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Bilateral moderate pleural effusions are overall unchanged from the prior exam. Lung volumes are low, overall unchanged. Bilateral nodular opacities are compatible with known metastases. Compared to <unk>, increased opacification bilaterally and most visible the lateral view is noted and could represent focal consolidations with pneumonia and/or metastases. Visualized mediastinal silhouette is also unchanged. The left picc line has since been removed, and a right port-a-cath since been placed with its tip ending in the right atrium. No pneumothorax. Biliary stent projecting over the right upper quadrant appears unchanged in position. Nonspecific bowel gas pattern.
<unk>-year-old man with question of neutropenic fever and dyspnea; evaluate for pneumonia.
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In comparison with study of <unk>, there is little change in the appearance of the triple-lead device, extending to the right atrium, apex of the right ventricle, and distribution of the coronary sinus. No evidence of pneumothorax. Little change in the appearance of the heart and lungs.
icd lead placement.
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The lungs are hyperinflated but clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
<unk>f w/lactate of <num>, uncomfortable, diaphoretic please eval for pna // <unk>f w/lactate of <num>, uncomfortable, diaphoretic please eval for pna
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There is been some interval partial clearing of the right lower lobe infiltrate. However there is hazy opacity in both lower lungs. There is also pulmonary vascular redistribution a mildly enlarged heart. The right-sided picc line a trace tracheostomy are unchanged.
<unk> year old woman with persistent seizures and new pneumonia and mild hypoxia // please eval for interval change
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Pa and lateral views of the chest were provided. A calcified nodular structure in the right mid lung is stable and likely represents a calcified granuloma. There is mild diffuse increase in reticular interstitial markings which could reflect the presence of interstitial edema. There is no lobar consolidation. No effusion or pneumothorax. Cardiomediastinal silhouette is stable. The bony structures are intact.
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Left-sided central infusion port ends in the low svc. Post operative right pleural thickening is stable after right thoracotomy and middle rib the lungs are clear. Prior cervical fusion device is not fully evaluated by this study. Heart size top normal.
history of recent thoracic surgery with chest pain.
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The cardiomediastinal and hilar contours are within normal limits. There are small bilateral pleural effusions. The lungs are otherwise clear with no focal consolidations or pneumothorax. A left subclavian central venous catheter line terminates in the mid svc, unchanged in position from prior examination. Right clavicular fracture is unchanged.
<unk>-year-old male patient with aml and sweet's syndrome with increased o<num> sats. study requested to rule out pneumonia.
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As before, there is complete whiteout of the right lung field with shift to the hilar and mediastinal structures put the right. The left lung is clear, the visualized heart border is unremarkable, and there is no left-sided pleural effusion pneumothorax.
<unk> year old man with lung ca and post obstructive pna. lung mass followup.
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As compared to the previous radiograph, there is no relevant change. The zone of pleural thickening at the lateral aspect of the left hemithorax is unchanged. No interval appearance of pneumonia, pulmonary edema or pleural effusions. Constant size of the cardiac silhouette.
seizure disorder, evaluation for pneumonia.
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Frontal and lateral radiographs of the chest demonstrate stable top normal heart size. Tortuosity of the thoracic aorta is unchanged. Abnormal contour of the mediastinum with fullness of the right tracheobronchial angle is stable from <unk>. Mild pulmonary edema is unchanged. No pleural effusion or pneumothorax. No focal consolidation.
mmps, chf, weight gain and chest pain. evaluate for fluid overload, pneumonia or acute changes.
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Pa and lateral chest radiographs demonstrate clear lungs. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
chest pain.
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In comparison with the earlier study of this date, there has been some improvement in aeration, though there is still bilateral large pleural effusions with compressive atelectasis at the bases. Monitoring and support devices remain unchanged.
chf.
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The cardiomediastinal and hilar contours are within normal limits. The heart is normal in size. The patient is slightly rotated. There is no focal consolidation, pneumothorax or pleural effusion identified. No radiopaque foreign bodies are identified along the aerodigestive tract. Cervical spinal fixation hardware is noted and is stable from the prior examination.
<unk>m with suspected ingested foreign body // ?chicken bone foreign body
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Ng tube tip is in the antrum of the stomach. Et tube tip is approximately <num> cm above the carina. Allowing for changes in patient position, the moderate cardiomegaly, extensive right pleural and parenchymal changes, and pulmonary edema in the left lung are not significantly changed.
