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The cardiac, mediastinal and hilar contours are unchanged, with the heart size within normal limits. There is diffuse calcification of the thoracic aorta. Pulmonary vascularity is normal. Lungs are hyperinflated but clear. No focal consolidation, pleural effusion or pneumothorax is seen. No acute osseous abnormalities are detected.
altered mental status worsening over the last few weeks.
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Pa and lateral views of the chest are obtained. Lung volumes are low. There is no definite focal consolidation, effusion, or pneumothorax. No signs of chf. Heart and mediastinal contours appear normal. No definite displaced rib fracture is seen.
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In comparison with the study of <unk>, there is little change and no evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion, or pleural effusion.
persistent cough.
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Pa and lateral radiographs of the chest re- demonstrate linear opacities in the bilateral lung bases greater on the right than the left, which are stable dating back to <unk> and may reflect changes associated with chronic bronchiectasis, atelectasis and/or scarring. There is no focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. Biapical scarring appear symmetrical. The pulmonary vasculature is not engorged. The cardiac silhouette is normal in size. The mediastinal and hilar contours are within normal limits. The trachea is midline. There is no free air beneath the right hemidiaphragm. No acute osseous abnormality is detected.
chest pain and shortness of breath, here to evaluate for pneumonia.
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Frontal and lateral views of the chest are compared to previous exam from <unk>. The lungs are clear of focal consolidation or effusion. Cardiomediastinal silhouette is within normal limits. Postoperative changes with median sternotomy wires and mediastinal clips are again noted. Osseous and soft tissue structures are otherwise unremarkable.
<unk>-year-old male with chest pain.
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All there is a diffuse reticular pattern evident within the right lung in the mid lower portions within appearance on the lateral film that suggests a chronic interstitial abnormality. While the fissures are thickened, there is not other definite evidence of pulmonary edema. There is small left pleural effusion and left basilar consolidation that could represent atelectasis, though pneumonia cannot be excluded. There is marked cardiomegaly. Aortic arch calcifications indicate atherosclerosis. Bones appear osteopenic but there are no definite concerning bone findings though the spine is not well seen.
history: <unk>f with wheezing, sob, weight gain // ? chf
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Heart size is mildly enlarged with a left ventricular predominance. The aorta is mildly tortuous. Mediastinal and hilar contours are otherwise unremarkable. Pulmonary vasculature is normal. Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is demonstrated. No acute osseous abnormalities are visualized.
history: <unk>m with mechanical fall this am
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There is a mild right peribronchial opacity which could be an early pneumonia. No pleural effusion or pneumothorax is seen. Cardiac, hilar, and mediastinal contours are normal. The right picc ends in the cavoatrial junction.
<unk> year old woman with intravascular b-cell lymphoma. has decreased lung sounds and asymmetrical chest expansion. // r/o pleural effusion
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Lateral view is limited due to patient's inability to raise their arms. Cardiac silhouette size is normal. Mediastinal and hilar contours are within normal limits. Pulmonary vasculature is not engorged. No focal consolidation, pleural effusion or pneumothorax is seen. Azygos fissure is incidentally noted. There are no acute osseous abnormalities.
history: <unk>f with cough and weakness
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The lungs are well expanded and clear. No pleural abnormalities. Cardiomediastinal and hilar contours are normal.
<unk> year old woman with respiratory illnesss; on immunosupression // ?infiltrate
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Total opacification of the right hemithorax is compatible with prior pneumonectomy. Visualized left lung demonstrates no focal consolidation, pleural effusion or pneumothorax. The cardiac and mediastinal contours appear unchanged. Scoliosis of the thoracic spine convex to the left is again noted.
dyspnea.
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The lungs are essentially clear noting low lung volumes and portable technique. Bibasilar opacities seen on prior particular on the right are not clearly seen. The cardiomediastinal silhouette is within normal limits.
<unk>f with recent aspiuration pna with unresponsive episode // pna?
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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 sob // eval pneumonia
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All the monitoring devices are unchanged. There is increased opacification of the left lung for moderate-to-large pleural effusion. Left lower lobe lung collapse is unchanged. The right lower lobe actelectasis is unchanged. Cardiomediastinal silhouette is stable, there is no pneumothorax.
