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As compared to the previous radiograph, no relevant change is noted. There is mild improvement of the pleural effusion on the right. The left hemithorax, including the retrocardiac atelectasis and the moderate cardiomegaly are constant in appearance. Unchanged position of the left chest tube. Unchanged tracheostomy tub...
thoracocentesis, assessment for pneumothorax.
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In comparison with study of <unk>, there is continued hyperexpansion of the lungs without acute pneumonia, vascular congestion, or pleural effusion. The right picc line has been removed.
unresponsive.
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In comparison with study of <unk>, there is again complete opacification of the left hemithorax with shift to the ipsilateral side, consistent with lung collapse. This most likely is related to mucus plugging. The right lung is essentially clear except for a small residual effusion with atelectatic changes at the bases...
hypoxemia and edema.
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Lower lung volumes seen on the current exam. The lungs are grossly clear. Cardiomediastinal silhouette is stable. S-shaped thoracolumbar scoliosis is again identified. There is fracture of a the lumbar pedicle screw as seen on prior. New from prior however, is a fracture of the left-sided transfixing rod just below the...
<unk>f with shortness of breath // r/o chf/pneumonia
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Pa and lateral radiographs of the chest demonstrate clear lungs. The cardiac and mediastinal contours are normal. No pleural abnormality is seen.
cough and wheezing. evaluate for pneumonia.
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Portable upright view of the chest demonstrates interval left pleural catheter placement, which projects over lateral left chest. Moderate left pleural effusion has decreased in size, now small. Left lung base opacities persist, which may represent atelectasis. Trace right pleural effusion is likely. There is no apprec...
patient with left pleural effusion, status post thoracentesis. assess for pneumothorax.
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Heart size is borderline. 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. Calcifications are seen of the aortic knob.
history: <unk>f with chest pain // eval chest pain
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In comparison with the study of <unk>, there is no evidence of pneumothorax. Subcutaneous gas is seen along the left lower chest and upper abdomen wall. The apparent engorgement of pulmonary vessels on the previous study has substantially decreased. Retrocardiac opacification is consistent with volume loss in the lower...
metastatic breast cancer with malignant pleural and pericardial effusions. removal of chest tube, to assess for pneumothorax.
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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. Bony structures are unremarkable aside from mild rightward convex curvature.
bladder cancer status post bcg treatment with cough. question pneumonia.
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Single supine ap portable view of the chest was obtained. There has been interval placement of an endotracheal tube, terminating approximately <num> cm above the level of the carina. Nasogastric tube is seen coursing below the level of the diaphragm, inferior aspect not seen, but coursing into the expected location of ...
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The patient is status post median sternotomy and aortic valvular surgery. Indwelling support and monitoring devices remain in standard position. Persistent widening of right mediastinal contour, similar in appearance to previous postoperative radiographs. Improving aeration in the right upper lobe with residual mild at...
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The previously noted bronchopneumonic changes in the right upper lobe, right lower lobe and left lower lobe shows interval improvement. The heart size is normal. No pleural effusions. No pneumothorax. Dual lead pacemaker in situ. Spondylotic changes of the thoracic spine. .
<unk> year old man with recent pneumonia // ? interval change since hospital discharge
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Two views were obtained of the chest. Right port-a-cath terminates with tip in the upper right atrium. The lungs appear well expanded and clear without pleural effusion or pneumothorax. The heart is normal in size with normal cardiomediastinal contours.
multiple syncopal episodes.
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There is mild to moderate pulmonary edema. On the lateral view, there is increased opacity projecting over the mid to lower thoracic spine and descending thoracic aorta. This may correspond to increased opacity projecting over the right hilar region on the frontal view. Degree of cardiomegaly which is moderate is simil...
<unk>m with cough, fever // r/o pna
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There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. Osseous structures are unremarkable.
<unk>-year-old male iv drug user presents with shortness of breath.
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No significant change in the location of pacing leads. The patient is status post partial resection of a left upper lobe, resulting in hyperinflation. No focal consolidation is seen. Heart size is normal. There is no pleural effusion or pneumothorax.
