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The heart size is normal. Mediastinal and hilar contours are unremarkable. A moderate to large right pleural effusion is noted with right basilar patchy opacity likely reflective of compressive atelectasis. Minimal left basilar atelectasis is also noted. There is crowding of the bronchovascular structures, with possible mild pulmonary vascular congestion. No pneumothorax is seen. There are no acute osseous abnormalities.
chills, liver cancer.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. Mediastinal and hilar contours are unremarkable.
history: <unk>f with pre-op // pre-op
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As compared to the previous radiograph, the nasogastric tube has been minimally advanced. The tip now projects over the middle parts of the stomach. No complications, notably no pneumothorax. Otherwise, the radiograph is unchanged.
intubation, evaluation for nasogastric tube placement.
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In comparison with the study of <unk>, there is some decrease in the opacification at the bases. This could reflect some improvement in the pneumonia that has been a supervening factor in a patient with diffuse severe bilateral bronchiectatic changes in the lower lung zones. Hyperexpansion of the lungs is again consistent with chronic pulmonary disease. Central catheter extends to the lower portion of the svc.
severe bronchiectasis, on antibiotics.
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The cardiac silhouette is mildly, stably enlarged. Again noted is a left-sided dual lead pacemaker with intact leads terminating in the right atrium and right ventricle, unchanged in position since prior examination. The lungs are clear. No pleural effusion or pneumothorax is identified.
<unk> year old woman with pacemaker with non capturing and sensing atrial lead.check lead placement // <unk> year old woman with pacemaker with non capturing and non sensing atrial lead. check lead placement
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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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The lungs are clear. There is no pneumothorax. The cardiac silhouette and mediastinal contours are within normal limits for technique. There are no concerning bone findings.
pna
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In comparison with the earlier study of this date, upright views show no evidence of free intraperitoneal gas or diaphragmatic rupture. No acute pneumonia or vascular congestion. No pneumothorax.
stabbed, to assess for free air or diaphragmatic rupture.
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The cardiomediastinal and hilar contours are within normal limits. The lung fields are clear. There is no pneumothorax, fracture or dislocation. Limited assessment of the abdomen is unremarkable.
history: <unk>f with dyspnea x<num> days, crackles lung bases // eval for acute process
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The heart size is enlarged. Nodular and hazy opacities persist throughout the lungs in this patient with known pulmonary metastases. Prominence of the pulmonary vasculature is present in the upper portions of the lung. The overall appearance of the lungs is worsened compared to the most recent prior exam. Indistinctness of the costophrenic angles also suggests pleural effusion. No pneumothorax is present.
<unk>-year-old female with metastatic rcc and worsening lethargy.
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There is a vague right infrahilar opacity adjacent to the right heart border; otherwise, the lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. Calcifications are noted at the aortic arch. Surgical clips are noted in the right upper quadrant. No acute fractures are identified.
shortness of breath.
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In comparison to <unk>, cardiac enlargement has slightly decreased in extent. Pulmonary vascular engorgement persists, but widespread ground-glass opacities have substantially improved, and apparent pleural effusions have resolved. Residual severe diffuse interstitial pulmonary fibrosis remains and has been more fully characterized on recent chest cta <unk>.
<unk> year old woman with interval desats, thanks // eval for infiltrate
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The cardiomediastinal and hilar contours are stable. There is no pleural effusion or pneumothorax. The pulmonary vasculature remains very mildly engorged. There is new plate-like atelectasis at the right base. There is no focal consolidation concerning for pneumonia.
aggressive post-operative hydration.
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Moderate cardiomegaly is unchanged. The mediastinal and hilar contours are stable. There is slight worsening of right basilar opacity. Previous vascular congestion is improved. There is no large pleural effusion or pneumothorax.
<unk> year old woman with likely aspiration event, hr to the <num>s // eval for aspiration
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There is minimal blunting of the left costophrenic angle seen on the frontal view, not substantiated on the lateral view, which may be due to minor atelectasis. No definite focal consolidation is seen. There is no large pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable. No overt pulmonary edema is seen. The distal aspect of the right clavicle is not included on the image. The imaged portion of the clavicle appears intact without cortical destruction. However, if there is high clinical concern for clavicular involvement, particularly of the distal right clavicle, recommend dedicated views of the right clavicle.
lower to abscess over right clavicle.
