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In comparison with the study of <unk>, there is little if any appreciable left apical pneumothorax. No evidence of displaced rib fracture. No pneumonia or vascular congestion.
rib fracture and pneumothorax, to assess for change.
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As compared to the previous radiograph, the extent and the severity of the pre-existing right upper lobe opacity is unchanged. Unchanged minimal retrocardiac atelectasis. Unchanged moderate cardiomegaly. Unchanged position of the right picc line.
right upper lobe opacity.
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Heart size is normal. Mediastinal and hilar contours are unremarkable. The pulmonary vascularity is not engorged. Lung volumes are low. No focal consolidation, pleural effusion or pneumothorax is seen. Minimal atelectasis appears to be present at the bases bilaterally. No pleural effusion or pneumothorax is demonstrated. Multilevel degenerative changes in the thoracic spine are noted with lateral osteophyte formation.
altered mental status.
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A new drainage catheter projects over the mid hemithorax. An associated fluid collection appears decreased but a small opacity suggesting residual fluid projecting over the right mid hemithorax. Two drainage catheters projecting over the left mid-to-lower hemithorax appear unchanged with persistent widespread retrocardiac opacification and probably a residual small pleural effusion. Left perihilar opacity is stable. Streaky opacities at the right base remain, but for the most part, aeration has improved substantially in the right lower lung. A picc line courses into the superior vena cava from a right-sided approach. Its tip is difficult to visualize because of coinciding three-lead pacemaker/icd device, but it probably terminates in the superior vena cava.
follow-up of empyema.
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Cardiac silhouette size appears top normal. Mediastinal and hilar contours are unremarkable. The pulmonary vasculature is normal and the lungs are clear. No pleural effusion or pneumothorax is seen. No acute osseous abnormalities are visualized.
chest pain.
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Moderate enlargement of the cardiac silhouette is present. The aorta is slightly unfolded. Hilar contours are normal. There is no pulmonary edema, focal consolidation, pleural effusion or pneumothorax. No acute osseous abnormality is present. Right glenohumeral mild to moderate degenerative changes are noted.
history: <unk>f with hypoxia, wheeze // evaluate for pneumonia
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Compared to the prior radiograph, the lung volumes are unchanged. Bibasilar atelectasis is unchanged, worse on the right. Right pneumothorax is imperceptible. Right pleural catheter stable.
<unk> year old man with h/o spontaneous pneumothorax s/p talc pleurodesis who presents for evaluation of pneumothorax. // has pneumothorax increased in size?
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As compared to the previous radiograph, the picc line now projects approximately <num> cm below the cavoatrial junction with its tip. There is no evidence of complications, notably no pneumothorax. The bilateral lung parenchymal changes are constant.
picc line placement.
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Ap upright and lateral views of the chest were provided. Mild elevation of the right hemidiaphragm is stable from prior exam. No displaced osseous fractures are seen. The lungs are clear without focal consolidation, effusion or pneumothorax. No signs of pulmonary edema. The heart size is normal. The mediastinal contour is unremarkable.
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The lungs are clear. There is no pneumothorax. The heart and mediastinum are within normal limits. An old right rib fracture is incidentally noted.
<unk>-year-old male with cough and phlegm; evaluate for infiltrate.
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Faint opacities at the right lung base not previously seen on <unk>. No pleural effusion or pneumothorax is detected. Biapical pleural thickening is unchanged. Mild pulmonary vascular congestion is stable without overt pulmonary edema. The cardiac silhouette is moderately enlarged but stable. The mediastinal and hilar contours are unchanged with prominence of the left main pulmonary artery, similar in appearance to <unk>. The thoracic aorta is tortuous with dense calcification at the aortic knob as seen previously. The visualized upper abdomen shows no free air beneath the right hemidiaphragm.
generalized weakness and fever, here to evaluate for acute cardiopulmonary process.
