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Single ap portable radiograph of the chest. There has been interval spinal fusion in the cervical spine. No rib fractures are identified. No consolidation, pleural effusion, or pneumothorax is seen. Unchanged position of the endotracheal tube and enteric tube.
status post motor vehicle collision, intubated. evaluate for progress.
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Chronic deformity of the left sided ribs again seen. There is slight blunting left costophrenic angle, may be due to pleural thickening or pleural effusion. Bibasilar opacities are seen, right greater than left, may be due to aspiration although infectious process is not excluded in the appropriate clinical setting. There is no pneumothorax. The cardiac and mediastinal silhouettes are stable.
history: <unk>m with fall // acute process
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Frontal and lateral views of the chest demonstrate low lung volumes. Moderate cardiomegaly is unchanged. Hilar and mediastinal silhouettes are unremarkable. Aortic arch calcifications are again seen. Mild pulmonary vascular congestion is noted. Bibasilar opacities, likely represent atelectasis.
cough, chest pain and fever.
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There is persistent mild blunting of the right costophrenic angle which may be due to a small pleural effusion or pleural thickening. No focal consolidation is seen. There is no pneumothorax. The cardiac and mediastinal silhouettes are stable and unremarkable. No pulmonary edema is seen. There is no evidence of free air beneath the diaphragm.
history: <unk>m with nausea, vomiting, esld, epig discomfort // eval ? edema, free air
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Frontal and lateral chest radiographs demonstrate mildly increased opacity in the right infrahilar region, with a possible corresponding opacity on lateral view. This may represent atelectasis, but pneumonia in the right clinical setting cannot be excluded. There is no pleural effusion or pneumothorax. The visualized upper abdomen is unremarkable.
evaluate for infection or congestion in a patient with fatigue, thrombocytopenia, and tenderness to palpation.
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Ap and lateral views of the chest. The lungs are clear of focal consolidation. Slightly lower lung volumes on the current exam may account for mild crowding of the bronchovascular markings. There is no confluent consolidation or effusion. The cardiomediastinal silhouette is unchanged. Atherosclerotic calcifications noted at the aortic arch. No acute osseous abnormality is identified.
<unk>-year-old male with cough.
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Heart size is mildly enlarged. The aorta is slightly tortuous. Mild pulmonary vascular congestion is present. Emphysematous changes appear to be present within the upper lobes. More focal patchy opacities are noted in the lung bases which are nonspecific, and could reflect areas of aspiration or infection. No large pneumothorax or pleural effusion is present. Remote right distal clavicular fracture is seen. Multiple bilateral rib fractures also appear subacute to chronic in age.
history: <unk>m with respiratory distress
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Portable chest radiograph demonstrates interval removal of left ij. The right central line is seen with its tip in the low superior vena cava. The cardiomediastinal hilar contour is unchanged. There is basilar atelectasis with unchanged pulmonary edema. Likely bilateral effusions worse on the left. No pneumothorax.
<unk>-year-old male status post vats. evaluate for interval change.
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Pa and lateral views of the chest demonstrate diffuse bilateral interstitial fibrosis and cystic changes. There is no focal airspace consolidation. Heart is mildly enlarged and cardiomediastinal contour is notable for a tortuous thoracic aorta and a very prominent right hilus suggesting an enlarged pulmonary artery or lymphadenopathy. Lung volumes are low. There is a rounded lucency at the right lung apex, likely representing a bulla. There is no pleural effusion or pneumothorax.
<unk>-year-old man with copd, dyspnea, evaluate for consolidation or edema.
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Dual lead pacemaker is again noted, with lead tips over the right atrium and right ventricle. There is hyperinflation, consistent with background copd. There is mild cardiomegaly, unchanged. There is upper zone redistribution, but no overt chf. Minimal atelectasis at the left lung base. No frank consolidation. Possibility of tiny left and right effusions cannot be excluded. A rounded <unk>.<num> mm calcification is noted overlying the superior mediastinum slightly to the right of midline -- <unk> ct shows this to represent a calcified nodule in the inferior right thyroid lobe. Incidental note is made of coarse calcifications in the right breast
<unk> year old woman with uti, cord compression, w/ new cough, ? pna // please eval ? pna
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Clear lungs bilaterally without pleural effusion. Heart size is top normal and mediastinal contour and hilum are normal. Old healed right rib fractures from <unk>. Clips in left soft tissue.