<unk>m with dyspnea, chest pain // acute cardiopulm disease, pacemaker lead malfunction/ dislodgement .
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There low lung volumes, which results in bronchovascular crowding. Left basilar atelectasis is mild. The heart is top-normal in size. There is no pneumothorax, pleural effusion, or consolidation. There has been interval placement of a right internal jugular central venous line, which ends at the cavoatrial junction.
history: <unk>m with cvl // eval for cvl placement
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Pa and lateral views of the chest provided. Suture is seen at the left apex. There is minimal blunting of the left cp angle, improved from prior, likely tiny effusion versus pleural parenchymal scarring. Lungs are clear. Cardiomediastinal silhouette is normal. Bony structures are intact.
<unk>f with chest pain similar to prior ptx
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Median sternotomy wires are in place appearing intact with revisualization of aortic valve and mitral valve replacement. Moderate cardiomegaly with mild thoracic aortic unfolding is unchanged. Interstitial pulmonary edema has improved, now mild. Small pleural effusions are noted bilaterally. There is no pleural effusio...
hemoptysis.
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Slight increase in mid to lower lung opacities due to moderate bilateral pleural effusions with overlying atelectasis ; associated moderate pulmonary edema is seen as well. Underlying consolidation is difficult to exclude although no discrete focal consolidation is seen. Cardiac and mediastinal silhouettes are grossly ...
history: <unk>m with chf, copd, pleural effusions p/w dyspnea // eval effusions, consolidations
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The lungs are clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. Hypertrophic changes are noted in the spine. No acute osseous abnormalities identified.
<unk>f with cough and sob. hx of asthma // r/o acute process
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Mild left lung base opacity is likely atelectasis. Elevated right hemidiaphragm is similar to before. There is no pleural effusion or pneumothorax. Sternotomy wires are intact.
history: <unk>m with syncope, ? cva // eval for consolidation
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Low lung volumes and bibasilar atelectasis are attributable to diaphragm elevation by ascites. Moderate right pleural effusion is unchanged since <unk>. Left pleural effusion is small. The heart is enlarged and mild to moderate pulmonary edema is stable. Increased heterogeneous opacification of the right lower lung see...
<unk> year old man with cirrhosis, persistent leukocytosis, and elevated bilirubin. // please evaluate for pneumonia/aspiration.
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Pa and lateral chest radiograph demonstrate low lung volumes. Relative to prior radiograph dated <unk>, there has been little interval changes. The right hemidiaphragm appears elevated. The heart is enlarged though stable when compared to prior study. Hilar and mediastinal contours are within normal limits. Lungs demon...
<unk>-year-old female with diminished right breath sounds. evaluate for pneumonia.
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The lungs are clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. No pneumothorax, pulmonary edema, or pleural effusion. No focal consolidations are noted. Cholecystectomy clips are incidentally noted in the right upper quadrant.
history: <unk>f with fever and cough
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There is ng tube which terminates in the antrum of the stomach. There is unchanged diffuse bilateral airspace consolidation in the lower lobes, left greater than right. There is a small left pleural effusion. Heart size is top normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. N...
<unk> year old woman with ms and hypoxia with pneumonia with new ngt placement // eval for ngt placement
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Compared with prior radiographs on <unk>, there is a persistent right lower lobe opacity. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
<unk> year old woman with cough and r basilar crackles // evaluate for interval change from <unk> ew visit
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Evaluation is limited by patient rotation. Left-sided port-a-cath tip terminates at the junction of the svc and right atrium. Heart size appears grossly unchanged, borderline enlarged. Mediastinal contour is similar. There are low lung volumes with crowding of bronchovascular structures but no overt pulmonary edema is ...
history: <unk>f with chest pain
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Ap upright and lateral views of the chest provided. Cardiomegaly again noted with mild pulmonary vascular engorgement. No large effusion or pneumothorax. No convincing signs of pneumonia. Mediastinal contour stable. Bony structures are intact.
