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Compared to exam on <unk>, there may be increase in moderate right pleural effusion. Air-fluid level due to small loculated pneumothorax at the right base due to pleural restriction appears unchanged. The right lung continues to be reduced in volume, likely due to thickened pleura. Left basal atelectasis and small pleural effusion is unchanged from prior. There has been interval removal of the upper chest tube. The remaining chest tube is appears folded at an acute angle, unchanged from prior. Heart size is unchanged.mediastinal and hilar contours are unchanged. There is no evidence for pulmonary edema or pneumothorax.
<unk> year old woman with chest tubes for empyema.
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The lungs are well expanded and clear. Cardiomediastinal silhouette is unremarkable. There is no pleural effusion or pneumothorax. Osseous structures are unremarkable. Tips stent is noted in the upper abdomen.
cough and fever.
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Endotracheal tube ends approximately <num> cm above the carina. Orogastric tube courses into the upper stomach; however, its sideport is just below the ge junction. Consider advancing the orogastric tube by approximately <num> cm for better seating. Dual-lead left pectoral pacemaker device is present with each lead terminating into the right atrium and right ventricle respectively. Moderate-to-severe atherosclerotic calcifications are present in the aortic knob and there is a coronary stent. Mildly enlarged heart size, mediastinal and hilar contours are stable at least since the most recent radiograph. Left lower lung atelectasis and presumed small left pleural effusions are stable. The right lung and left upper lungs are clear. The findings regarding the orogastric tube were communicated by phone with rn <unk> on <unk> at approximately <time> a.m.
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The cardiomediastinal and hilar contours are within normal limits. A very subtle reticular opacity at the base of the left lung may reflect subsegmental atelectasis or infection. No pneumothorax or pleural effusion.
<unk>m w/ cough, fever, and, risk for aspiration. // <unk>m w/ cough, fever, and, risk for aspiration.
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Pa and lateral views of the chest are compared to previous exam from <unk>. Mild biapical scarring is noted. The lungs are otherwise clear. Costophrenic angles are sharp. The cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with chest pain and shortness of breath.
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Asymmetric density is again demonstrated at the right lung base. The lungs are otherwise clear. There is no pneumothorax. The cardiac silhouette and mediastinal contours are within normal limits for technique. There are no concerning bone findings. The left subclavian line remains in place. A nasogastric tube has been adjusted and now terminates in the region of the body of the stomach.
new ngt placed, please assess placement
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There is interval decrease in right pleural effusion. There is lucency at the right base but no definite pneumothorax. The patient is positioned slightly oblique to the left. There is an increase in left pleural effusion. The left lung appears congested with alveolar infiltrates slightly worsened prior although this may be positional. The feeding tube tip is in the stomach. Picc line tip is at the cavoatrial junction.
right-sided thoracentesis.
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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. Spinal fusion hardware with evidence of lower thoracic corpectomy and reconstruction noted. A left seventh partial reverse section is noted. No free air below the right hemidiaphragm is seen.
<unk>f with shaking/shivering
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Shallow inspiration accentuates heart size, pulmonary vascularity. Retrocardiac opacity is new, atelectasis versus pneumonitis. Small left pleural effusion. No pneumothorax.
<unk> year old woman with increased respiratory rate of <num> and lethargy. // possible aspiration in setting of lethargy, possible fluid overload give <num>l fluid given today.
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The lungs are well expanded. There are no significant interstitial opacities to suggest pulmonary edema. Aside from atelectasis due to chronic elevation of the left hemidiaphragm, lungs are clear. There is stable widening of the vascular pedicle secondary to an unfolded aorta, better seen in chest ct from <unk>. The heart is mildly enlarged, with significant contribution from the left atrium. The stomach is chronically over distended and gas filled. There is no pleural effusion or pneumothorax.
<unk>-year-old male with chf and near complete heart block. evaluate for evidence of pulmonary edema.
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The heart size is top-normal. The mediastinal and hilar contours are unremarkable. There is no pneumothorax or large pleural effusion. The lungs are well expanded. Increasing size and indistinctness of the pulmonary vasculature is consistent with mild pulmonary edema. Right basilar opacity may reflect atelectasis or early increased edema. There is no focal consolidation concerning for pneumonia. Left axillary dual lead pacemaker is present with tips terminating in unchanged positions.
<unk>m with cough, acute process
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No previous images. There is enlargement of the cardiac silhouette, but no evidence of pulmonary vascular congestion or pleural effusion. No acute focal pneumonia.
chf and renal failure, to assess for volume overload.
