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The cardiomediastinal and hilar contours are within normal limits. The lungs are clear without focal consolidation, pleural effusion or pneumothorax.
<unk>m with new onset afib with rvr.
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Ap upright portable view of the chest provided. Lungs are clear. No focal consolidation effusion or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact. No displaced rib fractures are seen. No free air below the right hemidiaphragm.
<unk>-year-old female status post fall.
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An orogastric type tube is again seen, extending beneath the diaphragm off the film. A right-sided picc line is again seen, tip overlying distal svc. No pneumothorax detected. As before, there is prominent cardiomegaly with slight unfolding of the aorta. The overall cardiac silhouette appears slightly smaller, though this could be accentuated by differences in technique. There is upper zone redistribution, without overt chf. Considerable interval improvement in previously seen bibasilar atelectasis. No frank consolidation. No effusion.
<unk> year old man with recent lower extremity surgery with afib with rvr. // please evaluate for pneumonia. prior x-ray report yields a history of cll, an icm, septic right prosthetic hip
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Heart size is borderline enlarged. 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. There are no acute osseous abnormalities.
fall with head strike.
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One portable ap view of the chest. There are low lung volumes which crowd the pulmonary vasculature. Within that limitation, the lungs are grossly clear without any obvious consolidation. There is no pneumothorax. There is no large pleural effusion. Cardiac, mediastinal, and hilar contours are normal. No evidence of pulmonary edema.
<unk>-year-old female with chest pain, evaluate to rule out acute process.
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Frontal lateral views of the chest. Again seen is large right paratracheal and anterior mediastinal densitiy compatible with known malignant adenopathy. There is persistent right basilar opacity likely due to combination of atelectasis and potentially superimposed consolidation. The left lung remains grossly clear of new consolidation with persistent likely malignant suprahilar nodule. Cardiomediastinal silhouette is unchanged. No acute osseous abnormality detected.
<unk>-year-old male with metastatic lung cancer, palliative care with increasing shortness of breath. question pulmonary edema.
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Pa and lateral views of the chest provided. Right chest wall port-a-cath is seen with its tip in the mid svc region, unchanged. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with bmt, neutropenia, weakness/cough
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Cardiomediastinal contours are normal in appearance. Lungs are clear except for a tiny calcified granuloma in the periphery of the right lower lobe. No rib fractures are identified, but portable chest radiographs are relatively insensitive for detecting rib fractures, especially those involving the anterior ribs. There is no visible pneumothorax or pleural effusion.
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The lungs are well inflated and clear. No lobar consolidation present. Mild prominence of hilar vasculature as before. Cardiomediastinal silhouette is unremarkable. No pleural effusion or pneumothorax noted. Bony thorax is unremarkable.
<unk> year old man with presenting with dka and cough // evalute for pneumonia/cough
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Ap and lateral views of the chest were performed. The heart size is top normal. There are tiny bilateral pleural effusions. No large consolidation is seen. Aortic calcifications are seen within the aortic arch. There is no pneumothorax. Multilevel degenerative changes of the spine are noted.
dyspnea on exertion, evaluate for pulmonary edema or infectious process.
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The lungs are well inflated and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. Included upper abdomen is unremarkable. Osseous structures are grossly intact.
chest pain, evaluate for pneumothorax.
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Portable ap chest radiograph. The lungs are clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
exertional diaphoresis.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with fever cough // repeat for eval
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The heart size is mildly enlarged. The mediastinal contours again demonstrate an unfolded aorta. The lungs show prominence with indistinctness of pulmonary vasculature as well as hilar fullness. There is no large pleural effusion or pneumothorax.
<unk>-year-old female with shortness of breath.
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There is no consolidation or evidence of chf. Calcified lymph nodes at the right hilus and calcified parenchymal nodules are unchanged. There is no pneumothorax or pleural effusion. The heart and mediastinum are within normal limits.
<unk> year old woman with htn, dm, cad w/o hx mi with <num> days of sob and wheezing. seen at osh where thought to have chf. formal read of cxr was wnl, but <unk> md thought there was vascular congestion // ? evidence of chf
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There is a moderate-to-large dependent left lower hemithorax pleural effusion which appears to have slightly increased in size compared to the study on <unk> and is responsible for associated left lower lobe atelectasis. The right lung is clear. There is no evidence of mediastinal shift, suggestive of left lower lung volume loss. There is no evidence of a pneumothorax. The visualized osseous structures are unremarkable.