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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. Hilar contours are stable.
history: <unk>f with sob // r/o pna
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Heart size is borderline. Aorta is mildly unfolded. No chf, focal infiltrate, effusion, or pneumothorax is detected. Within the limits of plain film radiography, no hilar mediastinal lymphadenopathy is detected.
<unk> year old woman with metastatic cancer and wound infx s/p i d, now spiking temps // pelase assess for pna
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Ap portable semi upright view of the chest. In the interval there has been placement of a left pigtail chest tube with slight decrease in left pleural effusion. No pneumothorax.
<unk> year old man with new l pleff s/p chest tube placement // r/o ptx
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As compared to the previous radiograph, the patient has received a new orogastric tube. The course of the tube is unremarkable, the tip of the tube passes the gastroesophageal junction and is currently projecting over the middle parts of the stomach. No evidence of complications, notably no pneumothorax. The lung bases appear unchanged.
orogastric tube placement, evaluation.
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<num> views of the chest. Evaluation is limited due to patient rotation. Within these limitations, again noted is low lung volumes in the right lung with calcification of the right-sided pleura consistent with known fibrothorax, unchanged. The left lung is lower in volume and shows a left upper lobe opacity. The cardiomediastinal silhouette and hilar contours are normal. No pleural effusion or pneumothorax is present. The right healed clavicular fracture is unchanged.
cough and fever.
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Lung volumes are low. Increased right upper lobe opacity likely reflects atelectasis. There has been interval placement of a right internal jugular central venous line, which terminates in the right atrium. Recommend pullback by <num> cm. There is no pneumothorax or pleural effusion. The heart is normal in size.
<unk>-year-old female with right internal jugular central line placement. please evaluate central line placement.
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New expansile lytic lesion involving the seventh rib posteriorly. There is also deformity involving the sixth rib anterolaterally on the left and fourth right rib anteriorly. The lungs are unchanged in appearance. The cardiomediastinal silhouette is unremarkable. No pleural effusions or pneumothorax.
<unk> year old woman with r rib pain // fx or lytic lesion?
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A portable supine frontal chest radiograph demonstrates interval placement of an endotracheal tube, with right mainstem intubation and mild atelectasis of the left lung. The right lung is clear. The nasoenteric tube courses below the diaphragm and off the inferior edge of the image. A right central line terminates in the mid svc, likely unchanged in position compared to the recent chest radiograph, but now with improved lung volumes. A device projecting over the left scapula may represent a nerve stimulator. Surgical clips in the right upper quadrant are likely related to prior cholecystectomy. Pleural effusion or pneumothorax. The visualized upper abdomen is unremarkable.
status post intubation.
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The cardiac, mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vasculature is normal. No pleural effusion or pneumothorax is visualized. There are no displaced rib fractures identified.
right chest pain after fall.
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Comparison is made to previous study from <unk>. There is a right-sided pic line with distal lead tip at the proximal right atrium. Heart size is within normal limits. Lungs are clear. There are no pneumothoraces.
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<num> chest tubes with no significant changed in position since the previous film. Increased atelectasis the right lower lobe. Cardiomegaly with no interval change. No pleural effusion or pneumothorax. .
<unk> year old woman with hemopneumothorax s/p ct x <num>, with one ct clamped today // please eval for status of hemopneumothorax. please perform at <num>pm today
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The lungs are clear. Mediastinal and cardiac contours are normal. There is no pleural effusion or pneumothorax.
patient with fever, aspiration?.
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The cardiomediastinal hilar contours are within normal limits. Lungs are well expanded and clear. There is no focal consolidation, pleural effusion or pneumothorax. No acute osseous abnormality.
fevers. evaluate for acute process.
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Pa and lateral views of the chest are compared to previous exam from <unk>. The lungs are clear. There is no effusion. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male with shortness of breath.
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Ap single view of the chest has been obtained with patient in sitting semi-upright position. Analysis is performed in direct comparison with the next preceding similar study obtained four hours earlier during the same day. The position of the ett is unchanged and symmetrical within the lumen of the trachea. The tube terminates just above the previously described left-sided impression on the trachea caused by the now operated aneurysm. Postoperative widening of the superior mediastinum is unchanged during the latest four hours. The swan-ganz catheter has been withdrawn but the right internal jugular sheath remains in position. There is now a small right-sided apical pneumothorax measuring up to <num> cm in width. When reviewing the same area on the preceding examination four hours ago, such pneumothorax was not present. On the other hand, evidence of bilateral air inclusion in bibasilar hazy densities and obliteration of the diaphragmatic the pectoralis muscle structures is again noted as before. Contours is suggestive of bilateral pleural effusion. The latter finding appears to be stable.
