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Lower lung volumes seen on the current frontal view with secondary crowding of the bronchovascular structures. Apparent enlargement of the cardiac silhouette is also likely due to lower lung volumes. Right basilar opacity may be secondary to atelectasis. Lungs are otherwise clear. No acute osseous abnormalities.
<unk>m with l face numbness and l arm weakness // eval for pna, eval for bleed
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The heart is mildly enlarged. The mediastinal and hilar contours appear unchanged. There are prominent and indistinct central pulmonary vessels worrisome for fluid overload, and potentially there is a developing opacity in the medial right lower lung, probably within the right lower lobe.
cough.
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As compared to the previous radiograph, the previous feeding tube has been removed and replaced by a dobbhoff catheter. The catheter is in the mid esophagus. It should be advanced by at least <num> cm to ensure position within the stomach. The patient has also received a tracheostomy tube and the endotracheal tube has been removed. Normal position of this device. Unchanged extensive left-sided pneumonia and right status after pneumonectomy.
dobbhoff catheter.
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Frontal and lateral views of the chest were obtained. As on the prior study, there is flattening of the diaphragms consistent with chronic obstructive pulmonary disease. Chronic prominence of the interstitial markings is mildly more conspicuous on the current study as compared to prior. Patchy lateral left upper lobe and bibasilar opacities are seen, of indeterminate age, but underlying infectious process is not excluded. Recommend followup to resolution. Cardiac and mediastinal silhouettes are stable.
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Pa and lateral chest radiographs were provided. The lungs are well expanded. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. The bones are intact.
history of malaise, question infection.
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Persistent layering bilateral pleural effusions with associated bibasilar atelectasis is unchanged. Mild interstitial edema particularly at the lung bases is noted. Left retrocardiac opacities obscure the left hemidiaphragm. There is no pneumothorax.
hypotension and fever status post fluid resuscitation.
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There is mild interstitial pulmonary edema. The lungs are otherwise clear. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen.
fever with new seizure. evaluate for acute intrathoracic process.
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. Streaky lingular opacity suggests minor atelectasis. Otherwise, the lungs remain clear.
chest pain.
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Lungs are well inflated bilaterally and are clear with no focal consolidation, pleural effusion, or evidence of pneumothorax. No lesions or masses are identified. Cardiomediastinal silhouette is within normal limits with mild calcification of the aorta noted. The pleural surfaces are unremarkable. Degenerative changes of thoracic spine are noted.
<unk>-year-old woman with prolonged asthma flare, status post uri. history of breast cancer.
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Single frontal view of the chest. Previously present mild pulmonary edema has resolved. The azygos vein is no longer distended and perihilar haze is no longer present. The lungs are now clear without focal consolidation, pleural effusion, or pneumothorax. Heart size and cardiomediastinal contours are stable.
new oxygen requirement following cardiac catheterization.
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Mild cardiomegaly is accompanied by pulmonary vascular congestion, worsening interstitial edema, and enlarging pleural effusions, now small to moderate in size on the left and small on the right.
<unk> year old man with increaseing sob h/o a fib / evidence for pul comtribution ? evid chf // <unk> year old man with increaseing sob h/o a fib / evidence for pul comtribution ? evid chf
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Infusion port is within the right chest wall with intact catheter terminating in the low svc. Lungs are clear. There is no pleural effusion. There is no pulmonary nodule. Pulmonary vasculature, cardiomediastinal silhouette, and aorta are within normal limits.
<unk> year old man with port but no flushing. cxr needed to eval status. // <unk> year old man with port but no flushing. cxr needed to eval status. <unk> year old man with port but no flushing. cxr needed to <unk>
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There is no evidence of a pneumothorax as a potential cause of the patient's right-sided chest pain. A chest tube has been removed from the left hemithorax, and a questionable basilar hydropneumothorax is present on this side. Bilateral lower lobe opacities have worsened and are likely due to atelectasis. Bilateral pleural effusions are slightly increased compared to the prior study, right greater than left.