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The lungs are grossly clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>m with nonverbal, ftt // acute process?
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Frontal and lateral chest radiographs demonstrate unremarkable mediastinal contours. There is stable mild cardiomegaly. There is prominence of the central pulmonary vasculature suggesting mild background pulmonary edema. Increased opacification in the right lower lung evident on both the frontal and lateral radiographs suggests pneumonia. No pleural effusion or pneumothorax evident.
fall with left knee pain and hypoxia. evaluate for acute process.
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The lungs are well-expanded and grossly clear. There is no pleural effusion, pneumothorax, or focal consolidation worrisome for pneumonia. The cardiomediastinal silhouette is unremarkable. A right chest wall port-a-cath terminates at the cavoatrial junction. An air-filled colon is noted under the right hemidiaphragm.
history: <unk>m with history of gbm, here for fever
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The lungs are clear. Cardiac contour is top normal and unchanged. There is no pleural effusion or pneumothorax. Deviation of the trachea towards the right has increased since <unk> and is explained by thyroid nodules already investigated by sonogram.
patient with shortness of breath, dyspnea on exertion chronically.
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There is a new pigtail catheter projecting over the left lower hemithorax with marked reduction in a pleural effusion, which is now small. There is a new small pneumothorax following insertion of the catheter. Reduction and pleural effusion reveals a similar cavitary lesion at the left lung apex to the earlier study. The right lung remains clear. The cardiac, mediastinal and hilar contours appear probably unchanged. The bones appear demineralized.
empyema status post pigtail catheter placement.
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Patient is status post median sternotomy. Heart size is mildly enlarged. Mediastinal and hilar contours are unremarkable. The pulmonary vasculature is not engorged. Streaky left basilar opacity likely reflects left lower lobe atelectasis. Right lung is clear. No pleural effusion or pneumothorax is seen. Cervical spinal fusion hardware is re- demonstrated, partially imaged.
history: <unk>f with chest pain, fever
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Aorta is calcified and tortuous. No overt pulmonary edema is seen.
<unk>-year-old female with chest pain, now resolved.
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Portable semi-upright ap radiograph of the chest. There is a small right pleural effusion and chronic scarring in the right infrahilar region. The left lung appears clear. The cardiomediastinal silhouette and hilar contours are stable. There is no pneumothorax. No new focal airspace opacity to suggest pneumonia.
<unk>-year-old male with respiration difficulty. evaluate for pneumonia.
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Heart size is normal. Cardiomediastinal silhouette and hilar contours are unremarkable. There is trace bibasilar atelectasis. Lungs are otherwise clear. Pleural surfaces are clear without effusion or pneumothorax.
shortness of breath.
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Small volume free peritoneal air, consistent with abdominal surgical procedure from <unk>. Shallow inspiration accentuates heart size. There is no pulmonary edema or venous congestion. Small right basilar opacity, likely atelectasis, consider pneumonitis in the appropriate clinical setting there are degenerative changes left shoulder.
<unk> year old man with sudden-onset sob, tachycardia // r/o pna vs pulmonary edema
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There is increased opacity at the bilateral lung bases which could reflect aspiration or infection. Stable heart size and thoracic aortic tortuosity. Right paratracheal soft tissues likely represent vascular structures in someone of this age. No large pleural effusion or pneumothorax. Background hyperinflation is compatible with copd.
history: <unk>m with fever // infiltrate?
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A right picc ends in the mid superior vena cava. The lungs are clear without focal opacity, pleural effusion or pneumothorax. Mediastinal surgical clips and stents are noted. There are aortic knob calcifications. The heart size is top normal. Prominence of the right hila is stable.
<unk> year old man with osteomyelitis and picc placement.
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Frontal and lateral views of the chest were obtained. There is mild bibasilar atelectasis. No discrete focal consolidation is seen. There is no pleural effusion or pneumothorax. The aorta is tortuous. The cardiac silhouette is within normal size. Chronic old rib deformities along the left lateral chest are again seen.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with ms flare // r/o pna
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Pa and lateral views of the chest. There has been interval resolution of the previously identified left upper lobe opacity. There is no new region of consolidation or effusion. The cardiomediastinal silhouette is normal. No acute osseous abnormalities detected.
<unk>-year-old female with nausea, chills and sweats. history of gpa on steroids.