<unk>-year-old male who presents for evaluation of a left-sided pleural effusion.
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The cardiomediastinal contour is markedly abnormal with moderate cardiomegaly but marked prominence of the aortic arch, this consistent with the patient's known dissection and aortic root graft. No consolidation or pneumothorax seen. No pleural effusion seen.
history: <unk>f with chest pain // acute process
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Moderate right pleural effusion has slightly increased in size following removal of right pleural catheter. Slight worsening atelectasis in right mid and lower lung regions. Stable cardiomegaly and pulmonary vascular congestion. Worsening left lower lobe atelectasis and persistent adjacent small-to-moderate left pleural effusion.
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In comparison with the earlier study of this date, there is a little overall change. Again fluid is filling part of the space where there was previous pneumothorax at the right base. Diffuse bilateral pulmonary opacifications are again seen. There could be some hazy opacification at the left base consistent with some layering effusion.
pneumothorax and desaturations.
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Pa and lateral views of the chest provided. Lung volumes are low. There is mild right basal atelectasis. The heart appears mildly enlarged. The aorta is unfolded. No large effusion or pneumothorax is seen. No overt signs of edema. Bony structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with cholecystitis, hypoxia in setting of smoking hx
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There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is unremarkable. Osseous structures are intact.
chest pressure, evaluate for cardiopulmonary process.
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A tracheostomy tube, enteric feeding tube, right ij central venous catheter, and right pleural pigtail catheter are unchanged in position. A small-to-moderate right apical pneumothorax is not significantly changed. Mass-like opacities in the right lung base are re-demonstrated. Small bilateral pleural effusions are unchanged. There is moderate subcutaneous emphysema along the right chest wall. The cardiomediastinal contours are within normal limits and unchanged.
right pneumothorax and infiltrates with hypoxic respiratory failure status post tracheostomy.
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As compared to the previous radiograph, there is no relevant change. The tip of the endotracheal tube projects approximately <num>-<num> cm above the carina. No evidence of complications, notably no pneumothorax. The patient has received a new right internal jugular vein catheter. The catheter projects over the upper svc. No pleural effusions. Normal size of the cardiac silhouette.
ett, evaluation.
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Right-sided chest drain in situ. Interval improvement in the bilateral chest wall subcutaneous emphysema. Extensive bilateral upper lobe emphysematous changes. Bronchovascular crowding seen in the lower lobes with a small component of posterior basal pulmonary fibrosis. No pneumothorax. Old right-sided mid clavicular shaft fracture unchanged. Malalignment of the left acromioclavicular joint.
<unk> year old man with persistent ptx s/p r vats blebectomy w/ mechanical/chemical pleurodesis, now w/ pneumostat // interval change, ?ptx
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Interval removal of left chest tube. Median sternotomy wires intact and aligned. Unchanged, mild cardiomegaly. Stable, small left pleural effusion with underlying basilar atelectasis. No pneumothorax.
<unk>-year-old man status post chest tube removal. evaluate for pneumothorax.
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In comparison with the study of <unk>, there is little change. Extremely low lung volumes with bibasilar opacification that could well reflect atelectasis. However, in view of the clinical history, the possibility of supervening pneumonia would have to be considered. Upper zones are clear, and there is no evidence of pulmonary vascular congestion.
cll with respiratory distress.
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Ap portable upright view of the chest. Midline sternotomy wires and mediastinal clips are again noted. There is a coronary stent projecting over the heart. Lung volumes are low limiting assessment. There is pulmonary vascular congestion and probable mild interstitial edema. Bilateral pleural effusions are present, left greater than right. Retrocardiac opacity is also noted which could reflect atelectasis and/or pneumonia. No pneumothorax. Bony structures are intact. Heart size remains mildly enlarged. Mediastinal contour is normal.
<unk>f with sob
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Heart size is normal. The hilar and mediastinal contours are normal. There is a <num> cm right lower lobe nodule which has been present on prior ct scans, most recently from <unk>; a formal chest ct should be performed to evaluate for long-term stability. No focal consolidations concerning for pneumonia are identified. There is no pleural effusion or pneumothorax. No definite rib fractures are seen; however, a dedicated rib series would be helpful if there is further clinical concern for rib fractures.
history of assault with rib pain. please evaluate for trauma.
