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In comparison with study of <unk>, the tip of the intra-aortic balloon pump lies approximately <num> cm below the transverse arch of the aorta. This device should be pulled back approximately <num> cm so that the tip is at the level of the superior margin of the left mainstem bronchus. Right subclavian catheter extends to the lower svc. There is continued mild elevation of pulmonary venous pressure with extensive layering effusion on the right and smaller effusion on the left. Bibasilar atelectatic change is seen.
iabp for cardiogenic shock.
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A single frontal ap view of the chest shows no consolidation, pulmonary edema, pleural effusion, or pneumothorax. Cardiomediastinal silhouette is normal.
cough. evaluate for pneumonia.
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Subtle <num> cm opacity projecting over the right lung base between the right eighth and ninth posterior ribs may be artifactual or external to the patient. No definite focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No pulmonary edema.
history: <unk>f with copd, hypothyroidisim, hx cva, presenting with chest pain. ekg stable. // evidence of infection, edema
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Frontal and lateral views of the chest were obtained. Mildly hyperinflation is unchanged. There is no focal consolidation, pleural effusion, or pneumothorax. Mildly increased opacity at the left lung base is atelectasis. Heart size is normal. The mediastinal silhouette and hilar contours are normal. Aortic knob calcifications are redemonstrated. Mild degenerative changes in the thoracic spine are unchanged.
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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 shortness of breath and near syncope
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Lung volumes are slightly lower than on the prior study. There is patchy alveolar infiltrate bilaterally, pulmonary vascular redistribution, and perihilar haze. Heart size is also mildly enlarged
decompensated cirrhosis fever.
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Endotracheal tube is in appropriate position <num> cm above the carina. Low lung volumes are noted. Nasogastric tube is not well assessed on the current study, though concurrently obtained abdominal radiograph demonstrates that it terminates in the proximal stomach. Intervally developed right basal opacity is likely atelectasis. The heart is mildly enlarged with normal cardiomediastinal silhouette. Left subclavian catheter terminates in the upper svc.
intubated and ventilated with cuff leak improving after advancing the tube. assess endotracheal tube placement
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In comparison with the study of <unk>, the monitoring and support devices remain in place. The hazy opacification in the right hemithorax is less prominent, suggesting some improvement in the pleural effusion or a more erect position of the patient. There is increased opacification at the right base with silhouetting of the hemidiaphragm, consistent with atelectasis or possible supervening pneumonia in the appropriate clinical setting. The left hemidiaphragm is now sharply seen, consistent with some clearing of atelectasis at the left base. Streak basilar atelectasis persists on this side.
tracheostomy and peg placement.
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As compared to the previous radiograph, the position of the endotracheal tube, with its tip projecting approximately <num> cm above the carina, is unchanged. Unchanged right internal jugular vein catheter. No pulmonary edema. No pleural effusions. No pneumonia.
mechanical fall, intubation.
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Comparison is made to previous study performed <unk>. The feeding tube sideport is again at the ge junction and could be advanced <num>-<num> cm for more optimal placement. Tip of endotracheal tube is roughly sited at the level of the clavicles. No pneumothoraces are seen. There are no signs for overt pulmonary edema, pleural effusions or focal consolidations.
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The lungs are normally expanded. There is mild linear atelectasis at the left base. A trace left pleural effusion has slightly enlarged. Heart size is exaggerated by ap technique and likely top normal. There is no pulmonary edema.
history: <unk>m with tachycardia // eval for pna
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Heart size is mildly enlarged with a left ventricular predominance. The mediastinal contours unremarkable. Lung volumes are low with crowding of bronchovascular structures. There is likely mild pulmonary edema. Patchy opacities within the lung bases may reflect areas of atelectasis though infection is not excluded in the correct clinical setting. No large pleural effusion or pneumothorax is present. No definite subdiaphragmatic free air is seen. There are no acute osseous abnormalities. Clips and common bile duct stent are seen in the right upper quadrant of the abdomen.
history: <unk>f with sepsis/ abdominal pain pod<num> from cholecystectomy// eval for bile leak/collection
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Pa and lateral views of the chest provided. Lung volumes are low limiting assessment. There is left basal consolidation concerning for pneumonia with adjacent effusion. The right lung is clear. The heart size cannot be assessed. Mediastinal contours unremarkable. Bony structures intact.
