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No consolidation, pleural effusion or pulmonary edema is seen, and the cardiac and mediastinal contours are normal. No rib fractures are visualized.
<unk>-year-old man with cough, production of rusty sputum. tenderness and pain in the right rib cage. assess for pneumonia.
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There are diffuse bilateral parenchymal opacities, suggesting at least mild pulmonary edema. However, as noted on the prior cxr dated <unk>, there is a more apparent opacity at the right lung base, which likely represents superimposed pneumonia in the appropriate clinical setting. There is no substantial pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits.
<unk> year old man with acute sob // ? plum edema
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Given differences in positioning including lordotic views, the lungs are clear. There is no effusion, consolidation or pneumothorax. The cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications are noted at the arch. No acute osseous abnormalities. No acute osseous abnormality.
<unk>f with htn, hld s/p l thr d/ced today to facility p/w possible ams (delusions of staff at facility taking her stuff and mistreating her vs real?). // e/o pna on cxr. e/o hematoma or other intracranial process to explain ams.
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Heart size is normal. Mediastinal and hilar contours are unremarkable. Minimal atherosclerotic calcifications are noted within the aortic knob. The pulmonary vasculature is not engorged. Lungs are hyperinflated with emphysematous changes noted in the upper lobes. Mild blunting of the costophrenic angles posteriorly may reflect chronic pleural thickening. Patchy opacities in lung bases likely reflect areas of atelectasis. No pneumothorax is seen. No acute osseous abnormality is seen.
<unk> year old man with etoh abuse, copd, aspiration pneumonia in <unk>. presents with etoh use, chest pain, abdominal pain.
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A right picc terminates in the mid svc. There is no pneumothorax. The lungs are clear with no pleural effusion or pneumonia. Heart size and mediastinal contours are normal.
history: <unk>f with picc placed // picc
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As compared to the previous radiograph, no relevant change is seen. Bilateral pleural drains but no evidence of visible pneumothorax on the current image. The pre-existing opacities at both lung bases, left more than right, are constant in appearance. Constant position of the monitoring and support devices. Unchanged appearance of the cardiac silhouette.
pneumothorax, pneumonia, evaluation for interval change.
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Pa and lateral views of the chest. The lungs are clear. Cardiomediastinal silhouette is normal. No acute osseous abnormality is identified.
<unk>-year-old female with fevers and chills. increased seizures.
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Heart size is normal. Mediastinal and hilar contours are within normal limits. Lungs are clear. Pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are present.
chest pain and shortness of breath.
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A right mediport is unchanged in configuration from <unk>. There is no evidence of catheter fracture, kinking or migration. The tip terminates in the low svc. The lungs are clear. No pleural effusion, pneumothorax or focal airspace consolidation. Heart is normal size. Mediastinal hilar structures are unremarkable. Clips are again noted in the upper abdomen.
lymphoma with no blood return from mediport. assess placement.
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Compared with the prior radiograph, there is a persistent left pleural effusion with over lying left basilar atelectasis and a newly identified right pleural effusion, evidenced by blunting of the costophrenic angles on the lateral view. There is no focal consolidation concerning for pneumonia or pneumothorax. Unchanged median sternotomy wires, mediastinal clips, and right ij sheath.
<unk> year old man s/p cabg. eval for effusion.
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The lungs are hyperinflated consistent with copd but they are clear. Mediastinal and cardiac contours are normal. There is no pleural effusion or pneumothorax. The patient had prior surgery in the lower cervical spine.
preop.
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Lung volumes are decreased. There are small bilateral pleural effusions, right worse than left. The cardiac silhouette is enlarged when compared to prior examination from <unk> and there are increased markings of the pulmonary vasculature. More focal consolidation of the right lung base could represent a superimposed infection. There is no pneumothorax.
hypoglycemia, altered mental status. evaluate for acute process.
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Ap upright and lateral views of the chest were obtained. Cardiomediastinal silhouette is stable. A dual-chamber pacemaker is unchanged in position. Lung volumes are low. No focal consolidation, pleural effusion, or pneumothorax.
<unk>-year-old man with chest pain.