<unk> year old man with ngt, intubated // ngt placement
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Streaky linear opacities in the left lung base as well as the right hemithorax are linear atelectasis. No focal consolidations are present that are concerning for pneumonia. The heart size is top normal in size, unchanged. The aorta has a tortuous course, unchanged. There is no pneumothorax or pulmonary edema or pleural effusion.
right upper quadrant pain.
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The heart is at the upper limits of normal size. The mediastinal and hilar contours appear within normal limits. There is no definite pleural effusion or pneumothorax. There is a widespread but mild interstitial prominence, including cuffed airways bilaterally. No focal consolidation. Bony structures are unremarkable.
shortness of breath.
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Cardiac size is top-normal. The mediastinum appears widening. The right hilum is persistently enlarged. . The lungs are clear. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable
<unk> year old man with hiv with fevers and rash and enlarged hilum on ap cxr. // please evaluate hilum.
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Single supine ap portable view of the chest was obtained. Endotracheal tube is seen, terminating approximately <num> cm above the level of the carina. Nasogastric tube is seen coursing below the level of the diaphragm, and inferior aspect not well seen. There is moderate pulmonary edema. Left base opacity is seen, which may be due to overlying soft tissue, although underlying consolidation or atelectasis may be present. Trace bilateral pleural effusions are difficult to exclude. Prominence of the superior mediastinum may be due to supine technique and ap position as well as low lung volumes, although if clinical concern for acute aortic injury, consider chest cta. The cardiac silhouette is mildly enlarged. No displaced fracture identified.
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Pa and lateral views of the chest. The lungs are clear without focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormality is identified.
<unk>-year-old female with chest pain and shortness of breath.
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All the monitoring devices are unchanged. Lung volumes are slightly increased. Improved right base ventilation for minimal reduction of atelectasis. Heart is still enlarged with aorta elongated for aortosclerosis. The patient is after cardiac surgery. There is no pneumothorax.
interval changes.
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Patient is status post median sternotomy, cabg, and coronary artery stenting. Heart size is normal. Mediastinal and hilar contours are unremarkable. The lungs are clear and the pulmonary vasculature is normal. No pleural effusion, focal consolidation or pneumothorax is present. No acute osseous abnormalities seen.
history: <unk>f with chest pain
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Frontal and lateral chest radiographs demonstrate slight increase in size of left lower lung airspace opacity with increased retrocardiac component. The lungs are otherwise clear, the cardiac silhouette is normal. The mediastinal contours are unremarkable. Pulmonary vasculature is normal.
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Ap upright and lateral views of the chest were obtained. Patient is rotated to the right, which somewhat limits the evaluation. A dual-lead pacer is unchanged in position. There is blunting of the left cp angle which could be reflective of a tiny pleural effusion. There is no focal consolidation to suggest the presence of pneumonia. No definite signs of chf. Cardiomediastinal silhouette appears grossly stable allowing for patient rotation. Bony structures appear intact.
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As compared to the prior examination dated <unk>, there has been interval worsening of bibasilar atelectasis with associated bilateral pleural effusions, as well as coarsening of the the bilateral pulmonary interstitial edema. Redemonstrated is a right ij catheter and a ng tube, unchanged and in standard positions. There is no evidence of associated pneumothorax. Mild to moderate cardiomegaly is noted. Mediastinal and hilar contours are stable.
chf and pulmonary edema, now on diuresis. evaluate for improvement in pulmonary edema.
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A right-sided port-a-cath is seen with its tip terminating in the mid svc. The heart is normal in size and the cardiomediastinal and hilar contours are within normal limits. The lungs are clear. There is no pleural effusion or pneumothorax identified.
<unk>f with lymphoma presenting with chills, fever this am, and cough // eval for pna
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Lung volumes are lower causing bronchovascular crowding. Cardiomediastinal silhouette is otherwise normal. On lateral view, increased opacity posterior lower lungs may be due to the patient's body habitus. No correlate is present on the frontal view. No effusion or pneumothorax.
<unk> year old woman with history of "walking pna", has had productive cough x<num> months. evaluate for pneumonia.
