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The heart is normal in size. The aorta is mildly tortuous. The aortic arch is calcified. The pulmonary interstitium appears irregular and there is a patchy peripheral opacification suggesting a substantial interstitial abnormality. Although lung volumes are low, there may be an emphysematous component noting relative lucency and attenuation of bronchovascular structures in the upper lung. Associated with slight elevation of the left hemidiaphragm is predominantly streaky focal opacification in the left lower lobe, which may be due to chronic scarring or atelectasis, although an infectious cause is hard to completely exclude. There is no pneumothorax or pleural effusion. The bones appear demineralized. There are mild degenerative changes along the thoracic spine.
chest pain.
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Heart size is normal. Mediastinal and hilar contours are unchanged. Severe emphysematous changes are re- demonstrated. Again demonstrated are increased interstitial opacities within both lung bases as well as within the right upper lung field, not substantially changed in the interval. No pleural effusion or pneumothorax is present. Ossific fragment distal to the left distal clavicle likely is posttraumatic and appears chronic.
history: <unk>m with fever, cough, shortness of breath
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Compared to the prior study there appears to been some interval improvement in the previously seen the layering left-sided pleural effusion. No definite right-sided effusion seen. A left-sided chest tube remains in-situ. An endotracheal tube and nasogastric tube are also unchanged in appearance. A swan-ganz catheter is unchanged in position, this appears to be in the region of the pulmonary valve/ main pulmonary artery. The right lung appears grossly clear. A right internal jugular catheter is unchanged in appearance. No pneumothorax seen.
<unk> year old woman s/p cabg, tv repair // follow up effusions
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The right hilus is enlarged. A string of opacities projecting over the right upper lobe simulates chain suture material. There is no focal consolidation, hemorrhage, pleural fluid, or pneumothorax. Cardiac silhouette and mediastinal contours are normal.
status post transbronchial biopsies of right lower lobe mass, rule out pneumothorax.
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In comparison with study of <unk>, there is increased opacification at the right base consistent with increasing amounts of pleural fluid with associated compressive atelectasis. Streak of atelectasis is seen at the left base and there may be a small effusion on this side as well. The dobbhoff tube again extends well into the stomach. No convincing evidence of vascular congestion. The previously described fracture of the mid shaft of the clavicle on the right is again seen.
surgery with diarrhea and perinephric fluid collection.
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In comparison with the earlier study of this date, the tip of the endotracheal tube lies below the clavicles, approximately <num> cm above the carina. Nasogastric tube extends well into the stomach. There is improved aeration at the left base with only mild volume loss and possible small effusion. Right lung is essentially clear and there is no vascular congestion.
intubation.
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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 is seen below the right hemidiaphragm.
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As compared to the previous radiograph, there is no relevant change. The previously malpositioned nasogastric tube is now correctly positioned in the stomach. The lungs are overinflated but no focal parenchymal opacities are seen. No pulmonary edema. No pleural effusions. Small cardiac silhouette with tortuosity of the thoracic aorta. The monitoring and support devices are constant.
bronchiolitis obliterans, recent tube malposition.
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Single ap upright portable view of the chest was obtained. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable. Slight prominence of the paratracheal soft tissues without definite indentation on the adjacent trachea may relate to vascular structures vs less likely enlarged thyroid gland.
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Again seen is a large right-sided pleural effusion and bilateral lower lobe opacities compatible with volume loss/infiltrate as well as the effusion. There is pulmonary vascular redistribution. Prominence of left hilum is unchanged compared to the prior exam. .
respiratory failure question pneumonia.
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The lungs are well expanded and clear. Cardiac size top normal. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
patient with chest pain radiating to the back.
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There is moderate-to-severe cardiomegaly. The patient is status post cabg. Sternal wires are intact. Clips are noted in the mediastinum. The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. Very mild peripheral fibrosis is present at the bilateral bases.
history of coronary artery disease and gi bleed. evaluate cardiac size.
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Three transvenous pacemaker leads terminate in the right atrium, right ventricle, and left ventricle. Median sternotomy wires appear intact. Small bilateral pleural effusions, left greater than right, are grossly unchanged. Left lower lobe atelectasis is similarly unchanged. Mild cardiomegaly is unchanged. The mediastinal silhouette and hilar contours appear normal. There is no pneumothorax.
gentleman with biv ppm implant. evaluate lead positions.