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Cardiomediastinal contours are normal. The right lung is clear. There is no pneumothorax or right pleural effusion. There is elevation of the left hemidiaphragm. There has been almost complete resolution of opacities in the left lower lung with residual linear opacities likely scarring. There is a tiny pleural effusion or pleural thickening on the left. The osseous structures are unremarkable
<unk> year old man s/p left lung decortication for empyema // r/o pneumothorax
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The lungs are clear of focal consolidation, pleural effusion or pneumothorax. A left breast implant is seen, and no displaced rib fractures are seen. The heart size is normal.
<unk>-year-old female with left chest pain following fall.
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Compared to the prior study there has been interval increase in the bilateral pleural effusions and alveolar edema lower lobe greater than upper lobe. There continues to be pulmonary vascular redistribution ill-defined vascularity. The heart is mildly enlarged. The right ij line is unchanged.
<unk> year old woman with htn, poorly controlled dm, pvd, cva x<num>, admitted for lle infection s/p toe amputation, course c/b hypoxia <unk> pulmonary edema vs. aspiration // assess for pulmonary edema, cause of hypoxia
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In comparison with the study of <unk>, the right ij catheter has been removed. Otherwise, there is little overall change. Multiple metastatic foci are seen within both lungs, and there is opacification at the left base silhouetting the hemidiaphragm as well as virtually complete opacification of the right upper lobe.
renal cell metastases with chf.
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Ap portable upright view of the chest. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact.
<unk>m with hypotension // eval for pna
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Again seen increased interstitial markings diffusely bilaterally, consistent with underlying chronic interstitial lung disease. There may be a component of mild superimposed vascular congestion. . No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are stable.
history: <unk>m with dyspnea // eval for pneumonia
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The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax. There is no pleural effusion. Pulmonary vascularity is normal. Median sternotomy cerclage wires are noted. There is a small break in the superior wire.
<unk>-year-old man presenting with altered mental status and vomiting. evaluate for pneumonia.
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There are relatively low lung volumes. Left mid lung linear atelectasis/scarring is again seen. Prominence of the pulmonary vasculature may be exaggerated by low lung volumes however, a degree of vascular congestion may be present. No large pleural effusion is seen. There is no evidence of pneumothorax. The cardiac and mediastinal silhouettes are stable.
history: <unk>f with concern for cva // acute process?
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Frontal radiograph of the chest demonstrates an opacity in the right lower lung which could represent aspiration or infection in the appropriate clinical setting. The previously seen ground-glass opacity in the right lung apex is not seen on this study. There is no pleural effusion, pneumothorax or evidence of pulmonary edema. The cardiomediastinal silhouette is unremarkable.
<unk>-year-old male with cough and question of pulmonary contusion, rule out pneumonia.
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Compared with the prior chest radiograph, lungs continue to be clear without focal consolidation concerning for pneumonia. No pleural effusion or pneumothorax. The left-sided port-a-cath terminates at the cavoatrial junction.
<unk>m with pancreatic cancer on chemotherapy with new fever. evaluate for pneumonia.
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Pa and lateral views of the chest provided demonstrate no focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm.
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No previous images. The heart is normal in size and lungs are clear without vascular congestion or pleural effusion. Specifically, no evidence of hilar or mediastinal adenopathy.
arthralgias, to assess for adenopathy.
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Pa and lateral views of the chest. Previously seen right greater than left pleural effusions have resolved. Bibasilar linear opacities are seen suggestive of atelectasis in the setting of relatively low lung volumes. Superiorly the lungs are clear. There is no pneumothorax. The cardiomediastinal silhouette is enlarged but stable. Median sternotomy wires are again noted. No acute osseous abnormality detected.
<unk>-year-old male with left shoulder pain.
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Frontal and lateral views of the chest. The lungs are clear of focal consolidation, effusion, or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
<unk>-year-old female with visual changes.
