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Pa and lateral views of the chest. The lungs are clear. There is no focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormality is identified.
<unk>-year-old female with chest pain. question pneumothorax.
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Pa and lateral views of the chest provided. Patient is known to have innumerable tiny pulmonary nodules which are better assessed on prior ct. No superimposed consolidation concerning for pneumonia. No effusion or pneumothorax. Cardiomediastinal silhouette is stable. No free air below the right hemidiaphragm. Bony structures are intact.
<unk>f with sinusitis, dizziness, sob // eval for pna
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The heart size is mildly enlarged. The patient is rotated toward the left somewhat limiting assessment of the mediastinal contours. Hilar fullness is appreciated bilaterally. Additionally opacity in the retrocardiac region is present. There is no large pleural effusion or pneumothorax.
<unk>-year-old female with right-sided chest pain.
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Comparison is made to a previous study from <unk>. There has been re-accumulation of the right-sided pleural effusion since the prior study. Part of the effusion is loculated along the right lateral chest wall. Moreover, there are again seen areas of consolidation within much of the left lung. This appears unchanged. No pneumothoraces are present.
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A moderate left pleural effusion is again seen. Again, relative ground-glass opacity is seen projecting over the left upper lung similar to possibly minimally increased since the prior study given differences in technique. There may be a subtle right base opacity versus confluence of shadows. Bilateral left greater than right pleural plaques are seen including bilateral diaphragmatic plaques and plaques overlying the left upper hemithorax. Cardiac and mediastinal silhouettes are stable. There is no pneumothorax. There remains patchy left base retrocardiac opacity which could be due to atelectasis, although infection is not excluded.
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Single portable chest radiograph demonstrates unchanged cardiomediastinal and hilar contours. Heart size is not enlarged. Minimal left base opacification likely reflects atelectasis. No pleural effusion or pneumothorax evident.
altered mental status, somnolent, fall at home. please evaluate for infectious process.
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The cardiomediastinal contours are within normal limits. The bilateral hila are unremarkable. The lungs are clear without focal consolidation. There is no evidence of pulmonary vascular congestion. There is no pneumothorax or pleural effusion.
<unk>-year-old female with headache, additional clinical concern for pneumonia.
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In comparison with the earlier study of this date, the nasogastric tube has been redirected and extends to the region of the antrum. Otherwise, little change.
ng tube placement.
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Comparison is made to the prior study from <unk>. The cardiac silhouette is within normal limits. There are clear lungs without focal consolidation, pleural effusions, or signs of overt pulmonary edema. There is some scoliosis of the thoracic spine.
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Pa and lateral views of the chest are compared to prior exam from <unk> and cta from <unk>. New compared to prior are bibasilar regions of consolidation, partially silhouetting the hemidiaphragm on the left and blunting the lateral costophrenic angle. There is also mild blunting of the posterior costophrenic angle as well, potentially on the left, raising possibility of trace effusion. Cardiac silhouette is enlarged, potentially more so when compared to prior exam given differences in inspiratory effort and technique. Enteric tube is seen passing below the diaphragm. Osseous structures are again notable for wedge deformity in the lower thoracic spine/upper lumbar spine, which is not significantly changed compared to cta from <unk>.
<unk>-year-old male with new onset of productive cough. question pneumonia.
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The lungs are well expanded and clear. The cardiomediastinal silhouett and hilar contours are normal. There is no pleural effusion or pneumothorax.
cough, chest pain.
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Bibasilar atelectasis is seen. There is no focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Surgical hardware is noted in the cervical spine, partially imaged. No evidence of free air is seen beneath the diaphragms.
<unk> year old woman with hx pe, gerd, gastritis with severe rlq abdominal pain. // evidence of perforation? free air under diaphragm?
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Mild enlargement of the cardiac silhouette is again noted. The aorta is unfolded. Pulmonary vasculature is normal. Minimal streaky opacities in the lung bases likely reflect areas of atelectasis. No pleural effusion or pneumothorax is present.
history: <unk>f with wheezing, dyspnea, hypotension
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There has been interval removal of the left chest tube. No discrete pneumothorax identified. Chain sutures project over the left lung apex. The right upper lung zone volume loss with upward retraction of the hilum. No focal consolidation, or pleural effusion. The size and appearance of the cardiac silhouette is unchanged.