<unk>m with malaise, recent liver dz dx
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There is mild cardiomegaly. There is calcification of the aortic knob. Mild accentuation of the mediastinum may be exacerbated by technique and low lung volumes. Additionally, there is focal indentation on the right side of the trachea at the thoracic inlet. The hila are unremarkable. No pleural effusion or pneumothorax. Lung volumes are slightly low, but there is no focal consolidation concerning for pneumonia. Surgical clips are seen the right upper quadrant.
<unk>f with preop cxr.
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There has been i marked nterval decrease in the the left-sided pleural effusion. There continues to be volume loss at both bases and a patchy alveolar infiltrate on the right. There is a right ij swan-ganz catheter with tip in the right main pulmonary artery. There small bilateral pleural effusions. The ng tube tip is off the film, at least in the stomach. The et tube is unchanged
<unk> year old woman with open abdomen // morning rounds interval change
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A right-sided port-a-cath terminates at the cavoatrial junction. The heart size is top-normal. The hilar and mediastinal contour is within normal limits. There is no pneumothorax, focal consolidation, or pleural effusion. The central pulmonary vessels are engorged, however, there is no edema.
fever.
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There is a new right infrahilar consolidation which silhouettes the right heart border concerning for a right middle lobe pneumonia. There is a new left basilar opacity also concerning for pneumonia. There are bilateral small pleural effusions. The heart size is normal. There is no pulmonary edema or pneumothorax.
<unk> year old man with hypoxemia, tachycardia and new pleural effusions on recent ct chest. evaluate for pneumonia and increasing pleural effusions.
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Pa and lateral views of the chest are compared to previous exam from <unk>. Right ij line is seen in similar position. Left subclavian line however has been removed. The lungs are clear. Costophrenic angles are sharp. The cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable. Note is made of surgical clips in the right upper quadrant suggesting prior cholecystectomy.
<unk>-year-old female with cough and shortness of breath. history of chemotherapy, pneumonitis. question pneumonia.
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As compared to the previous radiograph, the venous introduction sheath on the right has been removed. The lung volumes have slightly increased, likely reflecting improved ventilation. Moderate cardiomegaly and post-operative changes after valvular repair persist.
evaluation for interval change.
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As compared to the previous radiograph, there is a minimal right pleural effusion, better seen on the lateral than on the frontal radiograph. The right large upper hilar and parenchymal opacity is constant in appearance. Unchanged normal appearance of the heart and of the left lung.
effusion, followup.
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One portable upright ap view of the chest. Compared to most recent study, there has been mild increase in pulmonary vascular congestion. There are no focal parenchymal opacities concerning for pneumonia. There is no pleural effusion or pneumothorax. The cardiac, mediastinal, and hilar contours are normal. Chronic bronchiectasis and architectural distortion consistent with chronic lung disease.
shortness of breath, evaluate for chf or pneumonia.
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Borderline cardiomegaly is unchanged. Mediastinal contour is normal. There is no pleural effusion or pneumothorax. There is no focal consolidation.
<unk>-year-old man with mild chest pain, dyspnea, and dizziness, evaluate for pneumonia
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The cardiac silhouette size is normal. The mediastinal contours are unchanged with slight tortuosity of the thoracic aorta again noted. The pulmonary vasculature is normal. Chain sutures in the right at apex compatible prior wedge resection are noted. There are mild emphysematous changes noted. Streaky bibasilar opacities likely reflect atelectasis. No focal consolidation is noted. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
chest pain.