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There is blunting of the right costophrenic angle, concerning for a small right pleural effusion versus pleural thickening. The left lung is clear. The cardiac silhouette is top normal to mildly enlarged. The aortic knob is calcified.
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In comparison with the study of <unk>, the nasogastric tube has been pushed forward so that it curls within the fundus of the stomach. The side hole is distal to the esophagogastric junction. Otherwise, little overall change in the appearance of the heart and lungs.
ng tube placement.
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Heart size is normal. Mediastinal and hilar contours are normal. The lungs are hyperinflated with a right apical bulla indicative of emphysema. Lungs are clear. No pleural effusion or pneumothorax is seen. The pulmonary vasculature is normal. There are no acute osseous abnormalities. Irregular osseous density inferior to the left scapula may be the sequela of prior trauma.
syncope.
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Right basilar and hilar opacities are consistent with increasing effusion and adjacent lung atelectasis. The right-sided chest tube appears kinked, and points towards the medial apical lung, unchanged compared to the prior exam. The lung volumes continue to be low. The heart demonstrates stable mild cardiomegaly. The et tube terminates <num> mm above the carina. There is a left ij which appears to be in appropriate position.
history of hypoxia, effusion. please evaluate for interval change.
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As compared to prior chest radiograph from <unk>, there has been interval resolution of right mid lung opacities. There is unchanged right pleural and parenchymal scarring at the right base laterally. Moderate cardiomegaly is stable and there is no evidence of congestive heart failure. The hilar and mediastinl contours are normal. A left pacemaker is in place with two leads terminating in the right atrium and right ventricle, expected locations.
<unk>-year-old female patient with recent admission for pneumonia and chf versus pulmonary hemorrhage. study requested for assessment of radiographic improvement.
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There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size.
history: <unk>f with r breast swelling, pain, and rash // eval for acute process
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Pa and lateral chest radiographs demonstrate little overall change in the diffuse interstitial opacities compared to <unk>. There is persistent bilateral hilar lymphadenopathy. There is no focal consolidation, pleural effusion, or pneumothorax. The heart size is within normal limits.
recurrent sarcoidosis with hypoxemia and dyspnea on exertion. currently on steroids beginning in early <unk>. assess for interval change.
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As compared to the previous radiograph, there is no relevant change. Massive bilateral hilar and mediastinal masses, diffuse predominantly basal and reticular opacities. The size of the cardiac silhouette is difficult to determine. No larger pleural effusions.
chest mass and lymphadenopathy, evaluation for interval change.
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Severe enlargement of the cardiac silhouette is similar to prior, and previously seen to be secondary to pericardial effusion. There is elevated pulmonary vascular congestion and likely bilateral small pleural effusions. There is no frank pulmonary edema. There is an additional opacity at the right lung base.
history: <unk>f with sob, fevers // eval for cardiomegaly, pna
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Ap and lateral views of the chest. The lungs are clear. The cardiomediastinal silhouette is normal. No displaced fracture identified.
<unk>-year-old male with numbness post mvc.
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As compared to the previous radiograph, there is a newly placed dobbhoff catheter. The tip is in the expected region of the stomach, but the tube is coiled in the stomach. No evidence of complications. Unchanged low lung volumes with signs of mild fluid overload. Moderate cardiomegaly and retrocardiac atelectasis.
liver transplant, confirm dobbhoff placement.
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Lungs are hyperinflated. There are new increased interstitial markings bilaterally suggesting mild pulmonary edema. Infrahilar likely retrocardiac opacity best seen on the lateral projection could reflect pneumonia. Small bilateral pleural effusions are new. Heart size is increased now with mild to moderate cardiomegaly. Mediastinal and hilar contours are normal. Aortic arch is calcified. There is no pneumothorax.
<unk>f with palpitations, occ sob. // eval for pna
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The cardiac silhouette and pulmonary vasculature are unchanged since prior examination. Again noted is a mass in the right lower lobe. In comparison to the prior examination, however, there is increased opacity in this region. There is no definite pleural effusion or pneumothorax.