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Cardiac, mediastinal and hilar contours are unchanged and within normal limits. Subsegmental atelectasis is seen within the left lower lobe. Lungs are otherwise clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is demonstrated. No acute osseous abnormality is detected.
history: <unk>m with chest pain
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Frontal and lateral views of the chest were obtained. There has been interval improvement in bilateral pulmonary opacities with mild bibasilar atelectasis persisting. The cardiac and mediastinal silhouettes are stable given differences in patient positioning. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. Mild pulmonary vascular congestion is improved.
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An endotracheal tube is unchanged in position with the tip terminating just below the thoracic inlet. A nasogastric tube is seen coursing below the diaphragm and out of view on this image. The cardiac silhouette is top normal in size. The mediastinal contours are within normal limits. Diffuse bilateral pulmonary opacifications with predilection for the bilateral lung bases appears unchanged from the most recent prior study, likely a combination of large bilateral pleural effusions and pulmonary edema. Retrocardiac opacification is unchanged. In the appropriate clinical context, superimposed infection cannot be excluded.
intubated with possible aspiration, here to evaluate for evidence of pulmonary edema or aspiration event.
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Stable cardiomegaly accompanied by pulmonary vascular congestion. Improving bibasilar atelectasis. Persistent small left and improving small-to-moderate right pleural effusions.
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There are multifocal lung opacities including a right basilar opacity which obscures the medial hemidiaphragm and a retrocardiac opacity. There is no pneumothorax or pleural effusion. Cardiomediastinal silhouette is normal. There is no acute osseous abnormality.
<unk>-year-old with shortness of breath a right-sided chest pain.
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In comparison with the study of <unk>, the chest tubes remain in place on the right with little if any pneumothorax. Opacification persists at the right base extending along the right lateral chest wall consistent with atelectasis and effusion. Substantial subcutaneous emphysema persists along the right lateral chest wall and upper abdomen, though this appears to be less than on the previous study. Subcutaneous gas is also seen in both supraclavicular regions, more prominent on the left. There is increasing elevation of the left hemidiaphragmatic contour with minimal atelectatic change above it.
decortication with increasing dyspnea.
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In comparison with the earlier study of this date, there again are low lung volumes. No appreciable pneumothorax. Cardiac silhouette is at the upper limits of normal in size or mildly enlarged with some elevation of pulmonary venous pressure. Probable small bilateral pleural effusions with compressive atelectasis at the bases. Dual-channel pacer device and aortic prosthetic valve are again seen.
cabg, to assess for pneumothorax with chest tubes clamped.
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Right internal jugular central venous catheter tip terminates in the low svc. Moderate enlargement of the cardiac silhouette is re- demonstrated, and the mediastinal contours are unchanged. There is mild pulmonary vascular engorgement, new in the interval. Persistent hazy opacity within the right lung base is concerning for pneumonia with adjacent moderate size right pleural effusion. Worsening opacification in the retrocardiac region may reflect worsening atelectasis or an additional area of infection, with a small left pleural effusion also noted. No pneumothorax is identified.
right internal jugular central line placement.
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As compared to the previous radiograph, the patient has received a nasogastric tube. The tube shows a normal course, the tip is located in the mid-to-distal part of the stomach. Otherwise, there is no relevant change. The known left pneumothorax is less evident than on the previous exam.
nasogastric tube placement.
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Rotated positioning. Allowing for this, the cardiomediastinal silhouette is probably unchanged compared with <unk>, though the aorta could be somewhat more tortuous, even allowing for patient rotation. There is background hyperinflation, compatible with copd. No chf, focal infiltrate or effusion is identified. No pneumothorax is detected. A retrocardiac density is consistent with a moderate hiatal hernia, in keeping with findings on the <unk> chest x-ray. There is moderate kyphosis of the thoracic spine with multilevel loss of vertebral body height. Incidental note made of probable healed left proximal humeral fracture.
history: <unk>f with chest pain // pna or ptx?
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Frontal and lateral views of the chest. The lungs remain clear. There is no effusion or pulmonary vascular congestion. Cardiac silhouette is stable. Median sternotomy wires again seen. No acute osseous abnormality detected. Surgical clips seen in the right upper quadrant.