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The endotracheal tube is in unchanged position as compared to the previous examination from <unk>, <time> p.m. Ecmo device has been inserted over the inferior vena cava. The tip of the device now projects over the superior vena cava, at the level of the azygos vein. Extensive bilateral alveolar opacities with subtle air bronchograms. Left lower lobe atelectasis. Moderate cardiomegaly.
assessment for endotracheal tube.
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As compared to the previous radiograph, there is no relevant change. Mild hiatal hernia. Borderline size of the cardiac silhouette. No focal parenchymal opacity suggesting pneumonia. No pleural effusions. Normal hilar and mediastinal contours.
basilar atelectasis, evaluation for progression.
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There is significant cardiomegaly, with an enlarged left atrium correlating with findings on ct chest from <unk>. There is new mild pulmonary congestion and edema, evidenced by increased bilateral diffuse opacities with faint septal lines. The left biventricular pacemaker leads are unchanged. No rib fractures.
<unk> year old man with pacemaker pod<unk> s/p r inguinal hernia repair. source of r subcostal pain.
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Extremely low lung volumes are seen with secondary crowding of the bronchovascular markings. There is no effusion or focal consolidation. No definite pulmonary edema within limitations above. Right chest wall port is identified. Cardiomediastinal silhouette is prominent but accentuated by technique.
<unk>m with weakness // r/o infiltrate
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Pa and lateral views of the chest provided demonstrate midline sternotomy wires and mediastinal clips. There is cardiomegaly which appears slightly increased in the interval, now mild to moderate in overall size. There is mild pulmonary edema without pleural effusion. No pneumothorax. The mediastinal contour appears stable. Bony structures are intact.
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In comparison with study of <unk>, there is continued enlargement of the cardiac silhouette without definite vascular congestion. This raises the possibility of underlying cardiomyopathy or even pericardial effusion. Basilar opacification bilaterally suggests small pleural effusions and volume loss in the lower lungs. However, in the absence of a lateral view, the possibility of supervening pneumonia would have to be considered in the appropriate clinical setting.
leukocytosis and poor swallowing, to assess for pneumonia.
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The heart is at the upper limits of normal size. The mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. The right sixth rib has a mildly anomalous medial course, possibly post-traumatic but unchanged; otherwise bony structures are unremarkable. There has been no significant change.
chest pain.
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Single ap upright portable view of the chest was obtained. The patient is status post left lower lobectomy and radiation. Left perihilar opacities again seen, which may relate to postoperative and post-radiation changes as seen on the prior ct. There is a left retrocardiac opacity as well as obscuration of the left hemidiaphragm which may relate to volume loss and postoperative changes; however, appears more dense than compared to the scout image from ct from <unk>. Underlying consolidation and small pleural effusions is difficult to exclude. Pa and lateral views may be helpful for further evaluation. The cardiac silhouette appears enlarged. The right lung is clear.
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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 // ? pna
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Moderate pulmonary edema is noted. The cardiac silhouette is enlarged. The mediastinal silhouette and hilar contours are normal. No pleural effusion or pneumothorax is present.
<unk>-year-old female with chronic afib and body pain, question acute pulmonary process.
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The heart is mildly enlarged. Lung volumes are low. There is pulmonary vascular redistribution and hazy alveolar infiltrate. Despite the low lung volumes, the appearance of the lungs is clearly worsened than on the study from the prior day. There is no definite effusion.
<unk> year old woman with autoimmune hepatitis and new onset peripheral edema // c/f pulmonary edema
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Ap portable upright view of the chest. Consolidation in the left lower lobe is concerning for pneumonia. Emphysema is severe. No large effusion or pneumothorax. Cardiomediastinal silhouette is unchanged. No acute bony abnormalities. Cerclage wires project over the mid neck.
<unk>m with upright portable chest, psl eval for pna and also free air of the abd.
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Frontal and lateral views of the chest were obtained. The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No overt pulmonary edema is seen.
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As compared to the previous radiograph, there is now mild-to-moderate pulmonary edema with peribronchial cuffing, parenchymal opacities, a small right pleural effusion and atelectasis at the lung bases. Perihilar hazes are also present. The overall size of the cardiac silhouette is not changed. The alignment of the sternal wires is constant.
cardiogenic shock, evaluation for pulmonary edema.