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Heart size is at the upper limits of normal. Mediastinal contours are within normal limits for age. No chf, focal infiltrate or effusion is identified. No obvious pneumothorax is detected. Linear density seen at the right lung apex immediately above the clavicle is equivocal for pneumothorax. No significant atelectasis is detected. Mild degenerative changes of the thoracic spine noted.
history: <unk>f with chest pain // ? pna
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As compared to <unk>, left hilar loculated fluid has slightly decreased. There is increasing opacification in left lower lobe. Small left-sided effusion persists. Minimal subsegmental atelectasis in the right lung. Mild to moderate cardiomegaly. No visible pneumothorax.
<unk> year old man with fever and fluid collection on ct post wedge resection // please do cxr around <unk> am on <unk>, eval for progression of fluid collection. please do this in the morning on <unk> as pt can be discharged after it is performed. thanks!!
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A right port-a-cath is in place, with the tip terminating at the svc/right atrial junction. The lungs are hyperinflated and clear without focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged and there is no overt pulmonary edema. The cardiomediastinal and hilar contours are within normal limits. No acute osseous abnormality is detected.
chills and cough, here to evaluate for pneumonia.
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Ap upright and lateral views of the chest provided. Clips and catheter project over the left upper quadrant. Mild left basal atelectasis is noted. Previously noted feeding tube is been removed. There is no consolidation concerning for pneumonia. No edema, effusion or pneumothorax. The cardiomediastinal silhouette appears stable and normal. The imaged bony structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with cp // evidence of pneumonia
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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 appear clear. Bony structures are unremarkable.
chest pain. question pneumothorax.
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Pa and lateral views of the chest were obtained. The lungs are clear bilaterally with no evidence of focal consolidation or pulmonary edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is stable in appearance.
dyspnea.
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The lungs and pleural spaces are clear without evidence of pneumothorax or pleural effusions. The heart is normal in size. There is no pneumoperitoneum present. Osseous structures are intact.
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Moderate cardiomegaly and mild pulmonary edema has not changed. The right pleural effusion has not changed. Lung volumes continue to be low with no focal consolidation or pneumothorax. Et tube, right ij line, and gastric tube are in appropriate position. Left ij line ends at the confluence of the brachiocephalic vein.
<unk>-year-old man with history of respiratory failure, pneumonia and septic shock. evaluate pleural effusion, pericardial effusion, cardiomegaly, infiltrate.
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In comparison to radiograph from approximatly <num> hour prior, interstitial edema is slightly worse. This includes increased interstitial markings, dilated mediastinal veins, and dilated azygos. Focal consolidation in the right lower lung is not as apparent as on prior radiograph. The heart size is normal. There is no large pleural effusion or pneumothorax. Old posterior right <num>th rib fracture is noted.
cough and shortness of breath.
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Ap portable upright view of the chest. External pacer wires are present. An endotracheal tube, left ij catheter, swan ganz catheter, and orogastric tube are unchanged in position. A small left pleural effusion remains stable. Bibasilar opacities likely reflect atelectasis. There is continued mild pulmonary vascular congestion, with improvement of mild pulmonary edema since the <unk> study. There is no pneumothorax.
<unk> year old man with intubated with concern for septic shock. // compare to prior
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A left ij central venous catheter terminates at the upper svc. Remainder of exam is unchanged since study performed <num> hour prior.
<unk>-year-old woman with hypotension. status post ij placement.
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Frontal and lateral views of the chest are performed. Posterior spinal fusion hardware is noted and is grossly intact. There is no pleural effusion, pneumothorax or focal airspace consolidation. The cardiac silhouette and mediastinal contours are normal. The imaged upper abdomen is unremarkable.
fever and cough. evaluate for pneumonia.
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Single supine portable view of the chest was obtained. Underlying trauma board and external artifact partially obscure the view. Given this, no focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable. Evidence of at least two old right-sided rib fractures is noted.
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Lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old male with pleuritic chest pain. evaluate for evidence of pneumonia or chf.