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Frontal and lateral chest radiographs demonstrate bilateral pleural plaques, more confluent on the left, which result in increased opacity of the left hemithorax. The ground-glass opacification seen within the left upper lobe is not definitely appreciated on the current study, though may be obscured by overlying pleural plaques. There is no pleural effusion, or pneumothorax. The cardiac silhouette remains top normal in size, with note made of coronary arterial stents. Mediastinal contours are normal, with the exception of calcification of the aortic arch. Previously noted mediastinal lymphadenopathy is not well seen. A radiodense structure in the right upper quadrant may reflect contrast within a colonic diverticulum.
<unk>-year-old male with question infiltrate seen on pet from <unk>, continues to have chronic cough.
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A right subclavian central venous catheter ends in the right atrium. A left picc projects over the low svc. There are moderate to large bilateral pleural effusions with associated atelectasis. There is mild pulmonary vascular congestion. The cardiomediastinal silhouette is stably enlarged. There is no pneumothorax.
<unk> year old man s/p tvr/pfo closure, evaluate pleural effusion..
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As compared to the previous radiograph, the gastric overinflation has decreased. The alignment of the sternal wires and the position of the monitoring and support devices is constant. The two left-sided chest tubes are unchanged in position. There is minimal atelectasis at the left lung bases, at overall low lung volumes. No evidence of pneumothorax or larger pleural effusions. The cardiac silhouette remains moderately enlarged but without evidence of pulmonary edema. No pneumonia.
desaturation, rule out atelectasis or pneumothorax.
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An endotracheal tube terminates <num> cm from the carina. An enteric tube courses below the diaphragm and terminates within the stomach. There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal silhouette is within normal limits, allowing for rotation. There is moderate s-shaped scoliosis of the visualized thoracolumbar spine. Calcific densities projecting over the right upper quadrant may represent gallstones or renal stones.
<unk>f with large iph, intubated, transfer from osh, evaluate for et tube position
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Comparison is made to previous study from <unk>. There is a very tiny right apical pneumothorax near the tip of the right-sided chest tube. No pneumothorax on the left side is seen. There is again seen unchanged diffuse consolidation throughout both lung fields, more confluent in the left mid and lower lung fields. The lines and tubes appear stable in position and appropriately sited.
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The tip of the endotracheal tube projects over the mid thoracic trachea. A feeding tube extends below the level the diaphragms but beyond the field of view of this radiograph. There is unchanged pulmonary edema. The size the cardiac silhouette is enlarged but unchanged.
<unk> year old man s/p intubation // ett placement
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Et tube ends <num> cm above carina. Right-sided picc line and jugular line are in unchanged position in distal dilated superior vena cava. Ng tube is below the diaphragm. Patient is known with severe cardiomegaly with dilated atriums and mitral valve repair. Mild new cardiac congestion is better seen in left upper lobe. Small bilateral pleural effusion with atelectasis is unchanged.
interval change.
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Compared with the prior radiograph, no significant change in bilateral increased interstitial lung markings, basal predominant, consistent with fibrosis/ chronic lung disease. There is persistent blunting of the right costophrenic angle without large pleural effusion or pneumothorax. Cardiomediastinal silhouettes are unchanged. Slight increase in right basilar opacity may be due to overlying minimal edema or acute exacerbation on chronic disease.
<unk>m with cough. evaluate for pneumonia, masses.
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Frontal chest radiograph demonstrate interval removal of a left subclavian approach swan-ganz catheter. The endotracheal tube terminating in the mid thoracic trachea, enteric <num> terminating below the diaphragm and off the inferior edge of the image, a right internal jugular catheter terminating at the cavoatrial junction, left chest tube, mediastinal drains, are all unchanged in position. A left subclavian approach catheter projects over the expected location of the left subclavian vessels and clavicle, but the location is difficult to determine. It does not follow the expected course of the vessel centrally. The cardiac silhouette remains enlarged, and there are unchanged bilateral opacities, with a likely left pleural effusion.
evaluate left subclavian approach cordis, in a patient status post aortic and mitral valve repair.
