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Heart size is normal. Mediastinal and hilar contours are unremarkable. Pulmonary vascularity is normal. Lungs are hyperinflated but clear. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
productive cough and discomfort with deep breathing.
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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: <unk>m with substernal cp // r/o infectious process
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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. Hilar contours are stable.
history: <unk>m with fever, r foot pain // pna?osteo?
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As compared to the previous radiograph, the patient has been extubated and the nasogastric tube has been removed. Currently, there is no evidence of pathologically parenchymal opacities, with the exception of minimal atelectasis in the right retrocardiac lung areas. There is no current evidence of a pneumothorax, but the hyperlucencies of the lungs, caused by known copd, are unchanged. Unchanged normal cardiac silhouette, unchanged old left clavicular fracture.
copd, laryngeal cancer, respiratory failure, evaluation for pneumothorax and pneumomediastinum.
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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. Calcified densities in the anterior mediastinum most likely represent calcified lymph nodes, and are unchanged.
<unk> year old man with recent treated lll pneumonia // f/u for cure -- lll pneumonia
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Endotracheal tube and nasogastric tube have been removed. Right picc terminates in the mid to distal svc. Vascular congestion, bibasilar atelectasis and effusions are slightly improved. Mild cardiac size remains moderately enlarged.
<unk>-year-old woman with respiratory failure.
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Frontal and lateral radiographs of the chest demonstrate persistent low lung volumes with top normal heart size. No focal consolidation, pleural effusion or pneumothorax is present.
shortness of breath.
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Lung volumes are low. There is minimal atelectasis at the left lung base. No consolidation, pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. No evidence of calcified mediastinal lymph nodes.
history: <unk>f with terminal ileitis, recent tb exposure // eval for evidence of tb
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Pa and lateral views of the chest are compared to previous exam from <unk>. There has been no significant interval change. The lungs are hyperinflated but clear of focal consolidation or pulmonary vascular congestion. There is mild blunting of the left lateral costophrenic angle, which could be due to scarring. Posterior costophrenic angles are clear. Cardiac silhouette is enlarged but unchanged. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with shortness of breath.
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The lungs are clear without consolidation, effusion, or edema. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
<unk>m with shortness of breath // acute process?
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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. Heart and mediastinal contours are within normal limits. Metallic spiral density projecting over the right mid to upper lateral lung field is seen on frontal view only and therefore is likely external to the patient.
<unk>-year-old female with fever.
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As compared to the previous radiograph, there is no relevant change. Low lung volumes without major pleural effusions. Cardiomegaly and minimal fluid overload. The monitoring and support devices are in constant position. No interval appearance of areas suspicious for pneumonia.
urosepsis, pneumonia, evaluation for effusion or pulmonary edema.
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Pa and lateral chest radiograph demonstrate slightly low lung volumes, resulting in bronchovascular crowding. No opacity convincing for pneumonia is present. There is no pleural effusion or pneumothorax. Cardiomediastinal and hilar silhouettes are within normal limits. There is no air under the right hemidiaphragm.
history: <unk>m with nonprod cough. // pna?
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The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. The lungs are well-expanded clear without focal consolidation. The upper abdomen is unremarkable. Height loss of several mid and lower thoracic vertebral bodies is similar to <unk>.
history: <unk>m with <num> minute episode of cp this am, eval for mediastinal widening
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette. Lung volumes are slightly decreased, with bilateral lower lobe atelectasis. There is no focal consolidation to suggest bacterial pneumonia. There is a small right pleural effusion. There is no pneumothorax. The visualized upper abdomen is remarkable only for radiodense contrast material throughout the colon, likely related to leak check from <unk>. A small amount of subcutaneous air is also likely related to the recent procedure.
evaluate for pneumothorax or pneumonia in a patient status post laparoscopic nissen fundoplication/paraesophageal hernia repair, who now presents with back pain.
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Pa and lateral views of the chest provided. Opacities are again seen in bilateral lung bases, not substantially improved from prior study, and is consistent with bilateral lower lung pneumonia. Extensive bronchiectasis is again seen. Heart size is normal. Mediastinal and hilar contours are normal.
<unk> year old woman with bronchiectasis, evaluate change in rml infiltrate
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Pa and lateral views the chest provided demonstrate no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette appears normal. The imaged osseous structures are intact. No free air is seen below the right hemidiaphragm.
<unk>f with chest pain.