<unk>f with altered ms // r/o acute process
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Pa and lateral images through the chest demonstrates clear lungs bilaterally. The cardiomediastinal contours are within normal limits. There is no pleural effusion or pneumothorax. Visualized osseous structures demonstrate no acute abnormality.
<unk>-year-old female with cough, chills.
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There is tracheal deviation rightwards. The lungs are well-expanded and clear. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable.
<unk>m with s/p lithotripsy with tachycardia. assess for pulmonary edema or infiltrate.
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Frontal and lateral views of the chest were obtained. There are relatively low lung volumes. At the left lung base, there is a subtle <num>-cm rounded opacity which may relate to overlying structures; however, underlying pulmonary nodule is not excluded. The lungs are clear elsewhere. No pleural effusion or pneumothora...
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The endotracheal tube is noted at the origin of the right mainstem bronchus, retraction by <num> cm is recommended. Nasogastric tube appears coiled in the stomach. There is left lower lobe collapse. Otherwise, the lungs are clear with no evidence of other consolidations or effusions. Cardiomediastinal silhouette appear...
evaluation of patient with altered mental status and brain hemorrhage.
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A dual-lead pacemaker/icd device appears unchanged, with the leads again terminating in the right atrium and ventricle, respectively. The patient is status post median sternotomy. New mild right lateral pleural thickening suggests a small effusion with loculation. A more free flowing pleural effusion of small-to-modera...
shortness of breath.
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Indwelling support and monitoring devices are remarkable only for slightly proximal location of the endotracheal tube, terminating <num> cm above the carina with the neck in a flexed position. Persistent cardiomegaly and pulmonary vascular congestion accompanied by interstitial edema. Worsening left retrocardiac opacit...
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Pa and lateral views of the chest. No prior. The lungs are clear. There is no pneumothorax. Cardiomediastinal silhouette is within normal limits.
<unk>-year-old with chest pain, now resolved, evaluate for cause for pain.
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The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. The lungs are clear. There is no pleural effusion or pneumothorax. Percutaneous catheter is seen projecting over the midline upper abdomen.
history: <unk>m status post whipple's procedure presenting with fever, abdominal pain, nausea, vomiting, temperature to <num> today
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The lungs are slightly hyperinflated but clear without focal consolidation, effusion, or edema. Cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications noted at the aortic arch and there is slight tortuosity of the descending thoracic aorta. Thoraco lumbar posterior fixation hardware is par...
<unk>m with new dyspnea lying flat, worse with exertion // ?effusion vs infiltrate
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Compared to the prior film, the tubing to the left of the spine, presumably an ng tube, has been removed. The cardiomediastinal silhouette is grossly unchanged. Skin <unk> over the region of left thoracic inlet are again noted. Curvilinear density adjacent to the left clavicular head is unchanged --? Drain or other iat...
<unk> year old man with esophagectomy // f/u
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In comparison with the study of <unk>, there is little interval change. Again there is enlargement of the cardiac silhouette with tortuosity of the aorta. Right pleural catheter is again seen with evidence of compressive atelectasis and small residual pleural effusion. No evidence of pneumothorax. Hemodialysis catheter...
pleural effusions.
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Persistent bilateral lower lobe opacities noted with no significant change since the previous exam. <unk> tube above the carina. Central line in svc. Ng tube below the diaphragm.
<unk> year old man with intbuation // eval interval change
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Severe cardiomegaly is re- demonstrated. Extensive mitral annular calcifications are noted. Svc stent appears to be in unchanged position, and a dual lumen catheter coursing within the inferior vena cava appears to terminate in the right atrium. The aorta remains diffusely calcified and tortuous. There is mild pulmonar...
left lower lobe crackles, low-grade temperature.
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Heart size is normal. Paramediastinal opacities are compatible with radiation fibrosis. Hilar contours are normal. Lungs are hyperinflated without focal consolidation. Biapical scarring with pleural calcifications are also noted, more pronounced on the right. No pleural effusion or pneumothorax is present. The pulmonar...
history: <unk>m with fever // eval for pneumonia
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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>m with cp and sob + cough, also radiates to back, pls eval for pna and widened mediastinm
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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 pulmonary vascular congestion. Cardiac silhouette is enlarged but unchanged. There is marked tortuosity of the descending thoracic aorta which is unchanged from prior. Osseous and soft tissue s...