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Ap portable upright chest radiograph was provided. There is elevation of the right hemidiaphragm with right basal atelectasis as the likely cause. There is no convincing evidence of pneumonia. There is prominence of the right pulmonary hilum which could indicate pulmonary hypertension. No large effusion is seen. Heart size is stable. Bony structures are intact with old right rib deformities noted.
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The lungs are well expanded. No focal opacities are identified. Blunting of the right costophrenic angle is chronic. Chain sutures from prior left lung surgery are redemonstrated. There is a tortuous aorta. Otherwise cardiomediastinal and hilar contours unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old female with recent pneumonia persistent left rib pain. evaluate for consolidation.
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Endotracheal tube is seen with tip <num> cm from the carina. There is near complete opacification of the left hemithorax with some aerated left upper lung. Cardiac silhouette is deviated to the left suggesting component of left-sided volume loss. Right lung is clear. Cardiac silhouette cannot be adequately assessed for size.
<unk>m with ett // ett
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Since <unk> and the removal of the right chest tube, the volume of the moderate size, persistent right pleural space, has decreased, but it now contains a small loculated fluid collection postoperative widening of the apparent right mediastinal contour has been stable since <unk>, probably a fluid collection in the mediastinum or the medial right pleural space. Left basal atelectasis has improved. The lungs are otherwise clear. The heart size is normal.
<unk>-year-old female status post right upper lobectomy on <unk> who presents for evaluation of interval change.
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The lungs are well-expanded. Biapical scarring is noted. The lungs are otherwise clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable. Mid-thoracic and lumbar vertebroplasty changes are noted, unchanged from prior exam.
<unk>f with multiple myeloma s/p bmt in <unk> presenting with ili.
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In comparison to the chest radiograph obtained <num> day prior, there has been advancement of an enteric tube, which passes below the diaphragm and terminates outside the field of view. There has also been interval development of a faint left lower lobe consolidation with air bronchograms. The et tube is unchanged positioning and terminates approximately <num> cm superior to the carina. Heart size is normal. Cardiomediastinal and hilar silhouettes are normal. Pleural surfaces are normal.
<unk> year old woman with ett, ogt // evaluate for ogt placement
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Heart size is normal. Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.
chest pain after electrical shock.
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The cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is not engorged. Right upper lobe known pneumatocele is not clearly seen on the current exam. No focal consolidation, pleural effusion or pneumothorax is present. Moderate degenerative changes of the thoracic spine are visualized.
history: <unk>m with s/p spinal fusion who presents worsening pain in the right illiac crest, and right elbow since surgery no numbness tingling
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No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. Mediastinal contours are unremarkable. There may be very minimal interstitial edema.
history: <unk>f with weakness // eval infiltrate
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Compared to chest radiographs from <unk>, there is a new small effusion on the right. Lung volumes remain low. Left pleural effusion has not appreciably improved. Opacities at the right medial base have mildly improved and likely reflect atelectasis. Bilateral chest tubes, as well as monitoring and support devices, are in unchanged upper per placement. Cardiomediastinal silhouette is stable. No focal consolidation. No pneumothorax.
<unk> year old man s/p lvad // eval for effusion
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The lateral aspect of the right hemi thorax is omitted from view. Et tube is in the upper thoracic trachea approximately <num> cm from the carina. Enteric tube courses through the esophagus terminating in the stomach. There are large bilateral layering pleural effusions. Retrocardiac opacity likely due to atelectasis although superimposed consolidation would be possible. Also be due to the heart is obscured by pleural effusion. There is no evidence of large pneumothorax within the limitations of this study.
history: <unk>m with sp intubation // eval tube position
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Heart size is normal. The aorta is diffusely calcified and tortuous. Mediastinal contour is otherwise unchanged. There is crowding of the bronchovascular structures due to low lung volumes. Small left pleural effusion appears chronic. Patchy bibasilar airspace opacities may reflect atelectasis but infection or aspiration cannot be excluded. Small right pleural effusion is new in the interval. No pneumothorax is present. There are mild degenerative changes noted diffusely within the imaged thoraco umbar spine.
history: <unk>m with postoperative fever. status post partial left pneumonectomy in the distant past.