<unk>-year-old female with chest pain. question pneumonia.
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No previous plain radiographs. The nodular opacification at the right base medially seen on the scout radiograph and ct is again suggested on the frontal view. It is somewhat difficult to appreciate on the lateral projection, but appears to be at the mid chest level. The cardiac silhouette is mildly enlarged but there is no evidence of vascular congestion or pleural effusion.
lesion seen on cat scan in right lower lobe.
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Frontal and lateral views of the chest were obtained. There is no focal consolidation, pleural effusion or pneumothorax. Previous right upper lobe pneumonia has resolved. Small linear opacity at the left lung base is likely a combination of mediastinal fat and atelectasis. Heart size is normal. Mediastinal silhouette and hilar contours are normal. Pulmonary vasculature is normal. No acute osseous abnormality is identified.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>m with asthma, likely asthma exacerbation, l sided pleuritic chest pain // evaluate ? non-asthmatic lung process
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Frontal and lateral views of the chest. No prior. Patient is extremely kyphotic. The lungs are clear of confluent consolidation; however, there are diffusely increased interstitial markings throughout, potentially due to chronic lung disease or mild edema. There is also a curvilinear likely calcific density projecting over left mid lung, potentially along the pleura. There is no pleural effusion. Cardiac silhouette is slightly enlarged. Kyphosis again noted.
<unk>-year-old man with fever. question pneumonia.
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Right apical scarring is unchanged since multiple prior exams. The lungs are otherwise clear without evidence of focal consolidation. There is no pneumothorax, pleural effusion, or pulmonary edema. The cardiomediastinal silhouette and hilar contours are unchanged.
history: <unk>f with weakness // please evaluate for acute abnormality
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Pa and lateral views of the chest provided. Aicd is unchanged with leads extending to the region of the right atrium and right ventricle. Midline sternotomy wires and mediastinal clips are again noted. Heart remains mildly enlarged. There are low lung volumes with crowding of bronchovascular markings and atelectasis in the lower lungs. No overt evidence for pneumonia or chf. No large effusion or pneumothorax. Mediastinal contour stable. Bony structures appear intact. No free air below the right hemidiaphragm.
<unk>m with pleuritic chest pain, hemoptysis // eval heart and lungs
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The ng tube is present with the tip is difficult to visualize due to overlying soft tissue. Please note that on followup stomach ng tube was in good position. The central pulmonary vascular congestion has increased compared to the prior study. There is improved aeration of the right lower lobe and the right effusion has decreased as well. The dual lead pacemaker is again visualized.
new ng tube.
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The right port-a-cath terminates in mid svc. Right upper lobe opacity is concerning for pneumonia versus radiation fibrosis if patient has history of radiation. The lungs are otherwise clear. No pleural effusions or pneumothorax. The hila are normal. The cardiomediastinal silhouette is unchanged.
<unk> year old woman with met breast cancer. new onset of productive cough and portacath is not patent // please assess port placement and etiology of new cough
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The lungs are well-expanded and clear other than pleural and parenchymal scarring at both lung apices and in the lower left hemi thorax. No focal consolidation, edema, effusion, or pneumothorax. The heart is normal in size. Mediastinal contours are unchanged and likely reflective of mediastinal lipomatosis. No large pleural effusion. No acute osseous abnormality. Multiple contiguous right posterior lateral rib fractures are unchanged.
<unk> year old man s/p liver transplant here with fever/chills, cough. // eval for infiltrate
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There is no evidence of pulmonary edema. There are basilar bands of atelectasis. There is no visible pneumothorax and no pleural effusion. The mediastinal and cardiac contours are within normal limits.
patient with pancreatitis, tachycardia, bibasilar rales, evaluation for pulmonary edema.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. There is no pneumomediastinum. The cardiac and mediastinal silhouettes are unremarkable.
<unk>m with bicycle accident w/ blunt strike to anterior chest wall // eval for rib fractures, pneumothorax
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A right port-a-cath is in unchanged position. There has been interval removal of a right pleural catheter. Compared to the prior study the pleural effusions have increased now moderate greater on the right than the left with worsening moderate pulmonary edema.
