neuroendocrine lung carcinoma complicated by malignant pleural effusion on c<num>d<num> of carboplatin/etoposide with recent admission from <unk> to <unk> for chemotherapy related pancytopenia who presents with hypoxia and anemia. // eval for edema? congestion? effusion?
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. No focal consolidation, pleural effusion, or pneumothorax.
<unk> year old woman with fever post op tkr
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Low lung volumes accentuate the cardiac and mediastinal contours and result in bronchovascular crowding. Bilateral heterogeneous pulmonary opacities are more severe in the left lung than the right. Right hemidiaphragm is moderately elevated. No pleural effusion or pneumothorax. Nasogastric tube terminates in the stomach but side port is at or just above the ge junction
<unk> year old woman with pod<num> ventral hernia repair with new onset tachycardia and hypoxia // pulmonary edema?
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Endotracheal tube somewhat low in position, terminating approximately <num> cm above the carina. Recommend withdrawal by approximately <num> cm for more optimal positioning. Interval removal of left-sided subclavian line. Enteric tube is similar in position. Enlargement of the cardiomediastinal silhouette is stable. No new focal consolidation is seen. Slight blunting of the right costophrenic angle may be due to atelectasis versus a trace effusion. No pulmonary edema is seen.
<unk> year old man with presents s/p cardiac arrest, now s/p cooling protocol // interval change?
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No pneumothorax. Right lower lung opacities are again seen. In the right mid lung, there is a new opacity which appears to be located in the superior segment of the right lower lobe, new compared to <unk> at <time>. The also a small increase in pleural fluid seen laterally in the mid lung. No left pleural effusion. The cardiomediastinal and hilar contours are stable.
status post removal of ct placed for pneumothorax. evaluate for change.
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The lungs are normally expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax.
history: <unk>f with mm s/p cyclophosphamide presenting with neutropenic fever // please eval for pna
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The cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Minimal atelectasis seen in the lung bases without focal consolidation. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are visualized.
history: <unk>f with syncope, hypoglycemia
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There is no focal consolidation, pleural effusion or pneumothorax. Bibasilar opacities are unchanged from the prior study and likely represent chronic atelectasis. The cardiomediastinal slight is unchanged. The imaged abdomen is unremarkable.
history: <unk>f with dyspnea // eval for pna
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Pa and lateral chest radiographs. Marked thickening of the intralobular septa and interstitial opacities are concerning for an atypical infectious process. Minimal amount of pleural fluid is seen in the major fissures as well as within the costophrenic sulci bilaterally. There is no pneumothorax. The cardiomediastinal silhouette is normal.
cough and fever.
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Cardiac, mediastinal and hilar contours are normal. Lungs are hyperinflated with emphysematous changes again noted. Atelectasis is seen in the lung bases. No large pleural effusion or pneumothorax is present. Pulmonary vasculature is not engorged. Moderate compression deformity of a mid thoracic vertebral body remains unchanged.
history: <unk>m with chest pain, fever
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Pa and lateral views of the chest provided. There is mild left basal atelectasis. No convincing evidence for pneumonia. No pleural 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 exertional chest pain with dyspnea for several months.
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Slight prominence of the interstitial markings in general may represent a degree of failure.there are new right greater than left basilar opacity, not seen on <unk> with a history of trauma, likely representing atelectasis or pneumonia. The cardiomediastinal silhouette and hila are normal. There is no pneumothorax. There is mild elevation of the left hemidiaphragm, unchanged from the prior study.
patient with hypoxia after mvc.
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Frontal and lateral radiographs of the chest demonstrate well expanded clear lungs. The cardiomediastinal contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.
cough and fever. evaluate for pneumonia.
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<num> portable views of the chest. The lungs are clear of confluent consolidation. The cardiomediastinal silhouette is within normal limits. No displaced fractures identified.
<unk>-year-old male problem altered mental status after fall.
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The dobbhoff tube tip is in the gastro esophageal junction with the tip extending into the proximal stomach. This should be advanced.unchanged picc position and right upper lobe dense irregular opacity. Small right pleural effusion is difficult to appreciate on the frontal view only. Otherwise no significant change from the prior exam. Results were discussed with dr. <unk> at <num> pm on <unk> via telephone by dr. <unk> at the time the findings were discovered.
the dobbhoff.