<unk>f pet-avid lul s/p lul bisegmentectomy s/p chest tube removal // interval change. please complete at <num> pm.
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Single portable radiograph of the chest demonstrates moderate cardiomegaly with no significant increased interstitial markings or pulmonary vascular congestion. No overt signs of edema. No pleural effusion or pneumothorax. No focal consolidation concerning for pneumonia.
complete heart block presenting with chest pain and cough.
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No preoperative image is presented. There are low lung volumes which may account for the mild prominence of the transverse diameter of the heart. There is widening of the superior mediastinum, though this most likely reflects a combination of the ap position and the abundant soft tissues of the patient. Pulmonary vascularity is probably within normal limits and there is no definite pneumonia or pleural effusion.
postoperative, to assess for atelectasis or aspiration pneumonia.
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The lungs are clear and pleural spaces are normal. No pneumothorax, pleural effusion or focal opacity. Heart size, mediastinal contour and hila are normal. Limited assessment of the osseous structures are unremarkable.
<unk>-year-old female with shortness of breath. recent fever. assess for pneumonia.
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The patient has had interval esophagectomy. The postoperative appearance of the mediastinum, including a right-sided <unk> drain, mediastinal drain, and nasogastric tube, is unremarkable. A right pectoral power port terminates at the superior cavoatrial junction. New perihilar haziness and mild peribronchial cuffing are probably due to mild pulmonary edema. New retrocardiac airspace opacification may be due to atelectasis or aspiration. Moderate cardiomegaly despite the projection is unchanged.
<unk> s/p esophagectomy // ?placement of right <unk> drain, ptx
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Single ap portable view of the chest is obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. The cardiac silhouette is not frankly enlarged. Mild degenerative changes of the right acromioclavicular joint are seen.
positive stress test.
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Feeding tube terminates below the diaphragm. Right ij sheath terminates in the upper svc. Sternotomy wires are similar in position and intact. Left pleural tube is in stable position. Cardiomediastinal silhouette is stable. Increased right base opacity likely represents increased effusion with adjacent atelectasis. No pneumothorax.
<unk>-year-old female status post avr and cabg.
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As compared to the previous radiograph, the pre-existing subtle opacity in the right lung has decreased in extent and severity, it is barely visible on today's image. Also resolved is a pre-existing plate-like atelectasis on the left. The lung parenchyma is otherwise normal. Normal appearance of the hilar structures. No evidence of sarcoid. Unchanged size of the heart. No pleural effusions. No pneumothorax.
pleuritic chest pain, evaluation for sarcoidosis.
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The cardiomediastinal and hilar contours are within normal limits and stable. The pulmonary vasculature is normal. The lungs are clear. No pneumothorax or pleural effusion identified.
<unk> year old man with asthma and htn with worse sob // assess for evidence of chf or any other parenchymal disease
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As compared to the previous radiograph, there is no relevant change. The monitoring and support devices, including the left pectoral pacemaker are in unchanged position. Unchanged evidence of bilateral pleural effusions, associated substantial atelectasis and moderate cardiomegaly with mild pulmonary edema. No relevant changes are visualized.
coumadin, status post fall, evaluation for interval change.
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The right-sided central line is unchanged. Cardiac and mediastinal silhouettes are similar. There continues to be elevation right hemidiaphragm. There is a new region of volume loss/ atelectasis in the right lower lung.
<unk> year old man with fever // r/o pna
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Pa and lateral views of the chest. The lungs are clear of consolidation or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
<unk>-year-old male with fever and leukocytosis.
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The lungs are clear, although volumes are low. Cardiomediastinal silhouette and hilar contours are unremarkable. No pleural effusion or pneumothorax. Surgical clips are seen in the right upper quadrant.
<unk>-year-old male with chest pressure, rule out intrathoracic process.
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A vague opacity in the left lower lobe seen on the lateral view and in the retrocardiac area on the ap view may represent early pneumonia. No pleural effusion or pneumothorax. The cardiomediastinal hilar contours are normal.