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Lung volumes are lower than on <unk> which may be secondary to developing ascites. The nasoenteric tube is post-pyloric. There is no focal consolidation, pulmonary vascular congestion, or pneumothorax. Pleural effusion cannot be excluded. Right scapular deformity is likely from prior trauma or congenital.
history of cirrhosis, now hyponatremic and mild crackles on exam. concern for effusions or pneumonia.
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Ap portable upright radiograph demonstrates clear lungs. Cardiomediastinal and hilar contours are within normal limits. There is no pneumothorax or pleural effusion. No evidence of pulmonary edema. Imaged upper abdomen demonstrates no free air under the right hemidiaphragm.
history: <unk>f with dyspnea // ptx
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Increased interstitial markings are noted without confluent consolidation. There trace bilateral pleural effusions. Moderate to severe cardiomegaly is similar compared to prior. No acute osseous abnormality.
<unk>f with hx of chf p/w dyspnea // eval for edema, infiltrate
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Heart is normal in size. Widened mediastinum is stable from <unk>.. No acute osseous abnormalities are seen. There is no free air under the right hemidiaphragm.
<unk>f with widened mediastinum and abd pain
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The patient has been extubated, which explain the increase in the moderate cardiac congestion. The lung volumes are very low with small pleural effusions. There is no pneumothorax. Ng tube has been removed. Right jugular sheath is in mid svc.
the patient with cabg, rule out infiltrate, effusion.
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Single frontal view of the chest was obtained. The patient is status post median sternotomy and cabg. A left-sided pacer device is grossly stable in position. The cardiac silhouette remains enlarged. The mediastinal contours are stable. There is hazy right basilar opacity, likely combination of pleural effusion and atelectasis. Left lung is clear aside from the region obscured by the left pacer battery pack. No overt pulmonary edema is seen.
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A single frontal upright view of the chest was obtained portably. Since <unk>:<num> p.m., bilateral pleural effusions have increased, left more than right, with adjacent atelectasis. Pulmonary vasculature is less distinct, compatible with new mild pulmonary edema. The heart size cannot be evaluated due to the large effusions. There is no pneumothorax. A left central venous catheter ends in the mid svc, unchanged.
hypoxia.
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The right cardiac border is not well seen but it seems clear that the heart is at least mildly enlarged. The aortic arch is partly calcified. The right lower hemithorax is opacified with balance mass effect and a substantial pleural effusion as well as parenchymal opacification. Elsewhere, the lungs appear clear. There is no pleural effusion on the left. Kyphotic curvature is exaggerated including mild wedging of three mid thoracic vertebral bodies which appears chronic. The bones appear demineralized.
chest pain.
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Frontal and lateral views of the chest. There is persistent blunting of left costophrenic angle laterally suggestive of underlying scarring or pleural thickening. The lungs are otherwise clear. Cardiomediastinal silhouette is within normal limits. Median sternotomy wires and mediastinal clips again noted.
<unk>-year-old female with chest pain.
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Minimal decreased size of the right hydro pneumothorax. Persisting re-expansion pulmonary edema in the right upper lung zone. No other significant interval change.
<unk> year old woman with ptx and chest tube in place // evolution to ptx?
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Compared with the immediate prior study of <unk>, the right base appears slightly better aerated. The large right pleural effusion which surrounds the right lung is unchanged, with stable positioning of <num> right-sided pigtail catheters. A small amount of air is seen within the right subpleural space. There is stable mild rightward mediastinal shift. Mild left-sided early pulmonary edema is new. There is no pneumothorax or left-sided pleural effusion.
<unk> year old man with alcoholic cirrhosis and empyema now with <num> chest tubes // position of chest tube, interval change of effusion, pneumothorax
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Interval placement of endotracheal tube with tip <num> cm above carina. Enteric tube tip within left upper quadrant, in the proximal stomach, possibly within a hernia. Improved lung aeration. Increased heart size, pulmonary vascularity. Pleural effusions. Pulmonary edema. Bibasilar consolidations, likely atelectasis, consider pneumonia clinically appropriate. No pneumothorax.
<unk> year old man s/p intubation // evaluate ett
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Basilar atelectasis without definite focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. Mediastinal contours are unremarkable.
history: <unk>m with sob // sob
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Cardiomediastinal silhouette and hilar contours are unremarkable. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.
shortness of breath and epigastric discomfort.
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There are some faint opacities in the right lower lobe. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits.
right lower lobe crackles and cough for six days.