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As compared to the previous radiograph, patient has been intubated. The tip of the endotracheal tube projects <num> cm above the carina. Course of the nasogastric tube is unremarkable, the tip of the tube is not visualized on the image. The lung volumes have slightly increased, likely reflecting increased ventilatory pressure. The relatively extensive right pleural effusion is constant in extent, there is right basal atelectasis. Mild retrocardiac atelectasis. Borderline size of the cardiac silhouette and mild pulmonary edema is constant.
recent intubation, evaluation.
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Pa and lateral views of the chest provided. Cardiomediastinal and hilar contours are stable. Opacity in the right upper lobe has substantially decreased, leaving residual nodularity which may reflect residual malignancy at the site, but opacification is markedly decreased. Elsewhere the lungs remain clear. There are no pleural effusions.
<unk>f with cancer lung mets generalized weakness, evaluate for pneumonia.
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No focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable given differences in patient position and technique. There may be a mild vascular congestion without overt pulmonary edema.
history: <unk>f with sob // ? pna
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A single portable frontal chest radiograph was obtained. The lungs are well inflated and clear. No effusion, consolidation, or pneumothorax is present. Cardiac and mediastinal contours are normal. Gynecomastia is unchanged.
<unk>-year-old man with respiratory distress.
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Lung volumes are increased with flattening of the bilateral hemidiaphragms compatible with copd. There are fine reticular opacities which correlate to chronic interstitial disease previously demonstrated on chest ct <unk>. Right linear opacity likely represents right basilar atelectasis. There is no pleural effusion, pneumothorax, or focal consolidation. Cardiac silhouette is top-normal in size.
history: <unk>f with bradycardia // eval for acute process
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Moderate cardiomegaly appeasr stable. The thoracic aorta is tortuous with a calcified aortic knob. Mild bibasilar atelectasis without substantial pleural effusion. No overt chf. No lobar consolidation or pneumothorax.
history: <unk>f with weakness // pna?
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Aeration of the lungs has improved in the interim. No focal consolidation, effusion, edema, or pneumothorax. Mild cardiomegaly is unchanged. The descending thoracic aorta slightly tortuous and/or ectatic, unchanged. Aortic knob calcifications are unchanged.
<unk> year old man with a history of cll now with persistent cough. please evaluate for new infiltrate.
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The heart size is normal. The mediastinal and hilar contours are within normal limits. Lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are identified. Scoliosis of the thoracolumbar spine is unchanged.
right chest pain.
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Since <unk>, severe generally bilateral opacities appear progressed and concerning for multifocal pneumonia. Moderate retrocardiac atelectasis persists. A small left pleural effusion is noted. The heart size is stable. The tip of an endotracheal tube is seen <num> cm above the carina. Swan-ganz catheter tip terminates in the main pulmonary artery. A feeding tube is seen in the stomach and continues out of view. No pneumothorax. A lucency surrounding the tip of the swan ganz catheter is concerning for balloon dilation.
<unk> year old man with intubated, hypoxic resp failure // please eval for interval changes
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Endotracheal tube terminates <num> cm above the carina. Nasoenteric tube terminates in the stomach. Right-sided picc line tip is in the region of the lower svc. Multifocal consolidations in the mid and lower lungs, right greater than left, are unchanged. Subcutaneous air within the left chest wall has increased. Of note, small bilateral apical pneumothoraces are now seen, new on the right an larger on the left, since the radiograph from the prior day. Left chest tube is still present.
<unk>m unrestrained driver, t-boned in mvc, intubated at scene with ivh, l frontal contusion, r inferior orbital wall fx, small b/l ptx, lul collapse, posterior liver lac, and non-displaced acute fx of l glenoid, l humeral mid shaft fracture. interval change.
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The cardiomediastinal silhouettes are stable and within normal limits. The thoracic aorta is mildly tortuous. The bilateral hila are within normal limits. The lungs are clear without focal consolidation. There is no pulmonary vascular congestion. There is no pneumothorax or pleural effusion.
<unk>-year-old man with chest pain, evaluate for acute process.