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The lungs are clear without consolidation or edema; streaky left medial basilar opacity suggests minor atelectasis or scarring. There is no pleural effusion or pneumothorax. There is an eventration of the right hemidiaphragm. The cardiac silhouette is moderately enlarged. The mediastinal contours are unremarkable within the limitations of technique.
weakness. evaluate for occult pneumonia.
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The heart size is top normal. The aortic contour is tortuous along its descending portion. The mediastinal and hilar contours otherwise are unremarkable. Lungs are clear. No pleural effusion or pneumothorax is present. There is no pulmonary vascular congestion. No acute osseous abnormalities are identified.
altered mental status.
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Pa and lateral views of the chest provided. Volumes are low limiting assessment. There is blunting of the left cp angle consistent with a small left pleural effusion. The hila appear slightly congested though there is no frank pulmonary edema. No focal consolidation concerning for pneumonia. No pneumothorax. Mediastinal contour appears normal. Bony structures appear intact with mild disc disease in the mid thoracic spine.
<unk>m with chest pain, shortness of breath, hx of chf, clinically volume overloaded, diminished breath sounds
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Pa and lateral chest radiograph demonstrates a clear lungs bilaterally. When compared to prior study dated <unk>, there is decreased intravascular congestion. The lungs are low which exaggerates the size of the heart. There is no overt pulmonary edema. There is mild prominence of the pulmonary vascular to suggest vascular congestion. No pleural effusion is seen. Osseous structures are without acute abnormality.
<unk>-year-old female with cirrhosis who presents with volume overload.
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Pulmonary vasculature is mildly prominent and very minimally increased since <unk> suggesting mild pulmonary vascular congestion. Top normal heart size and mediastinal and hilar contours are unchanged. Tortuosity of the aorta is stable in appearance. There are no new lung opacities concerning for pneumonia. There is no pleural effusion.
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In comparison with study of <unk>, there is no change or evidence of acute cardiopulmonary disease. Hyperexpansion of the lungs is consistent with chronic pulmonary disease in a patient who has undergone a previous cabg procedure. No evidence of acute focal pneumonia. No vascular congestion or pleural effusion. Small nodular opacifications in the upper lung are essentially unchanged from the study of <unk>.
shortness of breath and cough.
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Frontal and lateral views of the chest were obtained. There is minimal left base atelectasis. There is persistent blunting of the posterior costophrenic angle. This may be due to very trace pleural effusion. No focal consolidation or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
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No focal consolidation is seen. There is minor atelectasis. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. No pulmonary edema is seen. Partially imaged cervical spine hardware is noted. Some degenerative changes are seen along the spine.
history: <unk>m with left chest pain // ?cpd
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There is atelectasis at the left lung base. No focal consolidation is identified. The cardiomediastinal silhouette and hilar contours are stable given differences in patient positioning. There is no pleural effusion or pneumothorax. Degenerative changes are noted in the cervical spine as well as the bilateral shoulders. Calcifications of the aortic arch and the tracheobronchial tree are again noted.
<unk>f with cva, htn, hld presenting with fall, seizure. evaluate for pneumonia
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Ap upright and lateral chest radiographs were obtained. Bilateral calcified pleural plaques and basilar reticular opacities, consistent with known fibrotic changes related to asbestosis, are re- demonstrated without new opacity to suggest pneumonia. There is no pleural effusion or pneumothorax. The heart is stably enlarged with tortuous and calcified intrathoracic aorta.
seizure-like activity assess for pneumonia.
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There is bibasilar subsegmental atelectasis and or scarring as before. There is no definite focal consolidation. The heart is normal in size. Mediastinal structures are otherwise unremarkable and unchanged. The bony thorax is grossly intact. Allowing for differences in technique, there is no significant change.
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Pa and lateral views of the chest were provided. There is mild residual opacity within the left lower lobe which could represent atelectasis or residual pneumonia. No large effusion or pneumothorax. The heart and mediastinal contour appears normal. Bony structures are intact.
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The lungs are clear without effusion or pneumothorax. The cardiac silhouette and mediastinal contours are normal. A left chest mediport is unchanged in position with its tip in the lower svc. An ng tube is in place, the tip and sidehole superimposed on the expected location of the stomach. Dilated loops of bowel are noted in the abdomen.
<unk>-year-old female with t<num> n<num> rectal adenocarcinoma status post open proctosigmoidectomy complicated by closed loop small bowel obstruction who now presents with emesis following ng tube placement.