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An endotracheal tube remains <num> cm above the carina. The tip of a left subclavian line is in the upper svc. The dahboff tube now points towards the pylorus. Median sternotomy wires are intact. Lung volumes are low. No new consolidation, effusion, or pneumothorax is present. Widening of the mediastinum is unchanged. There is increased aeration of the retrocardiac left lower lobe. No pneumothorax is present.
<unk>-year-old woman status post cabg and new central venous line.
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The ankle hyperinflated. No focal consolidation is seen. No pleural effusion or pneumothorax is seen. The cardiac silhouette is top-normal. Aortic knob calcification is seen. There may be a hiatal hernia. No displaced fracture seen.
history: <unk>m s/p fall // evidence of fracture
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As compared to the previous radiograph, there is unchanged evidence of a relatively extensive right pleural effusion with subsequent areas of atelectasis. A minimal left pleural effusion is also present. Mild cardiomegaly with mild pulmonary edema. Known calcified right upper lobe granulomas are constant. No evidence of new parenchymal changes. No pneumothorax.
shortness of breath and crackles, questionable pneumonia.
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The endotracheal tube is situated at the mid trachea <num> cm from the carina. Enteric tube terminates within the gastric body but the side port is just below the ge junction. The lungs are well inflated and clear. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax. Visualized upper abdomen is unremarkable.
hypoxia, evaluate for pneumonia.
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Moderate left pleural effusion appears marginally smaller when compared to prior. Prior left base pigtail catheter is no longer visualized. The lungs are otherwise clear. There is no pneumothorax. The cardiomediastinal silhouette is within normal limits atherosclerotic calcifications are noted at the aortic arch.
<unk>m with dyspnea, h/o infection // ? acute cardipulm process
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As compared to the previous radiograph, no relevant change is seen. Normal lung volumes. Unchanged monitoring and support devices. No overinflation, no pleural effusions. No cardiomegaly.
evaluation for interval change.
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There is an accessed right chest wall infusion port with its catheter terminating at the cavoatrial junction. The lungs are clear. The hilar and cardiomediastinal contours are normal. There is no pneumothorax. There is no pleural effusion. Pulmonary vascularity is normal.
<unk>-year-old woman with advanced ovarian adenocarcinoma, and renal transplant, presenting with dyspnea and generalized abdominal pain.
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Frontal and lateral radiographs of the chest demonstrate well-expanded clear lungs. The cardiomediastinal and hilar contours are unchanged. There continues to be mild tortuosity of the aorta. There is no pneumothorax, pleural effusion or consolidation.
<unk>-year-old female with a history of smoking, now with cough for several weeks and minimal sputum production. evaluate for pneumonia.
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Single portable view of the chest. Indistinct pulmonary vascular markings are seen, particularly at the lung bases. Small nodular opacity is seen in the left mid lung. There is no definite right-sided effusion. Left costophrenic angles excluded from the field of view. Cardiac silhouette is mildly enlarged. No acute osseous abnormalities detected.
<unk>-year-old male with a flutter with rapid ventricular rate. question chf.
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A portable frontal chest radiograph demonstrates a normal cardiomediastinal silhouette and low lung volumes. There is re-expansion of the right lung, with persistent lower lung atelectasis. Marked subcutaneous emphysema along the right chest wall is noted. There is no appreciable pneumothorax. The visualized upper abdomen is unremarkable.
evaluate for lung re-expansion in a patient with myasthenia <unk> status post right vats thymectomy.
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Ap upright portable chest radiograph provided. The patient's chin projects over the lung apices and superior mediastinum limiting assessment. The previously noted left ij central venous catheter is not visualized nor is the previously visualize right upper extremity access picc line. Chronic right rib cage deformity again noted. Cardiomediastinal silhouette is unchanged with a markedly unfolded thoracic aorta. The lungs appear clear.
<unk>m with altered ms // ? acute cardiopulm process, positioning of picc line
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Pa and lateral views of the chest. The lungs are clear. There is no effusion or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormalities detected.
<unk>-year-old female with chest pain.
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Right pleural catheter appears to have been withdrawn by <num> cm but terminates within the chest cage. Small right pleural effusion is less than before. Large left pleural effusion is increased with increased rightward mediastinal shift. The right lung base opacity is probably atelectasis. There is persistent complete collapse of left lower lobe.
<unk> year old man with progressive mm // recently placed r pigtail for malignant b/l pleural effusions, please check for re-accumulation
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As compared to the previous radiograph, the pre-existing volume loss in the middle lobe has improved. However, the pre-existing right basal opacity, predominantly in peribronchial location and displaying multiple air bronchograms, unchanged. Minimal improvement of a pre-existing retrocardiac atelectasis, a pre-existing plate-like atelectasis at the left lung base has resolved. Unchanged moderate cardiomegaly, no indication for pleural effusions. Signs of mild fluid overload might be present.
pneumonia, oxygen requirement, evaluation for progression.