<unk> year old man with chest pain // r/o pna
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The cardiac silhouette size is top normal. Mediastinal and hilar contours are unchanged. Pulmonary vascularity is normal. The lungs are clear. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
hypotension.
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The lung volumes are exceedingly low, resulting in crowding of the bronchovascular structures and accentuation of the mediastinal silhouette. The heart size is normal but increased from the prior study. Leftward deviation of the trachea from the inominate artery is better seen on the prior cta. Dense calcification is seen within the aortic arch. There is no pleural effusion, pneumothorax or focal airspace consolidation. A dextroscoliosis of the thoracic spine is unchanged. Old right rib fractures are again seen without an acute fracture.
multiple falls with sacral pain. evaluate for fracture.
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In comparison with the study of <unk>, there has been placement of an endotracheal tube with its tip at the clavicular level, approximately <num> cm above the carina. The tip of the tube is closely facing the right lateral wall of the trachea. There are extremely low lung volumes that may account for much of the prominence of the transverse diameter of the heart. Mild engorgement of the pulmonary vessels is consistent with elevated pulmonary venous pressure. Areas of increased opacification at the bases most likely represent atelectasis and small pleural effusions. However, in the appropriate clinical setting, supervening pneumonia would have to be considered. Of incidental note is a large amount of fecal material within dilated transverse colon. This could reflect a fecal impaction.
et tube.
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The lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. The cardiac and mediastinal contours are normal.
<unk> year old woman with fevers/cough x <num> hrs, asthma, suspect flu, r/o pna. pt <num> weeks pregnant // r/o pna
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The lungs are clear. The heart size is normal. The mediastinal and hilar contours are normal. There are no pleural effusions. No pneumothorax is seen. Note is made of dextroscoliosis of the thoracic spine.
cough, assess for pneumonia.
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In comparison with the study of <unk>, the tip of the picc line extends to the mid portion of the svc. The left pleural effusion appears less prominent, though this may merely reflect a more upright position of the patient. Cardiac silhouette is within normal limits and there is no appreciable pulmonary vascular congestion.
picc placement.
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Moderate cardiomegaly and tortuosity of the thoracic aorta is unchanged. There is a prominence of the central hilar vasculature with increased peripheral reticulonodular opacities compatible with mildly increased pulmonary edema. Small bilateral pleural effusions are seen posteriorly on the lateral view. There is no pneumothorax. Lungs are otherwise without a focal consolidation.
chest pain and shortness of breath.
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Single ap portable radiograph of the chest. There are diffuse, asymmetric, alveolar opacities with air bronchograms in the left upper and right lower lobes. These are new since the prior radiograph. No pleural effusions are seen. Unchanged appearance of a port in the right chest wall with a catheter terminating in the right atrium. The cardiac silhouette is unchanged. No pneumothorax is seen.
metastatic pancreatic cancer now with hypoxia. evaluate for acute process.
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Pa and lateral chest views have been obtained with patient in upright position. Comparison is made with the next preceding similar study of <unk>. Left-sided subclavian approach port-a-cath system unchanged. Heart size remains normal and thoracic aorta and mediastinal structures unaltered. No pulmonary vascular congestion. The right-sided pleural density occupying and obliterating the right lateral and posterior pleural sinus remains unchanged. Position of previously described small caliber drainage catheter is also unchanged. Noteworthy is that the posterior pleural sinus density has clearly regressed on the right side, favoring the assumption that the density is organized and no free fluid remains. The left hemithorax remains normal and unchanged.
<unk>-year-old female patient with malignant pleural effusion, evaluate for 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 chest pain
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Continued opacity obscuring the left heart border and left costophrenic angle is compatible with pleural effusion and associated compressive atelectasis, similar to <unk>. The cardiac and mediastinal silhouette is unchanged. Faint increased linear opacities in the right upper lobe may reflect atelectasis and early pneumonia cannot be excluded.