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Right internal jugular central venous catheter has been removed. Median sternotomy wires appear intact. Lung volumes are relatively normal. There are worsening opacities in the left lung and more mild at the right base. The heart is not enlarged. The mediastinal and hilar contours are normal. The pleural effusions have decreased/resolved. There is no pneumothorax.
dyspnea, ecg changes. evaluate for acute process.
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The lungs are hyperinflated with relative lucency in the upper lungs, suggestive of chronic obstructive pulmonary disease and pulmonary emphysema. Subtle left base opacity may relate to overlapping structures although early consolidation cannot be excluded in the appropriate clinical setting. Dedicated pa and lateral views would be helpful for further evaluation. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable.
cough, hypoxia.
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As compared to the previous radiograph, the dobbhoff catheter now projects over the middle parts of the stomach. The pre-existing areas of atelectasis at both the left and the right lung base have decreased in severity and extent. No new parenchymal opacities. No pneumothorax. Unchanged size of the cardiac silhouette.
left maxillary fracture, dobbhoff placement.
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Interval removal of the endotracheal tube. No change in the position of a left subclavian catheter, which terminates in the mid portion of the svc. Stable low lung volumes. Retrocardiac opacity seen best on the lateral view. No pleural effusion or pneumothorax. No pneumomediastinum. Stable enlargement of the cardiomediastinal silhouette and prominent pulmonary vasculature. The hila are unremarkable.
<unk>-year-old woman with dm and pvd, status-post right fem-pop bypass, now presenting with a fever post-operatively. evaluate for pulmonary process.
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Pa and lateral views of the chest provided. Midline sternotomy wires and pacer as well as the leads appear unchanged. Marked cardiomegaly is again noted with no focal consolidation, effusion or pneumothorax. There is mild left basal atelectasis. No convincing signs of edema or hilar congestion. Bony structures are intact.
<unk>m with cad, hfref, ckd, worsening dyspnea // acute cardiopulmonary process
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The cardiac, mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is demonstrated. There are no acute osseous abnormalities.
headache, nausea, tachycardia and chest pressure.
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Multiple overlying ekg leads are present. There is no free air below the right hemidiaphragm. There is mild bibasilar atelectasis. Otherwise the lungs are clear. The cardiomediastinal silhouette appears normal. Bony structures are intact.
<unk>-year-old male with acute abdomen, question free air.
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Upright ap and lateral views of the chest provided. There is stable elevation of the right hemidiaphragm. Mild pulmonary edema is noted. No large effusions are seen. No pneumothorax. No convincing signs of pneumonia. The heart is mildly enlarged. The mediastinal contour is normal. A bullet-shaped metallic density projects over the soft tissues of the left axilla, appearing unchanged from <unk>, <num> likely representing an embedded foreign object.
<unk>m with hx chf, cad presenting with hypoxia <unk>% on ra this morning // eval for pna or volume overload
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As compared to the previous radiograph, there is an increase in extent of a pre-existing retrocardiac atelectasis, with minimal blunting of the left costophrenic sinus, potentially suggestive of the presence of a small left pleural effusion. Low lung volumes. Moderate cardiomegaly. No evidence of pneumonia.
intubation, evaluation for pneumonia.
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In comparison with the study of <unk>, the monitoring and support devices remain in place. Again there is enlargement of the cardiac silhouette with pulmonary edema. Bilateral pleural effusions with compressive atelectasis persist. More focal area in the right upper zone could conceivably represent a developing consolidation in the appropriate clinical setting.
cardiac surgery.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities. Several clips are noted at the gastroesophageal junction.
history: <unk>m with anxiety
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Single ap semi-erect portable view of the chest was obtained. The patient is status post median sternotomy and cabg. Again seen is fracture to superior most sternal wire, and unchanged. There are slightly low lung volumes. There is central vasculature suggesting pulmonary vascular engorgement and mild pulmonary vascular congestion. Mild lingular and bibasilar atelectasis is seen. No enlarged pleural effusion or pneumothorax is seen. There is no definite focal consolidation. Cardiac silhouette is top normal to mildly enlarged. Lumbar spinal hardware is partially imaged.
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The when compared to <unk> chest radiograph, both lung volumes are low. There is interval development of small (left greater than right) pleural effusions. However there are no consolidations nor opacities to suggest pneumonia. The cardiomediastinal and hilar contours are normal. There is no pneumothorax.