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There is a faint opacity overlying the left lower lobe which is likely representative of atelectasis. Otherwise, the remainder of the lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. There is dextroscoliosis of the mid thoracic spine. No acute fractures are identified.
cough and shortness of breath.
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There is no intraperitoneal free air. Opacity within the right cp angle likely reflects atelectasis and a small pleural effusion. There is faint retrocardiac opacity. The lungs are otherwise clear. Cardiac silhouette and mediastinal contours are normal. There is no pneumothorax. There is gaseous distention of the stomach and left colon.
<unk>-year-old female with crohn's disease flare and severe ileus, evaluate for free air.
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Pa and lateral views of the chest. There is mild biapical scarring. Lungs are clear of focal consolidation, effusion or pneumothorax. Cardiomediastinal silhouette is normal. No acute osseous abnormality detected.
<unk>-year-old female with difficulty breathing.
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The lungs are clear without focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk>m with dysphagia, cough, fevers, ? acute process // ? acute cardiopulm process
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Interval placement of an endotracheal tube courses into the right mainstem bronchus. Recommend withdrawal by approximately <num> cm for more optimal positioning. During this study, the endotracheal tube was drawn to approximately <num> cm above the level of the carina. An enteric tube courses below the level of the diaphragm, into the left upper quadrant and expected location of the stomach. No focal consolidation is seen. There is no pleural effusion or pneumothorax. Cardiac and mediastinal silhouettes are stable.
history: <unk>f with new ett and og // ett?
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Cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal lung consolidation. Partially visualized gastrostomy tube in the left upper quadrant. Gallstones noted in the right upper quadrant.
<unk>f with als p/w increased weakness and inability to handle secretions, evaluate for aspiration pneumonia.
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Moderate cardiomegaly is unchanged. The mediastinal contour appears similar with diffuse atherosclerotic calcification of the aorta noted. Mild pulmonary edema is minimally improved from the prior study. There are small bilateral pleural effusions with left basilar patchy opacity, likely atelectasis. No pneumothorax is identified. Multiple clips are seen within the right upper abdomen. The osseous structures are diffusely demineralized with moderate multilevel degenerative changes.
history: <unk>f with shortness of breath. history of congestive heart failure
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Low lung volumes with unchanged bibasilar atelectasis. No pleural effusion or pneumothorax. Unchanged cardiomegaly. Patient is status post extubation. Right-sided central line terminates at the cavoatrial junction. Left chest tubes in unchanged position.
<unk> year old man s/p cabg // eval pneumo
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Stable cardiomegaly accompanied by pulmonary vascular congestion and worsening mild-to-moderate pulmonary edema. Probable small bilateral pleural effusions, but no visible pneumothorax.
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. No subdiaphragmatic free air is present.
<unk>-year-old female with abdominal pain, nausea and vomiting. evaluate for evidence of infection or abdominal free air.
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Frontal and lateral radiographs of the chest show resolution of extensive subcutaneous emphysema and pneumomediastinum from <unk>. Basilar atelectasis is noted. No large pleural effusion, focal consolidation or pneumothorax is present. The cardiomediastinal contours are within normal limits. The aortic knob is minimally calcified with a mildly tortuous thoracic aorta. Multiple rib fractures are unchanged.
<unk>-year-old male status post recent fall with right-sided rib fractures complicated by bilateral pneumothorax and subcutaneous emphysema, here to evaluate for interval changes.
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There are bilateral pleural effusions, left greater than right, slightly progressed from <unk>. There is an associated left basilar opacity likely reflecting compressive atelectasis though an underling pneumonia cannot be excluded. The patient is status post tavr placement. There is a left port-a-cath with its tip terminating in the proximal right atrium. The heart is normal in size. There is no pulmonary edema or pneumothorax. There are surgical clips projecting over the left upper abdomen, and there is no pneumoperitoneum noted.
<unk>-year-old male with neutropenia and fever with concern for infection please evaluate for neutropenic fever.
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As compared to the previous radiograph, there is no relevant change. Opacities at the left and right lung bases have minimally increased, they are likely reflecting atelectasis. Moderate cardiomegaly without overt pulmonary edema. Tracheostomy tube is in unchanged position. Overall, the lung volumes remain low.
pneumonia and atelectasis, evaluation.