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The cardiac, mediastinal and hilar contours are normal. Scarring within the lung apices is redemonstrated. The lungs are otherwise clear without focal consolidation. No pleural effusion or pneumothorax is seen. The pulmonary vascularity is normal. There are no acute osseous abnormalities.
chest pain, fever.
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Pa and lateral chest radiographs demonstrate clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion, evidence of pulmonary edema, or pneumothorax. There is no air under the right hemidiaphragm.
<unk>f with seizure, right shoulder pain // eval for fracture s/p fall
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Cardiac, mediastinal and hilar contours are normal. The pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is detected. No acute osseous abnormality is seen.
history: <unk>m with fever
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Chest, portable. There are heterogeneous opacities, particularly in the right upper lobe and right middle lobe suggestive of airspace consolidation, on a background of mild pulmonary edema. The heart size is minimally enlarged. There is a left picc terminating in the low svc. There is no pneumothorax or pleural effusion.
<unk>-year-old man with hypoxia and fever.
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There is vascular engorgement and bibasilar septal lines. There is no pleural effusion or pneumothorax. There is a biventricular pacemaker. Significant cardiac contour enlargement is unchanged.
patient with chf, interval change. assess for pulmonary edema.
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Ap portable upright view of the chest. Right ij access central venous catheter is again noted with its tip in the low svc region. Minimal linear density at the left lung base is most compatible with atelectasis. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact.
<unk>f with neutropenic fever // pna?
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The patient is status post extubation. Bilateral lungs are remarkable for prominent vascular markings. Heart size is normal. Mediastinal and hilar contours are slightly prominent. Pleural effusion if any is minimal on the left side. Comparison for changed or new appearance of left effusion could not be made with the previous radiograph because of the external devices obscuring the left lower lung and the costophrenic angle region.
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Compared with the most recent prior study, the previously seen right upper zone pneumothorax has decreased considerably. Doubt but cannot entirely exclude a tiny residual apical pneumothorax. Again seen is the right-sided pigtail catheter -- on the current exam, it liesslightly higher and against the inner surface of the mid/lower right chest wall. Previously seen atelectasis at the right lung base has improved, though there is new irregular opacity in the right mid zone. Left line remains grossly clear except for known pulmonary nodules. No pleural effusion detected.
<unk> year old woman with ptx. pigtail placement // interval change
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Right-sided chest tube appears unchanged in position. Subcutaneous emphysema near its entry site persists but has decreased substantially. There is a very small pneumothorax on the right. The distance between the outer pleural edge and inner chest wall is at most a <num> mm. On the earlier radiographs from the same day, the pneumothorax was not as well seen; it is probably similar to slightly increased. Streaky opacities retrocardiac opacities indicate minor unchanged atelectasis at the left lung base. There is no definite pleural effusion. Embolization coils project over the right upper quadrant of the abdomen.
follow-up of pneumothorax and chest tube.
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Cardiomediastinal contours are stable in appearance. Persistent calcifications in right superior mediastinum correlate with vascular calcifications on recent chest cta. Worsening opacity in left retrocardiac area could reflect either atelectasis or developing infectious pneumonia. Minor atelectasis is present in the right upper lobe with associated slight elevation of the minor fissure. Small bilateral pleural effusions are present, left greater than right.
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Cardiomediastinal silhouette and hilar contours are normal. Lungs are clear. There is no pleural effusion or pneumothorax. There are no diaphragmatic lesions or subdiaphragmatic free air.
hiccups for four days.
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Comparison is made to prior study from <unk>. The heart size is within normal limits. There is no focal consolidation, pleural effusions or signs for overt pulmonary edema. The questionable opacity at the left base from the prior study is not well seen on today's study.
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The patient is status post median sternotomy and cabg. Heart size is normal. The aortic knob is calcified. The mediastinal and hilar contours are unchanged and within normal limits. Low lung volumes are present. The pulmonary vascularity is not engorged. Cluster of nodular opacities in the right upper lobe are unchanged. No focal consolidation, pleural effusion or pneumothorax is present. A nasogastric tube is noted with tip in the stomach. Tips catheter is seen within the right upper quadrant the abdomen.
lethargy.
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Portable ap upright chest radiograph is obtained. Lung volumes are low, though the imaged portion of the lungs appears clear. The heart size cannot be assessed. No large effusion or definite signs of pneumothorax. Mediastinal contour appears unremarkable. Bony structures are intact.
