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The lungs are well inflated and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. Osseous structures are grossly intact.
<unk>f p/w diplopia and new right visual field cut, also endorsing several weeks of cough. evaluate for pneumonia.
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There is a right-sided central venous line with the distal lead tip in the distal svc. Heart size is prominent but stable. Lungs are grossly clear without focal consolidation, pleural effusions, or pulmonary edema. There are no pneumothoraces.
<unk> year old woman presenting with cough, ground glass on rll fields. // ? intra-thoracic abnl
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Low lung volumes bilaterally. There is increased opacity in the right lower lung which may represent consolidation, less likely atelectasis. There is mild improvement in the retrocardiac opacity. Bibasilar atelectasis. The cardiomediastinal and hilar contours are stable. Small to moderate pleural effusion is best seen posteriorly on lateral views. In the left lower quadrant of the abdomen, there is widening of the soft tissue and associated shift of the bowel medially consistent with significant splenomegaly as evidenced on prior ct from <unk>.
<unk> year old man with pneumonia, poor air movement at right base // interval change in pneumonia
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Right-sided picc has migrated proximally and terminates in the right subclavian vein, high in position. Single lead left aicd is seen, unchanged position. Severe cardiomegaly is again seen. The mediastinal contours are stable. Aortic knob calcification is again seen. Blunting of the left costophrenic angle is worrisome for a small left pleural effusion with overlying atelectasis. Previously seen right pleural effusion has decreased in the interval with possible trace remaining. No evidence of pneumothorax is seen.
history: <unk>m with picc line that appears dislodged per home <unk> aide pls eval placement // history: <unk>m with picc line that appears dislodged per home <unk> aide pls eval placement
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In comparison with the study of <unk>, there is little change and no evidence of acute cardiopulmonary disease. There is mild enlargement of the cardiac silhouette without vascular congestion or pleural effusion. Specifically, no evidence of acute focal pneumonia.
cough with decreased peak flow, to assess for pneumonia.
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The lungs are clear with no evidence of consolidation, effusion, or pneumothorax. Again visualized is a tortuous and elongated aorta, stable dating back to <unk>. Cardiomediastinal silhouette is normal. The lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. No acute fractures are identified.
shortness of breath.
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Pa and lateral views of the chest were provided. The lungs are clear bilaterally without focal consolidation, effusion, or pneumothorax. A nodular density projecting between the left <unk> and <unk> posterolateral rib arches is most likely a nipple shadow. The heart size is normal. The aorta is somewhat unfolded. The imaged bony structures are intact. No free air is seen below the right hemidiaphragm.
<unk>-year-old male with chest pressure x<num> days, assess cardiomegaly, pneumonia, or abnormal mediastinal contour.
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Pa and lateral views of the chest were provided. A left upper extremity picc line is seen with its tip residing in the upper svc region. Midline sternotomy wires and mediastinal clips are again noted. The heart remains markedly enlarged. There is no focal consolidation, or convincing signs of congestive heart failure. There is trace right pleural effusion noted. No pneumothorax is present. The bony structures are intact. An aortic stent is partially imaged in the upper abdomen.
<unk>-year-old female with increased shortness of breath.
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Stable position of the left upper chest device and associated single lead projecting over the apex of the right ventricle. There is stable cardiomegaly. The mediastinal contour is unchanged from prior examination. No evidence of pneumothoraces or effusions. There is bibasilar atelectasis present. Otherwise the lungs are clear without evidence of pulmonary edema.
<unk> year old woman with systolic heart failure presenting with worsening sob // rule out pulmonary edema
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Iabp is <num> cm below top of aortic arch. Femoral swan-ganz catheter tip overlies right hilum. Cardiac pacemaker. Bilateral perihilar symmetric pulmonary infiltrates, with sparing of the very periphery of the lungs have mildly worsened, likely represent pulmonary edema, similar appearance can be seen with pulmonary hemorrhage or ards, infection. Mildly increased heart size, accentuated by shallow inspiration, similar.
<unk> year old man with acute hypoxemia // is iabp in place - how is pulm edema?
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The heart size is normal. The aorta is mildly tortuous without change. The lungs are clear except for focal linear scar at the left base. There are no pleural effusions or acute skeletal findings.