<unk>m with sob // sob/doe
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Heart size is normal. The aorta is tortuous. Mediastinal contours are unchanged. Right hilar mass compatible with non-small cell lung cancer is again demonstrated. Worsening opacification of the right lower lobe is concerning for postobstructive pneumonia with blunting of the right costophrenic angle compatible with a small pleural effusion, new from the prior study. No pulmonary vascular congestion is demonstrated. Minimal blunting of the left costophrenic angle also is suggestive of trace fluid. Streaky left basilar opacity is compatible with atelectasis. No pneumothorax. No acute osseous abnormalities are visualized. Cholecystectomy clips are again seen in the right upper quadrant of the abdomen.
shortness of breath.
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Small/moderate bilateral pleural effusions are again noted. There is retrocardiac opacity only visualized on the frontal view without correlate on the lateral. Cardiac enlargement is unchanged as well as mild pulmonary vascular congestion without overt pulmonary edema.
<unk>f with palpitations, abd pain, ongoing diarrhea //
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Examination limited due to patient positioning and portable technique. Left-sided picc is in stable position, in the mid superior vena cava. An enteric tube courses below the diaphragm and out of the field of view. Pulmonary vascular congestion has worsened when compared to the prior examination. There are bilateral effusions with overlying atelectasis versus airspace disease; mildly worsened on the right.
<unk> year old woman with carotid-cavernous fistula s/p coiling and pipeline device placement. // ng tube appears to have been partially pulled out. assess placement.
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Upright ap and lateral views of the chest demonstrate a left chest wall pulse generator, with pacing wires terminating in the right atrium and right ventricle, unchanged from the prior study. The lung volumes are somewhat low, with background emphysema and interstitial prominence, similar compared to prior studies; however, there are new left perihilar opacities which are concerning for infection. No pleural effusion or pneumothorax is detected. The cardiomediastinal silhouette is unremarkable.
<unk>-year-old man with known copd, with worsening shortness of breath, cough over the past three to five days. evaluation for pneumonia.
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The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are well expanded. A double contour of the breast tissue bilaterally is consistent with bilateral breast implants. Hazy opacification of the lower lungs may be accounted for by breast implants. However, the suggestion of air bronchograms in the left retrocardiac space with slightly increased density in this area may be indicative of an acute process. Pulmonary vasculature is within normal limits.
unresponsive due to toxic ingestion, query evidence of aspiration.
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Frontal and lateral views of the chest were obtained. There are low lung volumes and some degree of vascular markings. Given this, perihilar opacities and prominence of the central vasculature suggest pulmonary vascular engorgement. There is mild lingular linear atelectasis/scarring. No pleural effusion or pneumothorax is seen. Opacity at the medial right lung base could be due to accentuation of vascular markings due to low lung volumes, although underlying consolidation cannot be excluded. Cardiac and mediastinal silhouettes are stable since the prior study given differences in inspiration.
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The cardiomediastinal silhouettes are stable, consistent with a tortuous thoracic aorta. The bilateral hila are unremarkable. Right perihilar and medial left upper lobe scarring is unchanged. The lungs are otherwise clear without focal consolidation. There is no pulmonary vascular congestion or pulmonary edema. There is no pneumothorax or pleural effusion. There is no evidence of a displaced rib fracture.
<unk>-year-old woman with a fall and back pain over mid t-spine, evaluate for injury.
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As compared to the previous radiograph, there is a minimal atelectasis in the retrocardiac lung areas that has newly appeared. Otherwise, the radiograph is unchanged. Normal size of the cardiac silhouette. Absence of parenchymal opacities. No evidence of pneumonia.
intubation and questionable fevers. evaluation for pneumonia.
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The patient is status post cabg with a median sternotomy as well as evidence of a aortic valve replacement. The heart size is normal. The hilar and mediastinal contours are unremarkable. No focal consolidations concerning for pneumonia are identified. There is no pleural effusion or pneumothorax. The visualized osseous structures are unremarkable. There is no definite interstitial thickening suggestive of interstitial lung disease.
history of inflammatory arthropathy with shortness of breath. evaluate for interstitial lung disease.
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Frontal and lateral radiographs of the chest demonstrate clear lungs. The heart size is top normal. Mediastinal and hilar contours are normal. No pleural abnormality is detected.
chest pain. evaluate for pneumonia.