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Enteric tube, left picc are unchanged in position. Ekg leads overlie the chest wall. The lungs are well inflated with mild pulmonary edema. No lobar consolidation. No pleural effusions or pneumothorax. Stable cardiomediastinal silhouette and bony thorax. Sternal sutures and surgical clips are unchanged.
<unk> year old man in icu s/p crani now with secretions // interval change
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A portable frontal chest radiograph demonstrates an endotracheal tube terminating <num> cm from the carina, an enteric tube terminating in the stomach, and median sternotomy wires, and the most inferior of which is fractured. The heart is severely enlarged. There is moderate to severe pulmonary edema. No definite focal consolidation is visualized. There are probable trace bilateral pleural effusions. The left costophrenic angle is not included on this image. No appreciable pneumothorax is visualized.
history: <unk>m with chest pain, dyspnea // acute process
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Consolidative opacity within the left lung base has progressed concerning for worsening pneumonia. The heart size is difficult to ascertain given the adjacent consolidation. The aorta remains mildly tortuous. There is no pulmonary vascular congestion. Severe emphysematous changes are again seen. Rightward deviation of the upper trachea due to a left superior mediastinal mass compatible with a thyroid goiter is re- demonstrated. A small left pleural effusion may be present. No pneumothorax is identified. Previously noted right picc has been removed.
cough and sputum.
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Single portable view of the chest. Right-sided central venous catheter is seen with tip likely in the right atrium. Lung volumes are relatively low. There are bilateral interstitial opacities similar to prior suggesting pulmonary edema. There may be a small right-sided pleural effusion with blunting of lateral costophrenic angle. More dense retrocardiac opacity seen. Median sternotomy wires and mediastinal clips again seen. Cardiomediastinal silhouette is difficult to assess given rotation and left base opacity.
<unk>-year-old male hypoxia.
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In et tube is seen with distal tip terminating <num> cm above the carina. An enteric tube courses inferiorly with distal tip projecting below the lower limit of the radiograph. Diffuse airspace opacity is seen affecting the right greater than left upper lung zones. The cardiomediastinal silhouettes are normal. The bilateral hila are normal. There are no focal lung consolidations. There is no evidence of pulmonary vascular congestion. There is no pneumothorax or effusion.
<unk>m with ams. ?overdose. min response to narcan // ams, intubated
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A newly placed og tube extends to the level of the lower esophagus. Right-sided picc line terminates of the superior cavoatrial junction. The et tube terminates at the level of the clavicles. Lung volumes are low. Bilateral layering pleural effusions are unchanged. Diffuse bilateral airspace opacities are stable.
<unk> year old woman with respiratory failure,unable to see ogt on prior xray // please assess feeding tube placement
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Low lung volumes. Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>m with shortness of breath. evaluate for acute process
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Ap chest radiograph is taken with the patient in the upright position. Heart size cannot be accurately assessed from the ap technique. Cardiomediastinal contours are unremarkable except for prominence of right paramedian stripe, possibly representing an azygos fissure. Small area of opacity projecting over the left base is compatible with atelectasis or consolidation. The lungs are otherwise clear. Small left pleural effusion. No pneumothorax.
<unk>-year-old female with history of seizures, developmental delay, status post orif of femur fracture, now desaturating to <num>s,? aspiration.
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Ap upright and lateral views of the chest were provided. Interstitial edema persists with interval development of moderate right and tiny left pleural effusion. Associated compressive lower lobe atelectasis is likely present. No pneumothorax. The heart remains mildly enlarged. The mediastinal contour is stable with aortic atherosclerotic calcification noted. The bony structures are intact.
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Single portable view of the chest is compared to previous exam from <unk>. When compared to prior, there has been interval increase in size of the right-sided pleural effusion. Right upper lung and left lung remain clear. Triple-lead pacing device is again noted. Cardiac silhouette remains difficult to assess given size of effusion. Osseous and soft tissue structures are grossly unchanged.
<unk>-year-old male with shortness of breath and wheeze, history of inferior mi and reactive airway disease. question effusion.
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Cerclage wire noted projecting over the posterior neck. Heart is normal size and thoracic aorta is tortuous. Cardiomediastinal silhouette is unchanged. Lungs are well expanded and clear with no evidence of focal consolidations to suggest pneumonia. No pleural effusions and no pneumothorax.