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Pa and lateral views of the chest demonstrate an increase in large left-sided pleural effusion with adjacent atelectasis. In addition, there is now obscuration of the right heart border. This could be due to atelectasis versus pneumonia in the correct clinical setting. There may be a small right-sided pleural effusion as well. Right-sided port-a-cath terminates in the right atrium, unchanged.
<unk>-year-old man with locally advanced cholangiocarcinoma.
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Ap upright view of the chest was obtained. A <num> mm calcified nodule overlies the left clavicle and likely represents a granuloma. Otherwise, the lungs are clear without focal consolidation, pulmonary edema, pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable. There is no free air below the right hemidiaphragm.
<unk>-year-old with confusion. evaluation for pneumonia.
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There is a moderate right pneumothorax. The pulmonary vessels are less distinct than on previous study, consistent with some increasing pulmonary venous pressure. This finding was detected at <num> and reported at <num>, telephoned to dr. <unk> on <unk>.
shortness of breath.
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Frontal and lateral views of the chest are compared to previous exam from <unk> and film from <unk>. There are innumerable bilateral nodular opacities throughout the lungs bilaterally suspicious for significant interval progression of metastatic disease. There is blunting of the posterior costophrenic angles which could potentially be due to small effusions. Cardiomediastinal silhouette is unchanged. Osseous and soft tissue structures are also unchanged.
<unk>-year-old male with dyspnea, history of chf and metastatic melanoma.
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There is no focal consolidation, pleural effusion or pneumothorax. The heart size is normal. Hilar contours are normal. Linear lucencies adjacent to the trachea in the upper mediastinum may represent pneumomediastinum. There is free air seen under the diaphragms bilaterally, which is expected status post laparoscopic surgery done on <unk>. The rounded opacity overlying the lower lungs bilaterally are similar to prior study and represent nipple shadows.
status post ovarian cyst removal on <unk>, upper abdominal pain in the right and pleuritic, evaluate for pneumothorax.
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Tip of endotracheal tube terminates <num> cm above the carina with the neck in a flexed position, and a side port of the nasogastric tube is in close proximity to ge junction. Cardiomediastinal contours are stable. Worsening left lower lobe opacity, which could be due to atelectasis or a developing site of pneumonia. Probable small left pleural effusion. Right lung and pleural surfaces are clear.
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There are slightly low lung volumes, which results in bronchovascular crowding. A subtle area of increased density in the along the left lateral lung may represent an early infiltrate. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax or pleural effusion.
<unk> y/o female with end-stage renal <unk> diabetes, hepatitis c with stage iii fibrosis <unk>), hfpef, htn, and hx of substance abuse (last ivdu <unk> years ago) on methadone presents with hyperglycemia, ams. // eval for pna, pulm edema or other acute processes
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Fusion of the l<num> and l<num> vertebral bodies is re- demonstrated.
history: <unk>f with chest pain and left sided back pain
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Lungs are well-expanded and clear. Cardiomediastinal and hilar contours are unremarkable. No pneumothorax, pleural effusion, or consolidation.
history: <unk>f with sob // eval for pna
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Images document advancing a dobbhoff tube below the diaphragm. Tube ends within the decompressed stomach, or possibly in the proximal duodenum. There is moderate colonic distention. The left-sided picc line ends in the lower svc. Low lung volumes cause bronchovascular crowding. Allowing for this, there is no frank consolidation or pulmonary edema.
<unk> year old woman with dobhoff placement. requires cxr for <num> step dobhoff placement verification // dobhoff placement
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Compared with prior examination dated <unk>, there has been minimal interval change. Redemonstrated is a tortuous aorta. There is no focal consolidation or pleural effusion, pneumothorax, or pulmonary edema identified. The heart size is normal. Mediastinal and hilar contours are otherwise stable.
joint pain and necrotic skin lesions. evaluate for pulmonary pathology.
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The cardiomediastinal and hilar contours are stable. The aorta is tortuous and there are calcifications at the aortic knob. There is no focal consolidation, pleural effusion or pneumothorax.
lightheadedness. elevated white blood cell count. rule out pneumonia.
