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Frontal and lateral views of the chest. The lungs remain clear. Cardiomediastinal silhouette is normal. No acute osseous abnormalities detected.
<unk>-year-old female with cough and fever. body aches.
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Lung volumes are low. This accentuates the size of the cardiac silhouette which is mildly enlarged. The mediastinal and hilar contours are stable, with minimal atherosclerotic calcification noted at the aortic knob. The pulmonary vasculature is normal. Minimal patchy opacity in the left lung base likely reflects atelectasis. No pleural effusion or pneumothorax is demonstrated. No acute osseous abnormalities seen.
seizure.
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Pa and lateral views of the chest provided. A single-lead pacer projects over the left axilla with lead tip extending to the region of the right ventricle. Midline sternotomy wires and mediastinal clips likely reflect prior cabg. There are multiple left rib deformities which appear grossly unchanged from prior exam. There is underlying presumed pleural parenchymal scarring which is unchanged. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is stable. There is an old right mid shaft clavicle deformity.
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Et tube tip is <num> cm above the level of the carina and is in appropriate position. Ng tube with side port below the gastroesophageal junction enters into proximal stomach and is out of view. Swan-ganz catheter with tip in proximal right pulmonary artery is unchanged. Left brachial line with tip at the junction of subclavian and axillary vein. Mild interval improvement in moderate diffuse bilateral heterogeneous opacities with both interstitial and parenchymal components. No pneumothorax or pleural effusion. Heart size, mediastinal contour and hila are normal.
female with respiratory failure, on ventilation. assess for interval change.
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Cardiomediastinal silhouettes are stable and within normal limits. The bilateral hila are unremarkable. Lungs are clear without focal consolidation. There is no pulmonary vascular congestion or pulmonary edema. There is no pneumothorax or pleural effusion.
<unk>f with chest pressure and sob, rule out pneumonia.
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In comparison with the study of <unk>, there is little overall change. There is still poor definition of the left hemidiaphragm with blunting of the costophrenic angle, consistent with a small effusion and compressive atelectasis. Right lung is essentially clear. Left subclavian catheter extends to the mid to lower portion of the svc. Tip of the endotracheal tube lies approximately <num> cm above the carina. Nasogastric tube extends well into the stomach, though the tube appears to coil upon itself so that the tip points upward and is in the upper body of the stomach.
altered mental status, to assess for pneumonia.
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The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
history: <unk>f with substernal chest pain ucg ordered // evaluate cardiomediastinal shadow
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Single portable view of the chest. There has been interval placement of an endotracheal tube whose tip is at the carina. A new ng tube tip passes below inferior field of view. Right picc again seen in the region of the upper svc. The lungs remain clear and the cardiomediastinal silhouette is stable.
<unk>-year-old female intubated.
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As compared to the previous radiograph, there is no relevant change. Normal lung volumes. Normal structure and transplanted lung parenchyma. No evidence of acute or chronic lung disease. In particular, there is no evidence of tuberculosis changes. Normal size of the cardiac silhouette appears normal. Hilar and mediastinal structures. No pleural effusions.
<unk>-year-old woman with positive ppd. questionable lung abnormality.
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Single portable ap chest radiograph was provided. There is prominence of the upper zone vessels, compatible with pulmonary congestion, increased since the recent prior exam. Again seen are layering moderate-sized bilateral pleural effusions with associated compressive atelectasis. Nodular opacities in the right apex are unchanged. Median sternotomy wires are intact.
history of cabg with acute onset shortness of breath and hypoxia. evaluate for infiltrate, edema or pneumothorax.
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As compared to the previous radiograph, the lung volumes have increased, likely reflecting improved ventilation. There is minimal atelectasis at the right lung base. Otherwise, the lung parenchyma is clear. No evidence of pneumonia or other changes. The monitoring and support devices are in constant position.
ards, assessment for interval change.
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The heart is normal in size. The mediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. The lungs appear clear.
fever and chemotherapy.
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Known left clavicular fracture with displacement. On the current image, there is no evidence for pneumothorax. No pleural effusions. Plate-like atelectasis at the right lung bases. Moderate cardiomegaly without pulmonary edema. No evidence of pneumonia.
multiple rib fractures, status post chest tube that has been removed. evaluation for pneumothorax.