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As compared to the previous radiograph, there is no relevant change. The opacity at the right lung base is seen in unchanged manner. The abnormality is better depicted on the frontal than on the lateral image. No newly appeared parenchymal opacity. Unremarkable left lung. Normal size and shape of the cardiac silhouette. Moderate tortuosity of the thoracic aorta.
right lower lobe opacity on chest x-ray from <unk>. follow up.
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Heart size is normal. Bilateral upper displacement of the hila appears unchanged, consistent with upper lobe volume loss. Bilateral upper lobe reticular and nodular opacities appear similar to the prior study. No new areas of consolidation are identified within the lungs, and there are no pleural effusions.
<unk> year old man with hiv off art with sob snd cough // pna
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Cardiomediastinal contours are normal. The lungs are clear. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable
<unk> year old man with hx benzodiazepine, opiate and cocaine use p/w depressed mood, passive si, and worry about benzodiazepine withdrawal. overnight, has continued fever after tylenol use. // r/o infection, has fever
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Patient positioning and slight rotation limits evaluation. The upper trachea is deviated toward the right with fullness of the left superior mediastinum compatible with known goiter. Low lung volumes are present. The heart is moderately enlarged but appears relatively unchanged compared to the prior exam. The aorta is tortuous and calcified. There is crowding of the bronchovascular structures, but no overt pulmonary edema is identified. A clip denoting the previously ablated lesion projects over the left upper lung field with associated linear scarring. There is likely minimal bibasilar atelectasis. No focal consolidation, pleural effusion or pneumothorax is detected. Numerous left-sided rib deformities are again noted.
shortness of breath and chest pain. history of radiofrequency ablation for left upper lobe lesion.
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Left internal jugular central venous catheter is in the low svc. The lungs are normally expanded and clear without evidence of pneumonia. Heart size is top normal likely exaggerated by low ap technique. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax
<unk> year old woman with aml now <num> days post allo bmt with new cough // please eval for pna
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In comparison with the study of <unk>, there is no evidence of migration of the esophageal stent. Left central catheter again extends to the mid-to-lower portion of the svc. No evidence of acute pneumonia or vascular congestion.
esophageal stent repositioning, to assess for migration.
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As compared to the previous radiograph, there is a mildly increasing overinflation of the stomach. The radiograph also shows unchanged evidence of mild fluid overload as well as of cardiomegaly. There is no focal parenchymal opacity suggesting the presence of pneumonia. No pleural effusions. No pneumothorax.
dyspnea, fever, evaluation.
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The lung volumes are low. There is evidence of prior aortic aneurysm repair with enlarging soft tissue opacity projecting over the left mid zone, larger compared to the prior radiograph. Likely small left pleural effusion. Right lung is clear. No significant interval change in bony thorax compared to the prior radiograph.
<unk> year old man with shortness of breath // ?pna
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Ap view of the chest provided. Compared to prior study from <num> day ago, there is interval decrease in bibasilar opacities and improvement in lung ventilation bilaterally. Degree of pulmonary edema is largely unchanged. Cardiac silhouette has decreased in size. Hilar contours normal. There is no large pleural effusion. Right-sided subclavian line, nasogastric tube, and endotracheal tube are in appropriate positions.
<unk> year old woman with chf with acute tachycardia acute onset of dyspnea // evalute for pulm edema
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There is a right subclavian with tip in the mid svc. There are bilateral pleural effusions in were, worse on the right. The pleural effusion on the right appears have loculated components. There is worsening bilateral vascular congestion, also worse on the right. Heart size is stable. The mediastinal and hilar contours are stable. No pneumothorax is seen. There are no acute osseous abnormalities.