<unk>-year-old male patient status post ascending aortic replacement, chest tubes on water seal. no air leak.
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Patchy right basilar opacity is seen an infection is not excluded in the appropriate clinical setting. Alternatively it could relate to atelectasis. They may also be a subtle focal area of reticular nodular opacity in the lateral right upper lung which could also relate to infectious or inflammatory process. The left lung is clear. There is no pleural effusion or pneumothorax. The aorta is calcified and tortuous. The cardiac silhouette is top-normal. No overt pulmonary edema is seen.
weakness, fever, shortness of breath.
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There is no pneumothorax. Obscuration of the right hemidiaphragm in this supine chest radiograph is likely due to a small right effusion. A moderate-sized left pleural effusion is larger. There is stable widening of the cardiomediastinal silhouette secondary to an enlarged heart and thoracic aortic aneurysm. The endotracheal tube terminates <num> cm above the carina. Nasogastric tube courses through the stomach and out of view.
<unk>-year-old man status post bronchoscopy, to evaluate interval change.
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In comparison with study of <unk>, there has been some improvement in the still severe pulmonary edema. Otherwise, little change.
chf.
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A right-sided picc terminates at the superior cavoatrial junction in appropriate position. The cardiomediastinal and hilar contours are within normal limits. The heart is normal in size. Diffuse interstitial opacities are most consistent with mild to moderate pulmonary edema as well as moderate bilateral pleural effusions. Slightly more focal opacity involving the right upper lung may be related to focal edema as a result of mitral regurgitation. No focal consolidation or pneumothorax is identified.
<unk>f with dyspnea // acute cardiopulm disease
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Heart size is normal. Mediastinal and hilar contours are unremarkable. The pulmonary vascularity is normal. Apart from minimal bibasilar atelectasis, the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is visualized. Multiple old bilateral rib fractures are re- demonstrated.
fall, unreliable historian.
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Heart size is normal. Mediastinal and hilar contours are unremarkable. Lungs are hyperinflated with emphysematous changes noted. No focal consolidation, pleural effusion or pneumothorax is present. Pulmonary vasculature is not engorged. There are no acute osseous abnormalities identified. Moderate multilevel degenerate changes are seen in the thoracic spine.
history: <unk>f with confusion, weakness.
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An et tube tip lies approximately is <num> cm above the carina, below the level of the clavicular heads. . An ng tube is present, tip overlying the stomach. No pneumothorax is detected. There is moderate cardiomegaly. Prominence of the mediastinal silhouette is noted, but could relate to vascular structures and supine positioning. Upper zone redistribution and diffuse vascular blurring is compatible chf and inter, stitial edema. Hazy opacity at the right base could represent a small to moderate layering pleural effusion with underlying collapse and/or consolidation. There is increased retrocardiac density, consistent with left lower lobe collapse and/or consolidation. The left costophrenic sulcus is grossly clear.
<unk> year old woman newly tranfered from osh s/p pea arrest with hypoxemic respiratory failure, ?chf, liver and renal failure, intubated with r l central access // please evaluate for acute process
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In comparison with the study of <unk>, there is increasing opacification at both bases with blunting of the costophrenic angles. The appearance suggests bilateral pneumonia with pleural effusions.
febrile illness, probably pneumonia.
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Single portable view of the chest. Right ij line has been retracted and is now in the region of the lower svc, in appropriate position. Appearance of the lungs is unchanged and as previously described.
<unk>-year-old male with right ij central line now retracted <num> cm.
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Pa and lateral views of the chest were provided. The lungs are clear without focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette appears within normal limits. The bony structures are intact. No free air below the right hemidiaphragm.
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Single frontal view of the chest was obtained. A right-sided port-a-cath is seen, distal tip not well assessed but likely terminating in the right atrium. A right-sided vp shunt is seen, proximal distal aspect not included but is seen to overlie the right chest and visualized abdomen. Lungs are clear. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. There is slight increase in opacity in the right perihilar region, nonspecific. Evidence of lung cancer seen on prior ct would be better evaluated on ct.
