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In comparison with the study of <unk>, there is little overall change. The cardiac silhouette remains within normal limits and the pulmonary vascularity is essentially normal. The right basilar opacification has virtually cleared.
chronic cough.
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In comparison with study of <unk>, the monitoring and support devices remain in place. There is again enlargement of the cardiac silhouette with persistent retrocardiac opacification consistent with some combination of left effusion, atelectasis, and possible superimposed pneumonia. Right basilar opacities most likely reflect atelectasis, though the possibility of aspiration or developing consolidation would have to be considered.
respiratory failure.
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There is a retrocardiac opacity seen on the frontal view which is not confirmed on the lateral view. There are bilateral atelectatic changes. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable.
<unk> year old man with low grade temp, wheezes // is there pneumonia
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The heart is at the upper limits of normal size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There is a suspected trace pleural effusion on the left, but probably not on the right. There is no pneumothorax. A surgical clip projects along the right upper quadrant of the abdomen. Small osteophytes are present along the mid-to-lower thoracic spine.
right-sided pain after laminectomy. question pneumonia.
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Ett is now <num> cm from the carina. Right internal jugular line remains in the right atrium. Nasogastric tube remains in similar position. Slight increase in opacification of the lungs bilaterally which is widespread. No pneumothorax.
<unk> year old woman with lymphoma infiltrating lungs // interval change
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The cardiac silhouette size is mildly enlarged with a left ventricular predominance. The mediastinal and hilar contours are normal. Apart from minimal atelectasis at the lung bases, remainder of the lungs are clear. No pleural effusion or pneumothorax is seen. There is no pulmonary vascular congestion. No subdiaphragmatic free air is demonstrated.
recent biopsy of the liver.
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In comparison to <unk>, again noted is the left subclavian picc line with tip in the lower svc.the lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unchanged.
<unk> year old woman with picc line now with palpitations // migration of picc line to atria?
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Compared with <unk> at <time>, an et tube has been placed. The tip lies <unk>-<num> mm above the carina. This is very slightly low and, if clinically indicated, could be retracted by approximately <num> mm. Again seen is an enteric tube it extends beneath diaphragm, off the film the right-sided picc line with the tip at the cavoatrial junction. Cardiomediastinal silhouette is unchanged. There is chf, with bilateral effusions underlying collapse and/or consolidation.
<unk> year old woman with bleeding mass who was just intubated. // evaluate for et placement
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The lungs are clear of focal consolidation, pleural fusion pneumothorax. The heart is normal in size, and the mediastinal contours are normal. Cervical spinal hardware is noted, and prior right rib fracture is noted.
<unk>-year-old male with mandible fracture. evaluate for pneumonia or fracture.
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New consolidation in the axillary subsegments of the left upper lobe, possibly cavitated, is likely pneumonia. There is no pulmonary edema, pleural effusion or evidence of either central adenopathy or bronchial obstruction, and the cardiac and mediastinal contours are normal.
<unk>-year-old man with hiv, recently back on antiretroviral therapy, and presents with pleuritic chest pain and fevers. evaluate for pneumonia.
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The lungs are clear without focal consolidation, effusion, or edema. Calcified granuloma projects over the right upper lung. The cardiomediastinal silhouette is within normal limits. Slight obscuration of the right lower heart border may be due to the slight pectus deformity as on prior. No acute osseous abnormalities. Left shoulder arthroplasty changes are noted.
<unk>f with lightheadedness // ?consolidation
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The cardiac silhouette size is normal and unchanged. The mediastinal and hilar contours are similar. Atherosclerotic calcifications are noted at the aortic knob. The pulmonary vasculature is not engorged. Biapical opacities are again noted, with streaky left basilar opacity likely reflective of atelectasis. There may be a trace left pleural effusion as there is blunting of the left costophrenic angle. No pneumothorax or pulmonary edema is demonstrated. No acute osseous abnormality is detected.
history: <unk>f with altered mental status, stigmata of fall
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Lungs are well-expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation. No acute displaced rib fractures.
history: <unk>m with cough, recent pna now with back pain and continued cough. // pneumonia?
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A single upright ap radiograph of the chest is provided. There are bilateral opacities densest in the bilateral lower lobes. This appearance favors an infectious or inflammatory process over atelectasis. Heart size is minimally enlarged. There is no pneumothorax or pleural effusion.