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Et tube and enteric tube are present in standard positions. There is no pleural effusion or pneumothorax. Cardiomediastinal and hilar contours are normal. Slight enlargement of pulmonary vasculature is seen. Overall the lung opacities do look improved, however there is persistent opacification of the left mid lung zone. While this may represent pulmonary edema, its asymmetry is unusual, unless a gravitational/positional component is responsible. As the right lung is clear, ards is excluded as a diagnosis.
concern for aspiration pneumonia, pulmonary edema or ards.
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Compared to the prior exam, there has been interval increase in the right lower lobe infiltrate with new/increased left lower lobe infiltrate. The et tube and ng tube are unchanged. There is a moderate right effusion.
fever and purulent et tube secretions.
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In comparison with the study of <unk>, there is a pigtail catheter at the left base with substantial decrease in the left pleural effusion. No evidence of pneumothorax. There is continued evidence of pulmonary vascular congestion with bilateral basilar atelectasis and residual pleural effusions.
left effusion with chest tube placement.
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As compared to the previous radiograph, there is an increase in lung density at both lung bases, right more than left. Although symmetry rather suggests pulmonary edema, the presence of pneumonia cannot be excluded. Blunting of the bilateral costophrenic sinuses could suggest the presence of small pleural effusions. Unchanged mild cardiomegaly. At the time of observation and dictation, <time> a.m., on <unk>, the referring physician, <unk>. <unk> was paged for notification.
bladder cancer, recurrent fevers, rule out pneumonia.
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Pa and lateral views of the chest provided. Midline sternotomy wires and mediastinal clips again noted. There is increasing airspace consolidation in the right mid and lower lung concerning for worsening pneumonia. There is also an the adjacent right pleural effusion at least small to moderate in size. There is a tiny left pleural effusion. No overt signs of edema. Bony structures are intact.
<unk>m with h/o chf, recent pna who presents w sob
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An endotracheal tube terminates in the low thoracic trachea within <num> cm of the carina, however assessment is limited due to patient rotation. Pulmonary edema is unchanged. Bilateral pleural effusions are small.
history: <unk>f with intubated // ett placement
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Increased opacity left upper lung, likely atelectasis, with probable component of worsening moderate pleural effusion. Stable left basilar consolidation, likely atelectasis. Improved right basilar opacity. Small right pleural effusion, similar. Right picc line tip low svc. Surgical clips right upper quadrant.
<unk> years old woman with chest tube for pleural effusion // pleural effusion
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Et tube and right internal jugular central venous catheter remain in constant position. Multifocal bilateral airspace opacities are not significantly changed from the study <num> hr prior. The dobbhoff tube courses below the left hemidiaphragm crossing midline terminating in the distal second portion of the duodenum.
<unk> year old man with acute pancreatitis // dobhoff placement ?jejunum
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Right picc is no longer visualized. There is a right chest wall port with tip projecting over the right atrium. Known pleural-based lesions are not visualized on the current exam. Blunting of the posterior costophrenic angles suggests small effusions. The lungs are otherwise clear. The cardiomediastinal silhouette is stable. Atherosclerotic calcifications noted at the aortic arch. No acute osseous abnormality.
<unk>m with sob // r/o acute process
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In comparison with the study of <unk>, the endotracheal and nasogastric tubes have been removed. There is slight prominence of the interstitial markings, which could reflect mild elevation of pulmonary venous pressure or interstitial pneumonia. However, this was not appreciated on the ct examination. No evidence of focal consolidation.
possible pcp pneumonia with et tube.
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In comparison to prior exam, the right-sided internal jugular line is removed. The picc line appears to terminate in the upper portion of the svc. The lungs are clear. Cardiomediastinal silhouette and hilar contours are unremarkable.
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There bilateral pleural effusions, moderate on the right and small on the left. Superiorly, the lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. There is no free intraperitoneal air.
<unk>f with <unk> pain // acute process
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When compared to prior, there has been interval progression the degree of pulmonary vascular congestion. There is blunting of the posterior costophrenic angles suggesting small effusions. Enlarged cardiac silhouette is similar to prior
<unk>m with hypoxia // pulmonary edema?
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Pa and lateral views of the chest. The lungs are clear of focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormality is detected.