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Moderate right pleural effusion persists with concurrent consolidation. Trace left pleural effusion is seen. No pneumothorax is detected. Heart size is difficult to assess in the setting of adjacent pleural effusion and right basilar opacification. Lung volumes are low with prominent pulmonary vasculature without frank edema. Hilar surgical clips reflect recent lobectomy. Right apical, anterior and posterior air-fluids level likely represents post-operative loculations.
<unk>-year-old female with stage iiia adenocarcinoma status post vats right lower lobectomy and right chest tube removal.
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Heart size remains mildly enlarged. Mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is demonstrated. No acute osseous abnormality is present.
history: <unk>f with fever, cough, asymmetric lung exam
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There are persisting low bilateral lung volumes as well as an unchanged right apical pneumothorax. No shift of the mediastinal structures. Unchanged left lower lung zone atelectasis. The size of the cardiac silhouette is stable.
<unk> year old woman s/p r vats rll // check right pneumothorax, please do around <num>pm
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There is persistent mild elevation of the left hemidiaphragm with overlying atelectasis. Left basilar opacity is grossly similar compared to the prior study which could relate to chronic aspiration acute component not excluded, opacity may be slightly increased. . There is persistent minimal blunting of the left costophrenic angle. No pneumothorax is seen. Cardiac and mediastinal silhouettes are stable.
history: <unk>m with upper thoracic back pain // acute cardiopulm disease
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A round, <num> mm calcified granuloma is seen within the lingula. There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema identified. The heart size is normal. Mediastinal and hilar contours are normal.
shortness of breath and wheezing.
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In comparison with study of <unk>, there is no change or evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion.
discitis, to assess for pneumonia.
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The patient is slightly lordotic in positioning. The aorta is unfolded. The heart size is normal. The hilar contours are within normal limits, and no pulmonary vascular congestion is identified. Lungs are clear. No pleural effusion or pneumothorax is identified. No acute osseous abnormalities seen. Clips in the right upper quadrant are noted as well as a stent.
fatigue, shortness of breath.
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As compared to the previous radiograph, there is a decrease in lung volume and a newly appeared parenchymal opacity at the right lung base that could reflect pneumonia. In addition, there is increased retrocardiac atelectasis and moderate fluid overload that has newly appeared. Moderate cardiomegaly. No pneumothorax. The presence of a small right pleural effusion cannot be excluded. At the time of observation and dictation, <time> a.m., the <unk>, the referring physician <unk>. <unk> was paged for notification.
history of lung cancer and breast cancer, copd, chronic heart failure, evaluation.
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Single ap supine view of the chest was obtained. Allowing for differences in technique and positioning, cardiomediastinal silhouette is unchanged. Heavy calcifications are again noted in the aortic arch and the tracheobronchial tree. The lungs are clear. There is no pleural effusion or pneumothorax. Deviation of the trachea may relate to an enlarged thyroid gland.
<unk> year old woman with chest pain // ?acute change
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As compared to the previous radiograph, no relevant change is seen. Moderate pulmonary edema and moderate cardiomegaly. No larger pleural effusions. No pneumonia. Moderate areas of atelectasis at both the left and the right lung bases.
chronic heart failure, evaluation for pulmonary edema.
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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.
<unk>-year-old woman with dyspnea. evaluate for pneumothorax or pneumonia.
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The lungs are moderately well inflated. No pleural effusion or pneumothorax. Heart size and mediastinal contour are unremarkable. Mild prominence of the right hila is unchanged since <unk>. Atherosclerotic calcifications of the aortic arch are noted. Limited assessment of the osseous structures are notable for multilevel degenerative changes of the thoracic spine.
<unk>f with a-fib rvr now resolved. assess for pneumonia.