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Pa and lateral chest radiographs demonstrate a stable cardiomediastinal silhouette. Ectatic ascending aorta is better appreciated on dedicated chest ct dated <unk>. Lungs are clear without a focal opacity convincing for pneumonia. There is no pneumothorax, pulmonary edema, or pleural effusion. Right apical scarring is noted and correlates with chest ct, unchanged allowing for differences in modality. Multilevel degenerative changes are present within the imaged thoracic spine.
history: <unk>m with hemoptysis // evaluate for pneumonia or mass
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Cardiac silhouette size is normal. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are visualized.
history: <unk>f with cough
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No consolidation, pleural effusion or pulmonary edema is seen. Mild cardiomegaly continues to be seen, and a tortuous aorta is seen.
<unk>-year-old with pneumonia and persistent fever. evaluate for lesions.
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Frontal and lateral views of the chest were obtained. No focal consolidation is seen. There large pleural effusion or pneumothorax. Cardiac and mediastinal silhouettes are stable and unremarkable. No displaced fracture is seen.
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Assessment is limited by patient rotation and the patient's neck obscuring the left apex. Heart size appears moderately enlarged accounting for limitations in technique. There is diffuse calcification of the aorta. Mediastinal contour is difficult to assess given the degree of rotation, but does not appear substantially changed from the previous study. Mild pulmonary edema is present. Small left pleural effusion may be minimally increased in size compared to the prior study. A small right pleural effusion is also likely present. Bibasilar airspace opacities may reflect atelectasis but infection is not excluded. No pneumothorax is identified. There are moderate degenerative changes in the thoracic spine.
history: <unk>f with uncontrolled hypertension
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Supine portable ap view of the chest provided. Right shoulder replacement is noted as well as partially imaged lower lumbar spinal stabilization hardware. The heart is mildly enlarged. The lung volumes are low. There is bibasilar atelectasis. No overt edema or definite signs of pneumonia. Mediastinal contour is normal. Bony structures appear grossly intact.
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The lungs are poorly expanded accounting for some vascular crowding. Bilateral hilar prominence is related to supine positioning rather than vascular engorgement. Cardiomediastinal contour is unremarkable. There is no pleural effusion or pneumothorax. The endotracheal tube ends approximately <num> cm above the carina but the patient's neck is seen to be in flexion. A nasogastric tube has the side port in the stomach and the tip out of view.
<unk>-year-old female status post intubation and sepsis. evaluate tube placement as well as pulmonary processes.
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Subtle retrocardiac basilar opacity seen on the lateral view is not well substantiated on the frontal view and could be due to aspiration or subtle infectious process. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
history: <unk>m with cough, concern for stroke // evidence of pneumonia
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New asymmetric increased opacity in the region of the right middle lobe, with more prominent appearance of the minor fissure, most consistent with pneumonia. No pleural effusion, pulmonary edema, or pneumothorax. Stable appearance of the cardiomediastinal silhouette and hila since <unk>.
<unk> year old man with <num> weeks productive cough wheeze. bilat rhonci and few wheezes, esp at bases. quit smoking <num> mo ago. // please rule out infiltrate.
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The ett terminates <num> cm above the carina. There is a right ij in the low svc. Ng tube courses below the diaphragm, however the tip is not visualized. Worsening bibasilar opacification in comparison to the prior chest radiograph. Moderate interstitial pulmonary edema. Unchanged small left pleural effusion. Heart size is stable. The mediastinal and hilar contours are stable. No pneumothorax is seen. There are no acute osseous abnormalities.
<unk> year old man with aspiration event leading to respiratory distress, now with <num>-pressor shock // evaluate for developing pna
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Right-sided port-a-cath is in adequate position, ending in lower svc. The lungs are clear. There is no pleural effusion or pneumothorax. Cardiac contour is top normal.
patient with port-a-cath, confirm placement.