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Lungs are hyperinflated. Platelike opacity in the right lower lobe is likely due to combination of scarring and atelectasis. Cardio mediastinal silhouette is normal size. There is no pneumothorax or pleural effusion.
history: <unk>m with chest pain, dyspnea, prior cardiac hx // eval ? edema, cardiomegaly
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Frontal and lateral views of the chest demonstrate low lung volumes. Single-lead aicd projects over right ventricle. Heart is moderately enlarged. There is likely a small left pleural effusion. Bilateral predominantly central confluent airspace opacities are noted. There is no pneumothorax. Hilar and mediastinal silhouettes are unchanged. Partially imaged upper abdomen is unremarkable.
patient with fever, cough and confusion.
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The heart size is normal. The mediastinal and hilar contours are unremarkable. Lungs are clear and the pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
fever, cough, myalgias.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs are clear. Small anterior osteophytes are similar along the mid thoracic spine. One finding that is different since <unk> is a small ossification interposed between the coracoid process of the left scapula and the nearby clavicle, which may be post-traumatic, but does not appear to represent an acute finding.
chest pain.
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Pa and lateral views of the chest were obtained. The lungs are hyperinflated, though clear bilaterally. Cardiomediastinal silhouette appears normal. Atherosclerotic calcifications along the thoracic aorta are noted. The imaged osseous structures are intact. There is no free air below the right hemidiaphragm.
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Ap portable semi-upright chest radiograph was obtained. Left basal opacity is unchanged with increasing right basal opacity. Bilateral small pleural effusions are increased. Mild-to-moderate pulmonary edema is unchanged or slightly increased. Left picc is in unchanged position. Heart and mediastinal contours reveal stable cardiomegaly.
worsening lung exam and increasing oxygen requirement, assess for aspiration.
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Mild to moderate left basilar atelectasis is improved from <unk>. Small left pleural effusion is persistent. The extent of mediastinal and hilar adenopathy is difficult to evaluate on cxr. There is no pneumothorax. Cardiac size is normal. The tip of the et tube ends approximately <num> cm from the carina. The ng tube extends into the stomach and out of view.
<unk> y/o man with known pulm nodule, increase <unk>, <unk> lesions. // interval change
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The lungs are well inflated and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. Surgical clips are noted in the right aspect of the neck.
<unk>-year-old male with back and shoulder pain. evaluate for evidence of acute thoracic process.
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The lungs are fully expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. There is no evidence of free air.
<unk>m with two weeks of epigastric pain while on nsaids, evaluate for free air.
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As compared to the previous radiograph, the course of dobbhoff catheter is unchanged. The tip of the catheter, however, is not included on the image. Otherwise, the radiograph is unchanged. The visible parts of the monitoring and support devices are in constant position. Unchanged bilateral parenchymal opacities, combined to mild-to-moderate right pleural effusion and areas of bilateral basal atelectasis.
dobbhoff placement, evaluation for tube position.
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The lungs remain hyperinflated. No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Hilar contours are stable.
history: <unk>f with ams // eval for pna
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The heart continues to be moderately enlarged with surrounding numerous surgical clips and intact median sternotomy wires. Bilateral interstitial markings have increased suggesting increased interstitial edema. The mediastinal contours continue to be widened.
<unk>-year-old woman with possible developing pneumonia, preop chest x-ray for procedure. evaluate for developing pneumonia in context of low oxygen saturations.
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Somewhat spiculated opacity in the right infrahilar region was better characterized on prior exam in and grossly unchanged. There is mild associated volume loss the right hemithorax without visualized pleural effusion. The left lung is clear where not obscured by overlying cardiac pacing device. Lead tips are seen in similar position. Cardiomediastinal silhouette is unchanged. Median sternotomy wires and mediastinal clips are again noted as well as coronary artery stents. No acute osseous abnormalities.
<unk>m with lung ca w/ pleurex (drained yesterday) w/ increasing dyspnea // ? pneumonia vs. enlarged effusion
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Patient is status post median sternotomy. Heart size is mildly enlarged, slightly decreased compared to the prior exam. Mediastinal contours are unchanged. There is mild pulmonary vascular congestion without overt pulmonary edema. Streaky atelectasis is noted in the lung bases. No pleural effusion, focal consolidation or pneumothorax is present. No acute osseous abnormalities seen.
history: <unk>f with fever unknown origin // evaluate for evidence of pneumonia
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Pa and lateral chest radiograph demonstrate a heart which is upper limits of normal in size. Peripheral prominent interstitial markings are noted particularly at the right lung base suggestive of mild pulmonary edema. Central vascular congestion is additionally noted. Hilar and mediastinal contours are otherwise unremarkable. No large pleural effusion or pneumothorax is present. Visualized osseous structures are an acute abnormality.