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No focal consolidation is seen. There is no pleural effusion or pneumothorax. Cardiac and mediastinal silhouettes are stable. Patient is status post median sternotomy. No overt pulmonary edema is seen.
history: <unk>m with chest pain s/p heart transplant // ptx
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Cardiac silhouette size is mildly enlarged. The mediastinal and hilar contours are within normal limits. There is mild pulmonary vascular congestion, with a small left pleural effusion slightly increased from the prior study. Patchy opacities in the lung bases are also increased, and may reflect atelectasis. No pneumothorax is detected.
history: <unk>m with dyspnea, wheezing
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Midline sternotomy wires and mediastinal clips are again noted. There is new consolidation within the left lower lobe which is concerning for pneumonia. A small left pleural effusion is also likely present. Calcified granulomas project over the right upper lung. Otherwise right lung is clear. Cardiomediastinal silhouette is unchanged. Bony structures are intact.
<unk>m with lung ca, on lovenox // ? size of l pleural effusion
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Lung volumes are low. This accentuates the size of the cardiac silhouette which is borderline enlarged. Mediastinal and hilar contours are unremarkable. Crowding of the bronchovascular structures is present. There is minimal patchy atelectasis at the lung bases without focal consolidation. No pleural effusion or pneumothorax is present. No acute osseous abnormalities identified.
history: <unk>f with altered mental status, unresponsive, nausea, vomiting and headache
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The lungs are clear. The aorta is tortuous. The cardiomediastinal silhouette and hilar contours are normal. The pleural surfaces are normal without effusion or pneumothorax.
chest pain.
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Pa and lateral chest radiograph demonstrates subtle increased reticulonodular markings at the lower lungs bilaterally which may reflect an atypical pneumonia. Cardiomediastinal and hilar contours are unremarkable. No pleural effusion or pneumothorax is identified. Osseous structures demonstrates no acute abnormality. Gas filled loops of nondistended bowel incidentally noted.
<unk>-year-old female with fever and tachycardia.
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Pa and lateral views of the chest. The lungs are essentially clear. The cardiomediastinal silhouette is within normal limits. Mid to lower thoracic dextroscoliosis is noted.
a <unk>-year-old female with cough for <num> weeks and occasional chest pain.
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The lungs are essentially clear. Linear opacity at the left lung base is compatible with atelectasis. The lungs are otherwise unremarkable. There is no effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f w/no significant pmh presenting w/chills, productive cough, sob. positive sick contact w/similar symptoms // evaluate for infection
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Since the most recent prior radiograph, there is stable moderate cardiomegaly and development of a small right pleural effusion. There is no focal consolidation or pneumothorax. The lungs appear better expanded than on the prior radiograph. Multiple left-sided rib fractures seen on outside hospital ct torso are not clearly seen on this radiograph.
<unk>-year-old man with rib fractures, no pneumothorax on ct scan yesterday, question pneumothorax.
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In comparison with the study of earlier in this date from an outside facility, there again are low lung volumes. No definite pleural effusion. Mild retrocardiac opacification most likely reflects atelectatic changes. No evidence of pulmonary vascular congestion.
pancreatitis, to assess for effusion.
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The lungs are clear of focal consolidation, pleural effusion or pneumothorax. The heart size is normal. The mediastinal contours are normal.
<unk>-year-old male with chest pain
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In comparison with the study of <unk>, there has been a substantial increase in left pleural effusion with compressive atelectasis at the base. Substantial volume loss is seen in the left lower lobe. The right lung is essentially clear and there is no pulmonary vascular congestion. Of incidental note is a previous fracture of a mid right rib.
pleural effusion.
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In comparison with the earlier study of this date, the degree of pulmonary vascular congestion has decreased. No evidence of pleural effusion or pneumothorax. Left subclavian catheter remains in position.
acute respiratory distress, now with diuresis.
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Right internal jugular central venous catheter remain stable in the low svc. Moderate cardiomegaly is unchanged. Platelike atelectasis in the left mid and lower lungs and bibasilar atelectasis is not significantly changed. There is a small left pleural effusion. There is no pneumothorax.
<unk> year old man s/p cabg // eval for effusion
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Cardiac silhouette remains mildly enlarged. Mediastinal and hilar contours are stable. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. No displaced fracture is seen.