<unk>-year-old woman with dyspnea. evaluate for signs of heart failure or pneumonia.
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Heart size is normal. The mediastinal and hilar contours are unremarkable with mild tortuosity of the thoracic aorta. 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 exertional dizziness, left sided headache
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Pa and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding similar study of <unk>. The heart size remains normal. No configurational abnormalities identified. Thoracic aorta unremarkable. No mediastinal abnormalities are seen. The pulmonary vasculature is not congested. No signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. No pneumothorax in apical area. Skeletal structures of the thorax grossly unremarkable.
<unk>-year-old male patient with cough for one month. evaluate for pneumonia.
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Cardiac, mediastinal and hilar contours are within normal limits. The pulmonary vasculature is not engorged. Minimal patchy bibasilar airspace opacities likely reflect areas of atelectasis. No focal consolidation, pleural effusion or pneumothorax is clearly identified. No acute osseous abnormality is detected.
history: <unk>m with tachypnea,
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The heart size, mediastinal, and hilar contours are normal. A small, rounded, dense nodule in the right middle lung is unchanged in size since <unk> and is likely a granuloma. The lungs are otherwise clear without pleural effusion, focal consolidation, or pneumothorax.
<unk> year old woman with cough x <num> days, pmh of asthma. evaluate for consolidation.
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The cardiac, mediastinal and hilar contours are normal. The lungs are clear. The pulmonary vascularity is normal. No pleural effusion or pneumothorax is identified. There are mild degenerative changes in the thoracic spine. No acute osseous abnormalities are visualized.
<num> weeks of right-sided chest pain after motor vehicle collision.
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Streaky bibasilar opacities likely represent atelectasis. There is no overt consolidation or pleural effusion. Possible, small bilateral pleural effusions. Moderate cardiomegaly is stable. The mediastinal contours are somewhat widened as compared to the prior examination, although this may be positional.
history: <unk>m with sinus tach // evidence of infection
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As compared to the previous radiograph, neither the frontal nor the lateral film shows substantial changes. The lung volumes are mildly increased. The size of the cardiac silhouette is unchanged, there is unchanged evidence of valvular replacement as well as of a small left basal plate-like atelectasis. No evidence of pneumonia or pulmonary edema. No pleural effusions. No lung nodules or masses. The hilar and mediastinal contours are unremarkable.
copd, worsening cough, evaluation for pneumonia.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is slight blunting of posterior costophrenic sulci suggestive of trace effusions, but not substantial. There is no pneumothorax. The lungs appear clear. Mild s-shaped curvature is noted along the thoracolumbar spine. The patient is status post lower anterior cervical fusion, which is not assessed in detail.
postoperative day <unk> following recent discectomy, presenting with fever and neck pain.
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The cardiomediastinal and hilar contours are within normal limits and without change. Lung volumes remain increased, and note is again made of a calcified granuloma in the left apex with adjacent apical pleural and parenchymal scarring. No new areas of consolidation are evident, and there are no pleural effusions.
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The lungs are clear with no evidence of consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is at the upper limits of normal. Two-lead pacemaker appears in place. No acute fractures are identified.
shortness of breath.
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An endotracheal tube terminating <num> cm above the carina, an orogastric tube terminating within the stomach, and a right picc line at the upper svc are unchanged in position. The heart size remains normal. A moderate left retrocardiac opacity is new since <unk>, likely atelectasis. There is no pneumothorax or pleural effusion.
possible meningitis, intubated.
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The heart is normal in size. The cardiomediastinal and hilar contours are within normal limits. There may be mild bronchial wall thickening. Bibasilar opacities persist however there is markedly improved aeration of the left lower lobe. There is no effusion or pneumothorax.
<unk> year old man with question of aspiration pneumonia vs. pneumonitis // further characterize findings on pa/lateral
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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. Mild degenerative changes are seen along the spine.
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Single portable chest radiograph is provided. A left picc terminates at the origin of the svc and can be advanced <num> cm for better positioning. Again seen are prominent interstitial markings compatible with interstitial lung disease. The heart remains enlarged. There is no focal consolidation, pleural effusion or pneumothorax.
history of hcv cirrhosis and bacteremia. question picc line location.