<unk> year old woman with esrd s/p txp, chf pw fluid overload // assess pleural effusion
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As compared to prior chest radiograph from <unk>, a left apical pneumothorax is identified with air extending adjacent to the medial portion of the lung. There is no pneumomediastinum. Bibasilar atelectasis and pleural effusions are noted. Support and monitoring devices are in unchanged position. There is air above the left hemidiaphragm, consistent with free intraperitoneal air and likely related to recent surgery.
<unk>-year-old male patient with desaturation. study requested to rule out pneumothorax.
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The lungs are well inflated and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. Substantial dextrascoliosis is seen.
<unk>-year-old woman with altered mental status, somnolence, evaluate for acute cardiopulmonary process.
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Lung volumes are low. Streaky and linear left basilar opacities most likely atelectasis. Superiorly along superior. Cardiomediastinal silhouette is within normal limits for technique although difficult to assess accurately. No acute osseous abnormalities pa
<unk>m with tachypnea and hypoxia // acute process?
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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 hyperglycemia
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Ap and lateral views of the chest. The lungs are clear of focal consolidation or effusion. There is no pulmonary edema. Cardiac silhouette is enlarged but stable in configuration. Prosthetic aortic valve is noted as well as median sternotomy wires. No acute osseous abnormality is identified. Hypertrophic changes seen in the spine.
<unk>-year-old male with chf and dyspnea on exertion. question pulmonary edema.
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There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size.dense bones are compatible with history of mds.
<unk> year old man with mds <unk>/p allo transplant. now with worsening cough. ? infiltrate // r/o infiltrate. h/o gvhd s/p allo transplant on immunosupression.
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Heterogeneous multifocal airspace opacities are seen within the bilateral lungs. Heart is top-normal in size. Endotracheal tube ends <num> cm from the carina. An enteric tube ends in the stomach, with the last side port at the level of the ge junction. There is no pneumothorax or pleural effusion.
history: <unk>m with intubated transfer, reported c/f aspiration*** warning *** multiple patients with same last name! // eval ett placement
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Pa and lateral views of the chest are compared to previous exam from <unk>. The lungs are clear of consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable without visualized acute displaced rib fracture. There is evidence of old healed lateral right rib fractures.
<unk>-year-old male with left flank pain status post fall.
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The cardiac, mediastinal and hilar contours appear unchanged. The lung volumes remain low. The lungs appear clear. There is no pleural effusion or pneumothorax. Bony structures are unremarkable.
chest pressure and palpitations.
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In comparison with study of <unk>, there are lower lung volumes. Endotracheal tube has been removed and the nasogastric tube and vascular catheters remain in place. There is increasing opacification at the left base consistent with atelectatic change. Relatively mild atelectasis is seen at the right base. No evidence of definite pulmonary consolidation or pleural effusion.
postoperative right lower lobe crackles.
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Left picc terminates in upper svc. There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size.
history: <unk>f with ?picc placement // eval picc
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As compared to the previous radiograph, the patient has been intubated. The tip of the endotracheal tube projects <num> cm above the carina. The patient has also received a hemodialysis catheter with normal course and the tip projecting over the right atrium. There currently is no evidence of pneumothorax. The lung volumes are low and minimal areas of atelectasis are seen in the retrocardiac lung regions. No pulmonary edema. No pleural effusions. No pneumonia.
gastrointestinal bleed, endotracheal tube placement.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
history: <unk>m with cough,l fever // pna?
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A left-sided pacemaker is unchanged in configuration. There is been interval extubation and removal an orogastric tube, mediastinal drains, left thoracostomy tube, and swan-ganz catheter. There is no pneumothorax. There is increased atelectasis at the right and left lung bases secondary to lower lung volumes. Extensive pleural base calcifications across the left hemithorax are again seen.
chest tube removal.