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Ap upright chest radiograph demonstrates no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. The previously described nodular opacity does not persist and may have been an artifact.
immunosuppressed patient with cough and chills with recent renal transplant. evaluation for pneumonia.
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There is again increase in the right lung base opacification, part of it is explained by pleural effusion, but is still worrisome for pneumonia. Mild pulmonary edema is unchanged. Mediastinal contour enlargement due to lymphadenopathy was better depicted in the recent ct scan. Possible persistence of the left upper lobe consolidation described on the ct could be reassessed with ct if clinically warranted. There is no pneumothorax.
patient with copd, chf, change in pulmonary edema or pleural effusion.
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There are diffuse heterogeneous bilateral pulmonary parenchymal opacities. There is a moderate right and small left pleural effusion. Areas of consolidation are seen in the bilateral lower lobes. The cardiac silhouette is top-normal in size. An endotracheal tube ends <num> cm from the carina. An enteric tube courses into the stomach, and out of the field of view. Right internal jugular central venous line ends at the cavoatrial junction. Left internal jugular line ends in the left brachiocephalic vein. No pneumothorax.
history: <unk>m with respiratory distress. intubated. l ij cvl // ?pneumonia. confirm l ij cvl
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The entire lung fields not included there remains extensive retrocardiac opacity in the left base. There is mild pulmonary edema and atelectasis. The patient has had a aortic repair.
<unk> year old woman with recent tavr, length of stay positive, wish to assess interval change in lung fields // interval change in pulmonary edema, other pathology
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Pa and lateral views the chest provided demonstrate clear well expanded lungs without focal consolidation, large effusion or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact. . No free air is seen below the right hemidiaphragm.
<unk>m with epigastric pain, question perforated ulcer question free air under diaphragm.
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Pa and lateral images of the chest. Lungs well expanded. There is mild vascular congestion. There is no pleural effusion or pneumothorax. There is moderate cardiomegaly.
ekg changes.
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Heart size is normal. Mediastinal and hilar contours are unremarkable. The pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is identified. Chain sutures are seen within the left lung apex. Mild degenerative changes are noted in the thoracic spine.
history: <unk>m with shortness of breath, history of pneumothorax.
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Et tube tip is approximately <num> cm above the carina. Enteric tube courses below the diaphragm and out of view. Low lung volumes cause bronchovascular crowding and accentuation of the cardiac silhouette. Dense retrocardiac opacity is worse compared to prior. There is no pneumothorax. Cardiomegaly is moderate, as on prior. No free air below the right hemidiaphragm is seen. Calcified right styloid process is similar to <unk>.
<unk> year old man with iph // please eval for changes, right jugular central line attempt
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The heart is mildly enlarged. Mediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. The lungs appear clear.
shortness of breath.
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Cardiac silhouette size is normal. The aorta is tortuous. Hilar contours are normal. Right apical opacity measuring <num> x <num> cm is concerning for a primary lung malignancy. No clear osseous destruction is visualized. Subsegmental atelectasis is noted in the lung bases. No pleural effusion or pneumothorax is present. Moderate degenerative changes are seen in the thoracic spine.
history: <unk>m with <num> weeks of worsening ambulation, multiple falls, new cerebellar tumors on head ct //evaluate for primary lung mass
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There is elevation the left hemidiaphragm, to a lesser extent than on the prior study, with overlying atelectasis. Patchy left base opacity is most likely due to atelectasis, underlying aspiration not excluded. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable and unremarkable..
history: <unk>f with aspiration pna // r/o acute process
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Bilateral lung volumes remain low. Right internal jugular line ends at upper svc. Bibasilar minimal atelectasis is similar. No new lung opacities concerning for pneumonia. Heart size is normal. Mediastinal and hilar contours are unchanged. No pleural effusion.