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Ap upright and lateral views of the chest provided. A left chest wall pacer device is again seen with single lead extending into the region of the right ventricle. Aortic corevalve noted. Cardiomegaly is moderate. Mediastinal contour is stable with aortic calcification. There is mild to moderate pulmonary edema. No large effusion or pneumothorax. Bony structures are intact.
<unk>m with sob
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There is severe cardiomegaly with central pulmonary vascular congestion. There is unfolding of the thoracic aorta with calcifications along the knob. Lung volumes are low. There is mild interstitial edema. Lungs are grossly clear. Bilateral pleural effusions are small. There is no pneumothorax.
chest pain.
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The lungs are well inflated and clear. No large mass identified. No pulmonary edema. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable.
<unk>f with ataxia x <num> day. assess for cardiopulmonary disease, abnormal vasculature or mass?
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Frontal and lateral views of the chest were obtained. The previously seen right-sided picc is no longer seen. Opacity at the left costophrenic angle on the frontal view may be due to overlying soft tissue; however, there also appears to be increased opacity along the posterior, inferior chest on the lateral view. An underlying consolidation is not excluded. The cardiac silhouette is enlarged. Mediastinal contours are stable. There is no large pleural effusion or pneumothorax.
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Support and monitoring devices are in standard position, and cardiomediastinal contours are stable. Bilateral asymmetrically distributed heterogeneous alveolar opacities have slightly improved in the interval, particularly in the right middle and lower lung regions. Residual opacities are most severe in the right upper lobe adjacent to the minor fissure. The lung apices remain relatively spared of this process.
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The cardiomediastinal silhouette and pulmonary vasculature are unremarkable. The vague opacity in the right mid lung is no longer are appreciated on the current examination. There is no pleural effusion or pneumothorax.
<unk>f with chest pain // eval for consolidation
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Pa and lateral views of the chest. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal and hilar contours are normal. Lungs are hyperinflated secondary to copd. An area of focal scarring in the right upper lobe is unchanged. Upward retraction of the hila is also stable.
afib, fatigue.
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Pa and lateral views of the chest. The lungs are clear without consolidation, effusion or pneumothorax. Nodular density projecting over the right lung base most likely represents a nipple shadow. The cardiomediastinal silhouette is within normal limits. Acute distal left clavicular fracture is better seen on dedicated shoulder films from the same day.
<unk>-year-old female with left shoulder pain and chest pain.
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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>m status-post liver transplant and liver biopsy with fever and nausea/vomiting // evaluate for pneumonia
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Heart size is mildly enlarged. The mediastinal and hilar contours are unremarkable. The pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is seen. A vascular stent is noted the left subclavian artery, unchanged. No acute osseous abnormalities seen.
history: <unk>f with chest pain // eval for source of chest pain
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Left chest wall dual lead pacing device is again noted. There is moderate cardiomegaly stable from prior. Median sternotomy wires and mediastinal clips are again seen. Lower lung volumes are noted on the frontal view with secondary crowding of the bronchovascular markings. There is no consolidation or effusion. No acute osseous abnormalities identified.
<unk>m with defib, chest pain // eval for widened mediastinum, pacer wires
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Right-sided chest tube is seen. There is no pleural effusion or pneumothorax noted. Post surgical changes noted in the right juxtahilar location including surgical clips and focal atelectasis or expected hemorrhage following wedge resection. The heart is normal in size. Normal cardiomediastinal silhouette. Focus of subcutaneous gas is seen in the right lateral chest.
right upper lobe wedge resection for a nodule, assess for pneumothorax
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A left subclavian central venous catheter coils within the azygos vein. There is no definite pneumothorax on the left. There is a new linear oriented opacity in the lateral aspect of the right lung which is concerning for a pneumothorax. Given its linear appearance however, it may also represent a skinfold, additional evaluation is recommended with followup chest radiograph. Remaining monitoring and support devices are in unchanged position. The cardiomediastinal and hilar contours are within normal limits. Again seen is an ill-defined area of increased opacity in the left mid zone, concerning for malignancy.
<unk>-year-old woman with septic shock, status post new left-sided subclavian tlc. evaluate for central line placement. rule out pneumothorax.
