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Frontal and lateral views of the chest. The lungs are clear. There is no effusion or pneumothorax. Cardiac silhouette is at upper limits of normal. No acute osseous abnormalities identified.
<unk>-year-old female with chest pain.
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Frontal and lateral views of the chest were obtained. The patient is status post median sternotomy and cabg. There is persistent elevation of the left hemidiaphragm. No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable. There is mild bibasilar atelectasis. The inferior most sternal wire is fractured, also present on the prior study. Impression: persistent elevation of the left hemidiaphragm without acute cardiopulmonary process.
resolved hypertension, dyspnea.
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As compared to the previous radiograph, the pre-existing parenchymal opacities, located in the right upper lobe and at both lung bases, have increased in severity and extent. Given that the lung volumes have not changed in the interval, the findings are strongly suggestive of pneumonia, as stated in the previous report. There is no evidence of pulmonary edema. No pleural effusions. Borderline size of the cardiac silhouette. Status post valvular replacement and sternotomy. Unchanged appearance of the mediastinal structures. No pneumothorax.
cad, immunocompromised patient. evaluation.
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Heart size and mediastinal contours are within normal limits. There is a small-to-moderate left-sided pleural effusion, similar to slightly increased to the prior exam with associated atelectasis. Medial left lung atelectasis is also present. There is no pneumothorax.
<unk>-year-old male with cml and pleural effusions, status post drainage, now with decreased sounds at the left lung base.
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Frontal and lateral chest radiographs demonstrate sternotomy wires and a mitral valve annuloplasty ring. There has been interval removal of a right internal jugular central catheter. The cardiomediastinal silhouette appears unchanged. Again seen are bilateral pleural effusions with associated bibasilar atelectasis, the left effusion slightly increased versus redistributed due to differences in patient position. No focal opacity concerning for infectious is seen. There is no pneumothorax.
status post mitral valve repair and aortic arch replacement.
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Severe cardiomegaly with slight increase in size compared to <unk>. Hilar contours are unremarkable. A left anterior chest wall single-lead pacer is unchanged in position. No focal consolidation worrisome for pneumonia; however, left lung base is difficult to assess. There is no large pleural effusion or pneumothorax.
chf and hypotension.
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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. The bony structures appear within normal limits aside from slight narrowing of mid thoracic interspaces which appears unchanged.
seizure.
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The lungs are clear of airspace or interstitial opacity. The cardiac silhouette is top normal. No pleural effusions or pneumothorax.
<unk> year old woman with episode choking for no reason with sob // ?abnormality
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Ap upright and lateral views of the chest provided. Airspace consolidation in the left mid to lower lung is noted without associated volume loss suggesting pneumonia. The right lung is grossly clear. No large effusion or pneumothorax. Cardiomediastinal silhouette is stable. No bony abnormality.
<unk>f with <unk> speaking only describe pre-syncopal episode, intrepretator // r/o underlying pna
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The cardiac, mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
arm pain, history of coronary artery disease.
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The lungs are clear, but hyperinflated. The cardiomediastinal silhouette and hila are normal. There is no pleural effusion and no pneumothorax.
<unk>-year-old with chest pain and syncope.
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The lungs are clear, however mild bronchial wall thickening may be due to acute or chronic bronchitis.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
history: <unk>m with chest pain. evaluate for pneumonia.
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The right upper lobe pneumonia and perihilar opacities have resolved. The lungs are clear. The cardiomediastinal silhouette is normal.
recent pneumonia. evaluate for resolution.
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Bilateral pleural effusions, small to moderate on the right and small on the left, are unchanged since <unk>. Moderate compressive atelectasis is again identified. The heart size is stable. No pneumothorax or pulmonary edema. No focal consolidations are noted. Bilateral pleural thickening is unchanged.
<unk> year old man with pleural effusion // eval
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In comparison with the study of <unk>, there is little change and no evidence of acute cardiopulmonary disease. Minimal streaks of atelectasis at the left base. No pneumonia, vascular congestion, or pleural effusion.
chest tightness and syncope.
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Cardiomediastinal silhouette is moderately enlarged. Fullness of the azygos is not accompanied by any other signs of right heart failure. No new focal opacities. Left lower lobe appears relatively clear on today's examination.