<unk>m with hypoxia, cough // presence of acute process
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. New geographic opacity projecting over the lower portion of the right upper lobe suggests mild hemorrhage associated with a recent biopsy. There is no pneumothorax.
immediately status post right transbronchial biopsies.
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Lungs are clear. Heart size is normal. Mediastinal contour is unremarkable. No pleural effusion is seen, however the right cp angle excluded. Bony structures intact.
<unk>-year-old man with dyspnea on exertion and anemia, assess for pneumonia fluid overload.
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Pa and lateral views of the chest provided. The lungs are clear bilaterally without focal consolidation, effusion, or pneumothorax. The heart and mediastinal contour is normal and stable. The bony structures are intact. No free air is seen below the right hemidiaphragm.
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A left-sided picc line terminates in the left brachiocephalic vein immediately upstream of the confluence to form the superior vena cava. The cardiac, mediastinal and hilar contours appear unchanged allowing for differences in technique. There is no pleural effusion or pneumothorax. The lungs appear clear.
congestive heart failure.
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In comparison with the study of <unk>, there are lower lung volumes. Cardiac silhouette remains prominent. However, the pulmonary vascular congestion has substantially improved. Mild residual opacification at the left base suggests a small effusion and atelectasis.
pre-operative for thoracic aneurysm repair with recent emesis, to assess for aspiration.
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Multiple ekg leads overlie the right lower chest. Allowing for this, i doubt significant interval change. Again seen is upper zone redistribution, without overt chf. Also again seen is patchy opacity in the right cardiophrenic region which could represent either focal atelectasis or a pneumonic infiltrate. The appearance is not significantly changed compared with <unk> or <unk>. Subsegmental atelectasis left lung base has increased. Minimal blunting the right costophrenic angle is unchanged. The left costophrenic sulcus is clear.
<unk> year old man with chf and worsening dyspnea // evaluate for infiltrate or worsening edema
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The lungs are well-expanded and clear. No focal consolidation, pulmonary edema, pleural effusion, or pneumothorax. Stable appearance of the cardiomediastinal silhouette, hila, and pleura. Stable mild tortuosity of the descending aorta. Healed right pleural fractures. Surgical clips in the right upper quadrant, probably from cholecystectomy. Stable degenerative changes of the visualized thoracic spine.
<unk>-year-old man presenting with cough and chest discomfort; evaluate for pneumonia.
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In comparison with the study of <unk>, there is again mild enlargement of the cardiac silhouette without definite vascular congestion. Opacification at the left base most likely represents chronic changes or some atelectasis. However, in the appropriate clinical setting, supervening pneumonia would have to be considered. The right lung is essentially clear.
worsening mental status, to assess for pneumonia.
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No previous images. Cardiac silhouette is at the upper limits of normal or slightly enlarged. There is mild vascular congestion and small left pleural effusion. No definite acute pneumonia, though this could be concealed at the left base.
renal failure.
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Right picc tip terminates in the mid svc. The heart size is normal. Mediastinal and hilar contours are within normal limits. Pulmonary vasculature is normal. Lungs are hyperinflated but clear. No focal consolidation, pleural effusion or pneumothorax is seen. No acute osseous abnormalities detected.
history: <unk>m with abdominal pain found to have appendicitis on pet today. history of lymphoma and ulcer colitis//evaluate picc
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Portable frontal chest radiograph demonstrates airspace opacity projecting over the hila and upper lungs. The pleural surfaces are normal. The cardiac silhouette and mediastinal contours are normal.
<unk>-year-old man with sedation and tachypnea, question aspiration.
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As compared to the previous radiograph, there is no relevant change. Massive cardiomegaly, normal alignment of sternal wire, unchanged position of the replaced valve. The lung volumes remain low. No pleural effusions. No pneumonia, no pulmonary edema.
pericardial effusion, status post drainage, evaluation for pneumonia.
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The femoral temporary pacer lead appears to be malpositioned with an indeterminate location. A possible location could be within the pulmonary outflow tract. The lungs are hyperinflated with paucity of the pulmonary vasculature, particularly in the upper lobes suggestive of underlying emphysema. The cardiomediastinal and hilar contours are normal. The pleural surfaces are normal. .