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The endotracheal tube terminates <num> cm above the carina. Right internal jugular central venous catheter terminates in the upper svc. There is persistent moderate moderate pulmonary edema. A large left pleural effusion has increased in size compared the prior examination. There is no focal consolidation or pleural effusion. No pneumothorax.
<unk> yo f hx of htn/ hypothyroidism w/ expanding left frontoparietal hemorrhage and now w/ midline shift // post bronch
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There are relatively low lung volumes, which accentuate the bronchovascular markings. Given this, no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. There is eventration of left hemidiaphragm posteriorly. The aorta is slightly tortuous. The cardiac silhouette is not enlarged.
persistent cough for <num> weeks productive end no sputum.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. There is tortuosity of descending thoracic aorta. No acute osseous abnormalities. Surgical clips are noted in the right upper quadrant.
<unk>f with fevers // ?pna
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Right-sided pacer device is noted with leads terminating in the right atrium and right ventricle, similar to the previous study. Mild enlargement of the cardiac silhouette is present with a left ventricular predominance. The aortic knob is calcified. Mediastinal and hilar contours are within normal limits. Patchy opacities are demonstrated in the lung bases. A trace left pleural effusion is present. No pneumothorax is identified. Pulmonary vasculature is not engorged. Remote chronic left-sided rib fractures are re- demonstrated.
history: <unk>f with weakness, fatigue now with leukocytosis and hyperbilirubinemia
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A single portable ap upright view of the chest was obtained. Bilateral opacities, with a prominent perihilar distribution are most consistent with moderate to severe pulmonary edema. Thickening of the minor fissure is also noted. Increased opacification at the right costophrenic angles probably relates to pulmonary interstitial edema, but should be re-evaluated once the edema is resolved. Heart appears is moderately enlarged. A small left pleural effusion is possible. There is no focal consolidation. There is no pneumothorax.
<unk>-year-old man with sudden dyspnea, evaluate for pulmonary edema.
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Frontal and lateral views of the chest demonstrate normal lung volumes and no pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. Mild tortuosity of the descending aorta is noted. There is no pulmonary edema. Left sided rib fractures, involving left posterior <num>th rib and left lateral <unk>, <unk> and possibly <num>th ribs are of indeterminate age; given lack of recent trauma or point tenderness at these locations, they are more likely not acute. Degenerative changes are seen along the spine.
patient with chest pain. assess for pneumonia or pneumothorax.
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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 stroke
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Ap and lateral views of the chest. Linear opacity at the left lung base most suggestive of atelectasis. The lungs are otherwise essentially clear. Blunting of the posterior costophrenic angle on the left may represent trace effusion. Cardiac silhouette is within normal limits noting prominent left cardiophrenic fat pad, unchanged. No acute osseous abnormality detected.
<unk>-year-old male with syncope. question cardiomegaly.
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The known rib fractures are better visualized on the ct examination from <unk>. Unchanged position of the endotracheal tube, the nasogastric tube and picc line. Substantially improved right lower lobe ventilation with almost complete resolution of the pre-existing atelectasis. However, small areas of atelectasis at both lung bases persist. Unchanged blunting of the left costophrenic sinus, caused by a small pleural effusion. No safe evidence of a left pneumothorax. Unchanged moderate cardiomegaly. No newly appeared parenchymal opacities.
rib fractures, desaturations, possible ards.
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Comparison is made to previous study from <unk>. There is a nasogastric tube whose distal tip is off the field of view. The tip of the endotracheal tube is at level of the aortic knob, <num> cm from the carina. There is a right ij central line with lead tip in the distal svc. Heart size is enlarged. There is pulmonary edema. There is left retrocardiac opacity and likely bilateral pleural effusions. There are no pneumothoraces. The side port of nasogastric tube is at the ge junction and could be advanced several centimeters for more optimal placement.
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A dialysis catheter has been removed. The cardiac, mediastinal and hilar contours appear stable. A mild interstitial abnormality is consistent with mild pulmonary edema. There is no definite pleural effusion or pneumothorax. Irregularity is probably unchanged along the left humeral head; this appearance could be due to degenerative change but possibly avascular necrosis. The right humeral head is unremarkable.
chest pain.