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Lung volumes remain low. Heart size is normal. The mediastinal contours are within normal limits. Crowding of bronchovascular structures is present without overt edema. Patchy left perihilar and bibasilar opacities may reflect atelectasis, but infection is not excluded in the correct clinical setting. No pneumothorax or pleural effusion is present. No displaced fractures are identified. Calcification within the left neck correlates to a calcified nodule in the thyroid gland on ct of the cervical spine.
history: <unk>f with recent fall, chest wall tenderness
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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. The heart size is normal. Mediastinal contours are normal. Mild thoracic scoliosis is noted.
chest pain x<num> days, evaluate for pneumonia.
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As compared to the previous radiograph, the patient has received a left pectoral pacemaker. Lead of the pacemaker projects over the right ventricle. The course of the pacemaker is unremarkable. No evidence of pneumothorax. Borderline size of the cardiac silhouette. Tortuosity of the thoracic aorta, but no evidence of pulmonary edema or pleural effusions.
rule out pneumothorax after pacemaker placement.
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Pa and lateral views of the chest. Again seen are retrocardiac opacities, which are unchanged. This may represent pneumonia in a correct clinical setting. No other focal consolidations are seen. No pneumothorax or pleural effusion. The cardiomediastinal and hilar contours are normal.
chest pain, evaluate for infiltrate.
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There has been interval removal of a left-sided picc. Re- demonstrated pulmonary opacities are seen, right greater than left, in this patient with underlying chronic lung disease, superimposed infection is difficult to exclude. No large pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are stable.
history: <unk>f with dyspnea and hypoxia, crackles b/l bases // ?edema
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No focal airspace opacity. Changes of mild pulmonary edema, decreased from prior. Small left pleural effusion. Cardiac silhouette is of normal size. This preliminary report was reviewed with dr. <unk>, <unk> radiologist.
<unk> year old man with cirrhosis being worked up for transplant, with new o<num> requirement, cough productive of white sputum, and crackles found to have volume overload on cxr overnight. tbili continuously rising; also repeating infectious workup including cxr. // interval improvement in pulm effusions/ volume overload; evidence of infection
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax. Mild rightward convex curvature is centered along the lower thoracic spine.
substernal chest pain.
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The lungs are well-expanded and clear. The cardiomediastinal silhouette is unremarkable. The hilar and pleural surfaces are normal.
history: <unk>f s/p renal and pancreas transplant here with fevers // evaluate for infiltrate
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As compared to the previous radiograph, there is no relevant change. Minimally increased lung density at both lung bases. Normal size of the cardiac silhouette. No evidence of recent pneumonia, no pleural effusions. Unchanged right central venous access line.
febrile neutropenia, questionable pneumonia.
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Right internal jugular central venous catheter terminating at the cavoatrial junction. A left pectoral pacemaker is noted with two intact leads terminating within the right atrium and right ventricle, respectively. The lungs are grossly clear bilaterally without lobar consolidation, pleural effusion, pneumothorax, or overt pulmonary edema. The aorta is mildly tortuous and demonstrates calcifications within the arch. The heart size is within normal limits.
history: <unk>f with new line placement // ? ptx
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The lungs are clear, the cardiomediastinal silhouette and hila are normal. There is no pleural effusion and no pneumothorax. Right picc ends at the distal svc.
patient with hypotension.
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs which are clear. There is no pleural effusion or pneumothorax.
history of all and gvhd, heavily immunosuppressed, now with fever and cough. evaluate for pneumonia.
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In comparison with study of <unk>, there is continued large left pleural effusion with compressive atelectasis at the base. Right lung is clear and there is no vascular congestion or enlargement of the cardiac silhouette.
on transplant list for cirrhosis, now with fever.
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Et tube ends <num> cm above the carina. Ng tube is below the diaphragm. Right jugular line is in adequate position. Mild pulmonary edema is unchanged. Left lower lobe atelectasis is stable. There is no pleural or pneumothorax.
mva, tib-fibular fractures, stemi
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The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
history: <unk>m with chest pain, pls eval for effusion vs ptx // history: <unk>m with chest pain, pls eval for effusion vs ptx
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The lungs are clear, the cardiomediastinal silhouette and hila are normal. There is no pleural effusion and no pneumothorax.