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Single frontal view of the chest was obtained. New endotracheal tube terminates <num> mm above the carina. New right internal jugular central catheter terminates in the mid svc. Lung volumes are very low with atelectasis of the lower lobes. Heart size is enlarged and vascular pedicle is widened compared to the prior exam. Pleural effusions are small, if any. No pneumothorax.
<unk>-year-old male with respiratory failure and septic shock.
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The bilateral lower lobe multifocal pneumonia has worsened. No lung abscess is appreciated. The diffuse interstitial opacification has been chronic which is concerning for heart failure versus pneumocystis. Currently tb is less likely, but if patient does not have significant improvement after treatment or high-risk, primary tb is on differential. The hila are normal. There is no pleural effusion or pneumothorax. The cardiac silhouette is enlarged but unchanged. The mediastinum is normal. No fractures.
<unk> year old man with pneumonia // please assess pa and lateral for better quality study to determine whether ct is warranted to r/o abscess
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Pa and lateral views of the chest provided. The heart is mildly enlarged, new in the interval. Mediastinal contour is normal. There is no focal consolidation, effusion or pneumothorax. No convincing signs of edema. Bony structures are intact.
<unk>f with neck pain, chest pain, cough x several wks
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Frontal and lateral chest radiographs demonstrate clear lungs, without pleural effusion, or pneumothorax. The cardiac silhouette is normal in size, the mediastinal contours are normal. The pulmonary vasculature is normal.
<unk>-year-old male with hypoglycemic episode, question infiltrate.
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There is blunting of the cp angles. The lungs are clear without infiltrate. The bony thorax is normal.
new onset diabetes.
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Since prior there has been interval placement of right-sided central venous catheter with tip in the mid to lower svc. There is no pneumothorax or other change.
<unk>m with cvl // s/p cvl
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Endotracheal tube tip terminates approximately <num> cm from the carina. An enteric tube tip courses below the left hemidiaphragm, into the stomach, and off the inferior borders of the film. Heart size appears at least mild to moderately enlarged. The aorta is tortuous. Pulmonary vascularity is not engorged. Patchy opacities in lung bases my reflect areas of atelectasis. No focal consolidation, large pleural effusion or pneumothorax is seen, however the extreme left costophrenic angle is excluded from the field of view. Mild degenerative changes are noted in the thoracic spine. Punctate calcific densities in the right upper quadrant of the abdomen may reflect gallstones.
history: <unk>f with intubation, altered mental status, unresponsive
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The lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. No acute fractures are identified.
evaluation of patient with hyperglycemia.
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Pa and lateral chest radiograph demonstrate linear opacity at the left lung base, present on examination dated <unk>, likely atelectatic in etiology. No opacity convincing for pneumonia is present. Cardiomediastinal and hilar contours are stable relative to prior examination, the cardiac silhouette mildly enlarged. Pulmonary vasculature is normal. There is no pneumothorax or pleural effusion. There is no evidence of pulmonary edema.
history: <unk>m with hx cad, chf, recent d/c for chf // eval ? edema, pna
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Right subclavian port-a-cath tip terminates at the cavoatrial junction. Mild cardiomegaly is unchanged. Cardiomediastinal silhouette and hilar contours are unremarkable. Mild retrocardiac atelectasis. Lung volumes are low but otherwise clear. No pneumothorax or effusion.
seizure and altered mental status. evaluate for consolidation.
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Chain sutures are re- demonstrated at the left lung apex. No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. There is no pulmonary edema.
history: <unk>m with shortness of breath // acute process?
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The lungs are well-expanded and clear. The cardiomediastinal and hilar contours are unchanged. The aorta is tortuous. No pneumothorax, pleural effusion, or consolidation. No free air beneath the right hemidiaphragm.
history: <unk>f with epigastric pain // eval infiltrate
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Orogastric tube terminates within the stomach. Icd and pacing leads are unchanged in position. Cardiomediastinal widening has slightly progressed, and is accompanied by pulmonary vascular congestion and interstitial edema. Band-like opacity in right mid lung probably represents a focal area of atelectasis and adjacent loculated fluid within the minor fissure, and note is made of worsening atelectasis at the lung bases, left greater than right, as well as a small left pleural effusion.