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The lungs are hyperexpanded, with worsening bibasilar opacities and bronchiectasis, compared to the prior study. There is no pneumothorax, or overt pulmonary edema. The heart size is normal.
<unk> year old woman with pna hx,cough, fevers // r/o pna
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There is focal consolidation in the left midlung likely localizing to the lingula best on the lateral view. The lungs are otherwise clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk> year old man with febrile neurtopenia // infectious etiolgy
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Pa and lateral views of the chest. The lungs are clear without consolidation, effusion or pulmonary vascular congestion. There is no pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormality is identified.
<unk>-year-old female palpitations and shortness of breath.
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Heart size is normal. The ascending aorta remains tortuous and the descending thoracic aorta is unfolded. Pulmonary vasculature is not engorged. Emphysema is re- demonstrated with hyperinflation of the lungs. No focal consolidation, pleural effusion or pneumothorax is present. There are mild degenerative changes seen in the thoracic spine.
history: <unk>m with copd, cough
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The patient has been extubated in the interim. An enteric tube courses into the stomach. A right subclavian catheter ends at the level of the low svc. The lung volumes are low. Retrocardiac atelectasis is unchanged. No pleural effusion, pneumothorax or consolidation worrisome for pneumonia. Heart remains moderately enlarged but unchanged from <unk>. No evidence of pulmonary edema.
recent stroke and placement of ett.
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Left lung volume is decreased, likely the result of left lower lobe atelectasis. A small to moderate left pneumothorax may be slightly increased in size from the comparison ct, accounting for differences in technique. A left lung mass now contains a fiducial marker, with well-defined dense consolidation likely reflecting post-treatment change. The cardiac silhouette is unchanged in size, the mediastinal contours are unchanged. The right lung remains clear. The pulmonary vasculature is top normal, accounting for supine technique.
<unk>-year-old female with pneumothorax after rfa to left lung lesion.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is unremarkable. The aorta is calcified and tortuous.
history: <unk>f with b/l <unk> edema after not taking lasix // eval edema
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Frontal and lateral views of the chest were obtained. There are relatively low lung volumes. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is seen.
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Heart size is normal. Mediastinal and hilar contours are normal. Lungs are clear. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. No acute osseous abnormality is identified.
history: <unk>f with cough
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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 normal. No pleural effusion or pneumothorax. Osseous structures are unremarkable. Multiple metallic clips overlie the superior mediastinum.
<unk>-year-old female substernal chest pain. evaluate for acute process.
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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 dyspnea, cp // evidence of pneumothorax
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Compared to the recent scout view, there is fairly little, if any, change. Multiple circumscribed cavities and ill-defined opacities with thickening of the left lung apex appear very similar. Discussed in the prior ct report the appearance is worrisome for a superimposed infectious process involving cavity formation, including a prominent cavity in the right upper lobe measuring approximately <num> cm in diameter with a small fluid level. The right lung remains clear. There is no pleural effusion or pneumothorax. Opacification of the left aortopulmonary window is similar. The heart is normal in size. Bony structures are unremarkable.
non-small cell lung cancer presenting with nausea, vomiting, shortness of breath and elevated white cell count.
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The heart size, mediastinal, and hilar contours are normal. The lungs are clear without pleural effusion, focal consolidation, or pneumothorax.
history: <unk>f with low grade fevers. r/o bronchitis.
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The cardiac, mediastinal and hilar contours are normal. The lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
shortness of breath.
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Bilateral airspace opacities have increased, particularly at the left base. There is no pneumothorax. The right picc line terminates in the low svc. Small bilateral pleural effusions are unchanged. The heart and mediastinum cannot be accurately assessed.
<unk> year old woman with dementia, hcap, increasing o<num> requirements work of breathing // worsening infiltrates, volume status
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The cardiac silhouette is enlarged, possible progressed since <unk>. The pulmonary vasculature is unremarkable. No definite consolidation is identified. No pleural effusion or pneumothorax is noted.
history: <unk>m with weakness // please rule-out pneumonia
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Et tube tip lies approximately <num> cm above the carina, at the lower edge of the medial clavicular heads. Ng tube tip overlies the left upper quadrant. A sideport, if present, does not extend beyond the ge junction. Right ij central line tip overlies the proximal/mid svc. Cardiomediastinal silhouette is probably unchanged, allowing for technical differences. Again seen is left lower lobe collapse and/or consolidation and obscuration of the left hemidiaphragm, slightly denser. A small left effusion would be difficult to exclude. Minimal patchy at the right low minimal minimal patchy opacity at the right lung base is also again seen, similar prior. No pneumothorax detected. Doubt overt chf.