<unk>-year-old with cough and syncope, please assess for pneumonia. frontal and lateral radiographs of the chest were obtained.
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Pa and lateral views of the chest. No prior. Lungs are clear. There is no effusion or pneumothorax. Cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male with chest pain.
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Ap upright portable chest radiograph is obtained. There is increasing opacity at the left lung base concerning for effusion and consolidation. Right lung appears clear. Overall, low lung volumes limit evaluation. No pneumothorax. Heart size cannot be reliably assessed. The mediastinal contour is unremarkable. Bony structures appear grossly stable in this patient with known diffuse metastatic disease.
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Streaky bibasilar atelectasis is mild, slightly more prominent on the right. There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.
history: <unk>m with <num> days of sore throat, r eye drainage, l ear pain; also chest pressure/cough // eval for consolidation
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In comparison with the study of <unk>, there is little overall change. Monitoring and support devices are in unchanged position. Elevation of the right hemidiaphragmatic contour persists with opacification at the right base consistent with atelectatic change. Left lung is essentially clear and the cardiac size is within normal limits.
intubation with pancreatitis.
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In comparison with the study of <unk>, the monitoring and support devices remain unchanged. There is again evidence of elevated pulmonary venous pressure and substantial layering left pleural effusion with right pleural effusion and substantial volume loss at the base. There is substantial widening of the mediastinum to the right of the trachea. This could represent extreme dilatation of a somewhat tortuous superior vena cava, related to severely elevated central pressure. On the left, there is the suggestion of an elliptical ossification adjacent to the upper mediastinum with pulmonary vessels seen through it. This raises the possibility of a loculated effusion either anterior or posterior to the lung. No evidence of pneumothorax. This information was discussed with <unk>, the resident taking care of the patient. Unfortunately, the condition of the patient is such that ct does not appear to be a viable possibility. Echocardiography of the upper mediastinal region could possibly better demonstrate these mediastinum and paramediastinal findings.
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Pa and lateral views of the chest. Tracheostomy tube is in stable position. Left chest wall port is seen with tip at the ra/svc junction. Relatively low lung volumes are seen. There is, however, no region of consolidation or effusion. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is detected.
<unk>-year-old female with history of bronchopulmonary dysplasia with tracheostomy and increased sputum for two weeks.
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Cardiomediastinal contours are normal. Lungs are hyperexpanded but grossly clear. New minimal blunting of left costophrenic sulcus may represent a small pleural effusion or focal pleural thickening. Scoliosis is noted.
<unk> year old woman with fever and wheeze // r/o pna
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Left-sided picc terminates in the upper svc. Heart size is normal. Mediastinal and hilar contours are unchanged. Lungs appear hyperinflated. Streaky opacities in the lung bases likely reflect atelectasis. No pleural effusion or pneumothorax is seen. There is no pulmonary vascular congestion. Mild degenerative changes are noted in the thoracic spine.
new fever and leukocytosis.
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There is a small ill-defined opacity in the left apex projecting between the posterior <unk> and <num>th ribs; this is only seen on the pa view, and likely represents a vessel. No evidence of pneumonia, pleural effusions or pneumothorax. No pulmonary edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk> year old woman with cough and chest discomfort // r/o infiltrate
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Lung volumes are low. Lungs are clear. Small left pleural effusion is unchanged. No pneumothorax. Heart size is normal. Cardiomediastinal and hilar silhouettes are normal. A right ij port-a-cath terminates in the low svc. A left picc terminates near the expected location of the superior cavoatrial junction.
<unk>f with right upper quadrant pain, history of gastric ca.
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As compared to the previous radiograph, there is no relevant change. Status post sternotomy, pectoral pacemaker in unchanged position. Atelectasis and pleural effusion bilaterally, left more than right. Borderline size of the cardiac silhouette. The sternal wires are in unchanged position.
lung crackles, pneumonia versus chronic heart failure, evaluation.
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There are bilateral pleural effusions as were seen on prior ct from <unk>. There is patchy consolidation in the right upper lung which is also new. Cardiomediastinal silhouette is grossly stable. Sclerotic areas involving the bilateral proximal humeri are compatible with patient's metastatic disease.