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In comparison with study of <unk>, the patient has taken a better inspiration. Cardiac silhouette is within normal limits and there is no evidence of vascular congestion or pleural effusion. Minimal streak of atelectasis at the left base, but no evidence of acute focal pneumonia.
copd with focal findings at the right base.
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As compared to the previous radiograph, the picc line has been re-positioned. The tip of the line now points downward and is projecting over the upper-to-mid svc. There is no evidence of complications. No other changes.
picc line placement.
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Linear opacities in right upper lobe are chronic since <unk>, probably containing also small bronchiectasis is. There is no new lung consolidation. There is no pleural effusion or pneumothorax. Mild cardiomegaly is unchanged.
patient with cough since a week, history of pneumonia.
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The lungs are clear, the cardiomediastinal silhouette and hila are normal. There is no pleural effusion and no pneumothorax.
<unk>-year-old with chest pain.
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As compared to the previous radiograph, the signs indicative of pulmonary edema have decreased in extent and severity. However, signs of mild-to-moderate pulmonary edema are still present. The extent of the bilateral pleural effusions is unchanged. Moderate cardiomegaly without parenchymal opacities suggesting pneumonia, but areas of bibasal atelectasis are still clearly visible.
flash pulmonary edema, evaluation for interval change.
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Patient has undergone right-sided thoracentesis now with small right-sided pleural effusion and small left pleural effusion with adjacent compressive atelectasis. Increased density along the right lung may represent expansion edema. There is no pneumothorax. Heart size is difficult to assess. Calcifications are seen in the aortic knob.
<unk>f with pmhx of dm, htn, hld, h/o breast cancer, dysphagia of unclear etiology despite gi workup, recent pleural effusion with atypical cells although no definitive dx who presents with dyspnea for one week. // is there any evidence of pneumothorax after thoracentesis?
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Portable ap upright radiograph of the chest was obtained. The lungs are well expanded and clear. Left picc terminates in the cavoatrial junction. There is no focal consolidation, pleural effusion, or pneumothorax. The heart is normal in size with normal cardiomediastinal contours.
<unk>-year-old woman with fever, assess for pneumonia.
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Ap upright and lateral views of the chest provided. Lungs are hyperinflated. There is no focal consolidation, large effusion or pneumothorax. The heart size is normal. Aorta is slightly unfolded. Bony structures are intact.
<unk>f with presyncopal sxs, uneasiness since this am
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No focal consolidation is seen. There may be very subtle minimal interstitial edema. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. No definite displaced fracture is identified.
history: <unk>f with chest pain after fall // acute rpcoess?
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Pa and lateral views of the chest are compared to previous exam from <unk>. The lungs are clear. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unchanged, noting degenerative changes that associated with the right acromioclavicular joint. There is no free intraperitoneal air. Prominent loops of small bowel seen in the upper abdomen.
<unk>-year-old male with abdominal pain and rebound tenderness to palpation.
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Cardiomediastinal silhouette and hilar contours are normal. Lungs are clear. There is no pleural effusion or pneumothorax.
esrd, for prerenal transplant evaluation.
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In comparison with the study of <unk>, there are continued low lung volumes that most likely account for the prominence of the transverse diameter of the heart. Mild indistinctness of pulmonary vessels is consistent with possible slight elevation of pulmonary venous pressure. Minimal atelectatic changes. The prominence in the right paratracheal region is less pronounced than on the prior study. Tracheostomy tube is in place without evidence of complication and with its tip approximately <num> cm above the carina.
tracheostomy.
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Frontal and lateral views of the chest. Since prior lines and tubes have been removed. The lungs are now clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
<unk>-year-old male status post meningioma resection on <unk> presenting with chills and rigors.
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The patient has been intubated. The endotracheal tube terminates <num> cm above the carina. An orogastric tube terminates in the stomach. The heart is probably at the upper limits of normal size, perhaps with a left ventricular configuration. The mediastinal and hilar contours appear within normal limits. The lung apices, particularly on the left, are partly excluded, but visualized lung fields appear clear. There is no pleural effusion or pneumothorax.
status post endotracheal intubation.