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As compared to the previous radiograph, there is no relevant change. No evidence of pneumonia. Unchanged appearance of the lung parenchyma. Normal hilar and mediastinal contours. Unchanged appearance of the cardiac silhouette.
history of non-hodgkin lymphoma, evaluation for pneumonia.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. A linear opacity at the base of the left lung is most consistent with atelectasis. No pleural effusion or pneumothorax is seen.
<unk>f with lue weakness // pna?
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Frontal and lateral views of the chest are obtained. The patient is status post median sternotomy. Surgical clips are also again seen projecting over the right lung apex. Stable left base linear scarring is again seen. No new focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable.
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The cardiomediastinal silhouette is unremarkable. Vascular crowding is noted at the right lung base. The lung fields are clear. There is no evidence of fracture. There is no pneumothorax or pleural effusion.
history: <unk>m with fever // eval for infiltrate
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Pa and lateral views of the chest provided. Previously noted opacities have cleared. There is no evidence of pneumonia or edema. No large effusion or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>m with shortness of breath // acute process?
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The tracheostomy tube is in good position. The right picc line is unchanged. Stability of the retrocardiac opacity compatible most likely with atelectasis : a superimposed infection or aspiration can be considered in appropriate clinical settings. No pulmonary edema. Mediastinal and cardiac contour unchanged. There is possible left pleural effusion. Patient with a gastrostomy tube. The tng tube has been removed.
intubated, pulmonary edema.
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In comparison with the study of <unk>, there again are low lung volumes. The bilateral pleural effusions are essentially unchanged in degree. Remainder of the study is also unchanged. Of incidental note is an old healed fracture of the right clavicle.
metastatic breast cancer with bilateral effusions that have been drained.
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The left hydropneumothorax remains unchanged compared to the prior exam. There is a new right basilar and infrahilar opacity. Left upper lobe and left basilar chest tubes are unchanged. The cardiomediastinal silhouette is stable and there is no evidence of pulmonary edema.
<unk>-year-old after vats decortication.
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There is a right port-a-cath, which terminates in the right atrium. T left chest tube appears unchanged in orientation. The poorly defined opacity in the superior segment of the left lower lobe is unchanged. The left pleural effusion is also unchanged. The right lung is clear. Heart size is stable. The mediastinal and hilar contours are stable. The pulmonary vasculature is normal. No pneumothorax is seen. There are no acute osseous abnormalities.
<unk> year old man with pleural effusion // eval
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Right picc tip terminates in the mid/ low svc. Cardiac silhouette size is top normal. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is normal. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormality is demonstrated.
history: <unk>f with crackles to base of lungs
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There are low lung volumes which accentuate the bronchovascular markings. Given this, there may be subtle left base opacity which could be due to atelectasis, aspiration, or early pneumonia. Left perihilar bronchial wall thickening is noted. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are stable. There is no pulmonary edema. Radiopaque feet is noted overlying the right lung base.
history: <unk>m with fatigue, decreased po // please evaluate for acute infectious process
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The newly placed a left ij approach central venous catheter tip projects over the expected region of the cavoatrial junction. A left single lead pacer defibrillator tip projects over the expected region of the right atrium. Cardiac valve replacement, median sternotomy wires, and mediastinal clips are unchanged. Lung volumes remain low. Blunting of the costophrenic angles bilaterally suggests small bilateral pleural effusions. No pneumothorax or frank pulmonary edema. The cardiomediastinal silhouette is unchanged.
<unk>-year-old woman status post left ij placement. evaluate for line placement.
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There is mild prominence of pulmonary vasculature and development of bilateral linear interstitial opacities consistent with <unk> b-lines, new as compared to <unk>. There is no focal consolidation. Heart size is within normal limits. There is no pneumothorax. There is multilevel mild loss of vertebral body height in the upper thoracic spine, unchanged.