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The lungs are hyperinflated. There is no effusion or pneumothorax. There is mild biapical scarring as well as a density at the left apex. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
history: <unk>m with dypnea and cough since last night. wheezing on exam // ?consolidation
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Lungs are well expanded and clear. There no pleural abnormality. The hilar and mediastinal silhouette are normal and unchanged..
history: <unk>f with chest pain x several hours // mediastinal widening?
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Pa and lateral views of the chest provided. Lung volumes somewhat low though allowing for this, 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 cough
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The cardiac, mediastinal and hilar contours appear stable. There is severe emphysema with unchanged areas of scarring in the right lower lobe. The chest is hyperinflated. The upper part of an aortic stent graft is partly visualized. There is no evidence of superimposed acute process. There has been no significant change.
fever.
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Pa and lateral views of the chest were provided. The lungs are clear bilaterally without focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. The imaged bony structures are intact. In particular, no displaced rib fractures are seen. No free air is seen below the right hemidiaphragm.
<unk>-year-old male with thoracic spine and rib pain after mva.
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Lung volumes are low which leads to bronchovascular crowding. No focal consolidation is identified. The cardiac silhouette is increased with mild vascular congestion. Tiny bilateral pleural effusions are present. Calcifications of the aortic arch is unchanged. The aorta appears tortuous.
body pain, evaluate for acute process.
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Frontal and lateral views of the chest were performed. A right subclavian catheter terminates within the right atrium. There is no pleural effusion, pneumothorax or focal airspace consolidation. Moderate pulmonary vascular congestion has persisted or recurred. Atelectasis is again seen at the left lung base. The cardiac silhouette is moderately enlarged, unchanged from the prior study. The mediastinal contours are normal.
chest pain, evaluate for a cardiopulmonary process.
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A single frontal image of the chest demonstrates a moderate-to-large left pleural effusion unchanged since previous imaging. A right lower lobe opacity is seen which is also unchanged since previous imaging. Pulmonary vessels are better defined and less engorged than on previous imaging, suggesting resolving interstitial edema. Again seen is significant cardiomegaly. A pacer is seen with leads following the expected course to the right atrium and right ventricle. Calcification of the pleura at the right lung base is consistent with asbestos exposure, and given the persistent left pleural effusion without known source, a possible mesothelioma would need to be ruled out.
<unk>-year-old male with left pleural effusion, now requiring followup assessment of the effusion.
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Comparison is made to prior study from <unk>. There is a right-sided central line with distal lead tip in the distal svc. There are small bilateral pleural effusions. There is atelectasis at the lung bases. However, the opacity at the right lung base is more apparent and may be due to developing infiltrate. Continued attention to this area is recommended on subsequent exams. There are no pneumothoraces.
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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. Heart and mediastinal contours are within normal limits. Left minimally displaced <num>th rib fracture and right non-displaced <num>th rib fracture are again noted.
<unk>-year-old male with possible pneumothorax.
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Single frontal view of the chest was provided. As compared with multiple prior exams, the appearance of the chest is stable with vague basilar opacities, likely representing scarring or atelectasis. The possibility of pneumonia is difficult to exclude though given the stability over time, chronic scarring or atelectasis is favored. No large effusion is seen, though the cp angles are partially excluded bilaterally. Heart size is top normal. Mediastinal contour normal. Tracheobronchial tree calcification noted. Clips to the right of the upper trachea in the superior mediastinum are likely from prior thyroid resection. Bony structures are intact.
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As compared to the previous radiograph, the apical pneumothorax is not clearly seen, given overlay of the clavicle and the left lung apex. However, there is a new linear lucency at the left lung bases, likely reflecting a pleural air collection. The pre-existing atelectasis at the left lung base is improved. Unchanged appearance of the right lung.
status post chest tube removal.
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Heart size is normal. Mediastinal and hilar contours are unremarkable. The pulmonary vascularity is normal. Lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are visualized.
flu symptoms.
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It appears that there are two successive radiographs presented for evaluation. The first is acquired at <time> a.m., the second at <time> a.m. An overlying trauma board obscures parts of the patient. The initial radiograph demonstrates a right main stem intubation. On the second radiograph, the et tube has been retracted slightly but continues to reside in the right mainstem. Right-sided ij terminates in appropriate position. Hyperlucent left hemithorax with deep sulcus suggests pneumothorax. Dense right-sided parenchymal opacities are probably a combination of atelectasis and aspiration; pneumonia should be considered as well. There is a right-sided pleural effusion. The heart size is normal. Aortic calcifications are noted. Multiple left-sided rib cage deformities worrisome for fractures are noted.