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In comparison with the study of <unk>, there is again bilateral apical scarring and pleural thickening with volume loss in the apices bilaterally. Hyperexpansion of the lungs is consistent with chronic pulmonary disease. There is a somewhat ill-defined area of increased opacification at the right base laterally. This could correlate with an area of opacification just behind the major fissure and is suspicious for a right lower lobe consolidation.
cough and fever.
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Marked asymmetric elevation of hemidiaphragm with subsegmental atelectasis in the right lower and middle lobes. More pronounced right upper lobe opacity, when compared to prior radiographs in <unk>. This could be pneumonia but it is difficult to separate from sclerosis of the overlying ribs. The left lung is clear. No pneumothorax or large pleural effusions. Mild cardiomegaly.
<unk> year old woman with sob decreased right breath sounds s/p is block // pneumothorax surg: <unk> (<unk> total shoulder replacement)
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Over last <num> hours, mild to moderate pulmonary edema is unchanged. Mildly enlarged heart, prominent bilateral hila and presumed small bilateral pleural effusions are similar. Right internal jugular line terminates at lower svc. Mediastinal contour is stable.
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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. Mild to moderate degenerative changes are noted in the thoracic spine.
history: <unk>m struck by car with comminuted tibial plateau fracture, preop cxr
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Pa and lateral views of the chest provided demonstrate clear, well-expanded lungs without focal consolidation, effusion or pneumothorax. The heart and mediastinal contours are normal. Bony structures are intact. No free air below the right hemidiaphragm.
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The lungs are clear with no evidence of consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. No acute fractures are identified.
fever and cough.
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Pa and lateral views of the chest were obtained demonstrating clear well-expanded lungs without focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette appears normal. An old right mid rib cage deformity is redemonstrated. Otherwise, the imaged osseous structures appear unremarkable.
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Aside from atelectasis at the right base, the lungs are clear. There is mild cardiomegaly. The hilar and mediastinal contours are otherwise normal. There is no pneumothorax. There is no pleural effusion. Pulmonary vascularity is normal.
<unk>-year-old man with altered mental status.
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The cardiac, mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures are unremarkable.
leukocytosis and fever status post recent cystoscopy.
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Heart size remains moderately enlarged. The mediastinal and hilar contours are unchanged with mild atherosclerotic calcifications noted at the aortic knob. There is mild pulmonary vascular congestion without overt pulmonary edema. Streaky opacities in the lung bases likely reflect areas of atelectasis. No pleural effusion or pneumothorax is clearly identified. Multilevel degenerative changes are again seen within the thoracic spine.
history: <unk>f with weakness, new heart block
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Ap and lateral radiographs of the chest demonstrates moderate-size right apical-lateral pneumothorax with no evidence of tension. The lungs are otherwise clear with no focal consolidation. The cardiac and mediastinal contours are normal. Trace right pleural effusion.
chest pain. evaluate for pneumothorax.
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Cardiomediastinal silhouette is normal. The lungs are fully expanded and clear. There is no pneumothorax or pleural effusion.
<unk>f with myalgia and chest pain, evaluate for pneumonia.
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The lungs are clear. The mediastinum is unremarkable. The cardiac silhouette is within normal limits. No effusion or pneumothorax. Mild degenerative disease within the upper and mid thoracic spine.
hematuria right post bladder biopsy
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As compared to the previous radiograph, there is no relevant change. Normal lung volumes. Normal appearance of the cardiac silhouette. Minimal tortuosity of the thoracic aorta. No pleural effusions. No pneumothorax.
bacteremia, epidural abscess, status post washout. rule out acute process.
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The heart appears mild to moderately enlarged. Diffuse opacification is mildly asymmetric, somewhat more prominent in the left mid lung than right, but most likely due overall to pulmonary edema. Opacity also obscures the posterior left hemidiaphragm, which shows upward tenting. This type of appearance could be seen with atelectasis, although infection is not entirely excluded by this examination. Fissures are thickened. There are no definite pleural effusions.
chest pain, edema and tachypnea. recent postpartum day #<num>.
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Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. Cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is identified.
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There has been very little change since prior radiographs. Small left pleural effusion and basilar atelectasis are unchanged. There are no lung opacities concerning for pneumonia. Heart size, mediastinal and hilar contours are normal. Feeding tube ends into the body of the stomach.
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The lungs are well-expanded and clear. No pleural effusion pneumothorax. Heart size, mediastinal contour, and hila are unremarkable.