<unk> year old man with pancreatitis and new hypoxemia // eval for acute process
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Frontal and lateral views of the chest. Again seen are multifocal regions of scarring which are most notable in the mid upper lungs and retrocardiac region. There is no definite new consolidation or effusion. Mild cardiomegaly is again noted. Multifocal vertebroplasties again noted.
<unk>-year-old female with dyspnea.
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Compared to <num> day prior, small right pleural effusion has increased in size. Small left pleural effusion is unchanged. Lungs are well-expanded without new focal opacity. Heart size is top-normal. Cardiomediastinal and hilar silhouettes are stable.
<unk> year old woman s/p tracheobronchoplsty // check interval change
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Increase of bilateral, now severe, pulmonary edema is seen with left lower lobe volume loss and a left small pleural effusion. The cardiomediastinal silhouette appears stable. There is no pneumothorax.
<unk> year old man with recent hypoxic event ?pna and/or pulm edema, now with slowly increasing o<num> requirements // persistent hypoxia, ?pulm edema vs pna
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A right internal jugular catheter is present with the tip in the upper svc. A left-sided chest tube is in unchanged position. Sternal wires are intact. Since the prior exam, the endotracheal tube and nasogastric tube have been removed. The lung volumes are lower, accentuating the bronchovascular structures and pleural effusions. Small-to-moderate bilateral pleural effusions are likely just slightly increased in szie. There is associated atelectasis. The apices of lungs are clear. The mediastinal contours are unchanged, with an expected postoperative appearance. The cardiac size is difficult to evaluate given the adjacent effusions.
status post cabg. evaluate for effusion.
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Ap single view of the chest has been obtained with patient in semi- recumbent position. Analysis is performed in direct comparison with the next preceding similar portable chest examination obtained seven hours earlier during the same day. The previously present ng tube has been removed. No pneumothorax can be identified. Noted, however, are markedly increased densities predominantly overlying the lung bases, but reaching higher now on this portable chest examination. One explanation could be that the previously present pleural effusions are layering higher up as the patient is in more supine position. Evidence of bilateral basal atelectasis as before. If quantification of pleural effusion is essential for future management, an additional lateral view could be of value.
<unk>-year-old female patient with post-extubation hypertension. evaluate for pneumothorax or acute process.
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The lungs are clear. The cardiomediastinal silhouette, pleural surfaces, and hilar contours are normal. No pneumothorax, pleural effusion, or pulmonary edema.
<unk> year old man with h/o papillary thyroid cancer // sob, chest pain
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Single portable view of the chest. The lungs are clear of confluent consolidation. Blunting of the right costophrenic angle could be due to atelectasis or small effusion. Central pulmonary vascular engorgement. There is moderate enlargement of the cardiac silhouette which has progressed since prior. No acute osseous abnormalities are visualized.
<unk>-year-old male with dyspnea.
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There has been interval placement of a right chest tube, with resolution of the right pneumothorax and re-expansion of the right lung. Overall, lung volumes are lower, with increasing atelectasis. Moderate cardiomegaly is stable with stable preexisting left parenchymal opacities.
<unk> year old woman with meningitis; intubated. s/p chest tube for pneumothorax.
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In comparison with the study of <unk>, the right chest tube has been removed. No definite pneumothorax. Basilar opacification is again consistent with pleural fluid and atelectasis, more prominent on the left. Gastric pull-through is identified. The degree of subcutaneous emphysema is decreasing.
chest tube removal, to assess for pneumothorax.
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There is a right-sided port-a-cath which terminates in the low svc. The lung volumes are low. There has been an interval increase in the moderate right-sided pleural effusion with an increase in mild adjacent atelectasis. There has been a slight decrease in the size of a now small to moderate left pleural effusion with a new small caliber pleural catheter projecting over the left lung base. There has also been interval improvement of the left base compressive atelectasis. There is no pneumothorax.
<unk>-year-old man with adenocarcinoma of unknown primary, presents with pleural effusion status post thoracentesis with a drain in the left question of pneumothorax.
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Bilateral lower lung reticulation is similar to somewhat increased compared to prior radiographs from <unk> but new since <unk> <unk>. Central pulmonary arteries are again mildly prominent. The lungs are otherwise clear. The heart size is normal. The mediastinal contours are normal. There are no pleural effusions. No pneumothorax is seen.
chest pain. evaluate for pneumonia.