<unk>-year-old man with intubation. post-arrest.
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Portable ap upright chest radiograph was obtained. Vascular engorgement with <unk> b-lines and fluid in the minor fissure are in keeping with mild to moderate pulmonary edema. Small dependent right pleural effusion is noted. There is no focal consolidation or pneumothorax. Enlarged pulmonary arteries may reflect pulmonary hypertension as a result of left sided failure. The heart is stably enlarged with tortuous and calcified aortic contour.
dyspnea.
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The lungs are clear without consolidation, effusion, or edema. There is no pneumothorax. The cardiomediastinal silhouette is within normal limits. Median sternotomy wires and mediastinal clips are noted. No acute osseous abnormalities.
<unk>f with doe <num> weeks s/p sternotomy // assess for pna, ptx
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The lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal.
<unk> year old woman with several days of productive cough // r/o acute process
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Low lung volumes accentuate the cardiac silhouette and bronchovascular structures, limiting assessment of the patient's cardiovascular status. Streaky peribronchiolar bibasilar opacities are associated with apparent bibasilar bronchial wall thickening. No definite pleural effusion. Icd remains in place, with leads in the right ventricle. Mild elevation of left hemidiaphragm is again demonstrated.
<unk> year old man with history of vf s/p icd // crackles at bases
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Comparison is made to prior radiographs from <unk>. There are low lung volumes with atelectasis at the lung bases. There is likely a small left-sided pleural effusion. There are no pneumothoraces or signs for overt pulmonary edema. Calcifications adjacent to the right humeral head likely represent calcific tendonitis.
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Since chest radiographs dated <unk>, no appreciable changes are identified. Lungs are fully expanded and clear. Heart size is normal. Cardiomediastinal and hilar silhouettes and pleural surfaces are normal. Incidental note is made of pectus excavatum.
<unk> year old woman with generalized myalgias // ?lung mass/lymphadenopathy
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Frontal upright and lateral chest radiographs demonstrate well-expanded lungs. Heart is top normal in size. Cardiomediastinal contours are unremarkable. Linear bibasialr opacities most likely reflect atelectasis. No focal areas of consolidation. There is no pleural effusion and no pneumothorax. A picc is again seen on the right, terminating in the mid svc, similar to prior.
fever, evaluate for pneumonia.
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Frontal and lateral views of the chest were obtained. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
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Pa and lateral chest radiographs. The lungs are clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
fever. evaluate for pneumonia.
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There are large bilateral pleural effusions, bilateral lower lobe alveolar infiltrates, pulmonary vascular redistribution, and ill-defined vasculature consistent with fluid overload. An underlying infectious infiltrate in the lower lobes cannot be excluded. Compared to the prior study, the effusions and lower lobe infiltrates are worse. Pigtail catheter on the left is unchanged. There is a small left pneumothorax.
advanced cervical and ovarian cancer, chest tube placement.
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Pa and lateral views of the chest. The lungs remain clear without consolidation. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
<unk>-year-old male with cough.
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Right picc tip terminates in the low svc, not substantially changed from the previous exam. Left-sided aicd device is again noted with single lead terminating in the region of the right ventricle. Moderate cardiomegaly is re- demonstrated. The mediastinal and hilar contours are similar. There is mild upper zone vascular redistribution without overt pulmonary edema. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
history: <unk>m with concern for picc line movement
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Frontal and lateral views of the chest were obtained. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable. No evidence of free air is seen beneath the diaphragm. Degenerative changes are again seen along the spine.
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Frontal lateral views of the chest demonstrate mild cardiac enlargement. There is upper lobe vascular redistribution suggesting mild to moderate pulmonary edema. The mediastinal and hilar contours are not changed. There is no pleural effusion or pneumothorax.
dyspnea and weight gain, assess for edema.