<unk>-year-old female with bibasilar crackles.
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Pa and lateral views of the chest were provided, demonstrating no focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. Imaged osseous structures are intact. There is no free air below the right hemidiaphragm.
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There is no interval change in the appearance of the chest since the earlier study from today. Again seen is a pacemaker in the left chest wall with a single lead terminating in the region of the right ventricle. There are bibasilar opacities, right greater than left, representing layering pleural fluid and/or atelectasis. The heart remains markedly enlarged. The mediastinal and hilar contours are unchanged. No pneumothorax is seen. The bilateral humeral heads are high-riding, and there are degenerative changes of the bilateral glenohumeral and acromioclavicular joints. Surgical clips project over the left upper abdomen.
<unk> year old man s/p pea arrest, decreased lung sounds and sob // concern for pneumothorax
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Frontal and lateral radiographs of the chest were acquired. The lungs are clear aside from minimal left lower lobe atelectasis. The heart size is normal. The descending thoracic aorta is mildly tortuous. Aortic calcifications are noted. There are no pleural effusions. No pneumothorax is seen. Multilevel degenerative changes of the thoracolumbar spine are again noted.
dementia with worsening agitation. assess for pneumonia.
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Pa and lateral views of the chest provided. There is borderline hyperexpansion of the lungs. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
history: <unk>f with cp // ? ptx
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There is increased ap diameter of the chest with flattened diaphragms, suggesting small airway disease or emphysema. Lungs are otherwise clear without pleural effusions or consolidations. Heart size, mediastinum, and hilar contours are normal.
<unk> year old man with sob for a month. evaluate for lesions.
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Persistent small right apical pneumothorax, with visceral pleural line below the right third posterior rib level. Left chest tube remains in place, with left pneumothorax. Slight improvement in left lower lobe and lingular consolidation, but worsening of focal patchy opacity in right lower lobe. Multiple left-sided rib fractures are again visualized throughout the left rib cage and left clavicle and scapula, as well as extensive subcutaneous emphysema in the left chest wall.
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A left internal jugular central venous catheter ends in the mid svc, unchanged. The lungs remain hyperinflation. Right mid to upper lung aeration has slightly improved. There is persistent mild bibasilar atelectasis as well as unchanged small bilateral pleural effusions. The cardiac and mediastinal contours are unchanged. Enlargement of the hila likely relates to dilation of the pulmonary arteries, similar to the prior study. There is no pneumothorax.
copd with pneumonia. evaluate for change in infiltrates.
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Endotracheal tube and ng tube are unchanged, end in standard position. Low lung volumes remain. There is unchanged dense consolidation of the left lung base, with a probable left pleural effusion. Developing opacity in the right lower lobe is new. The cardiac silhouette is top normal, the mediastinal contours are normal though remain shifted to the right.
<unk>-year-old male with an orthotopic liver transplant in <unk>, now with rejection, here for review.
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Pa and lateral views of the chest. Basilar region of consolidation on the lateral view likely localizing to the left. This could represent focal region of infection in the proper clinical setting. Elsewhere the lungs are clear. Cardiac silhouette is moderately enlarged. Hardware seen in the right proximal humerus. No acute osseous abnormalities detected.
<unk>-year-old male with cardiomyopathy presents with chest pain.
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Ap portable upright view of the chest. Midline sternotomy wires are noted. There is an implanted aicd in the left chest wall with leads extending to the region of the right atrium and right ventricle. The heart is mildly enlarged. Motion artifact limits evaluation. Allowing for this, no large consolidation effusion or pneumothorax is seen. No overt signs of edema. Imaged bony structures are intact.
<unk>m with implantable aicd firing
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Left pectoral pacemaker has its <num> leads terminating in right atrium and right ventricle. There is no pneumothorax or pleural effusion. Mildly enlarged cardiomediastinal silhouette is unchanged. Mild pulmonary vessel congestion is similar to prior.