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A left picc has been removed. The heart size is normal. The mediastinal and hilar contours are unremarkable. The pulmonary vasculature is normal. A new patchy opacity is demonstrated within the left lower lobe, with a small left pleural effusion. Right lung is clear. No pneumothorax is identified. There are no acute osseous abnormalities.
cardiac lymphoma, chest pain.
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There is right base atelectasis. No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with dyspnea // eval for pna
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Enteric tube tip is in the proximal stomach, should be advanced. Right ij central line tip in the low svc, similar. Endotracheal tube tip in good position. Bilateral moderate pleural effusions are stable. Bibasilar opacities, likely atelectasis stable. Increased heart size, pulmonary vascularity, stable. No pneumothorax. Thoracolumbar curve. Mild vertebral body height loss l<num>, stable.
<unk>f s/p polytrauma, extubated reintubated for respiratory failure // eval et tube placement
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The cardiac silhouette size remains mild to moderately enlarged. The aorta is tortuous. Right juxtahilar mass resulting in right middle lobe collapse appears unchanged compared to the previous exams. Lungs are hyperinflated with emphysematous changes again demonstrated. Small bilateral pleural effusions persist. Left lower lobe atelectasis is again noted, and no new focal areas of consolidation are present. Scarring within the lung apices is re- demonstrated. The patient is status post right upper lobectomy. No pneumothorax is present. Multiple compression deformities within the mid and lower thoracic and upper lumbar spine are unchanged.
history: <unk>f with blood in stool, history of lung cancer status post right upper lobectomy
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The lungs are well expanded. There is mild vascular cephalization but no focal opacities. There is severe stable cardiomegaly. There is a small right pleural effusion. No pneumothorax.
<unk>-year-old female with shortness of breath. evaluate for acute cardiopulmonary process.
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In comparison with study of <unk>, there is little change and no evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion. Of incidental note is extensive hypertrophic spurring at multiple intervertebral disc spaces in the thoracic spine.
cough and shortness of breath.
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As compared to prior chest radiograh from <unk>, an endotracheal tube terminates <num> cm above the carina. Right ij venous catheter tip terminates in the mid to lower svc. Right upper lobe mass persists, overlying translucency could be stimulated by overlying subcutaneous emphysema. This finding, however raises the possibility of abscess formation. There is persistent subcutaneous emphysema. Today's examination does not cover the complete right upper abdomen, however the appearance of a previously described right pneumothorax is probably unchanged. There is no pulmonary congestion. The cardiomediastinal and hilar contours are within normal limits.
<unk> year old female patient intubated. study requested for evaluation of et tube position.
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Cardiomediastinal contours are normal. Faint diffuse mainly peripheral opacities predominantly located in the mid and lower lungs have increased. There is no pneumothorax or left pleural effusion. Small right effusion is unchanged. There are mild degenerative changes in the thoracic spine. Ivc filter is partially imaged. Central catheter is in standard position.
<unk> year old woman with hypoxia, pancreatic ca, recent pleural effusion s/p <unk> // r/o pulmonary edema, increased pleural effusion from prior
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The lung volumes are low. Borderline size of the cardiac silhouette. Moderate tortuosity of the thoracic aorta. Normal hilar and mediastinal contours. The lung parenchyma appears unremarkable. There is no evidence of nodules or masses. No pulmonary edema. No pleural effusions.
multiple skin lesions, questionable pneumonia. questionable pulmonary nodules.
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When compared to prior, there has been no significant interval change. Opacity at the right lung base medially is compatible with a tortuous lower thoracic intra-abdominal aorta. There is no consolidation worrisome for infection. There is no edema or effusion. Linear left basilar opacities are most suggestive atelectasis or scar. Cardiomediastinal silhouette is stable noting that cardiac silhouette is difficult to assess given contour or of the tortuous thoracic aorta. No acute osseous abnormalities.
<unk>f with altered ms // r/o acute process
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Pa and lateral chest radiograph demonstrate clear lungs bilaterally. Cardiomediastinal and hilar contours are within normal limits. There is no evidence of pleural effusion, pneumothorax, or pulmonary edema. No air under the right hemidiaphragm is seen.
history: <unk>f with chest pain, n/v // eval for mediastinal air
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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 s/p mvc chest pain // eval for pneumothorax
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Mild pulmonary vascular congestion with slight thickening of the fissures is new from the prior exam. No focal consolidation, pleural effusion, or pneumothorax. Stable mild cardiomegaly. Stable flattening of the diaphragms, suggestive of hyperinflation. No change in the probable calcified granuloma projecting over the right upper lung. The dual-lead left-sided cardiac device appears intact and unchanged in position. Prominent anterior osteophytes are again noted in the visualized thoracic spine.