<unk> year old woman with chb, s/p l groin temp wire placement // evaluate temporary pacer wire placement
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Diffuse emphysema is evident with flattening of diaphragms. Right lower lobe reticular opacities could be acute infection in the setting of severe emphysema. The left lung is essentially clear. Old rib fractures are noted in bilateral posterior ribs at multi-levels. The cardiomediastinal silhouette and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. On review of a ct from <unk>, adjacent to the right lower lobe bronchus (<time>), is a calcified lymph node that could become a broncholith, although it has not migrated since at least <unk>.
<unk>-year-old woman with cough and shortness of breath, evaluate for infiltrate.
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As compared to the previous radiograph, the air collections in the right-sided soft tissues have substantially decreased. The left soft tissues are not included in the image. There is unchanged evidence of atelectasis at the lung bases that have slightly increased on the right. Moreover, today's image shows blunting of the costophrenic sinuses, likely caused by small pleural effusions. No other parenchymal abnormalities. No pulmonary edema. Borderline size of the cardiac silhouette and tortuosity of the thoracic aorta.
gallstone pancreatitis, status post laparoscopy, chest pain, evaluation.
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Tracheostomy terminates <num> cm above the carina. Right ij dialysis catheter terminates in the right atrium. Unable to visualize tip of right picc. Bilateral pleural effusions, right worse than left, have increased in comparison to the prior chest radiograph. There is moderate pulmonary edema. Heart size is stable. The mediastinal and hilar contours are stable. No pneumothorax is seen.
<unk> year old man with tracheostomy // evaluate for infiltrate
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As compared to the previous radiograph, clips are now projecting over the soft tissues in the right neck and mild gas inclusions are seen in the soft tissues. No pneumothorax. No pulmonary edema. No larger pleural effusions. Mild tortuosity of the thoracic aorta. No pneumonia.
subclavian bypass, postoperative evaluation.
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There are bilateral small pleural effusions with adjacent bibasilar atelectasis. Otherwise, the lungs are without a focal consolidation. There is no evidence of pulmonary edema. Heart appears minimally enlarged. The aorta is somewhat tortuous. Evidence of prior surgery is noted in the region of the thyroid bed. Mild degenerative changes are noted throughout the thoracic spine.
dyspnea.
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The cardiomediastinal silhouettes are stable allowing for differences due to a suboptimal inspiratory effort. There is a tortuous thoracic aorta, as on prior exam. The hila are within normal limits. There is evidence of prior right rotator cuff repair. Slightly increased opacity projecting over the right mid lung on ap view likely represents crowding of normal structures. Otherwise the lungs are clear. There is no pulmonary vascular congestion or pulmonary edema. There is no pneumothorax or pleural effusion.
<unk>-year-old man with chest pain, evaluate for pneumothorax, effusion, consolidation.
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Pa and lateral views of the chest provided. Lungs are hyperinflated with lower lung streaky reticular opacities again noted, likely chronic and representing the sequelae of aspiration or atypical infection. However, there is subtle increase in streaky opacity in the right lung base as compared with recent prior chest radiograph suggesting an acute pneumonic component. Also noted, is a small right pleural effusion. No pneumothorax. Cardiomediastinal silhouette appears normal. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>f with cough crackles on right
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The lungs are clear. The cardiomediastinal silhouette is normal. No acute osseous abnormalities identified. There is no free intraperitoneal air.
<unk>m with jaundice and concerning ruq mass // preop
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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>f with productive cough
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Very shallow inspiration accentuates heart size. Bilateral perihilar opacities are stable. More prominent right basilar opacity, likely atelectasis in the setting of shallow inspiration. Pneumonitis cannot be excluded. Gastric distention. Lucency medial right chest, likely related to overlap of pulmonary opacity. If there is concern for free abdominal air, decubitus radiograph recommended.
<unk> year old man with increasing o<num> requirement // pulmonary edema?