<unk>f w/pulm htn, rll crackles, presenting with abdominal pain, please r/o pna, also potential pre-op xray for gallstones *** warning *** multiple patients with same last name! // <unk>f w/pulm htn, rll crackles, presenting with abdominal pain, please r/o pna, also potential pre-op xray for gallstones
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Single semi-erect ap portable view of the chest was obtained. Again seen is near-complete opacification of the right hemithorax, similar to prior. In the interval since the prior study, there has been development of a moderate-to-large left pleural effusion with overlying atelectasis, underlying consolidation cannot be excluded. The visualized cardiac and mediastinal silhouettes are stable with the right aspect not well evaluated due to the right hemithorax opacification.
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The lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal. There is no free air beneath the right hemidiaphragm.
<unk> year old man with shaking chills, fever // stat-please call dr. <unk> with results <unk> ? pneumonia
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Ap and lateral views of the chest are compared to previous exam from <unk>. Lower lung volumes seen on the current exam. There is no large confluent consolidation or pneumothorax. There are bibasilar opacities and crowding of the pulmonary vascular markings which are mildly instinct which could be due to low lung volumes. Cardiomediastinal silhouette is within normal limits, noting calcifications of the aortic arch. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male with head injury status post unwitnessed fall and chest pain.
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Comparison is made to previous study from <unk>. Left-sided central venous line with distal lead tip in the mid svc. Heart size is within normal limits. There is a persistent left retrocardiac opacity. There are no pneumothoraces. Small bilateral pleural effusions are also present.
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A right-sided picc tip terminates at the lower svc. A tubular structure projecting over the left hemithorax across the midline into the right hemi-abdomen most compatible with vp shunt. An endogastric tube courses inferiorly with its sideport projecting over the gastric bubble. The heart size is large, possibly exaggerated by ap technique. The mediastinal contours are within normal limits. The lungs are clear. There is no pleural effusion or pneumothorax.
a <unk>-year-old male with craniectomy on <unk>, now with elevated white count.
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A dual-lead pacemaker/icd device appears unchanged. The heart is normal in size. The mediastinal and hilar contours appear unchanged. There are patchy linear opacities projecting over the left lower lung within the lingula suggesting minor atelectasis. There is no evidence for pleural effusion or pneumothorax. Mild hyperinflation is suspected. Small anterior osteophytes throughout the thoracic spine appear similar.
fever. question pneumonia.
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Frontal and lateral views of the chest are unchanged. There is no pleural effusion, pneumothorax or focal airspace consolidation. The cardiac and mediastinal contours are normal. There are no acute osseous abnormalities.
cough and chest pain. evaluate for pneumonia.
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Progressive advanced of the dobbhoff tube is noted in subsequent images with tip positioned in the stomach in series <unk>, image <num>. Endotracheal tube, right picc line, nasogastric tube are unchanged in position. Again seen is bilateral low lung volumes. No significant interval change since chest radiograph performed earlier on the same day on <unk> at <time>. Cardiomegaly again noted.
<unk> year old man with dobhoff placement // dobhoff placement
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Frontal and lateral chest radiographs demonstrate clear lungs, with note of a nipple shadow on the right. There is no effusion or pneumothorax. The cardiac silhouette is normal. The mediastinal contours are unremarkable.
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The lung volumes are low. There is no evidence of pneumothorax or pleural effusions. Crowding of the vascular and bronchial structures at the lung bases but no evidence of atelectasis, pneumonia or pulmonary edema.
recent fall, rib pain, rule out pneumothorax.
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Lungs are fully expanded and clear. No pleural abnormalities. Mild cardiomegaly is unchanged. No pulmonary vascular congestion or edema. Cardiomediastinal and hilar silhouettes are normal.
<unk> year old man with right sided chest pain and productive cough // ? pneumonia
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In comparison with chest radiograph from <unk>, there is little overall change. Sternal alignment is maintained and there is no evidence of hardware loosening or failure. Lungs are clear without focal consolidation, pleural effusion or pneumothorax. Mediastinal and hilar contours are normal. Heart size is normal.
<unk> year old woman with chest wall clicking // hardware <unk> chest wall clicking
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Left-sided dual-chamber pacemaker device is noted with leads terminating in the right atrium and right ventricle, unchanged. The heart size is normal. The mediastinal and hilar contours are unremarkable. Mild calcification of the aortic arch is again noted. The lungs are hyperinflated with attenuation of the pulmonary vascular markings towards the lung apices compatible with mild emphysema. Cluster of irregular small opacities in the right upper lung field are unchanged. No focal consolidation, pleural effusion or pneumothorax is present. The pulmonary vascularity is not engorged. There are no acute osseous abnormalities.
dyspnea.