<unk> year old woman with aml and hypoxic respiratory failure // eval for interval change
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In comparison with the study of <unk>, there is again substantial enlargement of the cardiac silhouette with pulmonary vascular congestion and bilateral pleural effusions with compressive atelectasis. The opacification at the right base medially is again seen, seen on previous ct to reflect prior radiation changes. The enlargement of the cardiac silhouette is apparently secondary to a known pericardial effusion.
tachypnea, to assess for worsening right basilar pneumonia.
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Single ap semi-erect portable view of the chest was obtained. There is mild elevation of the right hemidiaphragm. The cardiac silhouette is top normal to mildly enlarge. Slight blunting of the left costophrenic angle likely relates to overlying soft tissue. No definite focal consolidation is seen. There is no large pleural effusion or pneumothorax. No overt pulmonary edema is seen. Surgical hardware is partially visualized in the right humerus.
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The endotracheal tube is <num> point <num> cm above the carina. Ng tube tip is off the film, at least in the stomach. There is increased left lower lobe volume loss/ infiltrate/effusion there is also hazy right-sided infiltrate. The heart size is moderately enlarged. Compared to the prior exam the appearance of the lungs is much worse. While some of this could be due to pulmonary edema, an infectious infiltrate on the left cannot be exclude
<unk> year old woman with copd exacerbation, urosepsis now intubated // assess position of ett
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The tip of the right picc line is not visualized due to overlying spinal hardware. Low bilateral lung volumes with an unchanged retrocardiac opacity and pulmonary edema. Unchanged small bilateral pleural effusions. No pneumothorax identified. The size the cardiac silhouette is enlarged but unchanged.
<unk> year old man with new fever // r/o pneumonia
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The lungs are clear without consolidation or edema. The mediastinum is unremarkable. The cardiac silhouette is within normal limits for size. No effusion or pneumothorax is noted. The osseous structures are unremarkable.
second episode of pericarditis of unclear etiology.
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The cardiac, mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
chest pain.
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The feeding tube tip is off the film, at least in the stomach. There is volume loss at both bases with obscuration of portions of the hemidiaphragms. There is mild pulmonary vascular redistribution the heart is mildly enlarged
<unk> year old man with shortness of breath and wheezing // possible pneumonia?
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Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is visualized. No acute osseous abnormality is detected. There are minimal degenerative changes in the mid thoracic spine.
history: <unk>f with syncope
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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. No fracture is identified.
chest pain.
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Single portable view of the chest is compared to previous exam from <unk>. The lungs are clear of focal consolidation or effusion. There is no pulmonary vascular engorgement. Cardiac silhouette is enlarged but stable given differences in positioning and technique. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male with tachycardia.
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The lungs are well inflated and clear. Heart size and mediastinal contours are normal. There is no pleural effusion or pneumothorax. Osseous structures are intact.
<unk>f with intermittent chest pain over the last <num> weeks.
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Heart size is normal. Mediastinal contour is unremarkable. Pulmonary vasculature is not engorged. Ill-defined consolidative opacities are noted within both lung bases as well as within the left upper lobe compatible with multifocal pneumonia. Small bilateral pleural effusions may be present as thecostophrenic angles on the lateral view appear obscured. No pneumothorax is present. No acute osseous abnormality is detected.
<unk> year old man with systolic congestive heart failure, cad, and multiple admissions for pneumonia presents with shortness of breath
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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>m with <num> pack year history, recent episode of hemoptysis
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Heart size is normal. Mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are identified.
chest pain.
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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 below the right hemidiaphragm.
<unk>f with smoke inhalation, cough // pulm edema?
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The cardiac silhouette remains enlarged. The mediastinal contours are stable with a calcified, somewhat tortuous aorta. Trace bilateral pleural effusions may be present. There is prominence of the interstitial markings diffusely and bilaterally, as also seen on prior studies, suggesting mild interstitial edema. There is no pneumothorax. There is chronic severe compression of a vertebral body at the thoracolumbar junction.
nausea, vomiting.