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Cardiomediastinal contours are stable with cardiomegaly. Pacer leads are in standard position. Aside from bibasilar atelectasis, the lungs are clear. There is no pneumothorax or pleural effusion. There are mild degenerative changes in the thoracic spine
<unk> year old man with non-obstructive hypertrophic cardiomyopathy here with shortness of breath, cough, wheezy on exam, not hypoxic // eval for fluid overload vs. pneumonia vs. copd
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Left-sided pacer is re- demonstrated with lead terminating in the right ventricle. Mild cardiomegaly is again noted, and likely accentuated by and the presence of low lung volumes. A moderate size hiatal hernia is also present. The mediastinal and hilar contours are otherwise unchanged. Pulmonary vasculature is not engorged. There is streaky atelectasis in the retrocardiac region without focal consolidation. No pleural effusion or pneumothorax is present. No acute osseous abnormality is visualized.
history: <unk>m with altered mental status
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Ap and lateral views of the chest. Left-sided pacemaker is in appropriate position. There are low lung volumes. Mildly increased parenchymal opacities bilaterally may indicate mild pulmonary edema. No pleural effusions or pneumothorax. The cardiomediastinal and hilar contours are stable.
hcc, chf, recent fall, evaluate for infection.
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Ap portable single view of the chest shows new left subclavian picc with tip ending in upper svc. Lung volume is still low with increased bilateral perihilar opacification and vascular pedicle distension due to mild pulmonary edema. Heart size is mildly enlarged since <unk>. There is no pleural effusion or pneumothorax. Healed left posterior rib fractures are unchanged since <unk>.
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The lungs are hyperexpanded suggestive of chronic obstructive pulmonary disease. Otherwise, the lungs are clear with no evidence of focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. No acute fractures are identified.
evaluation of the patient with chest pain.
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Pa and lateral views of the chest. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal and hilar contours are normal.
asthma, shortness of breath.
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There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. The imaged upper abdomen is unremarkable. The bones are intact.
history: <unk>f with cp // ?chf
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Ap upright and lateral views of the chest provided. There is improved aeration at the right lung base as compared with the prior study. Evaluation is somewhat limited due to patient's rotation to her left on the frontal radiograph. There is a left pleural effusion which is moderate in size and appears stable to slightly increased from prior exam. There is probable compressive left lower lobe atelectasis. Difficult to exclude an underlying pneumonia. No pneumothorax. Heart size cannot be assessed. The mediastinal contour appears grossly stable. No acute bony abnormalities are detected.
<unk>f with hypoxia, cough
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The carina is not well delineated. However, the tip of the et tube probably lies approximately <num> cm above the carina. Note is made that it points toward the right-side of the tracheal wall. There are low inspiratory volumes, which likely contributes to accentuation of the cardiomediastinal silhouette. Again seen are opacities at both lung bases, consistent with bibasilar collapse and/or consolidation. Small effusions cannot be excluded. There is upper zone redistribution, also likely accentuated by low lung volumes. Compared with <unk> inspiratory volumes are lower, likely accounting for increased confluent confluence of the basilar opacities. Otherwise, no definite interval change. In left upper quadrant of the abdomen, a thin rim of lucency projects immediately outside what is thought to represent air within the stomach. Is there reason to suspect free air outside the stomach wall? Otherwise, this could represent artifact due to superimposition of portions of the stomach. No obvious pneumomediastinum. No pneumothorax detected.
<unk> year old man with food impaction and aspiration pneumonia s/p endoscopy with removal of food bolus // interval change
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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 dizziness and headaches
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Pa and lateral views of the chest provided. The lungs are well-inflated and grossly clear. There is no pleural effusion, or pneumothorax. The hilar and cardiomediastinal contours are normal.
<unk> year old woman with hx of mds, neutropenic now with cough and low grade temp. please r/o pna. // <unk> year old woman with hx of mds, neutropenic now with cough and low grade temp. please r/o pna.
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Frontal and lateral chest radiographs were obtained. A hereterogeneous right lower lung opacity is difficult to localize on the lateral view and may reflect a new alveolar process. Small bilateral pleural effusions are present, right greater than left with a possible loculated component at the right lateral chest wall. Moderate cardiomegaly with biatrial enlargement is present with pulmonary vascular congestion. There is no pneumothorax.
patient with prior pleural effusion, eval lung fields.