<unk>-year-old female with hemoptysis.
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As compared to the previous radiograph, there is no relevant change. Massive right pleural effusion with subsequent consolidations at the right lung bases and in the right mid lung. As compared to the right changes, the left lung appears relatively normal, with currently no evidence of focal opacities and no larger pleural effusion. The size of the heart is unchanged. Unchanged endotracheal tube, nasogastric tube and right internal jugular vein catheter.
respiratory distress, pleural effusion, multifocal pneumonia. evaluation for interval change.
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As compared to prior chest radiograph from <unk>, there has been interval worsening of a right lung base opacity. A moderate to large right pleural effusion is unchanged. Asymmetric opacity in the right apex likely relates to degenerative changes of the first rib, unchanged. The left lung is clear. The cardiomediastinal hilar contours are stable. There is mild pulmonary edema which appears worse since <unk>.
lethargy. rule out pneumonia.
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Pa and lateral chest radiographs are provided. The lungs are well expanded. There is no focal consolidation, pleural effusion, or pneumothorax. Linear opacities at the bases are consistent with atelectasis. Cardiomediastinal silhouette is normal.
pleuritic chest pain for two days. rule out pneumothorax.
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Left chest wall port-a-cath is again seen with catheter tip in the right atrium. Blunting of lateral costophrenic angles suggest small effusions as seen on prior. Increased bibasilar opacities are seen potentially due to atelectasis although developing infection is possible. More dense retrocardiac opacity silhouetting the descending thoracic aorta may represent infection. These findings are superimposed on diffuse increased interstitial markings which may represent edema. Cardiomediastinal silhouette is within normal limits.
<unk>m with sob // ? pna
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Pa and lateral views of the chest provided demonstrate no focal consolidation, effusion or pneumothorax. The heart and mediastinal contour appear stable and within normal limits. The bony structures are intact. No free air below the right hemidiaphragm.
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In comparison with study of <unk>, there is little change. Again there is mild blunting of the right costophrenic angle, but no evidence of acute pneumonia, vascular congestion, or pleural effusion.
kidney transplant evaluation.
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Lungs are clear. There is no pneumothorax. Small right pleural effusion is present. Calcified left hilar lymph nodes again noted. Cardiomediastinal silhouette is unremarkable.
altered mental status, assess for pneumonia.
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There are relatively low lung volumes. Mild prominence of the hila is stable. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable and unremarkable. Aortic knob calcification is again seen. Stent is seen projecting over the upper abdomen.
altered mental status.
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The lungs are clear of focal consolidation, pleural effusion or overt pulmonary edema. The cardiomediastinal contours are within normal limits. There has been interval removal of a right picc.
<unk>-year-old male with fever and altered mental status.
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Pa and lateral views of the chest. No prior. The lungs are clear. There is no pleural effusion or pneumothorax. Cardiomediastinal silhouette is unremarkable without evidence of pneumomediastinum. Osseous and soft tissue structures are unremarkable without radio opaque foreign body.
foreign body sensation in the mid esophagus since yesterday. evaluate for foreign body or perforation.
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Pa and lateral views of the chest provided. Midline sternotomy wires and mediastinal clips are again noted. Lungs appear hyperinflated with upper lung lucency suggesting emphysema. There is no focal consolidation concerning for pneumonia. No large effusion or pneumothorax. No signs of congestion or edema. Cardiomediastinal silhouette is stable. Bony structures are intact.
history: <unk>m with chest pain // eval for ptx, pna
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Pa and lateral chest views were obtained with patient in upright position. The heart is mildly enlarged. The configuration demonstrates a prominence of the left ventricular contour to the left and posteriorly but no evidence of marked left atrial enlargement. Thoracic aorta is mildly widened but does not show any local contour abnormalities. A right-sided internal jugular vein approach port-a-cath system is noted and the line terminates in mid-to-lower svc. No pneumothorax is present. The pulmonary vasculature is not congested. There is no evidence of new acute parenchymal infiltrates. There is mild blunting of the lateral and posterior pleural sinuses, but in the absence of acute pulmonary congestion, these findings are most likely related to patient's past medical history, which includes a liver transplant, probably represent pleural scar formations. There is no evidence of pneumothorax on either side. Skeletal structures of the thorax grossly unremarkable.