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Pacer unit projects over the left chest with leads in the right atrium and right ventricle. The heart is large, but stable. Mediastinal contours demonstrate calcified atherosclerotic disease of the aortic knob and a mildly tortuous aorta. The lungs are clear. There is no pleural effusion or pneumothorax.
<unk>-year-old female with cough.
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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 a history of basilar migraines p/w multiple falls and raccoon eyes on exam // eval bleed and skull fracture
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The patient is status post median sternotomy and cabg. The heart size remains moderately enlarged but unchanged. The aorta is tortuous and diffusely calcified. There is mild chronic interstitial abnormality, similar compared to the prior exam. Emphysematous changes are most pronounced within the right lung apex. Minimal blunting of the costophrenic sulci posteriorly on the lateral view likely reflects chronic pleural thickening. No overt pulmonary edema is present. Streaky bibasilar opacities likely reflect atelectasis. There is scarring within the lung apices. No focal consolidation or pneumothorax is identified. There are no acute osseous abnormalities. Multilevel degenerative changes are seen within the thoracic spine.
hypoglycemia.
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There is no focal consolidation, pleural effusion or pneumothorax. Dense circular opacities projecting over the left mediastinum likely represent calcified lymph nodes, which were reportedly present based on the reports for prior imaging studies. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified.
<unk> year old woman with cough x <num> day, hx bronchitis // eval for pna
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Interval removal of right pigtail catheter with persistent small loculated right apical hydropneumothorax. Patchy bibasilar opacities may reflect patchy atelectasis, aspiration or infection. Probable small bilateral pleural effusions.
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Left-sided chest tube is again visualized as are chain sutures in the left upper lung. No pneumothorax is identified.
pleurodesis chest tube on waterseal.
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The ng tube has been advanced. The side port is not included in the film anymore, so we are assuming it is in adequate position. The endotracheal tube ends at <num> cm above the carina. The rest of the exam is unchanged with mild pulmonary edema and more focal opacification in the right upper lung where pneumonia or aspiration cannot be excluded. The mild left pleural effusion and right moderate-to-severe pleural effusion is unchanged. Moderate cardiomegaly.
patient with cardiac arrest, evaluation for ett placement.
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Endotracheal tube is in standard position, terminating approximately <num> cm above the carina, and a nasogastric tube terminates in the stomach. A right internal jugular central venous catheter terminates deep within the right atrium, with tip directed in the expected location of the tricuspid valve plane overlying the lower thoracic spine. Cardiomediastinal contours are remarkable for interval widening of the vascular pedicle, accompanied by new pulmonary vascular congestion and a bilateral asymmetrical distribution of perihilar ground-glass and reticular opacities, worse on the left than right. This may reflect asymmetrical edema and less likely aspiration. Focal atelectasis in the right lower lobe is also noted with increased opacity in the right retrocardiac region and mild elevation of the right hemidiaphragm. The position of the right internal jugular catheter has been communicated by telephone with dr. <unk> on <unk> at <time> a.m. At the time of discovery.
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In comparison with the study of <unk>, there is little overall change. Again there are bilateral pleural effusions with compressive atelectasis at the bases. No evidence of vascular congestion or acute focal pneumonia.
shortness of breath.
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Dobbhoff tube is seen coiled in the stomach, tip pointing towards the gastric fundus and does not appeared to be post-pyloric position. The patient has known right hydropneumothorax with apparent increase in pleural fluid which is likely due in large part to the patient being supine on this study, with layering fluid as opposed to upright on the prior studies. There has been interval increase in perihilar opacities that may be due to mild edema. Cardiac and mediastinal silhouettes are stable.
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In comparison with the study of earlier in this date, there is increased prominence of the cardiomediastinal silhouette. Some of this may merely reflect the ap rather than pa upright view. Mild prominence of central vessels could reflect some elevated pulmonary venous pressure. Again there is evidence of a prior cervical fusion.
mi with hypoxia.
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The patient is status post median sternotomy, cabg, and aortic valve replacement. Heart size appears mildly enlarged. Pulmonary vasculature is normal. Lung volumes are slightly low, with minimal left basilar atelectasis. No focal consolidation, left pleural effusion or pneumothorax is clearly evident. There may be minimal pleural thickening or trace fluid at the right costophrenic angle. No acute osseous abnormality is detected.
history: <unk>m with shortness of breath
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As compared to chest radiograph from no significant interval change, no reaccumulation of the left pleural effusion. Right calcified nodule is again seen. The lungs are clear. The cardiac silhouette is not enlarged. No pneumothorax.