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Patient's condition required examination in sitting position using ap frontal and left lateral views. Available for comparison is a preceding ap single view chest examination of <unk>. There is marked cardiac enlargement. No typical configurational abnormality can be identified. The thoracic aorta is generally widened and elongated without evidence of local contour abnormalities. Diaphragms are relatively high positioned and resulting in crowded appearance of the pulmonary basal vasculature with evidence of a few linear densities compatible with atelectases. The pulmonary vasculature demonstrates perivascular haze throughout, but there is no evidence of discrete peripheral parenchymal infiltrates indicating pneumonia. No pneumothorax seen in the apical area. The lateral view discloses significant pleural effusion accumulating in the posterior pleural sinuses. When comparison is made with a preceding examination of <unk>, findings indicative of left-sided chf with pleural effusion have progressed. Previous examination could not establish a pleural effusion in detail as no lateral view has been obtained.
<unk>-year-old male patient with dysphagia, cough with likely pneumonia but portable film not definitely showing infiltrate. possible aspiration.
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Frontal and lateral views of the chest are compared to prior ct scan from <unk>. Small-to-moderate right-sided pleural effusion is again noted with probable underlying atelectasis, possible consolidation. The left lung is clear. Cardiomediastinal silhouette is stable as are the osseous and soft tissue structures. Partially visualized filter identified in the mid abdomen as well as surgical clips in the right upper quadrant suggesting prior cholecystectomy.
<unk>-year-old female with fever.
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No previous images. There is mild hyperexpansion of the lungs suggesting some chronic pulmonary disease. However, no evidence of acute pneumonia, vascular congestion, or pleural effusion. There is prominence of the ascending aorta. This raises the possibility of hypertension.
stroke, to assess for chest lesion.
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New bibasilar atelectasis with small pleural effusions bilaterally. Patient has severe emphysema better noted on ct chest. There is no pneumothorax. Cardiac size is normal.
<unk> year old man with respiratory distress. // ?interval change
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There is an endotracheal tube which terminates approximately <num> cm above the level of the carina. Enteric tube terminates in the proximal stomach. The lungs are clear of focal consolidation, pleural effusion or pneumothorax. There is no pulmonary edema. The heart is normal in size.
<unk>-year-old male status post intubation. evaluate tube placement.
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No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable, as are the hilar contours. No pulmonary edema is seen. No displaced fracture is seen.
hiv presenting with <num> weeks of left-sided chest pain radiating to back, worse with exertion and inspiration.
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As compared to the previous radiograph, there is no relevant change. Known post-surgical findings at the right lung base. The patient has additionally received a right internal jugular vein catheter. The left subclavian catheter is constant. Normal appearance of the lung parenchyma. No evidence of pneumonia or pulmonary edema. No pleural effusions. Normal hilar and mediastinal structures.
polycythemia, bone marrow transplantation.
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Ap upright and lateral views of the chest provided.evaluation limited by underpenetration and low lung volumes. Cardiomegaly is mild and stable. Mediastinum appears normal in overall configuration. There is no focal consolidation concerning for pneumonia. No large effusion or pneumothorax. No overt signs of edema. Bony structures are intact.
<unk>f with ams // infiltrate?
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In comparison with the study of <unk>, there is little overall change. Tracheostomy tube remains in place. Opacification of the right upper zone persists, consistent with large loculated fluid collection. There is also pleural fluid along the right lateral chest wall and in a subpulmonic location, similar to the previous study. Cardiomediastinal silhouette is essentially unchanged. There is again evidence of elevated pulmonary venous pressure. Atelectatic changes are seen at the left base.
tracheostomy with fluid overload.
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Moderate cardiomegaly is stable. Calcifications of the aortic arch are unchanged. There is mild dextroscoliosis of the thoracic spine. The lung fields are clear.
history: <unk>f with ams // eval for pna
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The the lung volumes are low, accentuating the transverse diameter of the heart and the pulmonary vasculature. Double density at the right hemidiaphragm corresponds to an undulating contour of the dome of the liver. No evidence of new pulmonary edema, pleural effusion, or pneumothorax.