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In comparison with study of <unk>, there is little change and no evidence of acute pneumonia or vascular congestion. Continued low lung volumes with enlargement of the cardiac silhouette in a patient with replacement and an intact midline sternal wire. Surgical clips in the lower neck again seen.
laryngeal spasm with cough.
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Ap portable upright view of the chest. Single lead pacemaker is unchanged with lead extending to the region of the right ventricle. Again noted, is a large right pleural effusion. Associated compressive atelectasis in the right middle and lower lobes is again seen. Left lung is essentially clear without large effusion or focal consolidation. Mild interstitial edema is present. The heart remains enlarged. No pneumothorax. Right rib fractures are better assessed on prior ct.
<unk>m with known rib fx now with /hypoxia // eval for ptx
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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.
history: <unk>f with new seizure // eval for infiltrate
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Dobbhoff tube is in place with tip ending at esophageal gastric junction and should be pushed down <num>-<num> cm. Right jugular catheter is unchanged with tip ending in upper svc. Left basilar pleural drain is unchanged and in standard position. Lung volume is moderate with small bibasilar atelectasis. Heart size is still mildly enlarged. No pneumothorax or pleural effusion.
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The lungs are clear, and the cardiomediastinal silhouette and hila are normal. There is no pleural effusion and no pneumothorax. No displaced rib fractures are detected. However, dedicated rib series is more sensitive for detection of subtle rib fractures.
<unk>-year-old with rib tenderness, worst at the right lateral fifth to seventh ribs after assault.
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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 normal. Osseous and soft tissue structures are unremarkable.
<unk>-year-old male with chest pain.
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Pa and lateral views of the chest. No prior. The lungs are clear without focal consolidation nor effusion. The cardiomediastinal silhouette is normal. Orthopedic hardware is seen along the right lateral clavicle. No acute osseous abnormality is detected.
<unk>-year-old male with cough and fever and rhonchi in the right lower lobe.
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The lung volumes are low. Tracheostomy tube is in standard position. Left subclavian line ends at the junction of brachiocephalic veins. Mild left lower lung atelectasis and presumed small bilateral pleural effusions are unchanged. There are no new lung opacities of concern. The mediastinal and hilar contours and heart size are normal. There is no pneumothorax.
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The right costophrenic angle is not included on the given view. Endotracheal tube is in appropriate position. Mild cardiomegaly is unchanged. Central pulmonary vascular congestion is present without frank interstitial edema. The right hilus appears asymmetrically prominent. Lungs are otherwise grossly clear. There is no large effusion or pneumothorax.
shortness of breath
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Serial radiographs of the thorax demonstrate advancement of the dobhoff feeding tube into the stomach. A gastric tube is also noted within the stomach. The tip of the endotracheal tube projects over the mid thoracic trachea. A right internal jugular central venous catheter projects over the upper to mid svc. Unchanged bibasilar opacities. No pneumothorax or pleural effusion identified. The size of the cardiac silhouette is enlarged but unchanged.
<unk> year old man s/p dobhoff placement // evaluate for dobhoff placement
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The heart size is normal. The mediastinal and hilar contours are unchanged, with mild tortuosity of the thoracic aorta again noted. The pulmonary vasculature is normal. Minimal linear opacities in the lung bases likely reflect atelectasis. No focal consolidation, pleural effusion or pneumothorax is visualized. There are no acute osseous abnormalities.
chest pain, shortness of breath.
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The cardiac silhouette and mediastinum is normal. Lungs demonstrate some coarsening of the bronchovascular markings without focal consolidation or pleural effusion or pulmonary edema. Bony structures are grossly intact. There is some mild tortuosity of thoracic aorta.
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Pa and lateral views of the chest. There are no focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.
fever, question pneumonia.
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Pa and lateral views of the chest. The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is detected.
<unk>-year-old male <num> day of fevers and dyspnea.
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In comparison with the study of <unk>, the patient has taken a better inspiration. Monitoring and support devices are unchanged. No definite vascular congestion or acute focal pneumonia.
clinical suspicion of pneumonia.