<unk>m with ams // please evaluate for infectious process
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Single ap view of the chest demonstrates mild-to-moderate cardiomegaly, accentuated by ap projection. The lungs are relatively well expanded. There is pulmonary vascular congestion and mild interstitial edema. No pneumothorax. Small effusions cannot be excluded. Moderate right greater than left glenohumeral osteoarthritis is present.
<unk>-year-old male with atrial fibrillation. question cardiomegaly.
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Moderate cardiomegaly is redemonstrated, with a significant right atrial contribution. There are basal and perihilar predominant interstitial opacities, with small foci of more confluent opacity in both lower lungs. Vascular upper distribution is also present. There is no pleural effusion or pneumothorax.
<unk>-year-old male with cough.
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As compared to the previous radiograph, there is no relevant change. Diffuse bilateral reticular nodular opacities with air bronchograms and retrocardiac atelectasis. Simultaneously, no larger pleural effusions are seen and the size of the cardiac silhouette remains within normal limits. This combination of findings favors edema over pneumonia. No pneumothorax. No new opacities.
hypoxia, evaluation for ards or pneumonia.
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As compared to the previous radiograph, the lung volumes have increased, likely reflecting improved ventilation. Moderate cardiomegaly persists. Minimal right and moderate left pleural effusion. No evidence of pulmonary edema. No pneumonia, no pneumothorax. Atelectasis in the retrocardiac lung region are unchanged.
atrial fibrillation, evaluation for edema.
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Cardiac silhouette size appears mildly enlarged. A moderate size hiatal hernia is re- demonstrated. The aorta is diffusely calcified and mildly tortuous. Tortuous right subclavian artery accounts for the prominent right paratracheal contour. Hilar contours are unremarkable. Pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is identified. Contrast from recent ct examination is noted within the collecting systems bilaterally.
history: <unk>f with bradycardia // eval for acute process
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Pa and lateral chest radiographs demonstrate no focal consolidation, pleural effusion, or pneumothorax. The heart size is normal. The cardiac, hilar, and mediastinal contours are normal.
shortness of breath and chest pressure. evaluation for pneumonia.
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Portable single frontal chest radiograph was obtained with the patient in upright position. Lung volumes remain low. There is persistent bilateral pulmonary vascular congestion and interstitial edema. In addition, there is now an increased focal opacity in the left mid and lower lung fields. Bilateral small pleural effusions are stable. The heart size is difficult to assess due to parenchymal abnormalities. There is no pneumothorax.
patient with recurrent chf exacerbation, interval chest x-ray evaluation.
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Frontal and lateral chest radiographs again demonstrate mild cardiomegaly and vascular redistribution, with somewhat asymmetric opacity in the right upper lung unchanged over multiple chest radiographs dating back to <unk>. Faint opacity in the left lung base is without correlate on lateral view, likely representing atelectasis. There is no pleural effusion or pneumothorax. The visualized upper abdomen is unremarkable.
history: <unk>m s/p kidney transplant p/w elevated wbc and cough // c/f pna
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The heart is not enlarged. The pulmonary hila, particularly on the left, are prominent, with a tapered appearance, similar to <unk>. No evidence of chf. Similar the prior study, there is evidence of volume loss on the right, with slight rightward shift of mediastinum and slight elevation of the right hemidiaphragm. Probable old rib deformities in the right upper zone, question posttraumatic or postsurgical. Developmental changes of the ribs are considered less likely. On the right, there is blunting of the right lateral costophrenic angle, possible slight pleural thickening and linear atelectasis or scarring in the mid zone, unchanged compared with <unk>. There is equivocal increased in hazy opacity at the right base laterally, which may also relate to technical factors and/or pleural thickening. No discrete focal infiltrate and no consolidation is identified in the right lung. No posterior pleural effusions are seen. On the left, no focal infiltrate or effusion. Possible minimal atelectasis at the left base medially. At the edge of these images, a left hip shoulder arthroplasty is partially imaged, with evidence for a mid left humeral fracture which is probably healed. .
history: <unk>f with cough x <num> week and pmhx of copd and acute onset fever/myalgias/arthralgias // ? infiltrate
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The lungs are clear where not obscured by overlying cardiac leads. There is no effusion or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormalities identified.