<unk> year old man with shortness of breath and wheezing // please evaluate for pulmonary edema or pneumonia
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Compared to the preoperative radiographs obtained <num> week prior, lung volumes are low, particularly on the right. Clips projecting over the right hilum are new. Adjacent hilar opacity is likely postsurgical. A right chest tube is unremarkably positioned. No pneumothorax or large pleural effusion. Subcutaneous emphysema in the right lateral chest wall and inferior right neck is new. Low lung volumes accentuate a normal sized heart.
<unk> year old man s/p rulobectomy // interval change
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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 hx of pyelonephritis here with fever and bilateral paraspinal pain. negative ua
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There are decreased lung volumes noted. A small, right pleural effusion is seen. There is no focal consolidation, pneumothorax, or frank pulmonary edema identified. The heart size is normal. Mediastinal contours are normal.
history of cirrhosis, evaluate for pneumonia or effusion.
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There is a small calcified granuloma in the right upper lung field. This is of no clinical significance. There is no lung consolidation, pleural effusion, or pneumothorax. Cardiomediastinal silhouette and hilar structures are normal.
<unk> year old man with esrd for kidney transplant evaluation // r/o cardiopulmonary abnormalities
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Frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. The lungs are clear, without pneumothorax, vascular congestion, or pleural effusion. Note is made of mild insterstitial prominence, most commonly seen in asthma.
<unk>-year-old female with right upper quadrant pain and chest pain. question acute process.
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Cardiac silhouette is enlarged, and accompanied by pulmonary vascular engorgement, asymmetrical perihilar opacities (right greater than left), and widespread interstitial opacities. Findings are most consistent with asymmetrical pulmonary edema, but superimposed secondary process in the right lung such as aspiration or infectious pneumonia is also possible in the appropriate clinical setting. Followup radiographs after diuresis may be helpful in this regard. Bilateral small pleural effusions are also demonstrated.
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As compared to the previous radiograph, the patient has been reintubated. Currently, the tip of the endotracheal tube projects approximately <num> cm above the carina. Increasing opacity at the right lung base and blunting of the right costophrenic sinus, suggestive of a moderate-to-severe right pleural effusion. No evidence of complications, notably no pneumothorax. Unchanged mild-to-moderate pulmonary edema.
status post endotracheal tube placement.
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Pa and lateral views of the chest were obtained demonstrating clear well-expanded lungs. No focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm.
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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 asthma, epigastric pain // pna
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The heart is at the upper limits of normal size. There is mild unfolding of the thoracic aorta. Allowing for technique, the mediastinal and hilar contours appear unchanged. The lungs appear clear. There is no pleural effusion or pneumothorax.
fever and chills. question infiltrate.
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The cardiomediastinal and hilar contours are normal. There is no large pleural effusion or pneumothorax. Lung volumes are low. Increased opacity in the left apex is noted, which may reflect interval development of atelectasis or aspiration. The pulmonary vasculature is within normal limits. The upper abdomen is unremarkable. Please note that the left costophrenic angle is not completely captured on the current exam.
<unk>m s/p fall from <unk> story while intoxicated // ?injury
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There is small left and small to moderate right pleural effusion. Associated right basilar atelectasis is noted. Superiorly, the lungs are clear. Moderate cardiac enlargement is seen. Dense atherosclerotic calcifications seen in the aorta. Old healed right midclavicular fracture is noted as well suspected old posterior mid right rib fracture.
<unk>m with cough // eval for pneumonia
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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. Heart and mediastinal contours are stable with moderate cardiomegaly. Fullness of the right hilum and mild mediastinal fullness appear unchanged and are likely secondary to low lung volumes. The right hemidiaphragm is persistently elevated.
<unk>-year-old male with weakness and tingling.
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Large-bore right-sided central catheter is again seen, unchanged in position, terminating in the right atrium. Minimal increase in opacity at the right lung base, worrisome for increase in size of small right pleural effusion as well as right basilar consolidation. There is diffuse increase in interstitial markings bilaterally, possibly minimally increased as compared to prior study, this could be due to pulmonary edema versus chronic lung disease; however, these were not seen on <unk> ct. The cardiac and mediastinal silhouettes are stable. Prominence of the right hilum is stable. No pneumothorax is seen.