<unk> year old man with urosepsis s/p intubation for airway protection now with increased secretions // please assess for interval change given c/f developing pna
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Heart size is normal. Mediastinal and hilar contours are unremarkable. A patchy opacity is seen within the right lower lobe, and a retrocardiac opacity is also noted, findings concerning for aspiration. There are small bilateral pleural effusions. No pulmonary vascular congestion is demonstrated. Evaluation of the lung apices is somewhat limited due to the patient's neck soft tissue projecting over and obscuring this region. However, no large pneumothorax is demonstrated. Multilevel degenerative changes are noted in the imaged thoracolumbar spine. Diffuse demineralization of the osseous structures is present.
lower esophageal sphincter stricture, unable to tolerate oral intake.
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No focal consolidation, pleural effusion or evidence of pneumothorax is seen. The patient is status post median sternotomy. The cardiac and mediastinal silhouettes are stable. Aortic knob calcification is seen.
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Lung volumes are normal. There is no consolidation, pleural effusion or pneumothorax. Cardiomediastinal contours are normal. No acute osseous abnormalities identified. There is no subdiaphragmatic free air.
history: <unk>f with overdose // eval for acute process
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The lungs are clear. Heart size mediastinal contours are normal. There is no pleural effusion or pneumothorax. Osseous structures are intact.
history: <unk>m s/p fall from standing today, l shoulder upper thoracic pain // eval for shoulder fracture, eval for rib fracture
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As compared to the previous radiograph, the known and pre-described signs of moderate predominantly interstitial pulmonary edema are not substantially changed. The heart continues to be enlarged. A small atelectasis is seen at the left upper lobe base. The lateral radiograph revealed known small pleural effusions restricted to the area of the costophrenic sinuses. No new parenchymal opacities have appeared since the previous examination.
dyspnea, oxygen requirement, chronic heart failure, evaluation.
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No focal consolidation, pleural effusion, evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. There is diffuse increased slight diffuse increased interstitial markings is stable as compared to <unk>.
altered mental status and tachycardia unknown source that began this morning.
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In comparison to the earlier radiograph, there is slight interval improvement in moderate pulmonary edema but stable small bilateral pleural effusions, right greater than left. A new nasogastric tube enters the stomach, distal tip not visualized. Et tube and right ij central venous catheter remain in optimal position.
<unk> year old woman with new ogt // evaluate line placement
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Compared with earlier the same day at <time>, the right pigtail catheter is similar in configuration. Again seen is a small right apical pneumothorax smaller than on <unk> at <time>, though more apparent than on the film obtained earlier the same day. The patchy opacity in the right mid/lower zone is grossly unchanged and may lie within the right middle lobe. While this probably represents right middle lobe atelectasis, an area of aspiration pneumonitis or early infectious infiltrate could have a similar appearance. Minimal subsegmental atelectasis left base is similar to prior. Known metastatic pulmonary nodules again noted. No chf.
<unk> year old woman with ptx. pigtail placement. clamped at <num> am // interval change. please complete at <num> pm
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Heart size is top normal. Mediastinal and hilar contours are within normal limits. Pulmonary vasculature is normal. New focal consolidative opacity is present within the left lower lung field concerning for left lower lobe pneumonia. No pleural effusion or pneumothorax is present. No acute osseous abnormality is demonstrated.
history: <unk>f with fever, tachycardia
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The lungs are now clear. Right upper lobe opacity has completely resolved. There is only minimal bibasilar atelectasis. Right jugular line ends in upper svc. Mediastinal and cardiac contours are normal. No significant pleural effusions or pneumothorax.
patient with known aspiration pneumonia, presents with worsening of hypoxia, worsening of pneumonia? pleural effusion.