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Overall, there appears to be significant progression of patient's known widespread intrathoracic metastases compared to the prior chest radiograph from <unk>. Right-sided port-a-cath terminates in the low svc. There is no pneumothorax. The heart size is normal. Extensive hilar lymphadenopathy is consistent with patient's known intrathoracic metastases. The visualized osseous structures are unremarkable.
history of shortness of breath, pneumonia, metastatic hcc. please evaluate.
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Right sided picc has migrated and now terminates at the right chest wall the level of the lateral right fifth rib. Single lead left-sided aicd is stable in position. The cardiac silhouette remains severely enlarged which may be due to cardiomyopathy and/ or pericardial effusion. No pleural effusion or pneumothorax is seen. No focal consolidation is seen. Stable slight prominence of the central pulmonary vasculature without overt pulmonary edema.
history: <unk>m with ? movement of picc line // r/o picc line placement
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The cardiac, mediastinal and hilar contours appear stable. There is no definite pleural effusion or pneumothorax. There is a moderate interstitial abnormality consistent with pulmonary edema. There is asymmetric dense right perihilar opacification. This may be due to pulmonary edema superimposed on prominent background bronchovascular opacities in the area, but developing pneumonia is not excluded at this site. Short-term followup radiographs are suggested.
hypoxia and crackles. known congestive heart failure.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. The aorta is calcified and slightly tortuous. .
history: <unk>f with <num> weeks of cough, now productive of green sputum // please eval for pneumonia
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Chain sutures in the left suprahilar region are compatible with prior left upper lobe resection. The heart size is mildly enlarged. Aortic knob is calcified. Mediastinal contours are unchanged. Lungs are hyperinflated with emphysematous changes again demonstrated. Small bilateral pleural effusions are new. Patchy opacities in the lung bases may reflect atelectasis, but infection is not excluded. Perihilar haziness suggests mild pulmonary edema. There is no pneumothorax. No acute osseous abnormalities demonstrated. Compression fracture of a mid thoracic vertebral body is unchanged.
stage i lung cancer, copd, increased shortness of breath for <num> day.
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Opacity in the left lung base silhouetting the cardiac apex is consistent with infection. No substantial pleural effusion identified on this upright view. No pneumothorax. Heart size and cardiomediastinal contours are normal.
history: <unk>f with sob // pna
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Ap single view of the chest obtained with patient in sitting semi-upright position is analyzed in direct comparison with the next preceding similar study obtained <num> hours earlier during the same day. Position of tracheostomy tube and right internal jugular vein approach central venous line unchanged. The same holds for the left-sided chest tube terminating in the upper portion of the left-sided hemithorax at level of the anterior third rib. Also, the left-sided small pigtail drainage catheter on the left base remains in place. Aeration of both lungs appears unchanged. Again noticed is a small sized separation of the left-sided pleural space in the apical area of the same magnitude as it existed on the portable chest examination <num> hours ago. Thus, as there is no interval change between those two radiographs, this situation is stable without evidence of increasing pneumothorax.
<unk>-year-old female patient with left pneumothorax, status post two chest tubes placement, now chest tube to waterseal, evaluate for interval reaccumulation of pneumothorax.
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There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. No overt pulmonary edema. There is abnormal flattening and cortical deformity of the humeral heads bilaterally, which appears chronic. There are also known compression fractures involving the t<num> and l<num> vertebral bodies.
<unk>-year-old female presenting for preoperative evaluation prior to spine surgery.
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Supine portable chest radiograph through the chest demonstrates interval repositioning of the endotracheal tube which now appears <num> cm above the level of the carina, in appropriate position in this patient whose chin appears down. An enteric tube descends the thorax along the expected course of the esophagus, termination in the stomach in unchanged position when compared to prior radiograph. There has been interval placement of a right sided central line whose tip appears to terminate at the level of the cavoatrial junction. There is no evidence of pneumothorax. The heart appears stably enlarged. The left hemithorax appears better aerated. There is no large pleural effusion. No focal opacity is identified concerning for pneumonia. Persistent mild vascular congestion is present without overt edema. A partially visualized aortic graft is noted.
<unk>f with central line placed for hypotension
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Since the prior radiograph, there has been interval intubation with the endotracheal tube approximately <num> cm from the carina. The orogastric tube terminates in the stomach. There is significant cardiomegaly and calcification of the aortic arch and descending thoracic aorta. Pulmonary vascular congestion and interstitial abnormality, particularly at the right lung base, has progressed since the prior chest radiograph. No strong evidence for pneumonia.