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The endotracheal tube terminates <num> cm above the carina. An enteric tube is present and coiled within the stomach, directed retrograde. Orthopedic hardware is seen in the left shoulder. Bilateral perihilar edema and pulmonary vascular engorgement are improving. Small region of opacity at the right lung base medially could represent aspiration, possibly early pneumonia. Followup advised. No pleural effusion or pneumothorax. Heart is normal size. No pulmonary edema. Mediastinal and hilar contours are unremarkable.
evaluate endotracheal tube placement.
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Ap single view of the chest shows reduced lung volume with new right base opacity suspicious for pneumonia. The left base opacification is likely due to atelectasis. Prominent hila are due to vascular congestion. There is no pleural effusion or pneumothorax. Heart size is unchanged.
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Fiducial marker projects over the right lower lobe with associated consolidation which has not significantly changed since prior. There is persistent small right pleural effusion and thickening or fluid along the fissure. Patchy consolidation is also identified at the left lung base, similar compared to recent x-ray. There is no overt pulmonary edema or large left effusion. The cardiomediastinal silhouette is stable. No acute osseous abnormalities.
<unk>f with dyspnea, earlier cxr with ?left lower infilarate // eval for pneumonia
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As compared to the previous radiograph, the transparency of the lung parenchyma has minimally increased, likely reflecting improved ventilation. The monitoring and support devices are constant. However, the overall extent of the pre-existing parenchymal opacities is still severe. Small pleural effusions bilaterally, right more than left, constant in appearance. Unchanged size of the cardiac silhouette. No pneumothorax.
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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.
history of night sweats, please evaluate for pneumonia.
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The lungs are hyperexpanded with flattened diaphragms and increased retrosternal and retrocardiac lucency. Lungs are clear. Normal postoperative mediastinum and heart borders. Coronary stent and mitral valve repair are unchanged. No pleural effusion.
<unk> year old man with cad, occasional wheezing, longterm mj use // r/o chf
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Esophageal catheter courses below the diaphragm and is coiled in the left upper quadrant, likely within the stomach. There has been interval placement of a gastrostomy tube with three anchors projecting over the pigtail and tip projecting over the left upper quadrant. Umbilical jewelry is noted. The lung fields are clear without focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. Heart and mediastinal contours are within normal limits.
<unk>-year-old female with gastroparesis status post gastrostomy tube and dobbhoff tube placement.
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Lung volumes are low. A left chest tube is been removed. No pneumothorax is noted. There is interval decrease in left pleural fluid or redistribution to the left lung base. There is streaky density at the lung bases consistent with subsegmental atelectasis, worse on the left. The heart and mediastinal structures are unchanged. The patient has been extubated. A nasogastric tube and endotracheal tube is been removed. Very right internal jugular catheter remains in place.
eval for effusion
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The patient is status post median sternotomy and cabg. The cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs are clear. No pleural effusion, focal consolidation or pneumothorax is present. No acute osseous abnormalities detected.
chest pain.
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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>f with chest pain
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Ap single view of the chest was obtained with patient in semi-upright position. The patient is now mildly rotated to the right. Still one can identify a tracheostomy cannula that has entered the trachea and terminates some <num> cm above the level of the carina. No evidence of pneumothorax in the apical area. Also noted is the presence of an ng tube that has reached far below the diaphragm including its side port. There are multiple cables and external structures that are overlying the chest. In the chest itself, no evidence of acute infiltrates or pulmonary vascular congestion.
<unk>-year-old female patient with encephalopathy, status post tracheostomy. evaluate for possible pneumothorax.
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Portable semi-upright radiograph of the chest demonstrates low lung volumes with resulting bronchovascular crowding. There is increased opacification at the right lung base consistent with aspiration and atelectasis. There is engorgement of the pulmonary vasculature without frank pulmonary edema. The cardiomediastinal and hilar contours have returned to the approximate baseline level. Endotracheal tube ends <num> cm from the <unk>, but is impinging on the sidewall of the trachea. Nasogastric tube courses into the stomach and out of field of view. There is no pneumothorax, pleural effusion or consolidation.
<unk>-year-old man status post pea arrest. evaluate for et tube position.