<unk>m with ruq pain. assess for free air or cholecystitis
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The lungs are well expanded. Bibasilar opacities may be due to technique and overlying soft tissues. Superiorly the lungs are clear. The cardiomediastinal silhouette is normal. Previously seen right-sided central venous catheter is no longer visualized. There is no free intraperitoneal air.
<unk>f with sob, distended abd, pls eval for fluid vs hiatal hernia vs pna // history: <unk>f with sob, distended abd, pls eval for fluid vs hiatal hernia vs pna
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Minimal linear scarring is seen in the left within the right lung base is, but otherwise lungs are clear without evidence of pneumonia. Heart size and mediastinal contour are normal. No suspicious bone findings.
history: <unk>f with cough // pna
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The lungs are clear of consolidation, effusion, or vascular congestion. The cardiac silhouette is enlarged but stable in configuration. No acute osseous abnormalities identified.
<unk>f with chest pain // eval for cardiopulmonary process
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The lungs are well inflated and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax.
<unk>-year-old woman with elevated white count, fever and chills, evaluate for pneumonia.
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Frontal and lateral chest radiographs demonstrate stable moderate cardiomegaly. Stable prominence of the asygous vein without overt pulmononary edema. Mediastinal and hilar contours are unchanged. No pleural effusion or pneumothorax identified. Minimal atelectatic changes are noted particularly in the lung bases. No focal opacification concerning for pneumonia identified. Sternotomy sutures are intact.
status post cabg with increased exertional shortness of breath. assess for pleural effusion.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Heart size is normal. There is no vertebral compression fracture.
<unk> year old woman with a history of mm now with sob. please evaluate for infiltrate. //
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Ap view of the chest provided. Nasogastric tube is seen with side-hole in the stomach. Right -sided subclavian line terminates in the mid svc. Compared to prior study, there is interval improvement in bilateral interstitial opacities. No appreciable large amounts of pleural effusion is seen. Bibasilar atelectasis is noted.
<unk> year old woman with ngt, c/f pulled out, wish to confirm placement // ngt placement
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A tracheostomy tube is in satisfactory position with the tip in the mid trachea. The lungs are hyperinflated with distortion of the pulmonary vasculature, most consistent with chronic changes of copd. There is an opacity with air bronchograms in the retrocardiac region. Additionally, there is a focal opacity in the right lower lobe. A small left pleural effusion is present. There is no right pleural effusion, pulmonary edema, or pneumothorax. Pleural calcifications are noted. Allowing for technique, the cardiac size is at the upper limits of normal. The mediastinal contours are normal.
altered mental status.
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Cardiac, mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. Levoscoliosis of the thoracolumbar spine is noted.
history: <unk>m with cough x<num> weeks
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Compared with prior radiographs performed on the same day on <unk> at <time>, there is increased asymmetric opacification of both lungs, right greater than left, which may could be asymmetric pulmonary edema, and/or concurrent consolidation, or pulmonary hemorrhage. There is no pneumothorax. Severe mediastinal widening is unchanged since earlier in the day, improved since <unk>. . An et tube ends <num> cm above the carina, and should be advanced <num>-<num> cm for more secure positioning. A right-sided swan-ganz catheter terminates in the right pulmonary artery. Two left pleural drains are stable in position. Small left pleural effusion is likely.
<unk> year old man with new sided subc air // eval for ptx
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Frontal and lateral chest radiographs again demonstrate mildly increased opacity in the right lower lung, as seen on recent chest radiograph. Opacities previously seen in the left lower lung and upper lobe are not as prominent on today's exam. No pleural effusion or pneumothorax is identified. The cardiomediastinal silhouette remains normal. The visualized upper abdomen is unremarkable.
chest pain in a patient with a history of pe and pneumonia.
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Frontal radiographs of the chest demonstrate normal heart size. The aorta is tortuous. There is an <num> mm round opacity projecting over the right lower lung, which was further evaluated on subsequent chest ct and found to be a nipple shadow. The lungs are otherwise clear. No pleural effusion or pneumothorax. No displaced rib fracture identified.
<num> day of chest pressure and nausea. question acute cardiac process.
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Portable ap chest radiograph demonstrates a left chest tube has been inserted and terminates in standard position. The left pleural effusion has resolved. The cardiomediastinal silhouette is stable. Median sternotomy wires are again noted. Subtle lucency along the left hemidiaphragm raises question of possible pneumothorax.
pleural biopsy. evaluation for pneumothorax.