<unk>-year-old female with peripheral edema and hypertension. question chf.
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There is a new ng tube with tip in the stomach. The et tube, left ij cordis, left subclavian line, and left chest tubes are similar. There continues to be a radio opacity, likely due to tooth with filling projecting over the distal esophagus. There continues to be dense retrocardiac opacity. There is increased alveolar...
check og tube placement.
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs without focal consolidation, pleural effusion, or pneumothorax.
\<unk>f with cough, on prednisone // pna? infectious workup
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Since the prior chest x-ray of <unk>, mediastinal and hilar lymph node enlargement have decreased in extent, and a left upper lobe nodule has decreased in size. No new areas of lung consolidation are evident to suggest the presence of pneumonia. Small pleural effusions are apparently new. Left hemidiaphragm remains mil...
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No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. There is no pulmonary edema.
history: <unk>m with c/o palpitations and dizziness // ? pna
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Mild vascular congestion is noted. There is new elevation of the left hemidiaphragm with left lower lobe opacity most consistent with atelectasis. New small left pleural effusion is present. Linear opacity along the left mid lung is stable since the prior examinations and most consistent with atelectasis. No pneumothor...
<unk>f with chest pain and s/p cabg <num> week ago. assess for chf/pneumonia
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Pa and lateral chest views were obtained with the patient in upright position. Analysis is performed in direct comparison with the next preceding chest examination of <unk>. The heart size is within normal limits. No typical configuration abnormality is identified. Thoracic aorta and mediastinal structures are unremark...
<unk>-year-old female patient with "chest congestion" for two weeks, evaluate for consolidation.
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Cardiac silhouette size is normal. Mediastinal and hilar contours are unremarkable. Lungs are clear without focal consolidation. Pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormality is detected. There are mild degenerative changes seen in the thoracic spine.
history: <unk>m with chest pain
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In comparison with the earlier study of this date, there is again enlargement of the cardiac silhouette with left mid lung scarring. Tunneled dialysis catheter tip is in the right atrium. No evidence of acute pneumonia or vascular congestion.
cabg.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with cp // eval for ptx
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Single upright view of the chest provided. There is no focal consolidation, effusion, or pneumothorax. There is mild pulmonary vascular congestion and mild asymmetric pulmonary edema in the left lung. Prominence of the left hilum is similar to prior. The patient is status post right upper lobectomy. The cardiomediastin...
history: <unk>f with altered mental sttaus // eval for {na
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. Enlarged central pulmonary arteries are again noted. Tortuosity of the descending thoracic aorta is again seen. No acute osseous abnormalities.
<unk>f with gradual onset, severe epigastric pain, hx gerd // eval for acute process, free air under diaphragm, hiatal hernia
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As compared to the previous radiograph, the lung volumes have increased. The right internal jugular vein catheter has been removed. Currently, there is no evidence of pneumothorax. The multiple right-sided displaced rib fractures are unchanged. Unchanged size of the cardiac silhouette. Atelectasis and areas of parenchy...
chest tube removal, evaluation for pneumothorax.
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Frontal, lateral, and oblique views of the chest demonstrate a left picc line, which terminates in the superior-to-mid portion of the svc. Otherwise, there is no relevant change from the prior radiograph. Degenerative changes of the thoracic spine are noted. Increased ap diameter and flattening of the diaphragms also n...
picc line confirmation.
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Frontal and lateral views of the chest are obtained. There are low lung volumes with bibasilar atelectasis. No large pleural effusion or pneumothorax is seen. The aorta is calcified. The cardiac silhouette is mildly enlarged, likely accentuated by ap technique.