<unk>-year-old woman with progressive dyspnea,? infiltrate.
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In comparison with the study of earlier in this date, the opaque portion of the dobbhoff tube now straddles through level of the gastroesophageal junction. If possible, the tube should be pushed forward about <num> cm.
dobbhoff placement.
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The heart is normal in size. The mediastinal and hilar contours are unremarkable. The lung volumes are low, and in that context, streaky basilar opacities, left greater than right, suggest minor atelectasis. There is no pleural effusion or pneumothorax. No fracture is identified.
status post motor vehicle collision.
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A stent projects over the left heart, consistent with known lad stent. The heart is normal in size. The mediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. Lung volumes remain low, but there is no focal consolidation concerning for pneumonia. The previously noted linear opacity at the left lung base is not as apparent on the current study. The upper abdomen is unremarkable.
<unk>m with chest pain and sob. recent cardiac cath.
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Patient is status post vats and left lower lobe segment with standard position of a left chest tube. There is a small left apical pneumothorax, without evidence of tension. The right lung is clear. Left retro cardiac atelectasis is expected post surgery. Incidental note of bilateral breast implants is made.
<unk>f with hx of lll nodule s/p l vats, lll segmentectomy; <unk> to water-seal. assess position. rule out pneumothorax.
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A right ij catheter terminates in the mid svc. There is no evidence of pneumothorax. Moderate interstitial pulmonary edema. No focal consolidations to suggest pneumonia. Small left pleural effusion. Stable enlargement of the cardiomediastinal silhouette with calcifications of aortic knob.
history: <unk>f with sepsis, right ij cvl placed // right ij cvl placement
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Ap upright and lateral views of the chest provided. Lung volumes are low limiting assessment. Slight rightward rotation somewhat limits assessment. Allowing for this, note is made of bibasilar mild atelectasis and probable mild interstitial edema. Heart is top-normal in size. Mediastinal contour is likely within normal limits accounting for rotation. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>m with afib and b/l <unk> swelling // pulmonary edema
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Single ap view of the chest provided. Endotracheal tube ends <num> cm above the carina and should be advanced <num> cm for more standard placement. A transesophageal tube courses below the level of the diaphragm and out of view. Patchy interstitial and alveolar infiltrates predominately affecting the right lung and the left upper lobe are unchanged from <unk> no pleural effusion or pneumothorax. Hilar and cardiomediastinal contours are normal.
<unk> year old man with aspiration pneumonia / intubated // interval change
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Ap and lateral views of the chest. Again seen is a large hiatal hernia, unchanged. There is a right lower lobe opacity which may represent atelectasis. Lung volumes are low. There are tiny if any bilateral pleural effusions. A mid thoracic vertebral compression fracture is unchanged.
nausea and cough.
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Allowing for marked rightward patient rotation, cardiomediastinal contour is stable in appearance since the prior study. Interval worsening of airspace opacities in the left mid and lower lung, which could potentially represent a developing pneumonia giving clinical history of this diagnosis. Patchy opacity at the right base adjacent to an elevated hemidiaphragm probably reflects atelectasis. No definite pneumothorax or pleural effusion.
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In comparison with study of <unk>, following biopsy, there is no evidence of pneumothorax. Overall appearance of the heart and lungs is quite similar with opacification at the left base consistent with some combination of atelectasis and effusion. No vascular congestion.
bronchoscopy to biopsy paratracheal mass, to assess for pneumothorax.
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Small moderate left pleural effusion. The cardiac silhouette remains enlarged. The aorta calcified. The right lung remains hyperinflated. There is mild pulmonary vascular congestion. No pneumothorax is seen. Dual lead left-sided pacemaker is seen with leads extending to the expected positions of the right atrium and right ventricle.
history: <unk>f with c/o sob with ble edema // ? pna or chf
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New interstitial opacities in the left mid lung and lower lobe are suspicious for pneumonia. A nodular opacity in the left retrocardiac region was more fully characterized on the recent ct of <unk>. Pleural thickening and calcified pleural plaques are again noted. Basilar predominant interstitial lung disease has progressed since <unk> and has been more fully characterized on recent chest ct of <unk> the interstitial lung disease have progressed since <unk>. Lungs are hyperinflated. There is no pleural effusion. Cardiomediastinal silhouette is normal size.
history: <unk>m with fever, cough // eval for pna
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Since <unk>, the residual right apical pneumothorax is not any larger, although slightly changed in configuration. A pigtail catheter is located in the lateral costal right lower hemithorax. There is no pleural effusion. Chronic left pleural thickening and bibasilar atelectasis is unchanged. There remains subcutaneous emphysema along the right lateral chest wall.
right pneumothorax, re-evaluate.