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Cardiac and mediastinal silhouettes are stable. There may be minimal interstitial edema. No focal consolidation is seen. There is no pleural effusion or pneumothorax.
history: <unk>f with hypoxia // eval for hypoxia/pna
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Frontal and lateral views of the chest were obtained. There is eventration of bilateral hemidiaphragms. There is mild bibasilar atelectasis. No definite focal consolidation is seen. There is no large pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable. The hilar contours are slightly more prominent, which may be due to central pulmonary vascular engorgement. There is chronic-appearing deformity of the posterior lateral right sixth and possibly fifth ribs. A compression of at least two lower thoracic vertebral bodies again seen.
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Pa and lateral views of the chest show no focal airspace consolidation. Radiation changes in the left paramediastinal area and left base are not significantly changed from the prior radiograph. Left pleural thickening is stable, and likely due to post-treatment changes. A small left, probably loculated, pleural effusion is stable from the most recent chest radiograph <num> days prior, but new from <unk>. There is no pulmonary edema or pneumothorax. The cardiomediastinal silhouette is stable and normal in size.
cough. history of lung cancer.
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Cardiac silhouette size is normal. The mediastinal and hilar contours are unchanged, with the superior mediastinum slightly widened likely due to reduced lung volumes. The pulmonary vascularity is normal. There is minimal subsegmental atelectasis in left lung base. No focal consolidation, pleural effusion or pneumothorax is identified. Amorphous calcification adjacent to the greater tuberosities bilaterally may reflect calcific tendinopathy.
chest pain, asthma exacerbation.
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Bilateral chest tubes remain in place. There is no pneumothorax. Small bilateral pleural effusions with bibasilar atelectasis have slightly increased. Increased retrocardiac airspace opacification at the left base may be due to new aspiration or infection.
<unk> year old man s/p sympathectomy with bilateral chest tubes // eval for penumothorax
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The lungs are clear without focal consolidation, pleural effusion or pneumothorax. There is no pulmonary edema. The heart is normal in size, and the mediastinal contours are normal.
<unk>-year-old female with dyspnea. please evaluate for acute cardiopulmonary process.
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The pericardial effusion has probably decreased in size. There is a moderate left pleural effusion and basilar atelectasis. There is a rounded opacity in the right upper lobe corresponding to subpleural nodule seen on prior chest ct. There is no pneumothorax. Hilar and mediastinal contours are normal.
<unk> year old man with hx pericardial window for acute pericardial effusion // effusion?
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There has been interval removal of left chest tube. Previously-seen pneumothorax has slightly decreased and remaining small pneumothorax has apical and minimal lateral component. The left lung has re expanded and minimal lingular atelectasis is seen. There is minimal left pleural effusion. Convex right scoliosis is again seen.
<unk> year old woman s/p l vats thymectomy. developed for pneumothorax post chest tube removal.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. New slight blunting of the left costophrenic sulcus may relate to minor atelectasis or perhaps a trace pleural effusion. The lungs appear clear.
shortness of breath and chest pain.
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There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is unremarkable. No acute skeletal findings.
<unk>-year-old woman with cirrhosis, being worked up for liver transplant.
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There is longstanding left hemidiaphragm elevation and blunting of the left costophrenic angle which is unchanged from multiple prior studies. The lungs are clear without pleural effusion, focal consolidation or pneumothorax. The pulmonary vasculature is not engorged. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits. Degenerative changes are noted in the thoracic spine with bridging osteophytes.
<unk>-year-old male with cough, here to evaluate for pneumonia.
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Since prior, there has been no significant interval change. The right pigtail pleural catheter is unchanged in position. Right pleural effusion is similar in size. Known left pleural effusion and bibasilar atelectasis is also stable. There is no pneumothorax.
<unk> year old woman with effusion, interval evaluation.
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Heart size is top normal. The mediastinal and hilar contours are unchanged. There is bibasilar atelectasis, left worse than right. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Enteric tube is seen below the diaphragm, terminating in the mid stomach with the side port approximately <num> cm from the expected location of the ge junction.
<unk> year old man with ng tube for bowel prep // ng tube placement
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Single ap upright portable view of the chest was obtained. The patient's chin obscures the lung apices, particularly the right lung apex, obscuring the view. There are low lung volumes. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. The bones are diffusely osteopenic, making evaluation for subtle fracture suboptimal.
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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. There is the diffuse demineralization of bones. No free air below the right hemidiaphragm is seen.