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Heart size is normal. The aorta is tortuous with prominence of the ascending aortic contour. Pulmonary vasculature is normal. Streaky opacities in the lung bases likely reflect areas of atelectasis. No pleural effusion or pneumothorax is seen. Nasogastric tube tip is within the stomach. Several clips are noted in the right upper quadrant of the abdomen compatible with prior cholecystectomy. Spiral tacks overlying the midline upper abdomen are compatible prior ventral hernia repair. Unchanged posttraumatic deformity of the left fourth rib is again seen.
history: <unk>f with small bowel obstruction status post nasogastric tube placement
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As compared to the previous radiograph, the tracheostomy tube has been re-positioned. The tube is in correct position. The patient is rotated. The patient also has a left picc line and a nasogastric tube. The tibial fixation devices are in unchanged position. Small bilateral pleural effusions with areas of atelectasis at both right lung bases as well as mild fluid overload is present in unchanged manner. No evidence of pneumothorax. Unchanged appearance of the cardiac silhouette.
prolonged intubation.
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Since the prior radiograph there has been reaccumulation of the pleural effusions bilaterally, moderate to large on the left and mild on the right. There is adjacent compressive atelectasis. No pneumothorax identified. The cardiac silhouette is largely obscured by the adjacent pleural effusions. Again noted is calcification of the mitral annulus.
<unk> year old woman with recent community acquired pneumonia, s/p tap of l pleural effusion <num> days ago, now with new o<num> requirement. // ?consolidation ?reaccumulation of pleural effusion
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Frontal and lateral views of the chest. There is a large hiatal hernia and the intrathoracic stomach may contain a large bezoar. A dual chamber cardiac pacer is seen. The heart is mildly enlarged. There are median sternotomy wires and clips, presumably from a prior cabg procedure. The aortic valve is calcified which suggests aortic stenosis. The lungs are clear without focal opacities, pulmonary edema, pleural effusion or pneumothorax. There is no free air beneath the hemidiaphragms.
chest pain.
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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.
cough.
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There is a new opacity in the retrocardiac region that effaces visualization of the medial hemidiaphragm as visualized on the pa view. Elsewhere, the lungs remain clear. There are no pleural effusions or pneumothorax. The cardiac, mediastinal and hilar contours appear stable.
upper abdominal pain and fever.
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Lung volumes are low. This accentuates the size of the cardiac silhouette which is likely top normal. The mediastinal contour appears widened, likely due to low lung volumes, with crowding of the bronchovascular structures. There is hazy opacification within both lung bases likely reflective of atelectasis. No pneumothorax is detected. No acute osseous abnormalities are seen.
altered mental status.
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Frontal and lateral views of the chest were obtained. There is small right pleural effusion with overlying atelectasis. Patchy right base opacity may relate to combination of effusion and atelectasis, but underlying consolidation is not excluded. Additionally, left base linear discoid atelectasis is seen. Additional patchy left base retrocardiac opacity is seen, could be due to infection in the appropriate clinical setting. No pneumothorax is seen. The cardiac silhouette is top normal. Mediastinum is unremarkable. There is a tubular structure/possible drain projecting over the upper abdomen.
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Ap view of the chest. Previously seen moderate left pleural effusion has significantly decreased and there is now just a small left pleural effusion, adjacent atelectasis. Right lung is clear. No pneumothorax. Cardiomediastinal and hilar contours are normal. Left lower lobe atelectasis, reexpansion edema or pneumonia.
status post thoracentesis for effusion.
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Portable chest radiograph is provided. Et tube is located approximately <num> cm above the carina in appropriate position. An ng tube courses right to the ge junction and should be advanced. There is no pneumothorax. There is a retrocardiac opacity with decreased lung volume on the left consistent possibly due to left lower lobe atelectasis. There may be a small left pleural effusion. There is prominence of the pulmonary vasculature, consistent with mild pulmonary edema. Cardiomediastinal silhouette appears shifted towards the left unchanged since the prior exam and may be due to volume loss on the left. Osseous structures are intact.
<unk>-year-old female, intubated, question et tube placement.
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The inspiratory lung volumes are appropriate. The lungs are clear without focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. Previously seen right middle lobe opacity on ct is not well seen on the current exam. The pulmonary vasculature is not engorged, and there is no overt pulmonary edema. The cardiomediastinal and hilar contours are within normal limits. Trace of calcification of the aortic knob is re-demonstrated. No acute osseous abnormality is detected.
history of aml with recent relapse, on chemotherapy currently, now with dizziness and fall, here to evaluate for underlying infection.