<unk> year old man with new diagnosis of lung adenocarcinoma in lll, chest tube removed yesterday // please image the outermost aspect of the right and left lungs for evidence of pleural fluid reaccumulation, needs to be repeated from this am
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Left-sided central line terminates in the upper svc. Et tube terminates appropriately approximately <num> cm above the carina. Small bilateral pleural effusions are persistent. Mild cardiomegaly is stable, with prominence of the hilar and mediastinal contours, likely secondary to low lung volumes. There has been slight interval increase in mild bibasilar atelectasis. An enteric tube extends below the diaphragm with the tip in the body of the stomach. There is no evidence of pneumothorax.
history of mesenteric ischemia status post exploratory laparotomy. please evaluate for interval change.
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There has been interval placement of an endotracheal tube, terminating approximately <num> cm above level the carina. Enteric tube terminates in the distal esophagus, high in position. Recommend advancement so that it is well within the esophagus. No definite focal consolidation is seen. There is no large pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable.
history: <unk>m with pna // tube eval
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Ap portable supine chest radiograph obtained. The endotracheal tube is seen with its tip residing approximately <num> cm above the carina. The ng tube courses into the left upper abdomen. Contrast is seen within large bowel loops in the right upper quadrant. Linear areas of plate-like atelectasis in the right and left lower lungs are noted. There is no large consolidation or signs of chf. No definite pneumothorax is present. The heart and mediastinal contours appear grossly unremarkable aside from atherosclerotic calcifications of the aortic knob. No definite displaced rib fractures are seen.
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The lung volumes are low. There is no focal airspace consolidation, pulmonary edema, pleural effusions or pneumothorax. The mediastinal contours are normal. The heart size is moderately enlarged, and unchanged.
altered mental status. evaluate for pneumonia.
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The heart is normal in size. The mediastinal and hilar contours appear unchanged. The lungs appear clear. There are no pleural effusions or pneumothorax. Mild degenerative changes are similar along the thoracic spine.
leukocytosis.
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In comparison with the study of <unk>, there is little overall change. Monitoring and support devices remain in place. Diffuse bilateral pulmonary airspace process persists, which could reflect pulmonary edema or diffuse pneumonia. Continued enlargement of the cardiac silhouette with hazy opacification at the bases consistent with pleural effusion and compressive atelectasis, more prominent on the right.
pneumonia.
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Bilateral lung volume is low. In comparison to <unk> chest radiograph, the suspected right apical lung opacity is not visualized in this study. There is no consolidation, pneumothorax, or pleural effusion appreciated. The cardiomediastinal silhouette and hilar silhouettes are normal size. No acute bony abnormalities nor evidence of acute fracture. .
<unk> year old woman with cerebral palsy chronic cough and history of treated tb per notes presenting with cough for <num> week // rule out pna, prior films recommend lordotic view
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In comparison with the study of <unk>, right jugular catheter has been removed. Bilateral pulmonary opacifications appear slightly better than on the previous study. This could reflect some improvement in pulmonary vascular status or improving multifocal areas of pneumonia. Small pleural effusions persist.
sepsis and ards.
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Frontal and lateral views of the chest were obtained. The lungs are hyperinflated with flattening of the diaphragms, suggesting chronic obstructive pulmonary disease. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The aorta is relatively unfolded. The cardiac silhouette is not enlarged. Some degenerative changes are seen along the spine.
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Lung volumes are low compared to the prior study resulting crowding of the pulmonary bronchovascular structures. Bilateral lower lobe airspace opacities with prominence of the hila is most consistent with congestive heart failure. There is left lower lobe atelectasis versus consolidation. Probable left pleural effusion. A dual lead pacemaker is in-situ, unchanged in position when compared to the prior study and obscuring the left mid lung. He reverse right shoulder arthroplasty is noted.
<unk> year old man with systolic and diastolic chf, presenting with mrsa bacteremia, chf exacerbation, copd exacerbation, and pna. // ?pna, pulmonary edema
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Patchy lingular opacity is most likely due to atelectasis although early infectious process is not excluded in the appropriate clinical setting. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. Mediastinal contours are unremarkable.
history: <unk>f with cough and shortness of breath // eval for pneumonia
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Ap and lateral views of the chest were obtained. The heart size is top normal. The mediastinal and hilar contours are stable. There are low lung volumes. There is slight blunting of the bilateral costophrenic angles, which may represent small pleural effusions. Streaky opacities, more at the left lung base than the right, were present on the prior study and likely represent atelectasis but underlying pneumonia cannot be excluded. Multiple compression deformities of thoracic spine are again seen, stable compared to the prior study.
dry cough.