<unk>-year-old male patient with relapsed cholangiocarcinoma and liver transplant, on chemotherapy, admitted for bacteremia. transient hypoxia last night, evaluate for infiltrate or pulmonary edema.
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Pa and lateral views of the chest demonstrate the lungs are well expanded and clear. The cardiomediastinal silhouette is unremarkable. There is no evidence of pleural effusion, pneumothorax or focal consolidation.
hemoptysis and cough.
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In comparison with the study of earlier on this date, with the chest tube on waterseal, there is little change in the degree of pneumothorax. Extensive subcutaneous gas is seen bilaterally. Continued pneumomediastinum with left effusion.
pneumothorax.
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Chronic peripheral pulmonary opacities are unchanged, and there is increased right lower lobe opacity adjacent to suture material, which may represent residual alveolar hemorrhage from recent vats biopsy. The heart size is normal. The mediastinal contours are normal. There is continued resolution of right subcutaneous emphysema.
<unk> year old female with fever, cough status post right vats last <unk> // eval for effusion, pna
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Frontal and lateral views of the chest were obtained. Mild cardiomegaly is similar to prior. Cardiomediastinal contours are stable. Opacity in the medial retrocardiac region is compatible with a hiatal hernia, which was present on <unk> chest ct. The pulmonary vasculature is indistinct, compatible with mild pulmonary edema. No substantial pleural effusion, focal consolidation, or pneumothorax. No radiopaque foreign body. Bilateral shoulder degenerative changes are similar to prior. A calcified granuloma in the right mid lung is similar to prior. Wedge deformities of two thoracolumbar vertebral bodies are similar to prior.
<unk>-year-old female with past medical history of asthma presenting with shortness of breath.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Minimal patchy opacities are seen within the left lower lobe which could reflect a subtle or early pneumonia. Right lung is clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>m with history of chest pain, cough, smoker <num> packs per day
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Increased interstitial marking and pulmonary vessels cephalization is compatible with mild interstitial edema. Bilateral pleural effusions are small and improved since prior ct. Cardiac contour is mildly enlarged with a heavily calcified mitral valve annuls. There is no pneumothorax.
patient with productive cough, aortic stenosis, heart failure, rule out pneumonia.
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The lung volumes are low. Areas of atelectasis are seen at both the left and the right lung base. Borderline size of the cardiac silhouette without evidence of pulmonary edema. Normal hilar and mediastinal contours. No pneumonia. No pulmonary edema.
recently diagnosed gangrenous gallbladder. evaluation for pneumonia.
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In comparison with the study of <unk>, there is little overall change. Low lung volumes without acute focal pneumonia or vascular congestion. Evidence of previous kyphoplasty and prior rib fractures.
multiple myeloma. pre-bone marrow transplant.
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The lungs are symmetrically expanded. No focal consolidation concerning for pneumonia, pleural effusion, or pneumothorax is detected. The cardiac silhouette is normal in size. Prominence of the mediastinal contours is unchanged and likely related to vessels. Mild calcification of the aortic knob is noted. The hilar contours are within normal limits.
ventricular tachycardia, on amiodarone, here for screening evaluation to evaluate for amiodarone toxicity.
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Bilateral low lung volumes. Convexity of the upper right mediastinal contour suggest dilatation or tortuosity of the ascending aorta. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
<unk> year old man with dry cough. // any pulmonary cause of dry cough.
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Frontal and lateral chest radiograph demonstrates well expanded and clear lungs.no pleural effusion or pneumothorax. No pneumomediastinum. The esophagus is air-filled. Heart size, mediastinal contour, and hila are unremarkable. Limited assessment of the upper abdomen is within normal limits. Evidence of healed left posterior rib fractures.
esophageal ring with vomiting. assess for mediastinal air or widening.
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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>. Heart size and configuration now within normal limits. No evidence of displaced subepicardial fat lines on lateral view. Thoracic aorta unremarkable. The pulmonary vasculature is not congested. No signs of acute or chronic parenchymal infiltrates are present. The previously described small pleural residual blunting the right posterior pleural sinus has further decreased. No new abnormalities are seen. No pneumothorax in apical area on frontal view.
<unk>-year-old male patient status post pericardial window, evaluate for interval change.