<unk>f with confusion // infiltrate?
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Known <num> cm pulmonary nodule in the left lower lung, unchanged compared to prior studies.otherwise, lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac, hilar and mediastinal silhouettes are unremarkable. A dual lead transvenous pacemaker with leads terminating in the right atrium and right ventricle noted.
<unk> year old man with cied for mri today. please evaluate for integrity/placement.
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Ap upright and lateral views of the chest provided. The lungs appear clear without focal consolidation, large effusion or pneumothorax. The hila appear somewhat prominent though likely due to technique. The heart size and mediastinal contour stable. Bony structures appear intact.
<unk>m with chest wall pain s/p trauma
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The nasogastric tube and the chest tube have been removed. There is no evidence of complication. Otherwise, the radiograph is unchanged. Basal areas of atelectasis, left more than right, no newly appeared parenchymal opacities.
hypoxia, self extubation, evaluation for interval change.
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Patient is status post median sternotomy with tracheostomy tube in unchanged position. Left main stem bronchial stent remains in unchanged position with narrowing of the stent proximally. Lung volumes remain low. Heart size is accentuated due to low lung volumes but appears mildly enlarged. Mediastinal contours are unchanged. Bronchovascular crowding is re- demonstrated as a result of low lung volumes. Patchy opacities are seen within the right lung base. Additional hazy opacity within the left upper lung field appears new compared to the previous study, concerning for an area of infection. Small bilateral pleural effusions are noted. No pneumothorax is seen. Left lateral pleural thickening is again demonstrated. No acute osseous abnormality is detected.
history: <unk>m with chest pain
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Frontal supine portable radiograph of the chest demonstrates an et tube ending <num> cm above the carina at the level of the thoracic inlet. Low lung volumes and supine positioning accentuates mild enlargement of the cardiac silhouette. Mild pulmonary vascular congestion. No pleural effusion, pneumothorax or focal consolidation.
found down and intubated. et tube placement.
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There is no focal consolidation, pleural effusion or pneumothorax. The previously noted opacities in the right lung have resolved. A nasogastric tube courses below the diaphragm into the stomach. The cardiomediastinal silhouette is normal. The imaged upper abdomen is unremarkable.
history: <unk>f with chest pain // r/o pna
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There is elevation of the right hemidiaphragm and the presence of a mild-to-moderate right pleural effusion. The effusion is better visualized on the lateral than on the frontal image. As a consequence of the effusion, there is minimal right basal atelectasis. The lung parenchyma shows no evidence of focal parenchymal opacity suggesting pneumonia. No pulmonary edema. Normal size of the hilar structures. Minimal deviation of the trachea to the right may be caused by retrosternal goiter. The lateral image also suggests height reduction of several vertebral bodies. This might be better evaluated with radiograph of the thoracic spine.
cirrhosis and hydrothorax, right-sided pleural effusion.
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The exam is limited by low lung volumes and body habitus. Again noted is prominence of the pulmonary vasculature, likely accentuated by the low lung volumes. There is no large consolidation, large pleural effusion, or pneumothorax. The cardiomediastinal silhouette is mildly enlarged and unchanged from prior exams.
hypoxia.
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Endotracheal tube, central venous catheter, nasogastric tube, and icd remain in standard position. Heart is enlarged, and is accompanied by pulmonary vascular engorgement and improving perihilar edema. Dense left retrocardiac opacity corresponds to left lower lobe collapse on companion cta study of the chest, dictated separately. Confluent opacity at right base is slightly improved and could relate to dependent edema, but coexisting infection is possible in the appropriate clinical setting. Small right and moderate left effusion are again demonstrated, slightly improved on the right.
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There is moderate cardiomegaly. There has been interval decrease of the pleural effusion on the right. Again seen is a left-sided pleural effusion. There has been interval decrease of atelectatic changes bilaterally. There is little change in the opacification along the left lateral chest wall. There is no pneumothorax. A left-sided picc line is in unchanged position. Visualized osseous structures are grossly unremarkable.