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A tracheostomy tube is in stable position. An ivc filter is partially imaged in the upper abdomen. The lungs are well expanded without focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The heart remains top normal in size and the mediastinal contours are within normal limits with slight unfolding of the thoracic aorta. No acute osseous abnormality is detected.
<unk>-year-old male with recent occipital avm, here for jaundice and recent fever, here to evaluate for pneumonia.
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Moderate cardiomegaly is stable. Vascular congestion has improved. Linear atelectasis in the left lower lobe is unchanged. Small left effusion is unchanged. There is no pneumothorax.
<unk> year old woman with somnolence // evaluate for signs of infection
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Heart. Size is within normal limits. Stable cardiomediastinal silhouette from <unk>. No pneumothorax. Lung fields are clear.
history: <unk>f with hx. of diastolic chf, mr, and asthma presenting with sob and cough // evaluate for pulmonary edema/pneumonia
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Moderate pulmonary vascular congestion and mild to moderate associated interstitial pulmonary edema has increased compared with the prior study. Moderate cardiomegaly appears grossly unchanged. There may be a small right pleural effusion. There is no pneumothorax or focal consolidation.
<unk>m with chf and gi bleed, please evaluate for edema.
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Ap upright and lateral views of the chest provided. Lung volumes are low. Overall, there has been no significant change from the recent prior exam. Atelectasis in the left lower lobe is similar in overall extent with known left lower lobe mass better assessed on prior ct. There is mild right basal atelectasis. No large effusions or pneumothorax. Cardiomediastinal silhouette appears grossly unchanged. No acute bony abnormalities. No free air below the right hemidiaphragm.
<unk>f with lung cancer with sob // eval pna, pleural effusion
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Unchanged left picc. Aeration of the right lung is essentially unchanged. Right lower lobe consolidation which may represent pneumonia, aspiration, or atelectasis, is unchanged. Cardiomediastinal contours are stable.
<unk> year old man copd s/p pna and extubation // improvement
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Pa and lateral views the chest provided. There is a peripheral right mid lung opacity corresponding with abnormality on prior ct chest. This lesion may represent scarring though an outpatient chest ct may be performed to further evaluate. Emphysema is noted with no focal consolidation, large effusion or pneumothorax. Cardiomediastinal silhouette appears normal. Bony structures are intact.
<unk>m with dyspnea // r/o chf
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As compared to the previous radiograph, the patient has received a nasogastric tube. Course of the tube is unremarkable, the tip of the tube projects over the middle parts of the stomach. The tube is coiled in the stomach. No evidence of complications, notably no pneumothorax. Otherwise unchanged image.
nasogastric tube placement. evaluation.
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Single supine ap portable view of the chest was obtained. There is slight prominence of the hila which could be due to fluid overload or may be accentuated by supine position and ap technique. No large pleural effusion is seen, although trace pleural effusions would be difficult to exclude. The cardiac silhouette is likely accentuated by technique. Mediastinal contours are unremarkable. No definite focal consolidation. No evidence of pneumothorax. There are non-displaced fractures of the lateral left seventh and eighth ribs of indeterminate age, but may be subacute or old.
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Pa and lateral views of the chest provided. Left chest wall pacer device is again seen with leads extending into the region of the right atrium and right ventricle. Cardiomediastinal silhouette is stable. New blunting at the left cp angle on the frontal view only could reflect a small effusion though no corresponding finding on the lateral view. No radiopaque foreign body is seen. No evidence of pneumomediastinum. No pneumothorax. Right lung is clear. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>m with chest pain and difficulty swallowing after eating // foreign body
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Frontal and lateral chest radiographs were obtained. The lungs are fully expanded and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax.
patient with testicular cancer, rule out lung metastases.
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Loculated right hydro pneumothorax, with right basilar pneumothorax component slightly increased. Small volume right chest wall emphysema. Single right chest tube. Left lung clear. Stable right basilar consolidation.
<unk> year old man with left empyema, ct. worsened sob and hypoxia // ? pna, aspiration. change in effusion volume
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Frontal and lateral views of the chest. The lungs are clear of focal consolidation, effusion, or pulmonary vascular congestion. Cardiomediastinal silhouette is unchanged. Mitral valve replacement and median sternotomy wires are again seen. No acute osseous abnormality is identified.
<unk>-year-old female with chest pain.
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A picc line, inserted via a right-sided approach, terminates at the cavoatrial junction. The cardiac, mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. The lungs appear clear.
picc line placement.