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There has been interval improvement of the previously seen bilateral pleural effusions. Blunting of the left costophrenic angle and retrocardiac opacity suggests a left pleural effusion, and no significant right pleural effusion is noted. There is continued collapse and/or consolidation at the left base, improved compare with the <unk> radiograph. Bilateral pleural catheters are again noted, <num> and each lung base. The cardiac mediastinal silhouette is normal, allowing for slight unfolding of the aorta. There is borderline upper zone redistribution, but no overt chf. Left-sided pacemaker type device is again noted, with lead tips over the right atrium and right ventricle. No pneumothorax detected.
<unk>m with sob // please eval for edema, pna
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Linear opacity in the left midlung is compatible with scarring versus atelectasis. Lungs are otherwise clear. The cardiomediastinal silhouette is within normal limits. Right-sided central venous catheter is unchanged in position. Enteric tube tip is best seen on the lateral view at the region of the ge junction or slightly below. Multiple air-fluid levels seen in the upper abdomen. No free intraperitoneal air.
<unk>m with sbo vs ileus s/p ng tube placement. on tpn. // eval ng tube, tunneled line position
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Frontal and lateral views of the chest were obtained. The cardiac silhouette is moderately enlarged. Calcifications are noted in the aortic arch. The thoracic aorta appears tortuous. The lungs are well expanded and clear. Pulmonary vascularity is within normal limits. There is no pleural effusion or pneumothorax. Four relatively linear small metallic densities project over the right lung.
<unk>-year-old male with syncope, evaluate for pneumonia.
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Heart size, mediastinal and hilar contours are normal. Lungs are well expanded and clear. No concerning pleural or skeletal findings.
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In comparison with study of <unk>, the right lower lobe rounded lesion is again seen. Following procedure, there is no evidence of pneumothorax or pneumomediastinum.
mediastinoscopy, to assess for pneumothorax or pneumomediastinum.
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The lungs are well expanded. There is mild pulmonary edema, increased from baseline. No focal consolidation or mass is seen. There is no pleural effusion or pneumothorax. Severe cardiomegaly is seen. Median sternotomy wires are noted, several of which are fractured. Some of the sternal wire fragments are migrating through the soft tissues from prior exams. Mediastinal clips are noted. Hardware is noted in the right proximal humerus.
history: <unk>f with copd on home o<num> now with cough. // pneumonia?
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The heart is of normal size with normal cardiomediastinal contours. Atherosclerotic calcification of the aorta is similar to prior. Elevation of the left hemidiaphragm is similar to prior. The lungs are clear. No focal consolidation, pleural effusion, or pneumothorax. No radiopaque foreign body.
weakness. evaluate for infiltrate.
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Supine portable ap view of the chest was provided. Tip of the endotracheal tube resides <num> cm above the carina. There is retrocardiac linear density likely reflective of left lower lobe atelectasis. The lungs appear otherwise clear, though lung volumes are low. Prominence of the pulmonary hila likely reflects bronchovascular crowding. The heart size is normal. No supine evidence for pneumothorax or effusion. Bony structures appear intact.
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Pa and lateral views of the chest. The lungs are clear of consolidation, effusion or pulmonary vascular congestion. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormality detected. Degenerative changes seen at the acromioclavicular joint.
<unk>-year-old female with chest pain.
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Ap and lateral views of the chest. There is patchy consolidation throughout the right lung, more conspicuous present projecting over the upper lung. There is no confluent consolidation on the left nor pleural effusion on either side. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>-year-old female with leukocytosis.
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Patient is markedly kyphotic. Cardiac silhouette size remains mild to moderately enlarged. Mediastinal contour is similar with tortuosity of the thoracic aorta again noted. Lungs are hyperinflated without focal consolidation. Interstitial opacities are seen within the lung bases as well as the right upper lobe, potentially atelectasis or chronic interstitial change. Pulmonary vasculature is not engorged. No pleural effusion or pneumothorax is present. Renal osteodystrophy is again noted with loss of height of several thoracic vertebral bodies. Multiple clips are noted in in the region of the gastroesophageal junction.
history: <unk>f with fever
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Low lung volumes are seen with secondary crowding of the bronchovascular markings. There is no definite superimposed consolidation or large effusion. There is elevation of the right hemidiaphragm as on prior. Deformities of multiple posterior right ribs are compatible with previously seen right-sided rib fractures.