<unk>-year-old female patient with history of cll, pleural effusions and empyema. study requested for evaluation of interval change.
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Lungs are clear of focal consolidation, effusion, or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. Hypertrophic changes are noted in the spine. No acute osseous abnormalities identified.
<unk>m with elevated wbc // mass, infection
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Heart size is normal. The cardiomediastinal silhouette is stable, normal. Again seen are perihilar and right basilar opacities, increased from the prior study suggestive of minimally worsened pulmonary edema. No pleural effusion or pneumothorax is seen. Cerclage wires are again seen projected over the cervical spine.
<unk> year old woman admitted with pna/chf exacerbation with acute worsening of her sob // evaluate for worsening pulmonary edema
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The lung volumes are low. The heart size is difficult to assess. Multifocal opacities in the lower lungs appear more confluent than on the prior study, particularly at the right lung base. The significance is uncertain since there has been opacification in the area suggesting chronic scarring. However, along the lateral right lung base, a new lateral component was not clearly present on recent prior radiographs and may represent superimposed pneumonia in the appropriate clinical setting.
shortness of breath.
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There is the new opacity a the overlying the left heart border. No pleural effusion or pneumothorax. Mediastinal hilar contours are normal.
history: <unk>f with chest pain // ? acute intrathoracic process
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Pa and lateral views of the chest were provided. The lungs are clear bilaterally without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. The imaged bony structures are intact. No free air is seen below the right hemidiaphragm.
<unk>-year-old male with lethargy and chills.
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Ap upright and lateral views of the chest provided. Lung volumes are low limiting assessment. Allowing for low lung volumes and crowding of bronchovascular markings, no definite focal consolidation is seen. No large effusion or pneumothorax. Cardiomediastinal silhouette likely within normal limits.
<unk>m with fever // acute process?
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As compared to the previous radiograph, the old feeding tube has been removed and a new dobbhoff catheter has been inserted. The catheter is malpositioned, folding back on itself and with its tip pointing upward the esophagus. The tip is currently projecting over the middle parts of the esophagus. Tube requires repositioning. No evidence of complications, notably no pneumothorax. Otherwise, unchanged chest radiograph.
feeding tube placement.
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The lungs are well-expanded. An ill-defined opacity in the left lower lobe is new since <unk>. A left-sided port-a-cath terminates in the mid svc. Mediastinal contours, hila, and cardiac silhouette is within normal limits. There is no evidence of pleural effusion of pneumothorax.
<unk> year old man with breast ca admitted for neutropenic fever // e/o pneumonia or other acute process
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Ap and lateral views of the chest are compared to previous exam from <unk>. The lungs are clear of focal consolidation, effusion or pneumothorax. Cardiac silhouette is enlarged but stable. Osseous and soft tissue structures are unremarkable. Coronary artery calcifications versus stents are noted.
<unk>-year-old male with altered mental status.
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Frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema.
chest pain.
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There is no evidence of intrathoracic metastatic disease or change from recent prior radiograph. No focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is unremarkable. There are no acute skeletal abnormalities.
<unk>-year-old man with history of melanoma. please evaluate disease status.
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Lung volumes are low which leads to bronchovascular crowding. No focal consolidation is identified. There is mild vascular congestion. The cardiac silhouette is within normal limits. There is no pleural effusion or pneumothorax.
<unk>-year-old man with altered mental status, evaluate for pneumonia.
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Multifocal consolidations in the lungs are unchanged including the left upper lobe metastatic deposits with surrounding bleeding. Overall, no substantial change since the prior radiograph demonstrated. The left retrocardiac opacity now obscures the entire area, most likely representing a combination of pleural effusion and atelectasis. Overall since the ct torso <unk> <unk>, there is general progression of the abnormalities described in the lungs and pleura. The right internal jugular line tip is at the level of mid svc. Right picc line tip is at the level of mid low svc. No appreciable pneumothorax is seen.