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The lungs are well expanded and clear. There is persistent mild cardiomegaly but otherwise the cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old female with increased seizure activity. evaluate for evidence of pneumonia.
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A left upper extremity picc tip projects over the mid svc. Right basilar opacity is new from <unk>, little changed from <unk>, most suggestive of atelectasis, though in the appropriate clinical setting, infection cannot be excluded. There is no pneumothorax. The pulmonary vasculature is normal and improved. The cardiac silhouette and mediastinal contours are normal.
<unk>-year-old male with iph and possible right lower lobe infiltrate on the most recent previous chest x-ray.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with right distal radius fracture; pre-op exam // please evaluate for acute cp abnormality
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Pa and lateral views of the chest provided. There is stable elevation of the left hemidiaphragm. Suture material is noted in the right upper lung likely related to a prior resection. The overall pattern of the lungs appears stable likely reflecting fibrosis/ emphysema. No new consolidation, effusion or pneumothorax is seen. Old left rib cage deformities are again noted. Cardiomediastinal silhouette is stable.
<unk>m with copd and sob pls eval pna
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Support and monitoring devices are similar in position except for removal of swan-ganz catheter and slight repositioning of nasogastric tube coursing cephalad in the fundus. Cardiomediastinal contours are stable in appearance, and there is persistent pulmonary vascular congestion. Moderate left pleural effusion has apparently increased in size and is associated with worsening opacities in the left mid and lower lung region. Right basilar opacification and small right pleural effusion are similar.
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There is stable severe cardiomegaly with tortuous but normal caliber aorta. There is no pulmonary edema, pulmonary vascular congestion, or pleural effusion. The lungs are well expanded and clear. There is no pneumothorax.
<unk>-year-old with persistent cough.
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Linear left lower lobe atelectasis is noted. There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within below the diaphragm beneath the diaphragm.
history: <unk>m with orthostatic sxs // eval ? edema, free air, infection
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Moderate cardiomegaly is a stable. Widening mediastinum due to lymphadenopathy and increase in size of the hilum bilaterally due to enlargement of the pulmonary arteries is stable. Multifocal bilateral lower lobe predominant opacities are new consistent with multifocal pneumonia. There is no pneumothorax or large pleural effusion. Right picc tip is in the right atrium. There appears to be a coronary stent.
<unk> year old man with mds <unk>/p decitabine now with new cough // eval etiology of cough
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Ap view of the chest provided. Nasogastric tube is seen terminating in the stomach. Chest tube is in unchanged position. Endotracheal tube is approximately <num> cm above the carina. Otherwise, compared to prior study, there is little change with respect to left hemithorax opacification. Right lung is clear.
<unk> year old man s/p og tube placement // og tube placement
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As compared to the previous radiograph, the left-sided chest tube has been slightly pulled back. The dimension of the known left pneumothorax has minimally decreased. However, parenchymal opacities, likely to be atelectatic, at the left lung base have slightly increased in severity. No change in appearance of the right-sided lung.
status post chest tube re-adjustment, evaluation.
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Ap single view of the chest has been obtained with patient in semi-upright position. Comparison is made with the next preceding similar study obtained <num> hours earlier during the same day. The patient remains intubated, the ett in unchanged position. During the interval, an ng tube has been placed seen to reach well below the diaphragm into the fundus of the stomach. No pneumothorax or any other placement-related complication can be identified. No new pulmonary infiltrates. Cardiomegaly with a relative prominence of main pulmonary artery segment on frontal view appears unchanged.
<unk>-year-old male patient with ng tube placement, check position.
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<num> views of the chest demonstrate clear lungs. The cardiac, hilar, and mediastinal contours are normal. No pleural abnormality is seen. Surgical clips are seen overlying the left breast.
cough and fever
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Lung volumes are low, resulting in bronchovascular crowding. No focal parenchymal opacities are identified. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
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. No displaced fracture is seen.