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The cardiac silhouette size is normal. The hilar contours are normal. The mediastinal contours are notable for symmetric widening of the superior mediastinum bilaterally, without deviation of the trachea. Prominent left epicardial fat pad is noted. The pulmonary vascularity is normal. Within the periphery of the right upper lung field is a <num> cm rounded lucency with a thin wall which could represent a bulla. The remainder of the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. No acute osseous abnormality is seen.
exertional chest pain.
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The cardiac silhouette size is borderline enlarged. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is visualized. Remote right <unk> posterior rib fracture is re- demonstrated.
shortness of breath.
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The cardiomediastinal contour is within normal limits. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax. However, there is <unk> increased opacity anterior to the hilum seen only in the lateral view.
<unk> year old man with cough, fever and chills for <num> months and history of <unk> year pack smoking. // evaluate for cough.
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The heart size is top normal, with a left ventricular configuration. The aorta is mildly tortuous, otherwise the hilar and mediastinal contours are normal. There is mild bibasilar atelectasis. There is no large pleural effusion or pneumothorax. No definite rib fractures are identified.
history: <unk>m with trauma to chest // ptx? rib fractures?
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Lung volumes are low. The heart size is normal. The mediastinal and hilar contours are unchanged. The pulmonary vasculature is normal. There is no focal consolidation, pleural effusion or pneumothorax identified. Minimal retrocardiac atelectasis is demonstrated. There are no acute osseous abnormalities.
<num> week of cough and nasal congestion.
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Thickening of the right minor fissure is again seen. There is enlargement of the cardiac silhouette again seen, which partially obscures the left lung base. Overlying soft tissue also used to underpenetration of the lung bases. Mild pulmonary vascular congestion. No definite focal consolidation, pleural effusion, or pneumothorax is seen. Mediastinal and hilar contours are stable.
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Compared with prior radiographs performed on same day on <unk> at <time>, there has been interval collapse of the right lower lung, with mediastinal shift towards the right, likely reflecting mucous plug. Left basilar atelectasis is similar to prior. No pneumothorax. Left pleural drain is unchanged.
<unk> year old man with known pe. sat <unk> // fluid status
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Endotracheal tube and nasogastric tube remain in standard position, and cardiomediastinal contours are within normal limits for technique. Marked improved aeration in the left lower lobe with associated decrease in small left pleural effusion. Probable small right pleural effusion.
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Stable marked enlargement of cardiac silhouette accompanied by pulmonary vascular congestion, mild pulmonary edema. A more confluent opacity in the right lower lobe has worsened and could reflect asymmetrical edema or secondary process such as infection. Small right pleural effusion has increased in size, but small left pleural effusion and adjacent left retrocardiac opacity are unchanged.
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Cardiomediastinal contours are normal. Small bilateral effusions are associated with adjacent atelectasis left greater than right. There is no pneumothorax.
<unk> year old man with cough and fever // ? pna
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The patient is status post median sternotomy. The heart size is normal. The mediastinal and hilar contours are within normal limits. No focal consolidation, pleural effusion or pneumothorax is demonstrated. There is crowding of bronchovascular structures due to slightly low lung volumes. No overt pulmonary edema is present. There are mild multilevel degenerative changes in the thoracic spine.
weakness.
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There are prominent interstitial markings bilaterally, within opacity at the left lung base. The heart remains mildly enlarged. There are likely small bilateral pleural effusions. No pneumothorax is seen.
<unk>m with intermittent weakness/lh, evaluate for acute process.
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Ap single view of the chest has been obtained with patient in sitting semi-upright position. Comparison is made with the next preceding similar study of <unk>. Thoracocentesis of the right side has been performed during the examination interval. The amount of pleural effusion has diminished; however, substantial amount remains and still obscures the right-sided diaphragm and the lateral pleural sinus. The previously identified two pleural drainage tubes remain in location. It is unclear whether they are located in the abdomen or the pleural space. Persistent density in the lower thoracic area is consistent with the previously on ct identified collapse of both right lower lobe and middle lobe. No significant pneumothorax is seen in the apical area. The left hemithorax remains unchanged and within normal limits.