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Et tube in situ with its tip below the level of the medial clavicles approximately <num> mm above the carina. Left-sided picc line in situ with the tip in the distal svc. No pneumothorax. Feeding tube in situ coursing inferiorly out of sight. Airspace opacification seen in the lung bases bilateral suggesting atelectasis or aspiration. No pneumothorax. Minimal fluid seen in the right transverse fissure.
<unk> year old woman with tongue lac intubated in setting of airway compromise with low grade fevers // interval change? pna?
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As compared to the previous radiograph, there is unchanged evidence of massive diffuse bilateral parenchymal opacities, likely representing a combination of pulmonary edema and pneumonia, as described in previous reports. Borderline size of the cardiac silhouette. Moderate tortuosity of the thoracic aorta. No new parenchymal opacities. No larger pleural effusions. Unchanged position of the left picc line.
coffee-ground emesis, hypoxia, evaluation for interval change.
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Mild enlargement of the cardiac silhouette is unchanged. Transcatheter aortic valve replacement is re- demonstrated, in unchanged position. Mediastinal and hilar contours are similar. Opacification of the left upper lobe with overlying clips is similar compared to the previous studies, better assessed on the prior ct. Patchy atelectasis is noted in the left lower lobe. No new focal consolidation, pleural effusion or pneumothorax is present. Pulmonary vasculature is not engorged. Degenerative changes of both glenohumeral and acromioclavicular joints and within the thoracic spine are unchanged. Clips are also noted projecting over left upper quadrant of the abdomen.
history: <unk>m with dyspnea, diffuse wheezing and rhonchi
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Supine ap portable views of the chest were obtained. Endotracheal tube is seen, terminating approximately <num> cm above the level of the carina. Nasogastric tube is seen coursing into the expected location of the stomach. The lungs are clear without focal consolidation. No large pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
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The patient is status post median sternotomy and aortic valve replacement. Heart size remains mildly enlarged. Hilar and mediastinal contours are normal. Previously demonstrated tiny right apical pneumothorax is not appreciated on the current exam. Patchy opacity in the left lung base appears slightly worse in the interval, with continued small bilateral pleural effusions. No pulmonary vascular congestion is present. There are no acute osseous abnormalities.
history: <unk>m with recent cardiac surgery, cough
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Right-sided port-a-cath is seen terminating in the mid svc without evidence of pneumothorax. The cardiac and mediastinal silhouettes are stable. There may be mild central pulmonary vascular engorgement. No focal consolidation is seen. There is no pleural effusion.
history: <unk>f with dyspnea since <unk>, severe headache, lightheadedness // eval for sah. eval for cardiomegaly or acute intrathoracic process
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Ap and lateral views of the chest provided. Left chest wall pacer with two leads extending into the expected location of the right atrium and right ventricle are unchanged from prior exam. The lungs appear clear, though low lung volume limits the evaluation. No focal consolidation to suggest the presence of pneumonia or signs of aspiration. No pleural effusion or pneumothorax. Cardiomediastinal silhouette appears stable with top normal heart size. Bony structures are intact.
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The lungs are clear of focal consolidation, pleural effusion or pneumothorax. The heart size is normal. The mediastinal contours are normal.
history: <unk>f with chest pain // r/o acute process
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There is no evidence of pneumonia, pneumothorax, pleural effusion, pulmonary edema. Heart size is stable. Vp shunt catheter courses over the right chest wall. Battery pack is seen projecting over the left hemithorax. Aorta is unfolded. A small amount of peribronchial cuffing is likely related to chronic bronchiolitis/small airways disease.
chest pain.
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The heart size is normal. There is mild pulmonary vascular congestion otherwise the hilar and mediastinal contours are normal. There is moderate pulmonary edema. There are small bilateral pleural effusions. There is no evidence of pneumothorax. The visualized osseous structures are unremarkable.
<unk>f with desaturations in ed after cta for pe ruleout. // pulm edema?
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Right picc terminates within the mid-to-lower superior vena cava. Lungs are clear except for focal atelectasis in the medial segment of the right middle lobe. Cardiomediastinal contours are stable.
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New left pigtail drain is in place in the left lower hemithorax. Previously seen small pleural effusions has decreased in size. Parenchymal opacity within the left mid lung persists. The right lung is clear. No right pleural effusion. No pneumothorax. Mediastinal and hilar contours are normal.
left pleural effusion status post pleurx catheter placement.