<unk> year old woman with sss s/p dual-chamber pacemaker via l cephalic vein // lead position, pneumothorax
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As compared to the previous radiograph, the monitoring and support devices are unchanged, except for the left internal jugular vein catheter that has been removed in the interval. The lung volumes continue to be low, with the lung showing signs of moderate pulmonary edema with right pleural effusion and bilateral areas of atelectasis. Unchanged moderate cardiomegaly. No pneumothorax. Status post healed right humeral fracture.
pulmonary hypertension, intubation, evaluation for interval change.
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Frontal and lateral radiographs of the chest. Tracheostomy tube is in unchanged expected position. Numerous rounded opacities are noted in both lungs which are increased in size and number compared to the prior study consistent with patient's known metastatic disease no pleural effusion or pneumothorax. Normal heart size. Stable aortic tortuosity. No definite pneumonia.
foreign body in the esophagus question pneumonia.
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The patient is status post median sternotomy and aortic valve replacement. Heart size is borderline enlarged. The aorta is tortuous. Mediastinal and hilar contours are unchanged. Calcified granuloma within the left upper lobe is re- demonstrated. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is present. No acute osseous abnormalities demonstrated.
confusion, weakness, diarrhea, nausea.
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Mild to moderate enlargement of the cardiac silhouette is unchanged. The mediastinal and hilar contours appear similar, with prominence of the right hilum re- demonstrated. No pulmonary edema is present. Streaky opacity in the right lung base may reflect atelectasis. No pleural effusion, pneumothorax, or focal consolidation is demonstrated. No acute osseous abnormality is detected.
history: <unk>m with dyspnea
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Ap upright and lateral views of the chest were provided. A left upper extremity picc line is seen with its tip extending to the upper svc region. The previously noted tracheostomy is no longer visualized. There is improved aeration at the right and left lung base without definite signs of pleural effusion. Mild bibasilar atelectasis is noted. Cardiomediastinal silhouette appears grossly stable with mild cardiomegaly noted. Lung bases are somewhat limited in overall evaluation due to overlap with overlying soft tissues on the frontal projection. No definite retrocardiac consolidation is seen in the lateral projection, though evaluation is somewhat limited.
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A pacemaker projects over the left chest wall with lead tips in the right atrium and right ventricle, unchanged since prior examination. The lungs are mildly hypoinflated with persistent moderate right and small left pleural effusions bibasilar opacities. Mild vascular congestion noted. No pneumothorax. Heart is partially obscured due to overlying parenchymal disease. Aortic arch calcifications noted. Mediastinal contour and hila are unremarkable.
<unk>m with chest pain. assess for acute process.
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As compared to the prior examination, there has been minimal interval change. There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema identified. Sutures are again noted over the right mid lung, likely related to prior biopsy. There is moderate cardiomegaly. Mediastinal and hilar contours are stable.
pulmonary vasculitis, now with subacute cough.
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As compared to the previous radiograph, the spinal hardware appears to be in unchanged position. The endotracheal tube, the nasogastric tube and the left-sided chest tube has an unchanged course. The minimal pre-existing areas of basal atelectasis have slightly increased in severity. The left hemithorax shows no pneumothorax. The pre-existing air in the soft tissues of the left chest wall has slightly decreased in extent. Unchanged is the size of the cardiac silhouette. No overt pulmonary edema is present. No larger pleural effusions.
status post laminectomy, back pain, cage placement, assessment for interval change.
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Cardiac silhouette size is normal. Mediastinal and hilar contours are unchanged. Mild pulmonary vascular engorgement appears similar compared to the prior study. Linear and streaky atelectasis is noted in the lung bases without focal consolidation. Small pleural effusions are similar. No pneumothorax is identified. Right picc tip appears somewhat withdrawn in the interval, terminating within the proximal right subclavian vein.
history: <unk>m with shortness of breath
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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 cp // ? pna
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Pa and lateral views of the chest provided. Airspace consolidation within the right lower lobe is consistent with pneumonia. There is mild left basal atelectasis. Otherwise the lungs are clear. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with fever, cough
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Single portable view of the chest. Extremely low lung volumes are again noting with secondary crowding of the bronchovascular markings. Streaky right basilar opacity is identified, potentially atelectasis. Enteric tube is no longer visualized. The cardiomediastinal silhouette is not definitely changed.
<unk>-year-old male with altered mental status.
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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.
seizures.
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The endotracheal tube terminates in the upper trachea just distal to the clavicles. An ng tube terminates at the ge junction, and requires advancement by at least <num>-<num> cm. Layering right pleural effusion is unchanged. Aeration of the left lung base is slightly improved. There is no pneumothorax. Regional bones and soft tissues are unremarkable.