<unk>-year-old man presenting with cough and shortness of breath; evaluate for pneumonia.
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The left port-a-cath tip terminates in the mid svc, unchanged since <unk>. A prior small left pleural effusion has resolved. No pneumothorax. Lungs are clear without focal consolidation concerning for pneumonia. Cardiomediastinal silhouettes are stable. A small focus of fat is seen at the right cardiophrenic angle.
<unk> year old man with port, h/o lue dvt and pe. evaluate port placement please.
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The lungs are clear without focal consolidation, pleural effusion or pneumothorax. There is no pulmonary edema. The heart is normal in size, and the mediastinal contours are normal. Small hiatal hernia is suspected.
<unk>-year-old female with left dysmetria, dysarthria, gait abnormality. please evaluate with stroke workup.
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Ap chest radiograph <unk> lung volumes. Aside from subsegmental atelectasis, the lungs are clear. There is no pleural effusion or pneumothorax. Top normal heart size is stable.
tachycardia. evaluate for pneumonia.
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The heart size is top normal to mildly enlarged, although this is likely exaggerated also by ap technique and supine positioning. The aorta is calcified and tortuous. No focal consolidation is seen. There is mild left base atelectasis. There is no large pleural effusion or pneumothorax. The bones demonstrate s-shaped scoliosis of the thoracolumbar spine.
<unk>-year-old male with chest pain.
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No previous images. Low lung volumes accentuate the prominence of the transverse diameter of the heart. Some indistinctness of possibly engorged pulmonary vessels suggests some elevated pulmonary venous pressure. Increased opacification at the right base most likely represents crowding of pulmonary vessels and the cardiophrenic angle. However, in the appropriate clinical setting, supervening pneumonia would have to be considered. There is also the vague suggestion of some increased opacification at the left base laterally, which could represent merely atelectatic changes or possible early consolidation.
amyloidosis after stem cell transplant with lung crackles.
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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. No displaced fracture is seen. There is no pulmonary edema.
history: <unk>f with chest pain // acute cardiopulm disease
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Lung volumes are normal. Bibasilar opacities may be secondary to atelectasis. . There is no pleural effusion or pneumothorax. Pulmonary vasculature is normal. There is no overt pulmonary edema. Mediastinal and hilar contours are stable. Heart size is normal. Clips in the lower neck are again noted.
<unk>f with sob // evidence of effusion
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The heart is at the upper limits of normal size. There is perihilar fullness, cephalization of the pulmonary vascularity, and a mild interstitial abnormality, seen primarily in the mid to lower lungs. The overall appearance suggests mild pulmonary vascular congestion. There is no pleural effusion or pneumothorax.
chest pain.
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Pa and lateral views of chest demonstrate clear lungs. The cardiac, hilar and mediastinal contours are normal. No pleural abnormality is seen.
subjective fever and cough.
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No focal consolidation is seen. There is minimal biapical pleural thickening. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. External jewelry overlie the lower chest.
history: <unk>m with hiv presenting with left sided hearing loss, concern for new left sided cerebellar infarct, ?va dissection // septic emboli? other acute infection
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There has been interval placement of a right subclavian central venous catheter with distal tip projecting over the high right atrium versus cavoatrial junction. As on prior, there are low lung volumes. Re-identified are diffuse right lung airspace opacities concerning for pneumonia. The left lung is clear. No pneumothorax. No pleural effusion.
<unk>m with right subclavian placement, evaluate the line, rule out pneumothorax.
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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 ongoing cough x <num>mo
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The cardiomediastinal contours are within normal limits. The bilateral hila are unremarkable. The lungs are clear without focal consolidation. Opacity at the right cardiophrenic angle likely reflects crowding of normal bronchovascular structures. There may be bronchial wall thickening in the lower lobes. There is no evidence of pulmonary vascular congestion. There is no pneumothorax or pleural effusion.
<unk>m with chest pressure, evaluate for acute process.