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As compared to the previous radiograph, the nasogastric tube has been re-positioned. The tube is now slightly coiled in the stomach with the tip located in the proximal parts of the stomach. Unchanged appearance of the cardiac silhouette and of the lung parenchyma. No pneumothorax.
nasogastric tube placement.
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Tracheostomy tube has a different orientation compared to the prior study, and flexion of the patient's neck as well as kyphotic positioning also limit assessment of this structure. With this limitation in mind, there has been an apparent change in the position of this device, now terminating about <num> cm above the clavicles and with the tip apparently abutting the lateral wall of the proximal trachea. Feeding tube terminates below the diaphragm. Cardiomediastinal contours are stable in appearance. Right basilar atelectasis and adjacent small right pleural effusion are unchanged, but there has been overall improvement in aeration in the left lung base with residual linear atelectasis remaining. Position of tracheostomy tube has been discussed by telephone with dr. <unk> at <time> a.m. On <unk> at the time of discovery.
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Single ap view of the chest provided. Lung volumes are lower. Dilatation and indistinctness of the pulmonary vasculature have worsened from <unk>. Diffuse, predominantly interstitial abnormality looked more nodular on the prior examination. No pneumothorax. Probable, bilateral small pleural effusions. Cardiomediastinal contours are normal.
<unk> year old woman with bacteremia, o<num> requirement // eval evolution of infiltrates
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There is persistent elevation of the right hemidiaphragm. Cardiac silhouette size remains mild to moderately enlarged. Aorta is tortuous and demonstrates atherosclerotic calcifications of the arch. Mediastinal and hilar contours are unchanged. Bibasilar atelectasis is noted without focal consolidation. Crowding of the bronchovascular structures is noted without overt pulmonary edema. No pleural effusion or pneumothorax is identified.
history: <unk>f with shortness of breath
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Frontal and lateral views of the chest. The heart size and cardiomediastinal contours are normal. Leads of a left chest wall pacer terminate in the right atrium and ventricle. The lungs are clear without focal consolidation, pleural effusion, or pneumothorax.
<unk>-year-old female with cough and sputum.
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<num> views of the chest demonstrate clear lungs. The cardiac, hilar, and mediastinal contours are normal. No pleural abnormality is seen.
chest pain.
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Small bilateral pleural effusions are again seen, with overlying atelectasis. Mild to moderate pulmonary edema is similar to prior. No definite focal consolidation is seen. There is no evidence of pneumothorax. The cardiac and mediastinal silhouettes are stable. Small radiopaque density projecting over the left hilar region is stable.
history: <unk>m with chest pain, edema // eval heart and lungs
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Interval placement of an endotracheal tube that terminates <num> cm above the carina. There are low lung volumes. Opacification of the lung fields are likely due to low lung volumes and patient body habitus. The cardiac silhouette is enlarged. There is no pneumothorax or pleural effusion.
<unk>m with s/p intubation. status post intubation.
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Lungs are well expanded. Linear atelectasis at the left lung base is unchanged. No pleural abnormality. Moderate cardiomegaly is unchanged. No pulmonary edema. A dobhoff tube terminates within the gastric body. A a radiopaque line projects over the right axilla, but is incompletely visualized.
<unk> year old woman with cerebellar hemorrhage now with lethargy. cxr to rule out concern for infection. // cxr to rule out infectious agent.
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Pa and lateral views of the chest were provided. There is no focal consolidation, effusion, or pneumothorax. The heart and mediastinal contours are normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. A focal eventration of the right hemidiaphragm is noted.
<unk>-year-old man with shortness of breath, assess pleural effusion, known pancreatitis.
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Pa and lateral views of the chest provided. Midline sternotomy wires and mediastinal clips are again seen. A left pleural effusion is slightly increased from prior, now moderate in size with associated compressive atelectasis in the left lower lung. The previously noted right pleural effusion has resolved. The heart size cannot be assessed. Mediastinal contour is normal. The bony structures are intact.