<unk>f with bibasilar crackles, hyperglycemia // evaluate for acute process
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Since the prior study, there is marked interval change with obscuration of the right lung base. There appears to be a large effusion on the lateral film and there is atelectasis in the right lung base. There is added density in the region of the right hila which could represent atelectasis, adenopathy or mass. There is a gas density in the right lower chest which could represent lung or possibly subdiaphragmatic air or bowel. I would recommend a right-side-up decubitus film to evaluate for pneumoperitoneum or pneumothorax. There is blunting of the left cp suggesting small effusion. There is no chf. Degenerative changes are present in the spine.
history: <unk>f s/p unwitnessed fall // unwitnessed fall; poor historian; left eye ecchymosis and edema
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The lungs are low in volume with streaky left-greater-than-right basilar opacities most consistent with atelectasis. No pleural effusion or pneumothorax is identified. The heart is normal in size with normal cardiomediastinal contours. No displaced rib fractures are identified.
fall with left chest bruising.
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Pa and lateral views of the chest provided. Lungs appear hyperinflated with flattened diaphragms. There is mild linear atelectasis at the left lung base. There is no worrisome consolidation, effusion or pneumothorax. No congestion or edema. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with cp // eval for cause of cp
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Endotracheal tube tip <num> cm above carina. Mild pleural effusions, new or worsened. Left basilar consolidation, worsened, likely atelectasis. Patchy lower lung opacities are worsened, atelectasis versus pneumonitis. Heart size is increased. Pulmonary vascularity within normal limits. Surgical clips low left neck. Trachea is now midline. No pneumothorax.
<unk> year old woman with acute resp failure s/p thyroidectomy still intubated // interval changes post op
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The lungs are clear. There is no focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f esrd on pd with persistent cough // effusion or pna?
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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 fever // ? infectious process
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There is a left lower lobe opacity, similar compared to <unk>, and likely pneumonia. A small-to-moderate left pleural effusion is unchanged from the ct on <unk>. Right port-a-cath ends in the right atrium.
<unk>-year-old with history of colon cancer.
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Endotracheal tube is seen, terminating approximately <num> cm above the level of the carina on the semi-erect view and approximately <num> cm above the level of the carina on the portable #<num> view. No focal consolidation, pleural effusion, or pneumothorax is seen. The cardiac silhouette is top normal. The mediastinal contours are unremarkable. No displaced fracture is seen.
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The ij line has been removed. The right-sided picc line is still in place. The tip is difficult to visualize on today's study, but is at least in the superior vena cava. There is a moderate left effusion and a tiny right effusion. There is volume loss in both lower lobes. There is pulmonary vascular redistribution and moderate cardiomegaly. Compared to the prior study, the effusion on the left is slightly larger and the volume loss on the right has increased.
copd and chf. question volume overload.
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Left lower lobe opacification is unchanged since <unk> probably reflecting atelectasis, but superimposed aspiration or infection cannot be excluded. There is no pleural effusion or pneumothorax. The dobbhoff tube is in the stomach.
patient with new encephalopathy, rule out consolidation.
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As compared to the previous radiograph, the pre-existing pulmonary edema has mildly increased in severity. The radiograph is otherwise unchanged. Minimal pleural effusions might be present. Atelectasis in the dorsal lung areas. The monitoring and support devices are constant in appearance.
cirrhosis and renal failure, evaluation for interval change.
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Ap portable supine view of the chest. An endotracheal tube is seen low in the trachea approximately <num> mm above the carina. Retraction by <num> cm is advised. Lungs are clear. The cardiomediastinal silhouette is normal. Hardware is noted in the upper lumbar spine.
<unk>f intubated // ett placement? pna?
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Heart size is normal. Mediastinal and hilar contours are unremarkable. The lungs are clear. The pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. A bb marker indicating site of the patient's pain is noted overlying the left lateral <num>th rib. No osseous abnormality is seen in the vicinity of this marker. No displaced rib fractures are noted.
left flank pain after trauma.
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Compared with the immediate prior study, the small right apical pneumothorax and trace left apical hydropneumothorax are unchanged. There is persistent severe swelling at the surgical site at the level of the clavicles with leftward tracheal deviation. Decreased lung volumes on the right cause right basilar atelectasis, and there may be a new small left pleural effusion. The enteric tube ends within the remnant esophagus. A right-sided chest tube and a left paravertebral jp drain are in unchanged positions. There are no focal consolidations or pulmonary edema. The cardiomediastinal silhouette is within normal limits.