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Portable supine radiograph of the chest demonstrates a substantial left sided pleural effusion and smaller right sided pleural effusion, both with adjacent atelectasis. The mediastinal and hilar contours are unchanged. There is no pneumothorax. A right-sided internal jugular central venous line ends at the cavoatrial junction. Endotracheal tube ends <num> cm from the carina. Nasogastric tube is coiled in the stomach; radiographically the discontinuity of this tube is likely secondary to patient motion.
<unk>-year-old man with sepsis from pancreatic leak status post whipple. evaluate for interval change.
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Moderatecardiomegaly has been stable compared to exams dated back to at least <unk>. There is possible mild pulmonary vascular congestion. There are bilateral pleural effusions. Increased opacities are seen at the lung bases bilaterally and them inor fissure is slightly thickened. No pneumothorax detetected. Please see report of <unk> ct scan showing loculated fluid vs fat in the medastinum posteriorly -- this likely accounts for some of the posterior opacity seen on this exam. Mild t-spine degenerative changes noted.
history of shortness of breath, syncope, chills. please evaluate for pneumonia.
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Heart size is mildly enlarged. The mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. Focal opacity within the left lower lobe is concerning for pneumonia combined with partial collapse. Minimal patchy opacity in the right lower lobe may also reflect an additional site of infection. There is no pleural effusion or pneumothorax. No acute osseous abnormalities seen. Clips in the right upper quadrant abdomen indicate prior cholecystectomy.
history: <unk>f with history of <num> months of cough, fever.
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. Slight subpleural thickening at each lung apex is stable and typical for minor scarring of doubtful clinical significance in most cases.
positive ppd.
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There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Lungs are hyperinflated .no free air below the right hemidiaphragm is seen.
history: <unk>m with chest pain // eval for infiltrate
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As compared to <unk>, low lung volumes with worsening multifocal linear opacities, with more confluent opacities in the right upper lobe and lingula. There is also crowding of the bronchovascular structures. Mild cardiomegaly. No pleural effusions. Right-sided internal jugular catheter in similar position.
<unk> year old woman with fulminant liver failure to receive liver transplant today // assess for cardiopulmonary processes surg: <unk> (liver transplant)
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Pa and lateral views of the chest provided. Moderate cardiomegaly is unchanged. The lungs are hyperinflated with a hyperlucent appearance compatible with known copd. Increased opacity in the left lower lobe may reflect pneumonia versus atelectasis. No large effusion or pneumothorax is seen. There may be a tiny left pleural effusion given blunting on lateral projection. Mediastinal contour stable. Aortic atherosclerotic calcification noted. Imaged bony structures appear grossly intact.
<unk>f with pleuritic chest pain // eval heart and lungs
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There is a left-sided single lead pacemaker, with lead tip over right ventricle. No pneumothorax is detected. Again seen is cardiomegaly and prominence of the pulmonary hila, similar to the prior film. There is upper zone redistribution with mild fluid overload similar to prior. The aortic knob measures <num> cm. There is patchy opacity at the right lung at there is patchy bibasilar opacity, consistent with collapse and/or consolidation. Small effusions are likely present. Extreme left costophrenic angle is excluded from the film. There is degenerative change in both shoulders including evidence right chronic left rotator cuff tear.
<unk> year old man with cad, hfref (<unk>%), dvts, afib, tachybrady s/p ppm, here with gib c/b cardiac arrest with trop leak to <num>.<unk>, as well as hypoxia/sob, treated for presumed pna // please evaluate extent of opacification on pa/lat
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Frontal and lateral radiographs of the chest show unchanged tips of central venous catheters, left subclavian and right internal jugular. Compared to the prior study, there has been increase in lung volumes with continued bibasilar scarring. The cardiac and mediastinal contours are normal. No focal opacity concerning for pneumonia is seen. No evidence of pulmonary edema. No pleural effusions or pneumothorax.
aml and polycythemia <unk> being treated for vre endocarditis. neutropenia with new shortness of breath. evaluate for pulmonary process.
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Portable supine ap view of the chest provided demonstrates interval placement of a right ij central venous catheter with its tip in the region of the low svc. The endotracheal tube remains well positioned with its tip located approximately <num> cm above the carina. There has been interval removal of the nasogastric tube. Cardiomegaly persists with possible interval development of mild pulmonary edema. Otherwise, no change.