<unk>m with etoh abuse with hypoxia // eval pna
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Portable semi-upright radiograph of the chest demonstrates stable to slightly improved right-sided pleural effusion with interval increase in left-sided pleural effusion with adjacent atelectasis. A component of the left-sided pleural effusion may now be loculated. Cardiac and mediastinal contours are stable. There has been interval removal of the nasogastric tube and endotracheal tube. A right central venous line is seen with the tip terminating in the mid svc. Median sternotomy wires are seen in place. There is no pneumothorax.
<unk>-year-old man with end-stage dementia and fever and concern for aspiration. evaluate for new infiltration.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax. Bony structures are unremarkable.
epigastric pain and chest discomfort radiating to the right shoulder.
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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
shortness of breath. evaluate for pneumonia.
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Pa and lateral views of the chest provided. Compared to prior radiograph, there is increased right lower lung opacity, which likely reflect free or loculated pleural effusion, but infectious process cannot be excluded. Left mid lung linear streak is again seen, which could be focal atelectasis versus focal bruising related to prior chest tube insertion. Cardiomediastinal and hilar contours are otherwise stable.
<unk> year old woman with s/p avr/cabg // eval postop changes
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax. Bony structures are unremarkable. There has been no significant change.
right-sided rib pain.
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There is a right infrahilar and a right lung apex opacity, possibly representing multifocal pna. The cardiomediastinal silhouette and hila are normal. There is no pleural effusion and no pneumothorax. Dw dr. <unk> at <num>.<unk> am by dr. <unk> <unk> the phone.
<unk>-year-old with mental status change.
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An et tube terminates approximately <num> cm from the carina. A subtle opacity in the right mid lung is present and may represent pneumonia or aspiration. There is no dense consolidation. There is no pleural effusion. There is no evidence of pneumothorax, although evaluation is limited by the supine technique. The cardiomediastinal silhouette is unremarkable. Atherosclerotic calcifications are noted in the aortic arch.
altered mental status.
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear.
cough. history of hepatitis c cirrhosis.
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As compared to the previous radiograph, there is no relevant change. The tip of the endotracheal tube projects <num> cm above the carina. The course of the nasogastric tube is unremarkable. The size of the cardiac silhouette is at the upper range of normal. The presence of a minimal left pleural effusion cannot be excluded. Left retrocardiac atelectasis is present. No pneumothorax.
urosepsis, evaluation for endotracheal tube placement.
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Frontal and lateral views of the chest were obtained. The heart is of normal size with normal cardiomediastinal contours. The lungs are clear without focal or diffuse abnormality. The pulmonary vasculature is unremarkable. No pleural effusion or pneumothorax is present. Metallic clips overlie the right upper quadrant. Osseous structures are unremarkable.
<unk>-year-old female with generalized weakness, history of mds, and low-grade fever two days ago. evaluate for infectious process.
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The endotracheal tube terminates approximately <num> cm above the carina. An orogastric tube terminates in the stomach. Within the limitations of technique, the cardiac, mediastinal and hilar contours are probably within within normal limits. Mild left basilar atelectasis is suspected but otherwise lungs appear clear within the limitations of technique.
status post endotracheal intubation.
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Frontal and lateral radiographs of the chest were acquired. Consolidation in the left lower lobe is slightly improved compared to the prior study from <unk>. There is no new focal consolidation. Surgical clips are seen scattered throughout both mid-to-lower lungs. The heart is mildly enlarged, as before. There is left lateral pleural thickening and/or fluid, not significantly changed. There is no right pleural effusion. No pneumothorax is seen.
status post left vats pleural biopsy. assess for interval change.
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Fecal mediastinal hilar contours are within normal limits. The lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax. There is some atelectasis at the right base.
anc <num>. question pneumonia.