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Clear lungs without pneumothorax, pulmonary edema, or pleural effusion. Heart is mildly enlarged with mild aortic tortuosity without aortic dilatation. Mediastinal contour and hila are normal. No bony abnormality.
female with stroke. assess for pneumonia.
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Evaluation is somewhat limited by underpenetration. Lung volumes are slightly low. There is no focal airspace opacity to suggest pneumonia. The heart is not enlarged. The mediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. No subdiaphragmatic free air is detected.
alcohol abuse, presenting with chest pain and left upper quadrant abdominal pain. evaluate for pneumonia or free air under the diaphragm.
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Mild cardiomegaly is unchanged. Mediastinal silhouette and hilar contours are stable. Multiple scattered bilateral lung nodules are better evaluated on recent ct. Mildly increased opacity in the right lower lung surrounding the nodule is compatible with postprocedural change from transbronchial biopsy. There is no pneumothorax or pneumomediastinum. There is no pleural effusion or widening of the mediastinum.
multiple lung nodules, status post transbronchial biopsy of the right middle lobe nodule.
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A right-sided picc line terminates in the uppermost atrium. A pacer device appears unchanged. The cardiac, mediastinal and hilar contours are stable. There is similar slight relative elevation of the left hemidiaphragm compared to the right. The lungs are clear. There are no pleural effusions or pneumothorax. Surgical clips again project over the right upper quadrant. The bony structures appear within normal limits.
chest pain and pneumonia.
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Comparison is made to prior study from <unk>. There has been placement of an endotracheal tube whose tip is <num> cm above the carina. There is a feeding tube with side port at the ge junction and the distal tip could be advanced several centimeters for more optimal placement. Heart size is within normal limits. There is again seen increased density at the left retrocardiac area which may represent a developing consolidation. No pneumothoraces are seen.
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Pa and lateral views of the chest are provided. Subcutanous air has resolved. There is a larger, moderate-to-large left pleural effusion. Right pleural effusion hsd decreased in size. Upper lungs are clear. Cardiomediastinal silhouette cannot be evaluated secondary to pleural effusion. Of note, the supra-hilar region of the right mediastinum appears somewhat fuller than prior radiographs. This is suspicious for adenopathy in a patient with known malignancy. These findings were discussed with dr. <unk> by dr. <unk> via telephone at <time> a.m. At the time of the discovery.
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Single ap portable chest radiograph demonstrates unremarkable mediastinal contours. Cardiac silhouette is enlarged. Hazy pulmonary vasculature is identified with faint patchy opacities in the perihilar and upper lung zones suggests a mild degree of pulmonary edema. Retrocardiac opacities likely represent atelectasis, though developing infectious process cannot be excluded in the appropriate clinical setting. Minimal blunting of the right costophrenic angle may reflect a small pleural effusion though this area is not well evaluated due to overlying medical devices. No osseous abnormalities identified.
new bleed. please evaluate for congestive heart failure.
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Pa and lateral chest radiograph demonstrates a right chest port, its tip which projects over the anticipated location of the cavoatrial junction. Linear density within the right midlung zone likely reflects subsegmental atelectasis though fluid within the minor fissure is a possibility. Cardiomediastinal and hilar contours are stable relative to prior examination, the heart which is enlarged. No opacity convincing for pneumonia is present. There is no large pleural effusion. No evidence of pneumothorax or pulmonary edema.
history: <unk>f with ncc lung ca, recently finished rx for pna, now with recurrent cough and mild dyspnea // eval for pna or acute process
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Lung volumes are low and exaggerate the pulmonary vascular markings. Cardiomediastinal silhouette is exaggerated, but likely at the upper limits of normal. The lungs are without focal consolidation or pneumothorax. Old left rib fractures are noted with no acute fractures identified.
evaluation of patient status post fall, found down.
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The lungs are well expanded. Somewhat linear opacities at the bilateral lung bases are unchanged, possibly reflecting atelectasis or scarring. Lungs are otherwise clear. No pleural effusion or pneumothorax. Heart size is normal. Cardiomediastinal and hilar silhouettes are unremarkable. Mild tortuosity of the descending thoracic aorta with aortic knob calcifications is unchanged.
<unk>f with sob, weakness.