<unk>-year-old male status post cardiac arrest with seizure; evaluate ng and et tube placement.
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Redemonstrated is known chronic interstitial lung disease which is seen bilaterally. As compared to the prior examination dated <unk>, there is relatively increased asymmetrical airspace opacity within the left lower lobe, which may represent a superimposed pneumonia. The right lung and left upper lung are clear of consolidation. There is no large pleural effusion or pneumothorax. The cardiomediastinal silhouette is unchanged.
<unk>f with c/o cough with sob // ? pna
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Heart size is normal. Thoracic aorta is tortuous without focal aneurysmal segment. Hilar contours are normal. Lungs are clear. There is no pleural effusion or pneumothorax.
cirrhosis, diastolic heart failure, presenting with dyspnea. history of prior to tobacco use.
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Frontal and lateral views of the chest demonstrate low lung volumes and left base atelectasis. Chronic left apical scarring again seen. There is no focal consolidation. No pleural effusion. Cardiac silhouette is mildly enlarged. Aortic arch calcifications are noted. Hilar and mediastinal silhouettes are otherwise unremarkable. There is no pulmonary edema.
failure to thrive. assess for pneumonia.
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New from <unk> is right mid and lower lung opacity, likely combination of pleural effusion and atelectasis. Superimposed consolidation cannot be excluded. A small left pleural effusion is suspected. Pulmonary vascular congestion is slightly increased without significant pulmonary edema. The cardiomediastinal silhouette, including moderate to severe cardiomegaly, is otherwise stable.
<unk> year old man with sickle cell now with worsening hypoxia and chest pain, evaluate for acute chest.
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The lungs relatively hyperinflated. There is subtle patchy right basilar opacity which could be due to atelectasis although aspiration or subtle infection is not excluded in the appropriate clinical setting. The left lung is clear. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
history: <unk>f with ams // r/o pna, ich
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Left-sided aicd/ pacemaker device is re- demonstrated with leads in unchanged positions in the right atrium, right ventricle, and coronary sinus. Severe enlargement of the cardiac silhouette is unchanged. The mediastinal and hilar contours are without substantial change. Mild pulmonary edema is worse in the interval. No focal consolidation, pleural effusion or pneumothorax is detected. There are moderate multilevel degenerative changes within the thoracic spine.
<unk> year old woman with fever and confusion
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Pa and lateral chest radiographs were provided. Lung volumes are significantly low. Linear opacities in the right lung base likely represent atelectasis. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. The imaged upper abdomen is unremarkable.
chest pain for two days, evaluate for widened mediastinum.
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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.
history: <unk>f with syncope, sob
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The lungs appear hyperinflated but clear with no evidence of a consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. No acute fractures are identified.
evaluation of patient with near syncope.
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Study is somewhat limited due to patient rotation and the patient's chin projecting over and obscuring the lung apices. Lung volumes are low. The heart remains mildly enlarged with a left ventricular predominance. The aorta is tortuous. There is no pulmonary vascular congestion. Mediastinal and hilar contours are stable. There has been interval improvement in aeration of the right lung base, but persistent patchy opacities are seen within the left lung base. No large pleural effusion is seen, but a small left pleural effusion cannot be completely excluded. No pneumothorax. No acutely displaced fractures are seen. A remote right-sided rib fracture is noted.
hypoxia after fall.
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The left chest tube is in unchanged position, crossing the midline on the frontal view and located retrosternally on the lateral view. Epicardial pacer wires in dual-chamber pacemaker leads are in satisfactory position. Previously seen left apical pneumothorax is not well appreciated secondary to exclusion from the field-of-view. Right apical pneumothorax is small. Moderate left basilar atelectasis persists.
<unk> year old man with multiple rib fractures s/p fall, l chest tube placed at osh. please obtain a frontal and a lateral chest xray to evaluate location of the l chest tube. concern that chest tube is not actually positioned inside the chest (crosses midline on previous film). lateral view needed to clarify location.
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Single ap upright portable view of the chest was obtained. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable. No overt pulmonary edema is seen. <num>-cm dense ovoid sclerotic opacity projecting over the left scapula is stable.