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Heart size remains mildly enlarged. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Patchy opacities are noted in both lung bases, findings which could reflect atelectasis as the lung volumes are somewhat low, but infection cannot be completely excluded. No pleural effusion or pneumoth...
history: <unk>f with chest pain
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Heart size is normal. The aorta is unfolded. The mediastinal and hilar contours are otherwise unremarkable. The pulmonary vascularity is normal. There is eventration of the right hemidiaphragm. No focal consolidation, pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities.
chest pain.
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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 dyspnea // sob earlier, coarse bs
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Semi upright portable study excludes the right lateral lower chest shows endotracheal tube tip has been advanced to approximately <num> cm above the carina. Right-sided central venous catheter tip is at the level of the mid svc. Right-sided airspace consolidation persists but it appears to slightly improved in the uppe...
<unk> year old man with legionella pna // et adjustment
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The cardiomediastinal silhouette is grossly unchanged with mild cardiomegaly and right hilar prominence better evaluated on <unk> chest ct. Bibasilar atelectasis is seen in the unchanged from <unk> study. There are small bilateral pleural effusions. No focal consolidations, pulmonary edema, or pneumothorax are seen.
<unk> year old woman with copd, dhf with new increased work of breathing // heart failure exacerbation?
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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 chest pain, shortness of breath, left ventricular hypertrophy
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Pa and lateral chest radiographs were obtained. The lungs are well expanded and clear. There is no focal consolidation, effusion, or pneumothorax. Cardiac and mediastinal contours are normal.
cough and fever.
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Ap portable upright view of the chest. There is no change in the position of left arm picc line, ng tube, spinal hardware. The endotracheal tube is likely terminating in the mid trachea. There is improved aeration compared with prior. No definite pneumothorax is seen. No large effusions. Mild edema may be present. No b...
<unk>f with hypoxia on vent // eval for pneumothorax
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Endotracheal tube tip terminates approximately <num> cm from the carina. The heart size is mild to moderately enlarged. Perihilar haziness with vascular indistinctness is compatible with moderate-to-severe pulmonary edema. Small bilateral pleural effusions are noted. No pneumothorax is identified. Right picc tip termin...
altered mental status, hypotension, respiratory failure.
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In comparison with the study of <unk>, there is little overall change in the appearance of post-operative changes in the right upper abdomen with decreased volume of the right lung. Low lung volumes may account for much of the prominence of the transverse diameter of the heart. Mild atelectatic or fibrotic streaks are ...
right diaphragmatic hernia repair with chest tube removal.
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Portable upright view of the chest provided. Generalized pulmonary edema appears slightly worse than <unk>. Bilateral pleural effusion is moderate to large on the right. There may be a trace left pleural effusion. There is no focal consolidation or pneumothorax. Mild cardiomegaly appears similar to <unk>. Imaged osseou...
<unk>f with esrd on hd, missed hd, hypoxic and hypertensive // evaluate for pulmonary edema
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Left mid lung subsegmental atelectasis/scarring is seen. There is no focal consolidation. No large pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.
<unk>f s/p fall this morning onto her left side, ttp at the left hip, complaining of shoulder pain. // <unk>f s/p fall this morning onto her left side, ttp at the left hip, complaining of shoulder pain.
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In comparison with study of <unk>, there is improvement in the pulmonary edema, with relatively mild vascular congestion at this time. Retrocardiac opacification is again consistent with volume loss in the left lower lobe. The endotracheal tube and nasogastric tube remain in place. The left subclavian catheter has been...
copd exacerbation with new fever.
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Heart size is normal. The aorta remains mildly tortuous. Hilar contours are normal, and no pulmonary vascular congestion is noted. Rounded opacity within the right lung base measuring up to <num> mm is new compared to the prior exam. Left lung is clear. No pleural effusion or pneumothorax is seen. There are no acute os...
worsening weakness and failure to thrive.
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There are low lung volumes, resulting in some bronchovascular crowding and mild bibasilar atelectasis. Otherwise, no focal consolidation is identified. Cardiomediastinal and hilar contours are unremarkable. Some calcifications of the aortic knob are present. There is no pleural effusion or pneumothorax. An orogastric t...