<unk>m with intubated, og tube // eval for ett/ogt placement
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Chest, pa and lateral. The lungs are clear. There are a number of small nodular opacities near the left hilum which are more conspicuous than on prior studies. There are also old rib fractures at the same location. The cardiomediastinal contours are normal. There is no pneumothorax or pleural effusion. Pulmonary vascularity is normal.
shortness of breath and cough.
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Bilateral diffuse centrally-distributed opacities which likely reflect cardiogenic edema are mildly improved compared to the most recent studies. Moderate cardiomegaly is seen and unchanged from previous studies. The right picc line is unchanged in position with tip terminating at the cavoatrial junction. No pleural effusions or pneumothorax are seen. Single lead transvenous pacemaker is seen with the lead terminating in the right ventricle.
<unk> year old man with h/o papillary thyroid cancer and cardiogenic shock. // evaluate for infiltrate, edema, effusion, tubes/lines.
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The heart is markedly enlarged. A convex contour to the left upper cardiac border suggests the likelihood of left atrial appendage enlargement. The aorta is calcified and tortuous, probably also somewhat ectatic but unchanged. Nodular opacities are again present including one projecting over the left upper lobe measuring about <num> mm in diameter and one projecting over the right mid lung of <num> mm in diameter. These are concerning for lung nodules. There is a background interstitial abnormality, but increased, suggesting superimposed pulmonary vascular congestion. The chest is hyperinflated. Fissures are thickened, a new finding. New small pleural effusions are suspected. Several mid thoracic compression deformities appear unchanged.
acute on chronic delirium.
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Portable ap images of the chest. The right picc terminates in the distal svc. An ng tube is seen in the stomach. The lungs are well expanded. Coarse linear opacity is seen in the lung bases, which likely represents atelectasis but could also represent aspiration in the right clinical setting. Lungs otherwise no pleural effusions or pneumothorax is seen. The cardiomediastinal silhouette is enlarged, similar to prior exam.
psych h/o poor mental status at baseline, aspirating, poor historian now with concerns of mis -placed ng tube.
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There is left pectoral pacemaker with <num> leads terminating in the right atrium and right and left ventricles. There is no pneumothorax. Left moderate pleural effusion is slightly increased compared to <unk>. There is persistent left base volume loss.
<unk> year old man s/p rv pacing lead extraction, icd lead and cs lead insertion via l subclavian vein. // evaluate for pneumothorax
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The tip of the right picc line projects over the superior cavoatrial junction. Interval increase in bilateral mid to lower lung zone patchy airspace opacities suggestive of pulmonary edema. The size of the cardiac silhouette demonstrates mild enlargement in comparison to the prior radiograph. Small bilateral layering pleural effusions and retrocardiac and basilar atelectasis. No pneumothorax identified.
<unk> year old woman with worsening desaturations // eval for pulmonary edema
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Compared to the most recent exam, no significant change. Bilateral atelectasis and pleural effusion, right worse than left is seen. There is loculated small amount pleural air at the right base beneath the right lung, likely from pleural restriction. The right lung is not well expanded likely due to thickened pleura. Heart size is difficult to determine due to thickened pleura, though not significantly changed. Bilateral pleural effusion is unchanged. There are <num> chest tubes in the right chest. There is apparent change in the upper chest tube position compared to the prior, with the most proximal port in the intercostal space, previously intrathoracic.
<unk> year old woman with r lung empyema. s/p <num> chest tubes placed <unk> <unk> and empyema with pus. assess for pneumothorax or progression of r lung consolidation.
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The lungs are clear without consolidations or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
confusion and subjective fevers.
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Bibasilar atelectasis has slightly worsened. There is no definite evidence for pleural effusion. The cardiomediastinal silhouette is unremarkable. There is no pneumothorax. A rounded opacity adjacent to the right hemi diaphragm corresponds to a seemingly loculated pleural effusion on ct dated <unk>.
<unk> year old man with etoh cirrhosis with ruq abdominal now with increasing bilirubin // pna vs. pleural effusion.