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Heart size is normal. Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. There is no pleural effusion or pneumothorax.
asthma with possible exacerbation.
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The et tube is approximately <num> cm above the carina. There is mild cardiomegaly. There are small bilateral pleural effusions, right greater than left, with evidence of layering of effusion on the right. There is minor thickening of the right minor fissure. There are small bilateral pleural effusions. There is an enteric tube which extends below the diaphragm with the tip out of view of this film. There is no evidence of a pneumothorax. The visualized osseous structures are unremarkable.
history of intubation. please evaluate tube placement.
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Frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. The lungs are clear. There is no vascular congestion, pneumothorax, or pleural effusion. Mild deformity of right second posterolateral rib suggests healed fracture. There is no radiographic evidence of large chest wall mass or abscess, to be correlated with cross-sectional imaging.
<unk>-year-old male with history of chest wall abscess and continued drainage. question chest wall abscess.
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Respiratory motion limits detailed evaluation. There is no visualized confluent consolidation or large effusion. Cardiomediastinal silhouette is within normal limits.
<unk>m with fever and hypoxia // ? pna
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Pa and lateral views of the chest provided. Tiny clips project over the right base of neck. Lungs are hyperinflated and clear. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. Anterior spurs in the mid to lower t-spine noted. No free air below the right hemidiaphragm is seen.
history: <unk>m with chest pain // r/o acute process
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As compared to the previous radiograph, there is no relevant change. Status post sternotomy. Right picc line in unchanged position. Minimal enlargement of the right upper mediastinum could be caused by a large goiter. Unchanged moderate cardiomegaly with minimal fluid overload but no evidence of overt pulmonary edema. Minimal atelectasis at the left lung bases. No larger pleural effusions. No free intra-abdominal air. The visible bowel loops show normal gas distribution.
prolonged hospital course of abdominal pain of unclear etiology, worsening abdominal pain, rule out free air.
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Ap upright portable view of the chest provided. A tracheostomy is re- demonstrated. Left picc terminates in the mid svc. Sternotomy wires are seen as well as a prosthetic cardiac valve. The heart is mildly enlarged though stable. The aorta is calcified and tortuous. There is mild to moderate pulmonary vascular congestion as well as mild interstitial pulmonary edema. Opacity projecting over the right lower lung is concerning for pneumonia. Small pleural effusions likely present. No large pneumothorax. Bony structures appear grossly intact.
<unk>f with resp distress // evidence of pneumonia
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Small left pleural effusion is seen with overlying atelectasis. There may be a trace right pleural effusion. Right base opacity could be due to combination of small pleural effusion and atelectasis, but consolidation due to aspiration or pneumonia is not excluded. Dedicated pa and lateral views would be helpful for further evaluation if/when patient able. There may be an additional site of subtle opacity at the right upper lung which could be due to a small focus of pneumonia or aspiration. Mild pulmonary vascular congestion. No pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Dual lead left-sided pacemaker is stable in position.
history: <unk>f with hypoxia, ams // evaluate for interval change
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Since the recent prior study, there has been repositioning of the enteric tube, now with tip in the stomach. Side holes are near the ge junction, and may be advanced by several centimeters for placement within the stomach. No other significant change since the prior study.
history: <unk>m with ngt in place // confirm ngt placement
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The lungs are hyperexpanded with flattening of the diaphragms suggesting copd. A geographic area lucency in the right lateral lung base may represent area of air trapping. Streaky opacities projecting over the spine on the lateral view are concerning for infection. There is no pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiomediastinal and hilar contours are within normal limits. Anterior wedging of vertebral bodies at the thoracolumbar junction are age indeterminate.
history: <unk>m with hypotension, cough, dyspnea // evidence of pneumonia
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In comparison with study of <unk>, the atelectatic changes at the left base have cleared. Now there is no evidence of pneumonia, vascular congestion, or pleural effusion.
epilepsy with seizure cluster, to assess for pneumonia.
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The lungs are hypoinflated and slightly limit evaluation. However, the lungs are without a focal consolidation or pneumothorax. A small bilateral pleural effusions are present. Minimal bibasilar atelectasiis noted. Right-sided picc line is visualized with the catheter tip in the right atrium and retraction by at least <num> cm is recommended. No free air is noted under the hemidiaphragms.
evaluation of the patient with chemotherapy with history of metastatic pancreatic cancer with fever.