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Cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits. The inspiratory lung volumes are appropriate. There are no focal consolidations concerning for pneumonia. There are no pleural effusions or pneumothorax. Previously identified faint increased opacity in the medial left lung apex is not visualized in today's examination. Pulmonary vasculature is not engorged and there is no evidence of pulmonary edema. Again seen is a non-united fracture at the distal end of the right clavicle.
<unk>-year-old female patient status post crani. study requested for evaluation of pna, pulmonary edema/effusion.
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The lungs are clear without consolidation or edema. The previously identified opacities have resolved. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. A mild pectus deformity is unchanged.
chest pain and shortness of breath.
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Right infrahilar and lower lobe streaky opacities with air bronchograms are most likely atelectasis, with associated slight elevation of the right hemidiaphragm, as also noted on the prior chest radiograph and ct. Streaky opacities at the left lung base are less prominent but also likely represent atelectasis, also noted previously. Large retrocardiac opacity with scattered focal areas of rounded lucencies are most consistent with the known large hiatal hernia containing loops of bowel and mesenteric fat, best appreciated on recent ct, and perhaps slightly increased from the prior exam. No definite focal consolidation to suggest a focal pneumonia. No edema. The heart size is difficult to accurately assess on this ap view, also in the setting of large hiatal hernia. Aortic knob calcifications are moderate, overall unchanged. No pneumothorax. No evidence of acute osseous abnormality on these non-dedicated images. Degenerative changes in both shoulders are noted.
<unk>-year-old man presenting with shortness of breath and hypoxia. evaluate for pneumonia or edema.
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The bilateral airspace opacities appear more confluent on today's study with extensive opacification of both lungs, partial silhouetting of the left hemidiaphragm. Again, this likely reflects combination of pulmonary lymphoma, infection and pulmonary edema. Lung volumes remain low with left lower lobe atelectasis. Support and monitoring equipment is unchanged in appearance.
<unk> year old woman with lymphoma // interval change
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Pa and lateral chest radiographs are provided. There is no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. The bones are intact.
<unk>-year-old with history of hepatitis c with fever and altered mental status. rule out pneumonia.
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Ap upright and lateral views of the chest were obtained. Lung volumes are low and kyphotic angulation limits evaluation through the lower lungs. The heart is mildly enlarged. Prominent bronchovascular markings could reflect bronchovascular crowding, though the possibility of mild congestion is impossible to exclude. There is no frank pulmonary edema or definite signs of pneumonia. No large pleural effusion or pneumothorax is seen. The aorta appears unfolded. Bony structures are demineralized with deformity involving the left proximal humerus, partially imaged. Vertebroplasty changes in the thoracolumbar junction are better assessed on the concurrently performed l-spine radiograph.
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Ap upright and lateral views of the chest are provided. There is no focal consolidation, effusion or pneumothorax. There is mild prominence of the interstitial markings which could in part reflect bronchovascular crowding, though the possibility of mild edema is not excluded. Bony structures are intact. No free air below the right hemidiaphragm.
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A right internal jugular catheter is unchanged with the tip in the mid svc. Bilateral chest tubes and mediastinal drains are unchanged. No pneumothorax is identified. A right basilar consolidation is similar to the prior exam. There is no overt pulmonary edema, though there are small bilateral pleural effusions. The cardiomediastinal silhouette has an expected postoperative appearance.
status post cabg x<num>. chest tube placed to waterseal. evaluate for pneumothorax.
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Lung volumes are low, resulting in bronchovascular crowding. Cardiac silhouette is top-normal in size. There is pulmonary vascular congestion, without frank edema. No pleural effusion, pneumothorax, or consolidation. Spinal fusion hardware is seen in the lower cervical spine.
history: <unk>m with acute liver failure*** warning *** multiple patients with same last name! // ?pna
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Frontal and lateral views of the chest were obtained. The patient is status post median sternotomy and cabg with some broken sternal wire seen, superiorly. No focal consolidation is seen. There is no large pleural effusion or pneumothorax. The cardiac silhouette is top normal to mildly enlarged. There may be minimal pulmonary vascular congestion without overt pulmonary edema. The aorta is calcified and tortuous.