<unk> year old man s/p esophagogectomy // eval for pleural effusions, ptx, pna
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Lung is well inflated and clear except for linear opacity at right base due to atelectasis. Right hemidiapharagm asymmetry persists unchanged. There is no pleural effusion or pneumothorax. Cardiomediastinal silhouette unchanged and normal.
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Lungs are low in volume but clear. The heart is mildly enlarged as before with calcified thoracic aorta. No pleural effusion or pneumothorax is seen.
<unk>-year-old man with new cough. complaining of chest heaviness assess for pneumonia
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There is increased volume loss at the right base with linear atelectasis. Given the increased opacity, a small early infiltrate in this region could be missed. A lateral film would be helpful for further evaluation if clinically indicated. The left subclavian line has been removed. The right-sided picc line is unchanged. The left lung is clear.
all with increased somnolence, question consolidation.
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Ap single view of the chest has been obtained with patient in sitting semi-upright position. Comparison is made to the next preceding similar study of <unk>. High positioned diaphragms indicate poor inspirational effort and result in crowded appearance of basal pulmonary vasculature bilaterally. There is no evidence of new acute pulmonary parenchymal infiltrates and the lateral pleural sinuses remain free. Heart size cannot be assessed as major portions of the heart are obliterated by high positioned diaphragms. There is no evidence of pneumothorax in the apical area and the previously described right-sided picc line terminates in unchanged position.
<unk>-year-old male patient with fungemia, status post transesophageal echocardiogram, now hypoxic to high <num>s. evaluate for possible aspiration pneumonia or pulmonary edema.
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Lung volumes are low. The heart size is normal. The aorta is tortuous with atherosclerotic calcifications again seen at the aortic knob. Mild atelectatic changes are noted in the lung bases. No pleural effusion or pneumothorax is seen. There is no pulmonary edema. Mild elevation of the right hemidiaphragm is unchanged. No acute osseous abnormalities demonstrated.
history: <unk>m with respiratory distress // ?pna
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The lungs are clear but hypoinflated. No evidence of pulmonary vascular congestion or pneumonia. Moderate cardiomegaly. Tortuous descending thoracic aorta is noted. Calcified granuloma is seen in the right midlung field.
history: <unk>m with failure to thrive, recent hospitalization, elevated lactate // eval for pna
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There increased patchy opacities in the most marked in the right lower lobe, but also present in the left lower lobe and perihilar regions. There small bilateral effusions, left greater than right. There is mild pulmonary vascular redistribution. There is volume loss in both lower lungs
<unk> year old man with polytrauma with ett in place and hcap // hcap progression? ett position?
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Blunting of the left costophrenic angle persists, likely related to adjacent rib metastasis. Prominent hila bilaterally likely reflect known hilar adenopathy. No focal consolidation, right pleural effusion, pneumothorax, or pulmonary edema is seen. Left retrocardiac opacity likely reflects atelectasis.
<unk>-year-old female with metastatic lung cancer and worsening hypoxemia.
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Pa upright and lateral chest radiographs demonstrate well-expanded lungs. Heart is normal in size and cardiomediastinal contours are within normal limits. Lungs demonstrate normal vascularity without focal areas of consolidation. There is no pleural effusion and no pneumothorax.
chest pain, ? cardiomegaly or effusions.
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Lung volumes are low which accentuates the size of the cardiac silhouette which appears mildly enlarged. Mediastinal and hilar contours are otherwise unremarkable. Pulmonary vasculature is normal. Atelectasis is noted in both lung bases without focal consolidation. No pleural effusion or pneumothorax is identified. No acute osseous abnormality is detected.
history: <unk>f with chest pain
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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
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Left-sided pacer device is stable in position. The patient is status post median sternotomy and cabg. The cardiac and mediastinal silhouettes are stable. No focal consolidation is seen. There is no pleural effusion or pneumothorax.there is pulmonary vascular congestion.
history: <unk>m with fb sensation in her chest // acute process?