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Left lung base opacity is seen with a slight shift of the mediastinum to the left, may be due to underlying atelectasis, known pulmonary mass with possible pleural effusion, underlying consolidation is difficult to exclude. The lungs are otherwise hyperinflated suggesting chronic obstructive pulmonary disease. Slight increase in markings at the right lung base is similar compared to the prior study. Cardiac and mediastinal silhouettes are grossly unremarkable. No pneumothorax is seen.
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Heart size is normal with mild unfolding of the thoracic aorta. Cardiomediastinal silhouette and hilar contours are otherwise unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.
exertional chest pain.
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Frontal and lateral views of the chest. Left base opacity appears increased since <unk>, consistent with a moderate size pleural effusion with underlying atelectasis or infection. Pulmonary vascular markings are prominent, consistent with vascular congestion. The right lung appears otherwise clear. No pneumothorax. Heart size is enlarged but difficult to evaluate given the left base opacity. Mediastinal contours are otherwise stable.
shortness of breath.
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As seen on prior chest radiograph, there is some tortuosity of the descending aorta. The cardiomediastinal and hilar contours are otherwise within normal limits. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax.
<unk>f with cholecystitis.
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Bilateral calcified pleural plaques are identified, some of which contribute to retrocardiac opacity. The lungs are clear of consolidation large effusion or vascular congestion. The cardiomediastinal silhouette is stable. Prominence of the right upper paramediastinal soft tissues is compatible with tortuosity of the vessels. Clips at the thoracic inlet are noted on the right. No acute osseous abnormalities identified.
<unk>m with hypotension // evidence of pneumonia
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In comparison with the study of <unk>, there is little overall change. Continued prominence of interstitial markings, especially at the right base, with opacification along the right mediastinum and in a pleural or subpleural position in the right apex laterally.
shortness of breath.
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Pa and lateral views of the chest provided. Left chest wall dual lead pacer is again seen with leads extending into the region the right atrium and right ventricle. Lung volumes are low limiting assessment. There is mild hilar congestion without frank edema. Mild basal atelectasis without convincing evidence for pneumonia. No large effusion or pneumothorax. Cardiomediastinal silhouette appears unchanged. Bony structures are intact.
<unk> year old man w cad, chf, dm<num>, afib w pm, gerd, p/w abdominal/chest pain.
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Marked interval improvement in previously reported right lower lobe collapse with residual partial atelectasis remaining. However, patchy and linear atelectasis at the left lung base has worsened. Otherwise, no short interval change since recent radiograph except for removal of a feeding tube.
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and moderately well-aerated lungs. There is no focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable. Mild degenerative changes of the thoracic spine noted.
chest pain. evaluate for pneumonia or pneumothorax.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Patchy right basilar opacity appears similar compared to the previous examination. Left lung is clear. No new focal consolidation is demonstrated. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. S- shaped thoracolumbar scoliosis is re- demonstrated.
history: <unk>f with shortness of breath
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Peripheral, linear opacity in the lungs bilaterally, especially seen posteriorly on the lateral view is compatible with calcified pleural plaques and pleural thickening as seen on chest ct. There is no superimposed new consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with chest pressure radiating to neck // eval for acute process, ptx
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Portable semi-erect radiograph demonstrates improved bilateral aeration. There is continued vascular congestion that may be improved although this can be secondarily related to improved aeration. There is bilateral basilar atelectasis with a possible small left pleural effusion. No new focal consolidation. No pneumothorax. The right-sided picc is seen at the level of the mid svc.
<unk>-year-old female status post fall. evaluate for pneumonia.
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Two frontal images of the chest demonstrate a dobbhoff tube which has been advanced further into the stomach since previous imaging earlier the same day. There is no pneumothorax or other complication seen. There is no interval change in the pulmonary findings or cardiac findings.
<unk>-year-old male with hypoxic respiratory failure, now requiring assessment of the re-positioned dobbhoff tube.
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The ett and enteric tube are in satisfactory prior position. The sternotomy wires are unchanged and aligned without evidence of dehiscence. The lung volume is low. No consolidation. The hila and pulmonary vasculatures are normal. No pleural effusion. The cardiac silhouette is enlarged but unchanged from prior. The mediastinum is normal. No pneumothorax. No fractures.
<unk> year old man with ams, intubated // any acute pulmonary process? tube placement ok?