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Pa and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar study of <unk>. The heart size is normal. No configurational abnormality is present. Thoracic aorta is mildly elongated but otherwise unremarkable. The pulmonary vasculature is not congested. There are some plate densities in the right base consistent with peripheral atelectasis, but otherwise there is no evidence of any acute parenchymal infiltrate. Pleural spaces are free. As shown on previous chest examinations, there is diffuse demineralization of the vertebral bodies in the thoracic spine with compression fractures in the lower-most region involving t<num>, <unk>, and <unk>. These skeletal changes, rather typical for multiple myeloma, appear unchanged. Clearly on previous examination identified bilateral basal parenchymal infiltrates have cleared up, and the chest findings are now within normal limits.
<unk>-year-old male patient with myeloma and low-grade fever, on velcade and dexamethasone. evaluate for pneumonia.
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The lungs are hyperinflated. There is no focal consolidation, pleural effusion or pneumothorax. The heart is mild to moderately enlarged, as seen previously, possibly slightly increased. A left chest wall pacemaker is present with leads in the right atrium and right ventricle, unchanged in position. Clips are present in the upper abdomen. There are no displaced fractures.
<unk>-year-old with fall and head injury. evaluate for traumatic injury.
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Pa and lateral views of the chest provided. The lungs are well-inflated and grossly clear. There is no pleural effusion, or pneumothorax. The hilar and cardiomediastinal contours are normal. Severe dextroscoliosis.
<unk> year old man with <num> days fever/sweats and productive cough with sao<num> <unk>% with ambulation // assess for pneumonia
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There is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema identified. The heart size is normal. Mediastinal contours are normal.
history of atrial fibrillation on amiodarone.
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Low lung volumes are present. There are patchy opacities in the lung bases, likely bibasilar atelectasis. No pleural effusion or pneumothorax. Crowding of the bronchovascular structures is present. Heart size is mildly enlarged. Tortuous aorta with an exaggerated thoracic kyphosis is present. There is a mild wedge compression of the lower thoracic vertebral body which is not well evaluated.
<unk>-year-old female with fever and cough.
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Left-sided pacer terminates in the right atrium and right ventricle. Moderate left-sided effusion slightly increased since the prior. There is adjacent atelectasis. The right lung remains clear. The heart size is normal. No pneumothorax.
<unk> year old man with autoimmune encephalitis and increasing seizures presents for mri with pacemaker // pacemaker lead evaluation for mri
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen.
<unk> year old woman s/p left partial nephrectomy // please evaluate for any abnormalities
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Pa and lateral chest radiographs. The lungs are clear. There is no pleural effusion or pneumothorax. No pulmonary nodule is identified. The cardiomediastinal silhouette is normal.
severe asthma exacerbation. possible nodule seen in the right upper lobe on prior radiograph.
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Right chest wall port-a-cath ends at the cavoatrial junction. Left-sided pacemaker device is again seed with leads ending in the right atrium, right ventricle, and left ventricle. Heart size remains moderately enlarged. Mediastinal contour is unchanged. There is extensive bronchiectasis and scarring in the upper lobes more so on the right with associated chronic right upper lobe volume loss. In addition, there is a chronic area of increased opacity in the lingula but appear similar to prior radiographs. . In comparison to the most recent prior chest radiograph there is increased opacification of the right lung base. There is no pleural effusion or pneumothorax. There is no acute osseous abnormality.
<unk>m with cystic fibrosis and fever/cough, evaluate for pneumonia
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In comparison with study of <unk>, there is less opacification at the right base, with a configuration that could well reflect scarring from previous infection. No evidence of acute focal pneumonia. This information was telephoned to dr. <unk>, at his request.
focal bronchiectasis with fever.
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Allowing for accentuation by ap portable technique and low lung volumes, low. Cardiomediastinal contours are within normal limits. Lungs are grossly clear, and there are no pleural effusions or acute skeletal findings.
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There are low lung volumes, and bibasilar opacities. A feeding tube is in place, the tip of which extends below the level of the inferior margin of the film. A right upper extremity picc is in place with its tip in the lower svc. There has been interval exchange of a temporary hemodialysis catheter for a tunneled right chest hemodialysis catheter, the tip of which is in the right atrium. There is no pneumothorax. The pulmonary vasculature is notable for mild pulmonary edema, unchanged. Linear atelectasis is noted in the left mid lung.
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Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Stable medial right base opacity may represent to pericardial fat pad.