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Left small apical pneumothorax is unchanged. The rest of the exam is stable with bilateral small pleural effusions and bibasilar atelectasis. Mediastinal and cardiac contours are stable. Right jugular line ends in lower svc. Left chest tube projects in lower hemithorax.
the patient with left pneumothorax, evaluation for change in water seal.
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Lungs are well expanded and clear. Pleural surfaces are normal without pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are normal. No hiatal hernia. Visualized osseous structures are unremarkable. No free air below the right hemidiaphragm.
refractory gastroesophageal reflux disease, presents with nausea and vomiting. assess for cardiopulmonary process.
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A single-lead pacemaker device terminates in the right ventricle. The heart is at the upper limits of normal size. The mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures are unremarkable.
transient ischemic attack.
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Pa and lateral views of the chest. The lungs are clear without consolidation or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities detected.
<unk>-year-old male with dyspnea in cardiac stent placed on <unk>. question infection.
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The lungs are well-expanded and clear. No focal consolidation, effusion, edema, or pneumothorax. The heart is normal in size. The mediastinum is not widened. No acute osseous abnormality. Dextroconvex scoliosis of the mid thoracic spine is mild. No pleural abnormality is identified.
<unk>-year-old man with persistent coughing after seizure; evaluate for aspiration.
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Frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. Right lung base opacities, most likely represent atelectasis. Cardiomediastinal silhouettes are unremarkable. Heart size is normal. Partially imaged upper abdomen is unremarkable. Mild deformities of the posterior right ribs, likely relate to remote injuries.
chest pain after fall. assess for injury.
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Pa and lateral views of the chest provided. Left shoulder arthroplasty noted. Extensive right rib cage deformity is chronic. There is stable elevation of the left hemidiaphragm. There is no focal consolidation concerning for pneumonia. No effusion or pneumothorax. The overall cardiomediastinal silhouette is stable. No acute osseous abnormality. An ivc filter is partially visualized in the mid abdomen.
<unk>f with c/o cough with fever/chills // ? pna
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Cardiomediastinal contours are stable in appearance. Right lower lobe consolidation has slightly improved, but a nonspecific opacity in the left retrocardiac region has worsened. Considering inferior displacement of left hilum, this is probably due to atelectasis, but aspiration and developing pneumonia are also possible. Additionally, there is a probable small left pleural effusion, but no visible pneumothorax.
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Cardiac silhouette is upper limits of normal in size allowing for accentuation by portable and apical lordotic technique. Slight upper zone vascular redistribution, without evidence of pulmonary edema. Probable small bilateral pleural effusions.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Low lung volumes. Lungs are clear, except for bibasilar atelectasis. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>f with cough, fever // ?pna
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Pa and lateral views of the chest were provided demonstrating no focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is normal. The imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
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Lung volumes are decreased. There is redemonstration of a right lung base opacity invading the posterior mediastinum and pleura. Multiple rounded opacities are scattered throughout both lungs, and correspond to known pulmonary nodules. There is bronchiectasis at the right upper lobe and note is made of a small right pleural effusion. There is no pneumothorax. The heart is normal in size.
dyspnea, right chest pain, decreased breath sounds. evaluate for pneumothorax.
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Low lung volumes cause bronchovascular crowding and bibasilar platelike atelectasis. There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal silhouette is stable.
<unk>m with episode of confusion, concern for subacute infection, evaluate for occult infection.
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Endotracheal tube is in standard position, but cuff is slightly over-distended. Interval removal of right internal jugular vascular catheter with no pneumothorax. Cardiomediastinal contours are normal. Right perihilar atelectasis has resolved. No new areas of lung abnormality to suggest acute aspiration or infectious pneumonia.