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Since the prior exam, the mild pulmonary edema has resolved. Linear opacities at the bilateral bases most likely represent atelectasis. There is no evidence of a focal consolidation to suggest pneumonia. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. A coarse calcification overlying the right apex is unchanged, and possibly a calcified thyroid nodule. A right diaphragmatic eventration is unchanged.
fever and cough. evaluate for pneumonia.
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Lung volumes are low. There is an opacity at the left lung base which likely reflects a moderate to large left pleural effusion and possibly adjacent compressive atelectasis, although consolidation is also possible. Heart size is difficult to evaluate given the low lung volumes. There is no pneumothorax.
<unk>-year-old woman with dyspnea, evaluate for pulmonary edema.
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Ap and lateral views of the chest. When compared to prior, there has been improvement in the bibasilar opacities. There is a streaky right basilar opacity with mild linear opacity in left mid lung suggestive of atelectasis versus scar. There is no effusion. Cardiac silhouette is enlarged but stable in configuration. No acute osseous abnormalities detected.
<unk>-year-old female with altered mental status.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>f with <unk> week history of cough and sob and hx of asthma
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Right chest wall port-a-cath is again noted. Lungs are clear of consolidation, effusion, or edema. Cardiomediastinal silhouette is stable. Known mediastinal adenopathy is better seen by prior pet-ct. Coronary artery stents are noted. Tortuosity of the descending thoracic aorta is again seen. S-shaped thoracic scoliosis is unchanged as is a compression deformity of an upper thoracic vertebral body.
<unk>f with hx of lymphoma, now sob and hypotension pls eval for pna
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In comparison with study of <unk>, the bilateral pulmonary opacifications have completely cleared. There is no evidence of pneumonia, vascular congestion, pleural effusion, or hilar or mediastinal adenopathy.
sarcoidosis and severe cough since recent bronchoscopy, to assess for pneumonia.
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As on the study of <unk>, there is substantial enlargement of the cardiac silhouette with left ventricular prominence. Tortuosity of the aorta is again seen in this patient with intact midline sternal wires after cabg procedure. The left pleural effusion has cleared. No pulmonary vascular congestion or acute pneumonia. The discordancy between cardiac size and pulmonary vascularity raises the possibility of cardiomyopathy.
stroke, to assess for pulmonary lesion.
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The lungs are clear. There is no evidence of pneumonia, pneumothorax or pulmonary edema. There are however small bilateral pleural effusions. Cardiac size is normal.
<unk>f with fever, recent surgery // eval for infiltrate
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In comparison with the study of <unk>, there has been placement of a nasogastric tube that extends only to the lower esophagus, approximately <num> cm above the esophagogastric junction. Little change in the appearance of the heart and lungs. This information has been telephoned to dr. <unk>.
ng tube placement.
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Endotracheal tube is in appropriate position. Left subclavian approach central venous catheter terminates in the mid svc. Heart size is normal calcifications are seen at the aortic knob. Cardiomediastinal silhouette and hilar contours are otherwise unremarkable. Lungs are clear. There are small bilateral pleural effusions. There is no pneumothorax. Ng tube tip terminates in the stomach.
respiratory failure with intubation.
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As compared to the previous radiograph, the patient has received a vertebral stabilization device that projects over the cervical spine. The lung volumes have decreased. At both lung bases, plate-like atelectasis is visible. However, no parenchymal opacities have newly occurred that would suggest pneumonia. No pleural effusions. No pulmonary edema. Unchanged appearance of the cardiac silhouette.
elevated white blood cell count, assessment for pneumonia.
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A small hiatal hernia is re- demonstrated. Diffuse chronic airways disease is stable from prior, with widespread bronchiectasis and centrilobular nodules. A focal consolidation at the right lung base may represent aspiration or infection. The cardiomediastinal silhouette is unremarkable.
history: <unk>f with cp/sob this evening; ekg reassuring, prior hx of bronchiectesis // eval ? infiltrates
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Cardiomediastinal contours are normal. Large left pleural effusion has markedly increase from prior with increasing adjacent atelectasis. The right lung is clear. There is no pneumothorax or right pleural effusion. Multiple left rib fractures and comminuted fracture of the a left clavicle are again noted.
<unk> year old man with history of shortness of breath after fall. // ? hemothorax
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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.