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Single portable view of the chest. Endotracheal tube is seen with tip approximately <num> cm from the carina. Enteric tube passes below the diaphragm with tip in the region of the gastric fundus. Low lung volumes are seen with secondary crowding of the bronchovascular markings. There is no large confluent consolidation. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
<unk>-year-old female with chest pain. altered mental status.
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Compared to the prior study the et tube and ng tube are unchanged. There is a right ij cordis with its tip in the proximal svc. There is moderate cardiomegaly and pulmonary vascular redistribution. There is volume loss at both bases. Compared to the prior study the fluid overload and volume loss of increased impression slightly worse.
intubated check interval change.
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Pa and lateral views of the chest were obtained. The lungs are clear bilaterally without focal consolidation, effusion, or pneumothorax. Heart and mediastinal contours are normal. Bony structures are intact. No free air below the right hemidiaphragm. Old right upper rib deformity is again noted.
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As compared to the previous radiograph, the effusion on the left has minimally increased in extent. On the right, the small pleural effusion is constant. Substantially improved are the signs previously indicative of interstitial lung edema. Fluid marking of the fissures persists. Unchanged evidence of moderate cardiomegaly with left basal atelectasis, unchanged position of the right pectoral port-a-cath.
known bilateral pleural effusion, evaluation for interval worsening.
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As compared to the previous radiograph, the position of the right pigtail catheter in the pleural space is slightly changed. The effusion on the right appears to have minimally increased. On the left, the appearance of the pleural space, the lung parenchyma and the heart is constant. Overall, the lung volumes are low. No evidence of pneumonia or new parenchymal opacities.
congestive heart failure, pigtail catheter placement, evaluation of pleural effusion.
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As compared to the previous radiograph, there is no relevant change. The monitoring and support devices are constant. Constant lung volumes. Constant appearance of the cardiac silhouette and of the lung parenchyma. No new parenchymal opacities. No larger pleural effusions.
ards, preparing for extubation, evaluation for interval change.
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A moderate to large left pleural effusion has developed from <unk> to the <unk> post median sternotomy. The median sternotomy wires are stable in position. Fluid is seen in the minor and major oblique fissures. Cardiomegaly is stable. There are degenerative changes in the bilateral shoulders.
<unk> year old woman s/p tissue avr, cabg, mvr, tvr // predischarge eval
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Moderate bilateral pleural effusions and bibasilar atelectasis are increased compared to <num> day ago. Mild pulmonary edema is increased. Cardiac silhouette is obscured by bibasilar opacities, however grossly appear similar to before.
<unk> year old woman with new o<num> requirement // r/o pulmonary congestion, other acute process
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The cardiac, mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. The lungs appear clear. The chest is hyperinflated. Moderate degenerative changes are similar along the mid thoracic spine.
shortness of breath and syncope.
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Compared with prior radiographs on <unk>, there is stable left lower lobe atelectasis and slight improvement in a small to moderate left pleural effusion. There is no new focal consolidation or pneumothorax. There is mild cardiomegaly, with no pulmonary vascular congestion. There is a small amount postoperative intraperitoneal air under the right hemidiaphragm, similar to prior. A right subclavian catheter terminates at the cavoatrial junction. A right sided chest tube is stable in appearance. A nasogastric tube terminates above the level of the diaphragm in the neo esophagus which has retained barium from an esophagram performed on the same day.
<unk> year old man pod<num> esophagectomy // pod<num> minimally invasive esophagectomy
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Pa and lateral views of the chest provided. 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.
<unk>f with chest pain // acute cardiopulm disease
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Frontal semi-erect view of the chest was obtained. Left internal jugular central catheter terminates in stable position, across the midline, in either the upper svc or the left brachiocephalic vein. Known right upper lung abscess is not clearly visualized on this radiograph due to semi-erect position. Diffuse right hemithorax opacification remains, though aeration of the right lung appears slightly improved. The left costophrenic angle is excluded on this study.
<unk>-year-old male with known right lung abscess status post ivf for renal failure. evaluate interval change status post fluids.
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Pa and lateral views of the chest provided. The lungs are clear without focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact. There is no free air below the right hemidiaphragm.