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Single frontal view of the chest was obtained. The side hole of a new right pleural tube is positioned outside of the pleural cavity. The tip of a second linear body immediately inferior to this pleural tube is not visualized. Heterogeneous opacity overlying the right lung base is likely a combination of small effusion and adjacent atelectasis. Indistinct left costophrenic angle and retrocardiac opacity is consistent with a small left pleural effusion with adjacent atelectasis. Mild cardiomegaly and cardiomediastinal contours are stable.
<unk>-year-old male with malignant pleural effusion. evaluate pleural tube position.
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One upright portable ap view of the chest. Low lung volumes. Bibasilar atelectasis. Interstitial linear opacities in the periphery likely due to patient's known interstitial fibrosis. A small left pleural effusion is new. Heart and mediastinum are normal. The right ij line ends in the low svc. No opacities concerning for pneumonia. No pneumothorax.
aaa repair, leukocytosis, evaluate for pneumonia or fluid overload.
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Lung volumes are low, which limits assessment. The stomach is distended. The right hemidiaphragm is elevated. There is hazy bilateral vasculature, but it is unclear how much of this is due to poor inspiration. Patchy areas of volume loss are seen bilaterally. The right hilum is prominent, but it is unclear how much of this is due to low volumes.
status post appendectomy with new onset hypoxia.
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Single portable chest radiograph. The lungs are well expanded. Reticular opacities predominantly involve the right base. There is no consolidation, effusion or pneumothorax. Cardiomegaly is moderate. The trachea is deviated leftward by the thyroid and rightward by the calcified aortic arch. A one cm. Nodule in the right apex; to determine whether it is calcified, and part of a region of scarring, would require ct scanning.
rales
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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 epigastric pain/sob after prolonged cocaine use.
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An endotracheal tube terminates approximately <num> cm above the carina. A right-sided picc line terminates at the cavoatrial junction. Single lead pacemaker/icd device terminates in the right ventricle. Retrocardiac opacification has mildly improved but pulmonary edema appears not significantly changed.
endotracheal tube placement.
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Pa and lateral views of the chest provided. Left chest wall pacer device is again seen with leads extending into the region the right atrium and right ventricle. Cardiomediastinal silhouette is unchanged with marked cardiomegaly again noted. Elevation of the right hemidiaphragm is again noted. There is no focal consolidation, large effusion or pneumothorax. No convincing evidence for edema. Bony structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with bradycardia and cough // eval for pna
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As compared to the previous radiograph, the known pneumothorax on the right has substantially increased. The diameter of the right pneumothorax is now approximately <num>-<num> cm. Minimal resulting atelectasis at the right lung bases. Atelectasis has also newly occurred at the bases of the left lung. No fluid overload. No larger pleural effusion. Status post extubation and removal of the nasogastric tube.
cabg, evaluation.
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Ap upright and lateral views of the chest were provided. Cervical spinal hardware is seen in the lower neck and right shoulder prosthesis is noted. There is diffuse pulmonary interstitial edema. A subtle superimposed pneumonia would be difficult to exclude. No large pleural effusion or pneumothorax is seen. Heart size remains top normal. Mediastinal contour is stable. No acute bony injuries are seen.
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Cardiac silhouette size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is normal. Lungs are clear. No focal consolidation, pleural effusion or pneumothorax is seen. Mild hypertrophic changes are noted in the thoracic spine.
history: <unk>m with chest pain
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The cardiomediastinal silhouette is enlarged, but stable. Elongation of the descending aorta is again seen. Hyperinflated lungs are compatible with copd. Linear atelectasis is seen in the right lung base. Bilateral apical scarring is identified. No pulmonary edema or pneumothorax. There is no focal consolidation.
history: <unk>m with dizziness, nausea, vomiting // eval for ich, mass, pneumonia, chf
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Pa and lateral chest radiographs. There is no focal consolidation, pleural effusion, or pneumothorax. The heart size is top normal. There is no pulmonary vascular congestion or evidence of edema.
history: <unk>m with chest pain // eval for pna
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Frontal and lateral views of the chest are compared to chest x-ray from <unk> and cta chest from <unk>. Mild biapical scarring is again seen. There is no new region of consolidation or effusion. Cardiomediastinal silhouette is within normal limits. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with new dizziness. presumed history of eosinophilic pneumonia.