<unk>f with cp/sob. weeks after cabg // r/o cardiopulm abnormality
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Frontal and lateral views of the chest demonstrate low lung volumes. There is no pleural effusion, focal consolidation, or pneumothorax. Left apical scarring is redemonstrated. Intrathoracic aorta is markedly tortuous. Heart size is top normal. There is no pulmonary edema. Linear opacities in the right lung base likely represent plate-like atelectasis. The imaged upper abdomen is unremarkable.
hypoglycemia.
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Heart size is normal. Mediastinal and hilar contours are normal. Pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Patient is status post left shoulder arthroplasty, incompletely imaged.
history: <unk>f with pancreatitis, cystic fibrosis // eval for acute process
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Minor basilar atelectasis is seen without definite focal consolidation. No large pleural effusion is seen. Trace left pleural effusion is difficult to entirely exclude. Cardiac and mediastinal silhouettes are stable. There is no overt pulmonary edema.
history: <unk>m with left facial droop, left arm/leg weakness // eval for ich, pneumonia
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Frontal and lateral radiographs of the chest demonstrate clear lungs. The cardiac and mediastinal contours are normal. There is mild scoliosis of the thoracic spine. No abnormal bony prominence is noted within the chest cage. No pneumothorax or pleural effusion is appreciated.
complaint of bony prominence in the left chest located in the upper inner quadrant of the left breast. evaluate abnormality.
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In comparison with the study of <unk>, there is little overall change. Persistent right basilar opacification primarily seen anteriorly, though there is also parenchymal opacification seen in the posterior portion on the lateral view. The findings are most consistent with pneumonia and pleural fluid. Postoperative changes are again seen in the right apex and in the region of the left hilus. There could be a somewhat ill-defined area of increased opacification in the left mid-to-lower zone that could also be a focus of consolidation.
pneumonia.
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Bilateral basal predominant linear opacities are consistent with patient's known interstitial lung disease without significant change, or in fact mild improvement from the prior study. No focal consolidation, pleural effusion or pneumothorax is seen. The heart is normal in size with normal mediastinal contours.
cough and chest pain.
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There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities are identified. There is dextroconvex scoliosis of the thoracic spine.
history: <unk>f with chest pain and sob. // pna?
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Heart size is normal. Prominence of the pulmonary arteries is similar to prior. Adenopathy medially. Right lower lobe opacity in the area of recent biopsy is mildly improved. No pleural effusion or pneumothorax. Scar in the area of the fiducial.
<unk> year old woman with lung ca s/p tbbx of right // ptx
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The lungs remain clear. The heart and mediastinal structures are unremarkable. The bony thorax is grossly intact.
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The lungs are clear without focal consolidation, pleural effusion or pneumothorax. The heart is normal in size. There is a right picc which terminates in the distal svc.
<unk>-year-old male with picc for iv antibiotics. evaluate picc placement.
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The cardiomediastinal silhouette is normal. The lungs are clear without consolidations, effusions or pneumothorax. No evidence of pneumoperitoneum. No acute bony findings. There are multiple old healed left lateral rib fractures.
abdominal cramping.
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A right-sided picc terminates in the lower svc. A enteric tube courses along the esophagus and terminates out of the field of view. There is improved aeration of the lungs. The cardiac silhouette remains enlarged. The appearance of the mediastinum is unchanged and can be accounted for by mediastinal lipomatosis. There is no focal consolidation or pneumothorax. The pulmonary vasculature is normal. Old right rib fractures are demonstrated.
recent appearing influenza now with altered mental status and worsening respiratory status. evaluate for pneumonia or pulmonary edema.
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Pa and lateral views of the chest were provided. Dual-lead pacer is unchanged. The heart is moderately enlarged. The lungs are notable for diffuse ground-glass opacity which could represent pulmonary edema. No large effusion or pneumothorax is seen. The aorta is unfolded though stable in overall mediastinal contour. Bony structures are intact.
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Pa and lateral views of the chest. The lungs are clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormality seen.
<unk>-year-old female with chest pain and shortness of breath.