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Frontal views of the chest were obtained. There is minimal left basilar atelectasis without definite focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
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Stable cardiomegaly accompanied by worsening pulmonary edema. Worsening opacities at the lung bases may reflect dependent edema, atelectasis and effusion, but coexisting infection is possible in the appropriate clinical setting.
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette. Low lung volumes somewhat limit evaluation, resulting in bronchovascular crowding and bibasilar atelectasis without focal consolidation. No pleural effusion or pneumothorax is seen. Marked degenerative changes of the thoracic spine are unchanged.
chest pain. evaluate for pneumonia.
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The heart is normal in size. The main pulmonary artery contour is slightly prominent, but stable. Central pulmonary arteries are also mildly enlarged. The pulmonary interstitium has a mildly coarsened appearance bilaterally, but without significant change. There is no pleural effusion or pneumothorax. Mild rightward convex curvatures centered along the mid thoracic spine appear similar.
chest pain and left chest wall tenderness.
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Interval repositioning of endotracheal tube, with tip now terminating <num> cm above the carina. Otherwise, little change in the appearance of the chest except for slight improvement in a left lower lobe opacity and adjacent pleural effusion.
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Frontal and lateral chest radiographs demonstrate clear, well expanded lungs. The cardiac and mediastinal contours are normal. Pleural surfaces are normal. A piercing is noted along the anterior aspect of the manubrium.
<unk>-year-old female with dyspnea, diabetes and fatigue, evaluate for pneumonia.
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Diffuse bilateral alveolar and interstitial opacities have slightly worsened since the prior study, with increased confluence of airspace consolidation in the left perihilar region and slight increase in degree of opacification of the right upper lobe. Observed findings could be related to clinically provided history of drug toxicity, but other processes such as pulmonary edema and infection may produce a similar radiographic appearance. Moderate right and small left pleural effusions are unchanged. Moderate gastric distention is new, but note is made of interval placement of nasogastric tube on followup chest x-ray performed several hours later, dictated separately under clip <unk>.
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Heart size is normal and unchanged. The mediastinal and hilar contours are unchanged. The pulmonary vasculature is normal. There is a <num> cm calcified granuloma in the right midlung, unchanged since at least <unk>. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
<unk>-year-old woman with <num> day of chest pain. evaluate for an acute process, pneumonia, pneumothorax, mediastinal widening.
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The patient is status post median sternotomy and cabg. Posterior rod and screw fixation hardware in the lower cervical spine is again noted. The heart size is at the upper limits of normal. The mediastinal and hilar contours are within normal limits. The lungs demonstrate bibasilar airspace opacities. There is currently no pleural effusion or pneumothorax. An old posterlateral rib fracture is present in the left upper rib cage.
<unk>-year-old male with weakness and cough.
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An enteric tube courses below the diaphragm with the tip out of the field of view. Hardware in the cervical spine is partially imaged, and unchanged. Since the prior exam, there is increased aeration in the right lung, likely due to improved pulmonary edema. There are persistent linear opacities in the right mid lung zone and at the bilateral bases, most consistent with atelectasis. There are likely tiny bilateral pleural effusions. The mediastinal contours are unchanged. The heart size is moderately enlarged, and unchanged.
status post tracheal bronchoplasty. evaluate for interval change.
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Heart size is moderately enlarged but unchanged. The aorta is tortuous. Mediastinal and hilar contours are similar. No pulmonary edema is seen. There is no focal consolidation, pleural effusion or pneumothorax identified. Mild degenerative changes are seen in the thoracic spine.
history: <unk>f with slurred speech, l lung crackles // acute process?
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The cardiomediastinal and hilar contours are within normal limits. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax.
history: <unk>f with cough x <num> months, lots of sputum at night, upper airway rattle when lying, right lower chest pain <num> weeks ago // eval heart and lungs eval heart and lungs
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The heart size is normal. The mediastinal and hilar contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax.
<unk>-year-old female with cough and fever.
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The lungs are well expanded and clear. The cardiomediastinal silhouette, hilar contours, pleural surfaces are normal. No pleural effusion or pneumothorax present. Deformity of the right posterior <num>th rib likely prior healed rib fracture.
cough x<num> weeks, immunosuppressed. please evaluate for pneumonia.