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Pa and lateral views of the chest provided. Lungs are clear. 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 acute onset dizziness, epigastric discomfort, more pronounced t waves lateral leads
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Ap and lateral views of the chest were compared to previous exam from <unk>. The lungs remain clear. The cardiomediastinal silhouette is stable. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with fall and elevated white count. rule out pneumonia.
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Pa and lateral views of the chest are obtained. A dual-lead pacer in unchanged position. The proximal lead appears to terminate in the right atrium and the distal lead appears to terminate at the level of the junction of the ivc with the right atrium. Please correlate clinically for positional adequacy. There is a large retrocardiac density containing an air-fluid level compatible with a known hiatal hernia. There is left basilar atelectasis and likely a tiny pleural effusion. Kyphotic deformity of the chest somewhat limits evaluation. Atherosclerotic calcifications along the thoracic aorta noted. Tracheobronchial tree calcifications are also noted. There is no definite sign of pneumonia or chf. Bony structures appear diffusely demineralized.
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The lungs are well inflated, without focal opacities. Mild-to-moderate cardiomegaly is not significantly changed compared with prior exam. The aorta is tortuous but otherwise the cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old female with severe aortic stenosis presenting with tachycardia. evaluate for acute cardiopulmonary process.
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Ap and lateral views of the chest. There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal and hilar contours are unchanged with the heart size appearing normal. Mild biapical scarring is similar to the prior exam.
syncope without prodrome
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Pa and lateral views of the chest were obtained. There is no free air below the right hemidiaphragm. The lungs are clear bilaterally without focal consolidation, effusion, or pneumothorax. The heart size is normal. Mediastinal and hilar configuration is normal. The bony structures are intact.
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Interval removal of right internal jugular vascular catheter with no pneumothorax. Cardiomediastinal contours are stable in appearance. Apparent interval improvement in bilateral pleural effusions, with residual small-to-moderate left layering effusion and probable small residual right pleural effusion. Associated improving bibasilar lung opacities.
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Calcific density projects over the right lung which is likely within the anterior subcutaneous tissues as demonstrated on the lateral view. The lungs are clear. Anterior cervical fixation hardware is identified.
<unk>f with dizziness // eval for acute process
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Pa and lateral views of the chest provided. Clips in the right upper quadrant noted. 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 w/weakness
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Right chest tube is in place, with a tiny right lateral pneumothorax. Focal increased opacity is present in the right mid lung region adjacent to surgical chain sutures likely representing a combination of post-operative contusion and atelectasis. Additional foci of atelectasis are present at both lung bases. Cardiomediastinal contours are within normal limits for technique. Subcutaneous emphysema is noted in the right chest wall.
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The lungs are hyperinflated with upper lung lucency, suggesting emphysema. Bilateral basilar opacities have largely resolved. There is no new consolidation worrisome for pneumonia. No pleural effusion or pneumothorax. Again, there is a linear opacity in the right upper lobe, unchanged from <unk>. Heart is normal size. The mediastinal and hilar contours are unremarkable.
recent admission for sepsis and pneumonia. evaluate for resolution of pneumonia.
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There is a moderate left pleural effusion that is mildly increased since <unk>. There is plate atelectasis in the mid left lung. Opacification of the left lung parenchyma has resolved. There is pneumothorax. Mild cardiomegaly is unchanged. There is no pulmonary vascular congestion.
evaluation of pleural effusion.
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The retrocardiac opacification is improved compared to prior. This is likely an atelectasis, however in appropriate clinical setting pneumonia is difficult to exclude. Tracheostomy tube is in similar position as prior. A peg tube is noted in the stomach which is distended with air. The radiodense line looped near the neck is likely external to the patient.
<unk> year old man with known pneumonia, persistent fevers // pls eval for interval changes
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Elevation of the right hemidiaphragm is unchanged since ct <unk>. There is no focal consolidation, effusion or pneumothorax. The size of the heart is top normal.
right upper lobe biopsy.
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There is elevation of the left hemidiaphragm with basal atelectasis. The right lung is clear. The patient is status post cabg. No pneumothorax or pleural effusion.
chest discomfort.
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The lungs are clear. Heart size and mediastinal contours are normal. There is no pleural effusion or pneumothorax. Osseous structures are intact.