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Over the last <num> hours, mild to moderately severe asymmetric pulmonary edema, predominantly involving the mid and lower lungs and right side more than left, has improved with predominant improvement appreciated on the left side. Residual opacities could be unresolved pulmonary edema; however, if any of this represents infection, cannot be determined based on radiograph alone and needs to be reviewed in conjunction with clinical history. Increased retrocardiac density may reflect atelectasis and/or consolidation and is similar. Mild to moderately enlarged heart size and probable small bilateral pleural effusions are unchanged. There is no pneumothorax. Mediastinal and hilar contours are unremarkable. Minimal calcification in the aortic arch is unchanged.
evaluate for interval change in pulmonary edema.
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There are relatively low lung volumes with bibasilar atelectasis. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. Cardiac and mediastinal silhouettes are stable.
history: <unk>m with ams // eval for pneumonia
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The only previous frontal chest radiograph is a scout image from ct of <unk>. There is little overall change in the appearance of the irregular right lower lobe mass. Specifically, no evidence of pneumothorax.
right lower lobe mass following biopsy, to assess for pneumothorax.
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Low lung volumes contribute to crowding of the bronchovascular structures as well as bibasilar atelectasis. There are no focal consolidations worrisome for pneumonia. Cardiac size is borderline enlarged given the low lung volumes. No pneumothorax. No pulmonary edema. No free air.
history: <unk>f with c/o gen weakness // ? pna // ? pna
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In comparison with study of <unk>, there is little change. Continued enlargement of the cardiomediastinal silhouette with some pulmonary vascular congestion and right upper zone consolidation. The apparent improvement in pulmonary vascularity could merely reflect the better inspiration.
pulmonary edema.
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Of note, the projection is lordotic and lung volumes are markedly low. Increased bibasilar opacities are at least in part atelectasis. Known pulmonary mass is seen adjacent to the left cardiac border. The cardiomediastinal and hilar contours are within normal limits. Markedly dilated loops of large bowel are seen in the upper abdomen.
<unk>m with ab distention, ams // eval for acute process
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Lung volumes are low which leads to bronchovascular crowding. There is bibasilar atelectasis. The cardiomediastinal silhouette and hilar contours are stable. There is no pleural effusion or pneumothorax.
<unk>m with pancreatic ca s/p fall, w/ pleuritic chest pain and ab pain, rule out acute injury.
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There has been interval placement of a right internal jugular approach central venous catheter with tip terminating in the upper to mid svc. There is no pneumothorax. The cardiomediastinal and hilar contours are stable. There is no pleural effusion. Mild left basilar atelectasis is increased since the prior study.
<unk>m with new central line.
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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>f with +productive cough/fevers/chills // ?pna
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Endotracheal tube tip terminates approximately <num> cm from the carina. Orogastric tube tip terminates within the stomach. A percutaneous gastrostomy tube is noted, with balloon projecting over the region of the stomach. The heart size is normal. The aortic knob is calcified. The lung volumes are low. Hazy ill-defined opacity is noted in the right lung, primarily the right perihilar region, findings which could reflect asymmetric pulmonary edema though infection, aspiration, or hemorrhage is not excluded. No large pneumothorax is identified though a trace right pleural effusion may be present. Linear lucency through the posterior aspect of the right <num>st rib is suggestive of a nondisplaced fracture.
post arrest.
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There is no focal consolidation, pleural effusion, or pneumothorax. There is prominence of the pericardial fat pads, but the cardiac silhouette is otherwise unremarkable. The osseous structures are intact.
left neck pain and left upper extremity numbness for six hours, evaluate for intrathoracic mass.
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Suture denotes prior surgery in the left mid and upper lung. There is no effusion. The cardiac silhouette is normal. The aortic arch is mildly dilated, evaluated by subsequent cta. Opacity in the low posterior lung on the lateral view only is not confirmed by ct.
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The cardiomediastinal and hilar contours are within normal limits. There are two, subtle rounded nodular opacities projected over the right upper lung, best appreciated on the frontal view. No pleural effusion or pneumothorax identified.
<unk>f with fever, nausea, maliase // eval for pna