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Endotracheal tube terminates approximately <num> cm above the carina and is adequately placed. Left subclavian line ends at mid svc. Bilateral lung volumes remain low. Moderate right pleural effusion is unchanged. Mildly enlarged heart size and prominent mediastinal contour have similar appearance. Atelectasis seen in the right mid lung on <unk> has resolved. Bilateral lower lung atelectasis, left side more than right side, is stable.
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Pa and lateral chest radiographs were obtained. The lungs are well expanded and clear. The previously seen irregular focal opacity in the left base and adjacent lucency is no longer apparent. No consolidation, effusion, or pneumothorax is present. The cardiac and mediastinal contours are normal.
<unk>-year-old man with a small irregular focal opacity at the left base and triangular lucency in the left costophrenic angle.
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Pa and lateral views of the chest provided. A right upper extremity picc line is in place with the catheter extending into the mid svc region though the tip is not clearly visualized. Otherwise no change. No consolidation concerning for pneumonia.
<unk>m w/ams, picc, please eval picc placement, going to d/c picc, also eval for occult pna
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There is opacity at the right lung base, which is suspicious for pneumonia. There is no pleural effusion or pneumothorax. Cardiac silhouette is top normal in size.
<unk> year old woman with persistent fevers s/p svd and d c for retained pocs // please eval for acute process
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Pa and lateral views of the chest are provided. The lungs appear clear without focal consolidation, effusion or pneumothorax. There is mild bibasilar atelectasis. No large effusion. Cardiomediastinal silhouette appears normal. Bony structures are intact. No free air below the right hemidiaphragm is seen.
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There is moderate to severe tracheal narrowing due to the enlarged thyroid seen on <unk>. The lung volumes are normal. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures. . No pneumonia, no pulmonary edema. No pleural effusions.
<unk> year old woman with chest pain, sobh/o cervical cancer // eval
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Chest: lungs are clear. Cardiac size is normal. No free air is seen below the right hemidiaphragm. No large pleural effusion. No pneumothorax. No pneumonia. Abdomen: no secondary signs of free air. There appears to be a large amount of fecal loading. Clips are noted in the pelvis. Underlying bones are unremarkable.
<unk>f with severe abdominal pain.
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Blunting of the left costophrenic angle is unchanged, consistent with prior empyema and decortication and reactive thickening/pleural scarring. The lungs are clear. There is no large pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
history of left vats and decortication in <unk> for empyema. flu-like symptoms today.
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Cardiac silhouette size is top normal. Mediastinal and hilar contours are unremarkable. The pulmonary vasculature is not engorged. Lungs are grossly clear without focal consolidation. Assessment of the lung apices is slightly obscured by the patient's neck and chin projecting over this region. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are visualized.
history: <unk>f with chest pain
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Subtle, streaky opacities in the right and left lower lobes are most consistent with atelectasis. No pleural effusion or pneumothorax is seen.
<unk>m with s/p crack cocaine use p/w chest pain // r/o chf/pneumonia
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The heart is mildly enlarged. Mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. There is some mild prominence of upper zone pulmonary vessels suggesting slight fluid overload or pulmonary venous hypertension. These findings are less prominent than on the prior examination, however. Otherwise, the lungs appear clear. The bony structures were unremarkable.
chest radiographs requested.
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The heart size is normal. The hilar and mediastinal contours are normal. The lungs are clear without evidence of focal consolidations concerning for pneumonia. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable.
<unk>m s/p ortho surg now pod <unk> with fevers. // ? pneumonia
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There is persistent blunting of the right costophrenic angle.basilar atelectasis is noted without definite focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. Calcified left hilar lymph node is re- demonstrated.
history: <unk>f with chest pain // eval for structural process
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No previous images. The tip of the endotracheal tube measures approximately <num> cm above the carina. There is enlargement of the cardiac silhouette with opacification at the left base consistent with pleural effusion and substantial volume loss in the left lower lobe. The right lung is clear and there is no vascular congestion. A gastrostomy tube is in place.
et placement.
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The cardiomediastinal and hilar contours are within normal limits. No focal infiltrate or consolidation. There is no evidence of pulmonary vascular congestion. There is no pneumothorax or pleural effusion.
<unk>m with chest pain, rule out acute process.