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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 pleuritic back pain // ? ptx
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Ap upright and lateral radiographs of the chest demonstrate decreased inspiratory lung volumes. There is increased retrocardiac opacification obscuring the left hemidiaphragm consistent with small left pleural effusion and associated atelectasis. In the appropriate clinical setting, underlying consolidation cannot be excluded. No focal consolidation is seen in the right lung. No pneumothorax is detected. The cardiac silhouette is enlarged but unchanged. The mediastinal and hilar contours are prominent but unchanged allowing for positional differences. A hiatal hernia is noted on the lateral radiograph. There are multilevel degenerative changes throughout the thoracic spine. The bilateral humeral heads appear high-riding but unchanged from the prior study.
<unk>-year-old female with hypotension, here to evaluate for pneumonia.
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The cardiomediastinal and hilar contours are within normal limits. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. Lower thoracic vertebral bodies are fused anteriorly, as on prior.
<unk>m with hypoglycemia // ? infectious process
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There is patchy opacification and bronchial wall thickening at the left base, localized to the left lower lobe on the lateral, concerning for an early or developing bronchopneumonia. No pulmonary edema. Stable appearance of the cardiomediastinal silhouette. No pleural effusion. No pneumothorax. Gaseous distention of bowel loops is persistent.
<unk>m with productive cough x<num> days and ams. // ?pneumonia
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Single portable view of the chest is compared to previous exam from <unk>. Left picc is in stable position with tip in the mid svc. Tracheostomy tube is also seen with tip approximately <num> cm from the carina. Low lung volumes are again noted. There is silhouetting of the left hemidiaphragm consistent with pleural effusion which may be smaller when compared to prior. There is probably underlying atelectasis. Superiorly, the lungs are grossly clear. Cardiomediastinal silhouette is stable. Osseous and soft tissue structures are otherwise notable for a peg tube in the left upper quadrant. Suggestion of right basilar atelectasis seen projecting over the hemidiaphragm.
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Frontal and lateral views of the chest were obtained. There is bibasilar atelectasis. No discrete focal consolidation is seen. The cardiac silhouette is enlarged. The aorta is calcified and tortuous. No large pleural effusion or pneumothorax. No overt pulmonary edema. There are degenerative changes along the spine. There are also degenerative changes at the right acromioclavicular joint. No displaced fracture is identified. Rounded calcific structures in the right upper to mid abdomen, partially imaged, may represent gallstones or fecal material.
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As compared to the prior examination, the right pleural effusion has increased in size and is now moderate-severe with adjacent atelectasis. Bilateral pulmonary edema is now moderate-severe. The heart is enlarged and the aortic arch is heavily calcified. A large, calcified right goiter is again noted, deviating the trachea towards the left.
<unk> year old woman with stage <num> ckd and chf with increased dyspnea especially at night x <num> week // r/o worsening right pleural effusion versus chf
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Heart size is normal. The mediastinal and hilar contours are unremarkable. The pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Multiple clips are again noted within the anterior chest wall bilaterally compatible with prior mastectomies. Mild degenerative changes are seen within the thoracic spine with minimal loss of height of a mid thoracic vertebral body, unchanged.
history: <unk>f with altered mental status
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Frontal and lateral views of the chest were obtained. The heart is of normal size with normal cardiomediastinal contours. The lungs are clear without focal or diffuse abnormality. The pulmonary vasculature is unremarkable. No pleural effusion, pneumothorax, or pneumoperitoneum. The osseous structures are unremarkable. No radiopaque foreign bodies.
<unk>-year-old female with abdominal pain. evaluate for perforation.
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There is moderate cardiomegaly, unchanged. The aortic knob is calcified. Mediastinal and hilar contours are unremarkable. Streaky retrocardiac and right basilar opacity may reflect atelectasis though infection cannot be excluded. Mild pulmonary vascular congestion. Small bilateral pleural effusions cannot be completely excluded posteriorly. There is no pneumothorax. Clip is noted within the right upper quadrant of the abdomen.
dyspnea.
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The cardiomediastinal silhouette and pulmonary vasculature are normal. The lungs are clear. There is no pleural effusion or pneumothorax.
<unk> year old woman with cough x <num> days, sputum // pneumonia?
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Frontal and lateral views of the chest were obtained. There are areas of linear atelectasis/scarring in the right middle and lower lobes. Subtle blunting of the posterior costophrenic angle on the lateral view may be artifactual, although trace pleural effusions are not excluded. The cardiac silhouette remains enlarged. Mild pulmonary edema is again seen, similar to prior. Surgical clips are again seen projecting over the left axilla.