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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 cp, sob // eval for pna
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Pa and lateral views of the chest provided. Left-sided cardiac pacing device with leads a follow the expected course to the right atrium, right ventricle and coronary sinus. Previously seen atelectasis and effusion at left base are resolved. There is no pulmonary edema. Moderate cardiomegaly is stable. Mediastinal and hilar contours are normal. Stable wedge deformities are seen in the thoracic spine.
<unk> year old man with chf presents with right basilar crackles. // ? pulmonary edema
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As compared to the previous radiograph, there is unchanged evidence of a right pleural tube, an endotracheal tube, a feeding tube positioned in a remnant esophagus as well as a left pectoral port-a-cath. The devices are not changed in position as compared to the previous image. Minimally increased areas of atelectasis at both lung bases. Moderate cardiomegaly that persists. No new parenchymal opacities that would be suggesting infectious changes. The radiograph shows no evidence of pneumothorax or larger pleural effusions.
esophageal cancer, evaluation.
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In comparison with the earlier study of this date, there is little overall change. Left chest tube remains in place and there is no evidence of pneumothorax. Cardiomediastinal silhouette is stable. Opacifcation at the left base again is consistent with some combination of volume loss in the left lower lobe and pleural fluid. The right lung is essentially clear. Of incidental note is opacification adjacent to the greater tuberosities bilaterally, consistent with calcific tendinosis in the rotator cuffs.
hypertension and atrial fibrillation.
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In comparison with the study of <unk>, there is no interval change or evidence of acute cardiopulmonary disease. No pulmonary vascular congestion, pleural effusion, or acute pneumonia.
atrial fibrillation with shortness of breath.
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Pa and lateral chest radiographs were obtained. The lungs are well expanded and clear. No consolidation, effusion, or pneumothorax is present. Cardiac and mediastinal contours are normal.
<unk>-year-old man status post gastric bypass with multiple abdominal surgeries, presenting with right-sided abdominal pain, worsening productive cough and rhonchi.
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Stable cardiomegaly accompanied by improving pulmonary vascular congestion and decreasing pulmonary edema. Small pleural effusions are present, but there is no visible pneumothorax.
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Cardiac size is normal. The lungs are clear. There is no pneumothorax or pleural effusion. No evidence of pneumomediastinum.
<unk> year old woman with resp distress s/p tracheal dilation // ? mediastinal air
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Pa and lateral views of the chest were reviewed. Compared to the most recent prior study of <unk>, lung volumes have improved and persistent bilateral lower lung opacities, greater on the left than on the left represent atelectasis or pneumonia. Moderate cardiomegaly, left atrial enlargement and aortic calcifications are unchanged.
bibasilar crackles and a new oxygen requirement.
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There has been interval placement of a left chest wall pacemaker with a single atrial lead following the expected transsubclavian course. There is no pneumothorax. There is no focal consolidation, pleural effusion, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.
<unk> year old man s/p single chamber atrial pacemaker // r/o ptx; check atrial lead
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Frontal and lateral views of the chest were obtained. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are stable and unremarkable.
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The lungs are clear without consolidation, effusion, or edema. Calcified right lung base granuloma is again noted. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with cp and lue weakness // eval for stroke
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Pa and lateral views of the chest were provided. There is a metallic density embedded within the soft tissues of the left posterior chest wall, not changed from prior ct. An ivc filter is noted in the upper abdomen. Lungs are clear bilaterally without focal consolidation, effusion or pneumothorax. There are no signs of pulmonary edema. The heart and mediastinal contours are normal. The bony structures are intact. No free air below the right hemidiaphragm.
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No consolidation, pleural effusion or pulmonary edema is seen, and the cardiac and mediastinal contours are normal.
<unk>-year-old woman with type <num> diabetes, pre pancreas transplant. evaluate for cardiopulmonary abnormalities.
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Pa and lateral views of the chest are provided. A right chest wall port-a-cath is seen with its tip extending into the region of the right atrium. Bi-apical pleuroparenchymal scarring is redemonstrated. No focal consolidation suggestive of pneumonia. Chronic consolidation involving the medial segment of the right lower lobe is better assessed on prior ct chest. Known osseous lesions are also better assessed on the prior ct.