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Frontal and lateral radiographs of the chest were obtained. Spinal fusion hardware is incompletely visualized at the superior aspects of the image. Lung volumes are somewhat low, with bibasilar atelectasis. The heart size and mediastinal contours are normal. No focal consolidation, pleural effusion or pneumothorax is present. The visualized osseous structures are grossly unremarkable.
recent anterior approach fusion at c<num> through <num>, now with pain with swallowing. evaluate for signs of hematoma or soft tissue swelling in the mediastinum.
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The lungs are well-expanded and clear. No pleural effusion pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. Limited assessment of the upper abdomen is within normal limits.
<unk>f with left parasternal chest pain. assess for structural problem.
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As compared to the previous radiograph, the patient has received a tracheostomy tube and the previously placed endotracheal tube was removed. The nasogastric tube is unchanged. Unchanged lung volumes, no evidence of pneumothorax. The subtle parenchymal opacities at both lung bases, notably at the bases of the middle lobe and right lower lobe, documented on ct examination from <unk>, are not appreciated on the radiograph.
motorcycle accident, intubation, evaluation.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>m with cough
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Frontal and lateral radiographs of the chest demonstrate well expanded clear lungs. There is no pneumothorax, consolidation, or pleural effusion. The cardiomediastinal and hilar contours are unremarkable.
chest pain. evaluate for widened mediastinum.
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Lungs are clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. No pneumothorax, pleural effusion, pulmonary edema, or pneumonia. No acute rib fractures are seen on this limited exam.
<unk>f with acute onset bilateral rib pain // fracture?
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Pa and lateral views of the chest provided. Lung volumes are low. Allowing for this, there is no definite sign of focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is stable with top-normal heart size. Aortic atherosclerosis is again noted. Imaged osseous structures are intact. High riding right humeral head suggests chronic rotator cuff disease. No free air below the right hemidiaphragm is seen.
history: <unk>f with fever, dyspnea // acute cardiopulm disease
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In comparison with the study of <unk>, there is little change and no evidence of acute focal pneumonia, vascular congestion, or pleural effusion. Apical pleural thickening or fibrosis is seen especially on the left.
worsening cough after uri.
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The patient has undergone right pneumectomy, there is beginning of fluid filling of the pneumonectomy space. Unchanged extensive air collection in the soft tissues. Unchanged normal appearance of the left hemithorax.
status post right pneumectomy, evaluation.
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Left apical pleural and parenchymal fibrosis with associated volume loss is consistent with radiation fibrosis in the setting of previous left mastectomy. There is no focal consolidation, pleural effusion or pneumothorax. The heart is mildly enlarged, and mediastinal and hilar contours are normal. Surgical clips projecting over the left axilla and right upper abdominal quadrant are again noted. Scoliosis is noted.
<unk>-year-old female with dyspnea.
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There is interval improvement of right lower lobe collapse despite low lung volumes. There is a feeding tube that appears to terminate within the patient's known hiatal hernia.
<unk> year old woman with placement of ng tube today. // please assess proper placement of ng tube.
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The lungs are clear. No focal consolidation, effusion, edema, or pneumothorax. The heart is top-normal in size. Mediastinum is not widened. The descending thoracic aorta is slightly tortuous, unchanged. These thoracic spine is mildly curved to the right. The lumbar spine is slightly curved to the left. Multilevel degenerative changes are identified within the thoracic spine including anterior osteophytes and loss of intervertebral disc height. Mild retrolisthesis of vertebral bodies in the lower thoracic and upper lumbar spine appear similar to the scout image on the chest ct from <unk>.
<unk>-year-old woman presenting with chest pain. evaluate for consolidation.
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As compared to the previous radiograph, there are minimal effusions, left more than right, restricted to the areas of the costophrenic sinus on both the frontal and the lateral image. Otherwise, the radiograph is also unchanged. Mild cardiomegaly with massive known dilatation of the left and right pulmonary arteries, indicative of pulmonary hypertension. Minimal tortuosity of the thoracic aorta. Moderate flattening of the hemidiaphragms, apparent on the lateral radiograph only.
recurrent effusions, status post thoracocentesis, questionable recurrence.
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New since prior same-day radiograph is an endotracheal tube with distal tip projecting approximately <num> cm above the carina. A new enteric tube courses inferiorly in the midline, with distal side port projecting over the gastric body, tip not visualized. The cardiomediastinal contours are stable, including moderate enlargement of the cardiac silhouette. Diffuse, bilateral consolidative airspace opacities are unchanged. There is biapical pleural parenchymal scarring. There is no pneumothorax or large pleural effusion.
<unk>-year-old man status post intubation, confirm endotracheal tube location.