<unk>-year-old male with history <unk> <unk>'s disease with increased parkinsonian symptoms and shortness of breath. evaluate.
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Single frontal view of the chest was obtained. Interstitial edema is mild, with kerley b lines, and has increased since the prior exam. Coarse interstitial lung markings are consistent with chronic mycobacterium avium intracellulare infection and emphysema. No pleural effusion, pneumothorax, or focal consolidation. Mil...
<unk>-year-old female with acute shortness of breath. evaluate for volume overload.
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Interval placement of right pigtail pleural catheter has been placed. Although there is some artifact from external device overlying the right apex, note is made of a small right apical pneumothorax. Residual small pleural effusion on the right as well as adjacent atelectasis or contusion, in this patient with multiple...
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The lung volumes remain slightly low, with unchanged. Position of. Enteric tube. Mild vascular congestion, right pleural effusion, bibasilar atelectasis, greater on the right, an extensive. Right hemi thorax postsurgical changes are stable. Spinal hardware is unchanged. The cardiomediastinal silhouette is also stable.
<unk> year old woman with increased o<num> requirement. // ? acute process
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Pa and lateral views of the chest are compared to previous exam from <unk>. Again, the lungs are hyperinflated. There are new regions of consolidation in the right lung within the upper and middle lobes. Lungs are otherwise clear of confluent consolidation. Mild right apical scarring is again noted. Cardiomediastinal s...
<unk>-year-old female with copd and increased shortness of breath, cough.
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Compared to the radiograph from <unk>, there is increased in irregular opacities in mid lungs, right worse than left, likely reflecting widespread peribronchial infiltration. Superimposed infection is also possible. The lower lobes appear are clear on today's exam. No pleural effusion or pneumothorax is seen. The heart...
<unk> year old man with gvhd of the lungs rsv pneumonia // eval for interval change
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Despite low lung volumes, the lungs are clear. There is no consolidation, effusion, or edema. The cardiomediastinal silhouette is normal. No acute osseous abnormalities identified.
<unk>m with c/o cp // ? pna
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Cardiomediastinal contours are stable in appearance. Persistent moderate pleural effusions with an adjacent atelectasis involving the right middle and both lower lobes. Left subclavian port-a-catheter is unchanged in position.
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Ap single view of the chest has been obtained with patient in upright position. Comparison is made with the frontal view of the next preceding chest examination obtained two hours earlier during the same day. Chest tube is now on suction. The volume of the basal right-sided pneumothorax cavity has markedly decreased in...
<unk>-year-old female patient with right-sided pneumothorax after biopsy, check pneumothorax with chest tube on suction.
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As compared to the previous radiograph, there is no relevant change. Bilateral pleural effusions, left more than right with areas of atelectasis and unchanged evidence of mild-to-moderate fluid overload. The monitoring and support devices are constant. Constant size of the cardiac silhouette.
sigmoidectomy. evaluation for interval change.
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There has been interval placement of right-sided central venous catheter with tip projecting over the mid svc. There is no pneumothorax. Otherwise, there has been no change, lungs remain clear.
<unk>m with r ivc cvl // r ivc cvl
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Frontal and lateral views of the chest. The patient is rotated to the right. Within this limitation the lungs are clear. There is no effusion or pneumothorax. Cardiomediastinal silhouette is likely unchanged. No displaced fractures identified.
<unk>-year-old male with shortness of breath.
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The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is slightly increased in size from prior exam.
<unk> year old woman with cough ,prod. of green sputum. hx of asthma // ? pneumonia
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Worsening opacification involving the right lower lobe and right middle lobe with associated volume loss, concerning for a postobstructive process in the setting of a prominent and rounded right hilar contour. Small to moderate right pleural effusion has also increased in size. Cardiomediastinal contours are stable, an...
<unk> year old woman with cough and pna, treated x<num>. still with cough and r lung pain with insp // evaluation of pna and interval change of r hilar contours compared to <unk> xray
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Comparison is made to prior study from <unk>. There is a left-sided pacemaker and a feeding tube which is stable. There is persistent cardiomegaly, diffuse airspace opacities and pulmonary edema. Bilateral pleural effusions are also seen. These findings are stable.