<unk> year old woman with positive quantiferon gold. born in <unk>, <unk>. no sx/sign of active tb. // any sign of latent or active tb?
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As compared to prior examination, there has been no significant interval change. The lungs are slightly hyperinflated without focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The heart size is normal. Mediastinal and hilar contours are normal.
ct, now with chest pain. evaluate pulmonary process.
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Pa and lateral views of the chest were obtained. There is no focal consolidation, effusion, or signs of pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact. There is no free air below the right hemidiaphragm. No signs of pneumomediastinum.
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Frontal and lateral views of the chest. No prior. Lungs are clear. There is no effusion or pneumothorax. Cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male with neck pain after motor vehicle accident.
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Lung volumes remain low. Cardiomediastinal contours are stable. Improving pulmonary vascular congestion accompanied by decreased interstitial edema. A more confluent area of opacity in the left retrocardiac region may be due to a combination of atelectasis and effusion, but an infectious process cannot be excluded in this region.
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Lung volumes are low. Heart size is mildly enlarged. The aorta is unfolded, and the mediastinal and hilar contours are unchanged. The pulmonary vascularity is not engorged. Streaky retrocardiac opacity could reflect atelectasis but infection is not excluded. No pleural effusion or pneumothorax is present. There are multilevel degenerative changes in the thoracic spine with osteophytic spurring.
shortness of breath.
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The cardiac silhouette size is normal. The aorta is mildly tortuous and diffusely calcified, unchanged. The pulmonary vasculature is normal. Subsegmental atelectasis is noted in the lung bases. Hilar contours are normal. No focal consolidation, pleural effusion or pneumothorax is identified. Seen on the frontal view only is a rounded <num> mm density projecting over the left second rib anteriorly, not clearly seen on the prior exams. Mild degenerative changes are noted in the thoracic spine.
vomiting.
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As compared to the previous radiograph, there is improved ventilation and decreased extent of the pre-existing basal bilateral opacities. The size of the cardiac silhouette is at the upper range of normal, the relatively large pulmonary vessels could indicate mild fluid overload. No larger pleural effusions. No newly appeared parenchymal changes.
multiple myeloma, evaluation for interval change.
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The cardiomediastinal and hilar contours are normal. The lungs are clear. There is no pleural effusion or pneumothorax.
<unk>-year-old female with chest pain.
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Nipple markers have been placed. Previously noted nodular opacity over the right lung base is no longer visualized. The lungs are clear noting right greater than left apical scarring. There is no focal consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. Atherosclerotic calcifications noted at the aortic arch. No acute osseous abnormalities.
<unk>f with repeat cxr with nipple markers for chest pain, ? mass vs nipple shadow in previous film // repeat cxr with nipple markers for chest pain, ? mass vs nipple shadow in previous film
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Endotracheal tube terminates <num> cm above the carina. Increased density at the right hila could be secondary to low lung volumes and vascular crowding. Otherwise, no focal consolidation, large pleural effusion or pneumothorax is seen.
intubation. evaluate et tube.
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Bilateral lower lobe opacities most likely represent atelectasis. The lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. Mild cardiomegaly is stable. There is no free air beneath the right hemidiaphragm.
history: <unk>f with wbc <num>, weight gain // r/o chf, pneumonia
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Large left-sided pleural effusion with mild associated mediastinal shift to the right is new. Left prepectoral dual lead pacemaker in-situ with the lead tips in the right atrium and right ventricle. Surgical clips in the mid abdomen in keeping with previous pancreatic surgery. Right prepectoral port-a-cath in situ with the tip in the proximal right atrium. No right lung lesions.
<unk> year old woman with heart disease, metastatic pancreatic cancer. having shortness of breath. // any pleural effusions or evidence for chf as causes of dyspnea?
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In comparison with the study of <unk>, there is little overall change. Again there is hyperexpansion of the lungs consistent with chronic pulmonary disease. Enlargement of the cardiac silhouette is noted. Coarse prominence of interstitial markings could reflect chronic lung disease, elevated pulmonary venous pressure, or both. No definite acute focal pneumonia. Central catheter is unchanged.
copd with oxygen requirement.
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Since the chest radiograph obtained <unk>, there has been interval development of faint, hazy opacities within the left lower lobe. The right lung is fully expanded and clear. Cardiomediastinal hilar silhouettes are normal. Heart size is normal. Pleural surfaces are normal.
<unk> year old woman with crackles at right base // ? rll pna