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Linear opacity is identified at the left lung base. The lungs are otherwise clear focal consolidation or large effusion for overt pulmonary edema. The cardiomediastinal silhouette is within normal limits for technique.
<unk>f with cough and fever // r/o pna
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No focal consolidation, pleural effusion or pneumothorax identified. No pulmonary edema. The size of the cardiomediastinal silhouette is enlarged but unchanged.
mr. <unk> is a <unk>m w/ past medical history of bicuspid aortic valve status post mechanical avr in <unk>, as well as avnrt s/p ablation <unk> who presented <unk> with hypoxia and volume overload, now on chf service s/p ccu stay x<num> with respiratory failure improved after diuresis and initiation of bipap for sleep apnea. // ?pulmonary edema
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
shortness of breath on exertion for two weeks.
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Frontal ap and lateral views of the chest were obtained. The lungs are well expanded and clear without focal consolidation, pleural effusion or pneumothorax. Heart size is normal. The mediastinal silhouette and hilar contours are normal with mild aortic knob calcifications.
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There are moderate size bilateral pleural effusions that have increased compared to the prior exam. There is associated volume loss in the lower lobes. An underlying infectious infiltrate can't be excluded. There is mild pulmonary vascular redistribution. Feeding tube tip is off the film, at least in the stomach.
pancreatitis with increased pleuritic pain and absent lung sounds at the left base.
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In comparison to chest radiograph from <unk>, there has been interval removal right-sided picc line. More conspicuous in comparison to prior radiograph is hazy airspace opacity occupying much of the lower right lobe. This likely reflect a combination of layering pleural fluid, atelectasis but infection cannot be excluded. Left lower lung subtle airspace opacification may represent crowding of bronchovascular structures and basilar atelectasis in the setting of low lung volumes. The cardiomediastinal silhouettes are stable. The bilateral hila are unremarkable. There is no evidence of pulmonary vascular congestion. There is no pneumothorax. There is no evidence of left pleural effusion.
<unk>-year-old man with diabetic ketoacidosis, positive serum troponin, hematemesis, evaluate for cardiomegaly.
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Cardiomediastinal contours are within normal limits and without change. There is no definitive evidence of pneumomediastinum or pneumothorax. Lung volumes remain slightly low, and lungs and pleural surfaces are clear.
<unk> year old man with recent hx choking on toothpick with negative egd but with evidence possible pneumomediastinum on cxr (likely artifact). // interval resolution of pneumomediastinum?
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Again seen is a left chest cardiac device with associated dual leads in grossly appropriate location. There is a tortuous and calcified thoracic aorta. Marked cardiac enlargement is stable. In comparison to prior radiograph, there is an improved inspiratory effort. Prominence of the interstitial markings is consistent with persistent pulmonary vascular congestion. There is no overt pulmonary edema. The right lower lung is now clear. There is no focal lung consolidation elsewhere. There is no pneumothorax or pleural effusion.
<unk>f with dyspnea consistent with chf exacerbation, possible underlying pneumonia, evaluate.
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Pa and lateral views of the chest provided. Multifocal consolidation most pronounced in right upper lobe is unchanged since prior study. Interstitial abnormalities, likely related to lymphangitic metastatic disease, is also unchanged. There is no pneumothoraxx. Endotracheal tube is in appropriate position. Left subclavian infusion port terminates in the inferior right atrium. Nasogastric tube terminates in the mid portion of a moderately distended stomach.
<unk> year old man with pancreatic cancer with lung involvement, ett moved and replaced, evaluate ett placement
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The lungs are clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. Degenerative changes are noted in the spine. Old healed left upper and lateral rib fractures are again noted.
<unk>m with r rib pain // ? fracture
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Right pleural effusion has significantly improved, to near resolution. Lower lung atelectasis has also improved. Mediastinal and cardiac contour are stable and top normal. There is no pneumothorax.
patient with liver transplant, rule out pneumothorax, pleural effusion, with thoracocentesis.
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The right chest tube is in stable position. There is continued decrease in the size of the right pneumothorax which now measures less than <num> mm at the apex. There is no focal consolidation or pleural effusion. The cardiomediastinal silhouette is normal.
shortening of chest tube and changed to pneumostat prior to transfer home. evaluation for stability of pneumothorax.