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As compared to the previous radiograph, there is no relevant change. The vascular diameters of the hilar vessels are still at the upper range of normal. In addition, a zone of slightly increased radiodensity is seen at the medial aspect of the right lung bases. Likely, this change is atelectatic, but could be further evaluated by ct because of its chronicity. No other lung parenchymal changes. <num> mm calcified granuloma projecting over the lower aspects of the third left rib. No pleural effusions. No cardiomegaly. No pneumonia.
fatigue, peripheral edema, low oxygen saturation, evaluation.
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Pa and lateral views of the chest show no consolidation, pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal.
sore throat and leukocytosis. recently started chemotherapy for lymphoma.
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Frontal and lateral views of the chest were obtained. There is no focal consolidation, pleural effusion, or pneumothorax. Heart size is normal. The mediastinal silhouette and hilar contours are normal. No upper abdominal or osseous abnormality is identified.
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Lung volumes are slightly low, resulting in bronchovascular crowding. There is mild bibasilar atelectasis. Cardiomediastinal and hilar contours are unremarkable. No pneumothorax or pleural effusion.
history: <unk>m with cough and chest pain // ?pna
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As compared to the previous radiograph, there is unchanged evidence of a right internal jugular vein catheter. The catheter is in unchanged position, projecting over the upper-to-mid svc. The position of the endotracheal tube and of the nasogastric tubes is constant. Constant appearance of the cardiac silhouette, with mildly improved and increased lung volumes, and a decrease in extent of pre-existing small left pleural effusion. No new parenchymal opacities.
right internal jugular vein catheter, evaluation.
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In comparison with the study of <unk>, there has been some decrease in the focal consolidation involving the left mid and lower lung zones. The substantial residual persists. Otherwise, no evidence of pneumothorax and the right lung remains essentially clear.
bronchoscopy and dilatation of lll, to assess for infiltrate and pneumothorax.
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Supine portable ap view of the chest was provided. Lung volumes are low. A single lead pacemaker is seen projecting over the right chest wall with lead tip excluded from the field of view. Low lung volumes limit evaluation. There is mild pulmonary edema with probable small right pleural effusion. Heart size cannot be accurately assessed. The aorta appears unfolded. The bony structures appear intact.
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Ap and lateral chest radiographs were provided. Lungs are well expanded. There is no focal consolidation, pleural effusion, or pneumothorax. The heart remains enlarged as seen previously. Linear horizontal opacities in the left lower lung field are likely atelectasis. Small clips are seen in the right breast. The bones are intact.
history of confusion, intracranial bleed. question pneumonia.
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Pa and lateral radiographs of the chest demonstrate clear lungs without focal consolidation, pleural effusion or pneumothorax. The pulmonary vasculature is not engorged and there is no overt pulmonary edema. The cardio mediastinal and hilar contours are within normal limits. No acute, displaced rib fractures are detected.
left chest pain, here to evaluate for left rib fracture.
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Interval removal of right internal jugular swan-ganz catheter, with no visible pneumothorax. Stable postoperative widening of cardiomediastinal contours. Worsening bibasilar retrocardiac opacities are likely due to atelectasis, and are accompanied by small bilateral pleural effusions, increased on the left and apparently new on the right in the interval. On the left, the pleural effusion is apparently superimposed on pre-existing pleural thickening adjacent to numerous healed left rib fractures, a finding present since <unk>. Subcutaneous emphysema is present in the chest wall. Retrosternal gas is probably related to recent sternotomy procedure.
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There is no focal consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities identified. There is no free air under the right hemidiaphragm.
history: <unk>m with luq pain, new fever in ed // ?infection
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Single ap upright portable view of the chest was obtained. Again seen left porta catheter, terminating in the right atrium. There has been interval placement of a left-sided chest pigtail catheter with interval significant decrease in left pleural effusion with possible only a small amount remaining. There has been significant interval decrease in left base opacity with mild haziness at the left base remaining, which may relate to underlying small pleural effusion and atelectasis, attention at followup. A new small left apical pneumothorax is seen. Right basilar opacity persists, likely due to pleural effusion and atelectasis with possible underlying consolidation.