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As compared to the previous radiograph, the monitoring and support devices are unchanged, except for the dobbhoff catheter has been slightly pulled back. On the right, the pre-existing pleural effusion is unchanged. On the left, slightly more vascular and interstitial structures are seen, potentially caused by mild fluid overload. This would be supported by the subtle increase in size of the cardiac silhouette. No other changes. No pneumothorax.
status post cabg, evaluation for pleural effusions.
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The lungs are clear. There is no pneumonia. The mediastinal contour is normal. The cardiac size is top normal. There is no pleural effusion and no pneumothorax.
pneumonia. history of smoking. cough for week. comparison : <unk>.
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Frontal and lateral chest radiographs again demonstrate a left chest wall pacer device with a single lead overlying the right ventricle. Heart size remains mildly enlarged. There is no focal consolidation, pleural effusion, or pneumothorax. Subsegmental atelectasis is noted. No displaced fracture is visualized.
history: <unk>f s/p fall forwards head strike baseline non-verbal // ?bleed, fx
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Lungs are well-expanded and clear. Thickening of the tracheal wall is better seen on recent ct of the neck. The heart appears mildly enlarged with mild prominence of the bilateral hila consistent with mild congestive heart failure. No pneumothorax, pleural effusion, or consolidation.
history: <unk>m with cough/sputum // eval pna
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Feeding tube tip well below diaphragm, not included on the radiograph. There is elevated right hemidiaphragm, stable. Cardiac pacemaker in place with lead tips in the ra, rv. Surgical clips right axilla. Minimal bibasilar atelectasis. Tortuous thoracic aorta. Mild thoracolumbar curve. Suggestion of small right pleural effusion. Surgical clips right upper quadrant.
<unk> year old woman with ng tube // ?ng tube placement
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An upper mediastinal mass corresponds to a known thyroid goiter. The mediastinal and hilar contours appear unchanged. The heart is normal in size. There are no pleural effusions or pneumothorax. Opacities in the lower lungs clear with better inspiration on a second view, most consistent with dependent changes and atelectasis.
confusion and hypotension.
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Heart is upper limits of normal in size and without change. Mediastinal and hilar contours are normal. Lungs are grossly clear except for minimal linear scarring in the mid lung region on the lateral view. No pleural effusion. Bones are demineralized, and note is made of scoliosis.
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Endotracheal tube tip is approximately <num> cm from the carina. Enteric tube seen within the stomach with tip pointed towards the fundus. Lung volumes are low. Cardiac silhouette is mildly enlarged even giving technique. Opacity at the right lung base may be due to atelectasis although aspiration or infection are also possible. No acute osseous abnormalities identified.
<unk>m with intubated // eval for ett
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Pa and lateral views of the chest were provided demonstrating no focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm is seen.
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Both lungs are well expanded without any opacities concerning for pneumonia. There is no pleural abnormality. Heart size, mediastinal and hilar contours are normal. Thoracic aorta is remarkable mild tortuous course; however, no evidence of focal aneurysmal dilatation. Multilevel degenerative changes and wedge compression of two lower thoracic vertebrae are seen.
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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 l sided chest pain // eval for pneumo
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A picc line terminates in the left brachiocephalic vein. The lung volumes are low. The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. Posterior basilar opacity in the left lower lobe could be seen with atelectasis or possibly aspiration. A left mid lung opacity has resolved.
multiple sclerosis and aspiration risk.
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There is no focal consolidation, pleural effusion or pneumothorax. Linear-appearing opacity in the left mid lung zone corresponds to mass seen on ct. The cardiomediastinal silhouette is normal. Bony structures are unremarkable. <num>
<unk>-year-old woman with left lung mass status post bronchoscopy and biopsy, rule out pneumothorax.
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T-shaped tracheostomy tube appears in unchanged position. Heart size remains mildly enlarged. Mediastinal and hilar contours are unremarkable. There is mild cephalization of pulmonary vascular markings without overt pulmonary edema. No focal consolidation, pleural effusion or pneumothorax is identified. Linear opacities in the lung bases likely reflect areas of atelectasis. No acute osseous abnormalities seen. Small amount of subcutaneous emphysema in the supraclavicular regions is seen bilaterally.
history: <unk>f with shortness of breath
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In comparison with the study of <unk>, there is again enlargement of the cardiac silhouette with some elevation of pulmonary venous pressure. Prominence of the right pulmonary artery raises the possibility of pulmonary artery hypertension. Mild blunting of the left costophrenic angle with poor definition of the hemidiaphragm is consistent with small pleural effusion and atelectasis involving the left lower lobe.
worsening shortness of breath.