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Increased reticular opacities bilaterally are indicative of moderate pulmonary edema. There is at least a moderate right pleural effusion and a small left pleural effusion. Heart size is top-normal. The mediastinum demonstrates vascular engorgement. No pneumothorax.
history: <unk>f with chest pain, respiratory distress. evaluate for acute process.
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No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. There is no overt pulmonary edema. The cardiac and mediastinal silhouettes are unremarkable. The hilar contours are stable. Multiple old left-sided rib fractures are again seen. Partially imaged is degenerative change at the left shoulder joint. Degenerative changes seen at the right acromioclavicular joint.
chest pain.
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Left-sided aicd/pacemaker device is noted with leads terminating in the right atrium and right ventricle. There is moderate enlargement of cardiac silhouette which is unchanged. The mediastinal and hilar contours are stable. There is no pulmonary edema. Linear opacities in the lung bases are compatible with subsegmental atelectasis. No pleural effusion or pneumothorax is seen. A screw is noted projecting over the left scapula.
rapid atrial fibrillation.
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The patient is status post median sternotomy and cardiovascular surgery. Stable cardiac enlargement. Resolution of pulmonary edema. Slight worsening of right basilar atelectasis and development of minor left basilar atelectasis. Small pleural effusions are present bilaterally. Retrosternal gas on lateral view is likely related to recent sternotomy.
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Pa and lateral views of the chest were provided. There is a new left pleural effusion, which is small in overall size. There is probable left basal atelectasis. The right lung appears clear. The cardiomediastinal silhouette appears grossly stable from prior. No pneumothorax is seen. The imaged osseous structures are intact.
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Frontal and lateral views of the chest. When compared to yesterday's exam, there has been interval progression of the right lung base consolidation which is now more confluent. There is also patchy opacity at the left lung base as well. Increased interstitial markings are seen throughout the lungs. The cardiomediastinal silhouette is unchanged. No acute osseous abnormality is identified. Lower lumbar posterior fixation hardware is only partially visualized.
<unk>-year-old female with fevers and cough.
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Comparison is made to previous study from <unk>. There is an endotracheal tube whose tip is <num> cm above the carina. This could be pulled back <num>-<num> cm for more optimal placement. There is a nasogastric tube whose side port is near the ge junction. This could be advanced several centimeters for more optimal placement. There is stable cardiomegaly and tortuosity of the thoracic aorta. There is some slight prominence of pulmonary vascular markings and some atelectasis versus developing infiltrate at the right base. No pneumothoraces are present.
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Hyperinflation. Tortuous, calcified thoracic aorta. Heart size within normal. Trace right pleural effusion. The previously demonstrated right lung base opacity is slightly less prominent on the current study, likely atelectasis.
<unk> year old man with pmhx of tobacco use, copd, aaa, pvd, presenting with hypotension, with portable cxr showing right lung base opacities. // please evaluate for pneumonia.
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Compared to the <unk> radiograph, there is new opacity in the left mid zone, likely in the left upper zone anteriorly, with minimal stranding at the left base and with left greater than right pleural fluid and/or thickening posteriorly. There is also some pleural fluid and/or thickening along the lowermost left chest wall. Minimal atelectasis at the left lung base.- elsewhere, the lungs are grossly clear, without focal consolidation or chf. Heart size is at the upper limits of normal. The aorta is calcified. The cardiomediastinal contours are otherwise within normal limits. Mild-to-moderate degenerative changes of the thoracic spine are noted.
cough and fever, question pneumonia. chest, two views.
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Ap portable supine view of the chest. Midline sternotomy wires are noted. Prosthetic cardiac valve is noted. An endotracheal tube is seen with its tip located <num> cm above the carina. Endogastric tube descends into the left upper abdomen with its tip excluded from view. Lung volumes are low though allowing for this, the lungs appear grossly clear. Surgical clips are seen projecting over the right subclavian region. No supine evidence for effusion or pneumothorax. Mild retrocardiac atelectasis is likely present in the left lower lobe. No acute osseous abnormality.
<unk>f with head bleed from osh, intubated // eval ? ett placement
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The lungs are clear without consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. Coronary artery stent is noted. Cervical fixation hardware is partially visualized.