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Mild cardiomegaly is unchanged. Low lung volumes are seen with vascular crowding and stable bibasilar atelectasis. There has been interval removal of the ett. A small to moderate layering right pleural effusion is seen. No pneumothorax is seen. A right ij catheter is unchanged in position with catheter tip terminating at the mid svc.
<unk> year old woman with alc cirrhosis, decreased breath sounds on right lung and increasing o<num> requirement // evaluation for progression of right pleural effusion
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There is interval removal of left picc line. The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are well expanded and clear of focal consolidation concerning for pneumonia.
<unk>m with hx mantle cell lymphoma on chemotherapy p/w fever to <num> at home // eval for focal consolidation
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Heart size remains moderately enlarged. The mediastinal contour is unchanged. There is mild pulmonary vascular congestion, as seen previously. No focal consolidation, pleural effusion or pneumothorax is present. Electronic devices are seen projecting over the chest bilaterally which obscures assessment of the underlying lung bases. No acute osseous abnormalities seen.
history: <unk>m with hypoglycemia
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Stable support devices. No pneumothorax. No pleural effusion. Shallow inspiration accentuates heart size, central pulmonary vascularity, stable. Normal mediastinum.
<unk> year old man with sudden large hematocrit drop, recent r sc cvl placement while on heparin gtt // hematoma around subclavian line
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with cough, fever, malaise x<num> weeks // ?infectious process
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Lateral view is somewhat limited by motion artifact. The heart size is top normal. The mediastinal and hilar contours are normal. Lung volumes are low, however the lungs are otherwise clear without pleural effusion, focal consolidation, or pneumothorax.
<unk>f with new visual hallucinations, pressured speech, on chronic narcotics. eval for acute process.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. No focal consolidation, pleural effusion, or pneumothorax. Cardiac pacer defibrillator leads are unchanged in their respective positions.
removal sternal hardware chest closure
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Slight prominence of the left hilum is stable compared to the prior study, underlying subtle left perihilar consolidation is difficult to exclude. No new focal consolidation is seen on the right. There is no pleural effusion or pneumothorax. Cardiac and mediastinal silhouettes are stable. <unk>, md <unk>=<unk>
history: <unk>f with afib with rvr // eval for pna
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Right-sided port-a-cath is unchanged since <unk> and ends at the junction of jugular vein and upper svc. The lungs are clear. Mediastinal and cardiac contours are within normal limits. There is no pleural effusion. The patient had a left mastectomy and axillary node dissection for breast cancer.
patient with breast cancer on chemotherapy had port-a-cath in place since <unk> years, confirm the tip placement.
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The heart size is mildly enlarged, stable compared to the exam from <unk>. The hilar and mediastinal contours are normal. No focal consolidations, pleural effusions, or pneumothoraces are seen. The visualized osseous structures are unremarkable.
<unk>-year-old female with cough and fever x<num> days with decreased breath sounds in the right lower lobe who presents for evaluation.
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Following placement of a right pigtail pleural catheter, a right pleural effusion has nearly resolved, with no visible pneumothorax. Cardiomediastinal contours are stable in appearance. Bibasilar atelectasis is present, improved on the right but worse on the left compared to the prior study. Small-to-moderate left pleural effusion is also slightly increased in size.
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Interval placement of endotracheal tube with tip terminating about <num> cm above the carina. Otherwise, no relevant short interval change since the recent study of one day earlier.
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Pa and lateral views of the chest demonstrate diffusely increased bilateral opacities with perihilar predominance, consistent with mild pulmonary edema. There is no focal consolidation or pleural effusion. Heart is top normal in size, and cardiomediastinal contour is unremarkable. Surgical clips are noted in the right upper quadrant of the abdomen. There is no pneumothorax.
<unk>-year-old female with chest pain, evaluate for pneumonia.
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Pa and lateral views of the chest were provided. A right chest wall pacer is seen with leads extending into the region of the right atrium and right ventricle, unchanged. The heart is top normal in size. No focal consolidation to suggest pneumonia. No overt signs of pulmonary edema. No effusion or pneumothorax is seen. Mediastinal contour appears stable. Bony structures are intact.
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Ap upright 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. Nipple jewelry present bilaterally.
<unk>f with persistent fevers. // assess for pneumonia