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The lungs are clear without focal consolidation, effusion, or edema. Eventration of the right hemidiaphragm is again noted. The cardiomediastinal silhouette is stable. Tortuosity of the descending thoracic aorta is again noted. Chronic degenerative changes seen at the shoulders bilaterally. Partially visualized lumbar fixation hardware is noted. Compression deformity of an upper lumbar level is also grossly unchanged.
<unk> y/o f with chronic bronchitis/copd p/w bronchitis exacerbatin // r/o pneumonia
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Streaky bibasilar opacities likely represent atelectasis. Aside from this the lungs are clear. Heart size is normal. Mediastinal contour is remarkable for a tortuous descending thoracic aorta. No pleural effusion or pneumothorax. Osseous structures are intact.
<unk>m with subdural hematoma, ?trauma // eval for acute process
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Compared to the prior study and allowing for technical differences, i doubt significant interval change. Minimal patchy opacity at the left base may be slightly worse. Clips are again noted over the upper left lung and left hilar region. Again seen is relative lucency at the left lung apex, though no well demarcated pneumothorax is identified. Given that this is an upright film, this is therefore less likely to represent a pneumothorax. Again seen is right-sided chest tube. No right-sided pneumothorax is identified. Background opacities in both lungs are similar to the are otherwise similar to the prior film.
<unk> year old man s/p right vats wedge w/ continued air leak. // eval ptx/interval change. ***please perform at <unk>***
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Cardiac, mediastinal and hilar contours are normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
chest pain.
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An endotracheal tube is seen <num> cm above the level of the carina. An enteric feeding tube is seen coursing midline with tip out of field of view and side ports below the level of the diaphragm. Diffuse heterogeneous opacities are seen throughout both lungs. No pneumothorax. Heart size, mediastinal contour, and hila are unremarkable.
<unk>m with intubated transfer*** warning *** multiple patients with same last name! <unk> ett
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In comparison with the study of <unk>, there is little interval change and no definite evidence of pneumonia. The study is somewhat technically limited because the patient was continually moving during the procedure.
subdural hematoma, to assess for pneumonia.
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As compared to the previous radiograph, the patient has developed mild pulmonary edema, as manifested by perihilar haze, bilateral increase in interstitial structures and mild enlargement of the diameter of the perihilar vessels. The size of the cardiac silhouette continues to be increased. Unchanged course of the left picc line, no pleural effusions. Persistent well defined transparencies of the bones (consistent with the clinical history of multiple myeloma).
worsening dyspnea, assessment for volume overload.
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As compared to the previous radiograph, the right lower lobe atelectasis and the right pleural effusion are constant in appearance. There is unchanged mild cardiomegaly. New is an area of parenchymal opacities with air bronchograms in the retrocardiac lung position. No pneumothorax is seen. No left pleural effusion. No pulmonary edema.
lung mass, status post bronchoscopy.
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There is increased density of the consolidation in the lingula following biopsy of a partially calcified mass. There is mild blunting of the left costophrenic angle, compatible with a possible small effusion. There is no pneumothorax. Right lung is grossly clear. The cardiomediastinal silhouette is stable.
history: <unk>m with recent biopsy of calcific growth, now w hemoptysis; <unk> <unk> p<unk>// eval for consolidation
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Lung volumes are low, accentuating the cardiac silhouette and pulmonary vasculature. Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax. A right internal jugular approach central venous catheter terminates at the cavoatrial junction.
right internal jugular central line placement.
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There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits.
history: <unk>m with fever, tachy // eval for pna
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Cardiomediastinal silhouette is stable. Lungs are clear. There is no focal consolidation, pleural effusion, or pneumothorax.
<unk> year old man with recent hospitalization for pneumonia. // assess for resolution of pneumonia
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Comparison is made to previous study from <unk>. There is again seen a left retrocardiac opacity and left-sided pleural effusion, which is stable. There is no overt pulmonary edema. No pneumothoraces are seen. The right lung is clear.