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Pa and lateral views of the chest. The lungs are clear. Cardiac silhouette is normal in size. Hilar and mediastinal contours are normal. No pleural effusion. No evidence of pneumothorax.
altered mental status
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A frontal supine view of the chest was obtained portably. The endotracheal tube ends <num> cm above the carina. The nasogastric tube ends in the stomach. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. Heart size is normal. Mediastinal silhouette and hilar contours are normal. No acute osseous abnormality is identified.
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The heart is mild to moderately enlarged. Mediastinal and hilar contours are unremarkable aside from mild tortuosity of the aorta. There is no pleural effusion or pneumothorax. Vague opacities at the lung bases are more suggestive of minor atelectasis than pneumonia.
cough.
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As compared to the previous radiograph, the patient is severely rotated to the right. The size of the cardiac silhouette is unchanged. Unchanged pacemaker leads and position of the pacemaker. The presence of a minimal right pleural effusion cannot be excluded. However, no evidence of pneumonia is present on the current radiograph. No pneumothorax.
delirium and hypotension, questionable pneumonia.
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Pa and lateral views of the chest are provided demonstrate no focal consolidation, effusion, or pneumothorax. The heart and mediastinal contours appear normal. Bony structures are intact. No free air below the right hemidiaphragm.
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Enteric tube tip in the proximal stomach. Endotracheal tube tip in good position. Very shallow inspiration. Bilateral perihilar opacities have worsened, particularly on the right, likely edema. Stable left basilar consolidation. Increased heart size. Suggestion of small right pleural effusion.
<unk> year old woman with unexplained hypoxic resp failure unable to wean from vent // worsening pulm edema
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Left picc tip terminates in the mid svc. An esophageal stent is again noted. Heart size is mildly enlarged. Mediastinal contours are unremarkable. Mild pulmonary vascular congestion is noted. Streaky left basilar opacity likely reflects atelectasis. Trace bilateral pleural effusions are re- demonstrated. There is no pneumothorax.
picc placement.
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Right subclavian vascular catheter terminates in the lower superior vena cava, with no visible pneumothorax. Cardiomediastinal contours are normal, and lungs are clear. Slight elevation of left hemidiaphragm is present, and is similar to the recent ct abdomen <unk> <unk>.
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Ap upright and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. An azygous fissure is noted. Mild right basal platelike atelectasis is present. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
history: <unk>f with cough // pna?
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Cardiomediastinal silhouette is stable. There is no focal consolidation, pleural effusion, or pneumothorax. No pulmonary edema. The sternotomy wires, mediastinal clips, and prosthetic heart valve are unchanged.
history: <unk>f with fatigue and weakness // eval for acute infectious process
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There has been interval resolution of the bilateral pulmonary edema and improvement of the bibasilar atelectasis. Left small pleural effusion is stable. No new focal consolidations are seen. There is no pneumothorax. The median sternotomy wires are in place. There is stable, mild cardiomegaly. The hilar and mediastinal contours are otherwise normal.
<unk>-year-old female status post cabg, who presents for interval followup.
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There is subtle focal consolidation identified at the right lung base medially also seen overlying the heart posteriorly on the lateral view. This is new since most recent prior but is similar to opacity seen on prior exam dated <unk>. Elsewhere, lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with asthma, p/w cough and sob x <num>d, no fevers // evaluate for pneumonia
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Cardiac, mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
chest pain, shortness of breath.
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A left-sided port-a-cath is in stable position. There is a moderate right pleural effusion, slightly decreased in size from the most recent prior ct in <unk>. Additionally, there is adjacent pulmonary opacity involving the right lower lobe and right middle lobe, which could represent areas of collapse or infection. There is streaky opacity at the base of the left lung, most consistent with atelectasis. No left pleural effusion or pneumothorax is seen.
<unk> year old man with lymphoma, now with fevers, malaise // <unk> year old man with lymphoma, now with fevers, malaise
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The lungs are clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>f s/p bike trauma p/w l back pain and sounds of 'rib crunching' // l <unk>-<num>th rib fx
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A right sided dual lumen central venous catheter tip terminates in the right atrium, unchanged. Heart size appears at least moderately enlarged, though difficult to completely assess given the presence of moderate-sized bilateral pleural effusions, not substantially changed in the interval. Worsening moderate pulmonary edema is present. More focal opacities the lung bases may reflect compressive atelectasis. No pneumothorax is identified. There are no acute osseous abnormalities.
history: <unk>m with acute respiratory failure // eval for acute process