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Frontal and lateral views of the chest demonstrate pacemaker device projecting over left hemithorax, with leads terminating within the right atrium and right ventricle. There is no pleural effusion, focal consolidation or pneumothorax. The aorta appears prominent. Otherwise, hilar and mediastinal silhouettes are unremarkable. Heart is mildly enlarged. Perihilar pulmonary vascular congestion is noted. Partially imaged upper abdomen is unremarkable.
patient with lightheadedness and epigastric pain.
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The et tube is in unchanged position, terminating <num> cm above the carina. There has been interval advancement of previously visualized ng tube, with distal tip now in the stomach and side port just distal to the ge junction. The cardio mediastinal contours are stable. The bilateral hila stable in appearance. There has been mild interval improvement in interstitial opacities as compared to the radiograph taken at <time>, most prominently in the left upper lobe, suggesting improvement in pulmonary edema. There is also development of an apparent haziness of the right hemidiaphragm which, in the setting of poor inspiratory effort low lung volumes, is likely crowding of vascular structures at the right lung base secondary to atelectasis; however, especially in the setting of ng tube insertion and repositioning, this may also represent interval aspiration. Attention to this area on next/ repeat chest x-ray. Similarly, there is also stable retrocardiac opacification which likely represents left lower lobe atelectasis. There is no evidence of pneumothorax.
<unk> year old woman with gi bleed, now with ng tube reposition // ng tube position
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As compared to the previous radiograph, there is no relevant change. Normal lung volumes, no pneumonia or pulmonary edema. No pleural effusions. Normal size of the cardiac silhouette. Normal hilar and mediastinal structures. Normal course and position of the right picc line.
hiv, intracranial mass, evaluation for interval change.
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Mild cardiomegaly is re-demonstrated. There is central pulmonary vascular congestion with mild interstitial pulmonary edema. Lungs are otherwise without focal consolidation. Pleural surfaces are clear without effusion or pneumothorax. Right shoulder arthroplasty is partially visualized. Right picc no longer seen.
dyspnea on exertion.
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Interval placement of endotracheal tube in standard position. Nasogastric tube courses below the diaphragm but tip is not included on the radiograph. Lung volumes are increased compared to the prior radiograph. Heart size is normal. Interval development of bilateral juxtahilar and basilar airspace opacities, which could be due to multifocal aspiration, likely coexisting with pulmonary edema, particularly given the presence of peripheral septal lines in the lower lobes. Small-to-moderate bilateral pleural effusions are also present, but there is no visible pneumothorax.
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As compared to the previous radiograph, the patient has been intubated. The tip of the endotracheal tube projects approximately <num> cm above the carina. The tube could be advanced by <num>-<num> cm. The patient has also received a nasogastric tube, the course of the tube is unremarkable, the tip of the tube is not included on the image. As compared to the previous image, the lung volumes have increased, and the size of the cardiac silhouette has minimally decreased. The pre-existing signs indicative of pulmonary edema, however, are unchanged and still moderate in severity. There are no pleural effusions. No evidence of pneumothorax.
splenic laceration, status post intubation, evaluation for changes.
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As compared to the previous radiograph, there is no relevant change. New left pectoral device is in constant position. The position of the leads is unchanged. There is no evidence of pneumothorax or other acute lung change. A linear structure paralleling the ribs on the left is unchanged as compared to the previous exam and corresponds to a skinfold. No pleural effusions. No pneumothorax. Moderate cardiomegaly without pulmonary edema. Moderate tortuosity of the thoracic aorta.
sick sinus syndrome, status post right arterial lead revision, evaluation for pneumothorax.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is similar mild relative elevation of the right hemidiaphragm compared to the left. There is no pleural effusion or pneumothorax. Streaky opacities in the right lower lung suggest minor atelectasis. Otherwise, the lungs appear clear.
neutropenic fever.
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The lungs are hyperinflated, but clear focal opacities concerning for pneumonia. Linear opacities at the left base represents atelectasis/scarring. Compared to the prior study, there are new small bilateral pleural effusions. There is no pneumothorax or pulmonary edema. Aorta is unfolded with atherosclerotic calcifications at the arch. Cardiac silhouette is within normal limits. Thoracic vertebral heights appear maintained.
progressive shortness of breath