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Ap upright and lateral views of the chest provided. Midline sternotomy wires are again noted. The heart remains markedly enlarged and there is diffuse pulmonary edema which is increased in extent compared with the prior imaging study. There is no large effusion. No pneumothorax. The bony structures appear intact.
<unk>f with c/o cough with hx chf
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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 dm, vomiting, upper abd pain // pna?
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The lungs are clear without focal consolidation. Calcified opacities in the right upper lung is likely from prior granulomatous disease. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>f with cp and sob // r/o acute process
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Frontal and lateral views of the chest. Elevation of the right hemidiaphragm is stable. Bibasilar atelectasis is similar to prior. No focal consolidation, pleural effusion, or pneumothorax. Heart size and cardiomediastinal contours are stable.
shortness of breath.
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Ap and lateral views of the chest. Previously seen right picc and enteric tubes are no longer visualized. The lungs are clear without consolidation, effusion or pulmonary vascular congestion. Known interstitial opacities in the lungs are not clearly delineated on these films. No acute osseous abnormality is identified.
<unk>-year-old with shortness of breath.
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There is a large right-sided pleural effusion with adjacent atelectasis, better characterized on the ct examination of the abdomen performed on the same day. The aerated, upper portion of the right lung is grossly unremarkable. The left lung is clear and without focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The heart size is normal. Mediastinal and hilar contours are normal.
hcv, evaluate for liver transplant. assess pleural effusion.
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The lungs are well aerated and clear. The cardiomediastinal silhouette is normal. No pleural effusion or pneumothorax. Osseous structures are intact.
<unk>/f pod <num> from rt total knee arthroplasty who developed sustained svt this am // evaluate for source of intermittent fever
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Frontal and lateral views of the chest were obtained. The lungs are clear without focal consolidation, pleural effusion or pneumothorax. Heart size is normal. Mediastinal silhouette and hilar contours are normal.
chest pain and nausea.
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Ap single view of the chest has been obtained with patient in semi-upright position. Analysis is performed in direct comparison with the next preceding similar study of <unk>. Marked cardiomegaly as before. Position of permanent pacer in left anterior axillary position connected to total of three electrodes terminating in right atrium, right ventricle and venous coronary sinus system in unchanged position. The pulmonary vasculature remains unchanged and shows moderate degree of perivascular haze, consistent with chronic congestion. Obliteration of left-sided diaphragmatic contour is suggestive of atelectasis in left lower lobe. The right-sided lateral pleural sinus is free from any fluid accumulation and there is no pneumothorax in the apical area. No evidence of new discrete pulmonary parenchymal infiltrates.
<unk>-year-old female patient with icd device, history of pocket hematoma, check icd lead placement.
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The cardiac, mediastinal and hilar contours appear unchanged allowing for differences in technique including moderate tortuosity of the aorta. There is no pleural effusion or pneumothorax. The chest is hyperinflated. The lungs appear clear. The bones appear demineralized.
status post fall with right knee pain and difficulty to ambulate.
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Endotracheal tube tip terminates approximately <num> cm from the carina. An enteric tube courses below the left diaphragm, with tip off the inferior borders of the film. The patient is status post median sternotomy, cabg, and prostatic valve replacement. Heart size is mildly enlarged. The aorta is tortuous. Lung volumes are low with crowding of the bronchovascular structures and probable mild pulmonary vascular engorgement. Patchy opacities in the lung bases may reflect areas of atelectasis. No large pleural effusion or pneumothorax is present. There is elevation of the right hemidiaphragm of unknown chronicity.
history: <unk>m with intubated
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Cardiomediastinal silhouette and hilar contours are unremarkable. The heart size and mediastinal width is exaggerated by ap technique and is not significantly changed to prior exam. There is some mild left base atelectasis. The lungs are otherwise clear. There is no pleural effusion or pneumothorax. There is no subdiaphragmatic lucency to suggest pneumoperitoneum.
abdominal pain with history of perforated ulcer, evaluate for free air.
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No previous images. There is free intraperitoneal gas beneath the hemidiaphragms bilaterally, consistent with recent surgery. Areas of increased opacification are seen at the bases, especially on the left, although this could merely reflect post-operative atelectasis, in the appropriate clinical setting, supervening pneumonia would have to be seriously considered. No vascular congestion.
post-operative bypass.