<unk>f with feeling ill // eval for infection
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Lung volumes are within normal limits. The cardiomediastinal contour is unchanged. A tracheostomy has been removed when compared to the prior study. No consolidation, pneumothorax or pleural effusion seen. Heart size appears mildly enlarged although this may in part be due to projection.
<unk> year old man with subjective fevers, recent operation pod # <unk> // r/o 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 the.
history: <unk>m with dsyuria and prostatis // eval for pna cxr eval for prostatis abscess ct ab
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The lungs are clear without focal consolidation, large effusion or evidence of pulmonary edema. There cardiomediastinal silhouette is stable. Prosthetic valve, presumably mitral and aortic core valve device are again noted. Median sternotomy wires are intact. No acute osseous abnormalities.
<unk>f with son // eval for pulm edema
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On the lateral view, there is a calcified nodular opacity measuring approximately <num> mm projecting over the anterior mid lung. Findings may represent a calcified granuloma however, is not optimally characterized. Given history of frontal tumor, follow-up chest ct suggested.no focal consolidation is seen. No pleural effusion or pneumothorax is seen. Cardiac silhouette is top-normal. Mediastinal contours are unremarkable. No pulmonary edema is seen.
history: <unk>f with newly diagnosed frontal tumor. patient altered with elevated lactate // consolidation
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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. Heart and mediastinal contours are within normal limits. Breast size asymmetry with right larger than left is again noted.
<unk>-year-old female with cough and low oxygen saturation.
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The lungs are clear without focal consolidation, pleural effusion, or pneumothorax. The pulmonary vasculature is not engorged. The cardiac silhouette, mediastinal and hilar contours are within normal limits. The trachea is midline. No acute osseous abnormality is detected. There is no free air beneath the right hemidiaphragm.
leukocytosis, here to evaluate for pneumonia.
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End of tracheostomy is <num> cm above the level of the carina in appropriate position. Left subclavian tip is in upper svc and right chest tube is unchanged in position. Low lung volumes with bibasilar atelectasis and pleural effusion, left greater than right. Interval increase in left retrocardiac and lower lobe opacities. No pneumothorax. Heart is mildly enlarged with normal mediastinal contour and hila. No bony abnormality.
male with fevers. assess for pneumonia.
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Pa and lateral chest radiographs. The lungs are clear. There is no pleural effusion or pneumothorax. Marked tortuosity of the thoracic aorta is unchanged from multiple priors.
chest pain.
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Ap and lateral views of the chest were provided. A large mass is redemonstrated in the right upper lobe without significant overall change in appearance. There is a persistent small right pleural effusion with right basilar atelectasis and elevation of the right hemidiaphragm. The left lung is unchanged. Overall, cardiomediastinal silhouette is stable with coronary stents partially imaged. Bony structures are intact. Clips in the right upper quadrant noted.
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In comparison with the study of <unk>, the monitoring and support devices have been removed except for the right ij catheter. Following chest tube removal, there is a small left apical pneumothorax. Opacification at the left base is consistent with volume loss in the left lower lobe and pleural fluid.
chest tube removal.
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The patient is status post coronary artery bypass graft surgery. The heart appears likely at the upper limits of normal size although not optimally assessed. The mediastinal contours are unremarkable. There is a confluent right infrahilar opacity in the right lower lung with kerley b lines and blunting of the right cardiophrenic angle, quite asymmetric. Patchy retrocardiac opacity is less specific but an additional focus of pneumonia could be considered versus atelectasis. There is mild background perihilar fullness suggesting pulmonary venous hypertension or slight fluid overload, but not substantial. Each costophrenic sulcus is blunted which may suggest pleural effusions.
shortness of breath. question pneumonia.
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In comparison with the study of earlier in this date, there has been a thoracentesis on the left with removal of some pleural fluid. No evidence of pneumothorax. No other interval change.
thoracentesis, to assess for pneumothorax.
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Heart size is normal. Cardiomediastinal silhouette and hilar contours are unremarkable. There is linear atelectasis as well as a subtle opacity in the left lung base. The lungs are otherwise clear. Pleural surfaces are clear without effusion or pneumothorax.
post-operative fever.