<unk>-year-old female patient with right-sided pleural effusion now status post thoracocentesis with <unk> ml removal. evaluate for pneumothorax and residual effusion.
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An endotracheal tube is positioned approximately <num> cm from the carina. An enteric tube courses below the diaphragm with the tip out of field of view. The lung volumes are low with vascular congestion and mild pulmonary edema. There is no focal opacity, pleural effusion, or pneumothorax. The mediastinal contours are normal. The heart size is mildly enlarged.
urosepsis and respiratory failure. evaluate endotracheal tube.
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Lung volumes are low. Coarse interstitial opacities are noted diffusely within the lungs, most pronounced along the periphery and right mid lung field, compatible with a chronic interstitial lung disease. Patchy opacities in the lung bases likely reflect superimposed atelectasis. No focal consolidation or pneumothorax is seen. No definite pleural effusion is identified. There is no pulmonary edema.
history: <unk>m with increasing shortness of breath// assess for pneumonia
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The cardiac, mediastinal and hilar contours appear unchanged, allowing for differences in technique. A vague peripheral opacity projecting over the right lung apex also appears unchanged. Streaky opacities in the right lower lobe are most consistent with minor atelectasis. There is no pleural effusion or pneumothorax.
chest pain and shortness of breath.
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Ap portable upright chest radiograph provided. Lungs are clear. No pneumothorax or effusion. No signs of pneumonia or chf. Cardiomediastinal silhouette is normal. Bony structures are intact.
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Frontal and lateral views of the chest obtained. On the lateral view, the right pic catheter tip projects over the upper arm. Lungs are clear without pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pleural effusion.
assess for right pic catheter position.
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Pa and lateral views of the chest were provided. The heart is moderately enlarged. There is mild pulmonary interstitial edema. No large effusions or pneumothorax is seen. Atherosclerotic calcification at the aortic knob and descending aorta is noted. Bony structures appear intact with degenerative changes in the mid t-spine noted.
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Cardiomegaly accompanied by upper zone vascular redistribution, but no overt evidence of pulmonary edema. Aorta is tortuous and calcified. Localized bronchiectasis is again demonstrated in the right upper lobe. Nonspecific linear scar or atelectasis is present in the left lower lobe. No definite pleural effusions. Bones are diffusely demineralized, consistent with the patient's advanced age.
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Frontal and lateral chest radiographs demonstrate low lung volumes. Cardiomediastinal contours are within normal limits. Lungs are clear. There is no pleural effusion and no pneumothorax.
anisocoria, rule out horner's syndrome, evaluate for mass lesion.
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The cardiac, mediastinal and hilar contours are within normal limits. The lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are seen.
chest pain and cold symptoms.
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There is a large hiatal hernia with an air-fluid level. The heart is normal in size. The mediastinal and hilar contours are unremarkable within the limitations of technique. Streaky medial basilar opacities suggest minor atelectasis or scarring, but there are no findings suggestive of pneumonia of congestive heart failure. There is no pleural effusion or pneumothorax.
tachycardia.
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The lungs are somewhat low in volume but clear. There is no pleural effusion or pneumothorax identified, though the inferior aspect of right pleural sulcus is excluded on the lateral view and the extreme left pleural sulcus is excluded on the frontal view. The heart is likely normal in size allowing for ap technique. A stable convex bulge of the right mediastinum likely reflect a stable mildly dilated or tortuous ascending aorta. Surgical clips are seen in the right upper quadrant.
<unk>-year-old man with history of alcoholism with cough and sputum, assess for pneumonia.
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Frontal and lateral chest radiographs demonstrate intact sternal wires. The heart is moderately enlarged. Lungs are fairly well-expanded. There is indistinctness at the left heart border, which is likely related to atelectasis. However, an early developing pneumonia cannot be excluded. There is no pleural effusion or pneumothorax. The visualized upper abdomen is unremarkable.
evaluate for pneumonia in a patient with shortness of breath x<num> week.