<unk>m with melanoma, now with fatigue, weight loss // r/o infection/mass
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The lungs remain clear. The heart and mediastinal structures are unremarkable in appearance. The bony thorax is grossly intact.
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As compared to the previous radiograph, the patient has received two left-sided chest tubes to drain a left pleural effusion. The two tubes are in expected position. There is no left pneumothorax. The small left effusion persists. Areas of atelectasis are seen at the left lung bases. In addition, on the right, the pre-existing pleural effusion persists. Unchanged moderate cardiomegaly, unchanged sternal wires and pacemaker leads.
thoracoscopy, evaluation.
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Ap upright and lateral views of the chest were provided. The lungs are clear and well inflated. No radiopaque foreign body is seen. No signs of pneumomediastinum. The heart and mediastinal contour are normal. Bony structures are intact. No free air below the right hemidiaphragm. Dish-related changes of the lower t-spine noted.
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Compared to chest radiographs from <unk>, bilateral pleural effusions with associated bibasilar atelectasis have improved. Consolidation in the right lower lobe, as well as retrocardiac opacity, persist and could represent multifocal infection or aspiration. There is mild central vascular congestion without overt pulmonary edema, unchanged. No pneumothorax. Endotracheal tube tip terminates approximately <num> cm above the carina, unchanged. Nasogastric tube extends below diaphragm and into the stomach, beyond the field-of-view.
<unk> year old woman re-intubated // any progression of infiltrates? ett position?
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Endotracheal tube is seen, terminating approximately <num> cm above the level of the carina. A nasogastric tube is seen coursing below the level of the diaphragm, coiling within the expected location of the stomach. A right-sided internal jugular central venous catheter terminates at the cavoatrial junction. No evidence of pneumothorax is seen. There is no focal consolidation or large pleural effusion. Mild basilar atelectasis is seen. The cardiac silhouette is top normal. The mediastinal contours are unremarkable.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with chest pain for <unk> days // eval for pna or ptx
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There is moderate-to-severe cardiomegaly and widened mediastinum. There are diffuse opacifications in the right middle lobe and right lower lung as well as diffuse mild vascular congestion. There are sternotomy wires and cabg <unk> as well as a single-lead pacer with tip not well seen, but likely terminating in the left ventricle.
<unk>-year-old with afib on coumadin, who presents with intraparenchymal hemorrhage.
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. A <unk>% compression deformity in the mid to low thoracic vertebra is seen, likely chronic.
<unk> m with cough.
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As compared to the previous radiograph, the monitoring and support devices are unchanged. The parenchymal opacities that pre-existed have slightly increased on the right. Blunting of the right costophrenic sinus could suggest the presence of a small right pleural effusion. On the left, there also is a small effusion and retrocardiac atelectasis. The diffuse decrease in radiolucency of the left lung persists. Unchanged size of the cardiac silhouette. No pneumothorax.
head trauma, evaluation.
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The dobhoff tube has been advanced in the interim into the left upper quadrant its tip is now no longer seen. Another enteric tube traverses the diaphragm into the left upper quadrant, tip also not seen. Right ij catheter tip projects over in the expected region of the low svc. Right picc tip projects over the expected region of the svc-ra junction. Extensive, bilateral diffuse airspace opacities persist. In the right lower lobe, there is slight interval decrease compared to <unk>. Otherwise, no significant interval change. No pleural effusion or pneumothorax. Heart size is normal.
<unk> year old woman with respiratory failure // interval change
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There is no pneumothorax or pleural effusion. Cardiomediastinal silhouette is normal. There is no focal lung consolidation. There is a dextroscoliosis of the thoracic spine. There is no acute osseous abnormality.
<unk>-year-old woman with chest pain for <num> months.
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The cardiomediastinal silhouettes are stable, and within normal limits. The bilateral hila are unremarkable. There is probably minimal left basilar atelectasis. There is a left lung base opacity which is more conspicuous since prior from <unk>. Elsewhere, there is no focal consolidation. There is no pulmonary vascular congestion or pulmonary edema. There is no pleural effusion or pneumothorax.
<unk>-year-old man with weakness, rule out acute process.