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Pa and lateral radiographs of the chest suggest a new right apical nodule partially obscured by chest cage. The lungs are otherwise clear. The hilar and cardiomediastinal contours are normal. Chronic elevation of the right hemidiaphragm is noted. There is no pneumothorax or pleural effusion. Pulmonary vascularity is no...
fever and cough in patient with neutropenia and lymphoma.
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A single portable supine chest radiograph was obtained. Endotracheal tube is positioned too low, <num> cm above the carina. An enteric catheter is positioned in the mid esophagus. Lung volumes are mildly decreased. There is no focal consolidation, effusion, or pneumothorax. Cardiomegaly is moderate.
cardiogenic shock.
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There has been interval improvement since the prior exam. Prior pleural effusions have resolved. The lungs are clear without consolidation or edema. Mild cardiomegaly is noted as well as tortuosity of the descending thoracic aorta. Median sternotomy wires are intact. No acute osseous abnormalities. Surgical clips are n...
<unk>f with dyspnea // ?pna
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Moderate right and small left pleural effusions are noted with adjacent opacities likely compressive atelectasis. Heart size is difficult to discern but is at least, likely mildly enlarged. The aorta is slightly unfolded. There is no pulmonary edema or pneumothorax. No acute osseous abnormalities seen.
altered mental status. unresponsiveness.
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Chest, portable upright. New right internal jugular central venous line has been placed and terminates near the cavoatrial junction. There is no pneumothorax. The appearance of the heart and lungs otherwise unchanged from the prior study, with mild pulmonary vascular congestion and bibasilar atelectasis due to low lung...
evaluate line placement.
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The et tube is <num> cm above the carina. The appearance of the left chest tube and ng tube are unchanged. There also appears to be an esophageal probe with tip just below the gastroesophageal junction. Subcutaneous gas is seen on the left. There is probably a small left apical pneumothorax but it is difficult to delin...
check et tube placement.
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Pa and lateral views of the chest. The lungs remain clear. The cardiomediastinal silhouette is normal. Osseous structures are unremarkable. Surgical clips seen in the upper abdomen.
<unk>-year-old female with cough and left lower quadrant pain.
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New right ij central venous catheter ends in the low svc. No pneumothorax. Endotracheal tube appropriately positioned. Appearance of the lungs with diffuse predominantly centralized alveolar opacity has not largely changed from a few hours prior. Mild cardiomegaly is also stable.
<unk> year old man central venous catheter placement.
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Single frontal upright chest radiograph demonstrates increased multifocal opacifications particularly evident in the right upper lung and the left mid lung. Though this may represent asymmetric pulmonary edema, this is concerning for multifocal pneumonia, likely due to aspiration given the changing appearance across mu...
status post cabg, evaluate for progression of pneumothoraces in patient with recurrent chest tube air leak.
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As compared to the previous radiograph, the right picc line and the right chest tube are in almost unchanged position. The pre-existing relatively diffuse and massive parenchymal opacities are constant in extent and distribution. The air collections in the right cervical soft tissues and the soft tissues of the neck ar...
history of anca-positive vasculitis, known chest tube in place, evaluation for biliothorax.
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Frontal and lateral chest radiographs demonstrate a left chest tube in unchanged position and normal cardiomediastinal silhouette. There has been interval re-expansion of the right upper lobe, with residual atelectasis adjacent to the fissure. There is no focal consolidation or pleural effusion. There is a small left a...
status post left upper lobectomy, with right upper lobe collapse. evaluate for interval change.
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Ap portable view of the chest demonstrates bibasilar opacities, new since prior exam, right > left. Left costophrenic angle is obscured, suggestive of trace pleural effusion. Hilar and mediastinal silhouettes are unchanged. The aortic arch calcifications are again noted. Mild cardiomegaly persists. There is no pneumoth...
patient with fever, altered mental status, and tachypnea. assess for pneumonia.