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The lungs are clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with fever, ivdu hiv pls eval pna
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There are low inspiratory volumes. Heart size is at the upper limits of normal. The aorta is calcified and slightly tortuous. No chf, effusion, or pneumothorax is detected. Streaky bibasilar opacities are again noted, consistent with bibasilar atelectasis. On the lateral view, there is considerable overlap posteriorly, limiting assessment of the lower lobes. No definite focal infiltrate and no definite change compared with <unk> is detected. No frank consolidation is identified.
history: <unk>f with coughing // ? aspiration
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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. Heart and mediastinal contours are within normal limits.
<unk>-year-old male with cough and malaise.
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Mild cardiomegaly is unchanged. Mediastinal contours normal. Haziness at the left lung base likely due to a large epicardial fat pad, unchanged. The crescentic region of scarring in the left upper lobe has varied slightly in appearance between chest radiographs, but is long-standing. There are no radiographic findings of pneumonia or pulmonary edema. There is no pleural effusion or pneumothorax.
<unk>f with dyspnea, evaluate for aspiration pneumonia area.
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No focal consolidation, pleural effusion, or pneumothorax is seen. There is mild enlargement of the cardiac silhouette without evidence for pulmonary edema.
<unk>-year-old female with productive cough.
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Lung volumes are slightly low. No focal consolidation is seen. No definite pleural effusion or pneumothorax is seen. There are no findings to suggest pneumomediastinum. The cardiac silhouette is top-normal, likely exaggerated by ap technique. Mediastinal contours are unremarkable. No pulmonary edema is seen.
<unk> year old woman with chest pain and difficulty swallowing // eval for possible cause of pain with swallowing
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The lungs are hypoinflated. Mild to moderate pulmonary edema is new. More focal confluent opacity in the left lower lung field, which partially obscures the left heart border is noted as well as vague opacification of the right lung base. Small bilateral pleural effusions are likely present. There is no pneumothorax. A tortuous aorta is again seen and unchanged from prior. Cardiac size is slightly enlarged, stable. Bony structures are unremarkable.
<unk>-year-old female with shortness of breath. evaluate for infection versus edema.
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The cardiomediastinal and hilar contours are stable. There is no pleural effusion or pneumothorax. The lungs are hyperinflated with flattening of the hemidiaphragms and prominence of the retrosternal clear space, compatible with copd. The previous medial right lung base opacity is resolved. The upper abdomen is unremarkable in appearance. The visualized osseous structures are within normal limits with mild degenerative changes in the thoracic spine.
<unk> year old man with h/o pneumonia. being evaluated for hbo therapy. // pneumonia; r/o pulmonary disease
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Lung volumes are appropriate. Increased interstitial markings are seen in the lungs with a predominantly peripheral distribution, more prominent on the right than on the left. These may also have been faintly visualized on prior. There is no confluent consolidation or effusion. Cardiomediastinal silhouette is within normal limits. Median sternotomy wires are again noted. Old left lateral rib fracture is again noted. No acute osseous abnormality is identified.
<unk>m with cough/fever // r/o pna
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As compared to the previous radiograph, the amount of loculated gas in the right lung apex has substantially decreased. No recent pneumothorax. The extent of the pre-existing loculated pleural effusion is constant. Normal appearance of the left lung, normal cardiac and mediastinal contours.
status post pigtail removal, evaluation of pneumothorax.
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The lung volumes remain low with interval improvement in bilateral perihilar and lower lobe opacities. No pleural effusion or pneumothorax. Left sided picc terminates at the cavoatrial junction. Unchanged appearance of hardware projecting over the spine in the region of the mid thorax. There has been interval removal of a right-sided central line, enteric tube and endotracheal tube.
<unk> year old man with sys hf, pna, hypoxic respiratoy failure and multifocal pneumonia s/p abx and diuresis. ?interval change // effusions / infiltrate