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Frontal and lateral views of the chest were obtained. On lateral view, posterior opacity is seen projecting just above the level of the diaphragm, raising concern for consolidation which could be due to infection. This is not as well seen on the frontal view but may be in the medial right lung base. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
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There is leftward shift of mediastinal structures associated with volume loss in the lingula including dense opacification and air bronchograms. This appearance is very similar to prior examinations, however, and is associated with a large pulmonary mass in the left mid lung and associated atelectasis.
dizziness. question infection.
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There has been no significant interval change. A left lower lobe opacity persists and may represent aspiration or pneumonia. Left pleural effusion is unchanged. Endotracheal tube is unchanged in position terminating no less than <num> cm from the carina. Swan-ganz catheter remains in place and terminates within the right outflow tract. Enteric tube is seen entering the stomach looping back and terminating within the fundus. There is no pneumothorax.
<unk>-year-old female status post dissection repair.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. Heart size is normal. Mediastinal and hilar contours are normal.
<unk> year old man on remicade for ulcerative colitis with <num> month of cough // signs of infection
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax. Bony structures are unremarkable. There is no evidence for radiopaque foreign body.
recently swallowed dime-size piece of glass.
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Unchanged position of a swan-ganz catheter and left-sided pacemaker with a single intact pacer wire. Right picc terminates at the cavoatrial junction. Low lung volumes with unchanged linear atelectasis in the left lower lobe. No pleural effusion or pneumothorax.
<unk> year old man with acute decompensated hf, s/p rhc and swan // eval swan placement, interval change
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There is prominence of the interstitial markings consistent with chronic lung disease. No focal opacification concerning for pneumonia. Mediastinal and hilar contours are unremarkable. Cardiac borders are partly obscured by elevated hemidiaphragm, though heart size appears normal.
fever, increased respiratory rate. please assess for infiltrate.
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As compared to the previous radiograph, there is no relevant change. Moderate retrocardiac atelectasis and borderline size of the cardiac silhouette. No acute lung changes suggest pneumonia or pulmonary edema. No pleural effusions. Healed right rib fracture.
urosepsis, evaluation for pneumonia.
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The patient is lying on a trauma board, which obscures fine detail. The cardiomediastinal and hilar contours are stable. There is no pleural effusion or pneumothorax. There are low lung volumes but no focal consolidation concerning for pneumonia.
trauma.
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As compared to the previous radiograph, there is no relevant change. Moderate hyperinflation, normal size of the cardiac silhouette. Tortuosity of the thoracic aorta. Calcified granulomas in the lung apices on the left, but no evidence of acute lung disease such as pneumonia, pulmonary edema or pleural effusions. No pneumothorax.
cough and malaise, evaluation for abnormalities.
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Lung volumes are low. Heart size is normal, and the mediastinal and hilar contours are unremarkable. No focal consolidation, pleural effusion or pneumothorax is detected. There is no pulmonary vascular congestion. No acute osseous abnormalities are detected. Surgical anchors are demonstrated within the right humeral head. Previously noted right internal jugular central venous catheter has been removed.
history of renal transplantation on immunosuppression with high fever.
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Ap portable supine view of the chest. An endotracheal tube is seen with its tip position <num> cm above the carinal in good position. The heart is moderately enlarged and there is mild pulmonary edema with central hilar engorgement. The right cp angle is excluded. A small left pleural effusion is likely present. No definite bony abnormalities are identified.
<unk>m with ett, pls eval placement
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Erect portable views of the chest were obtained. There are low lung volumes. There is left greater than right bilateral perihilar opacities, may relate to asymmetric pulmonary edema, although could also relate to infectious process. There is blunting of the left greater than right bilateral costophrenic angles, concerning for small bilateral pleural effusions. The cardiac silhouette is top normal to mildly enlarged, likely accentuated by ap technique and low lung volumes. No definite evidence of free air on this radiograph, although ct performed earlier the same date may be more sensitive. Air distended loops of relatively featureless bowel are partially imaged in the upper abdomen, correlate with ct performed earlier today, history of ischemic colitis.
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As compared to prior chest radiograph from <unk>, there has been interval increase in density and extension of an opacity in the right mid lung zone. There has also been interval progression of opacities in the right lower lung. Left lung is clear. Costophrenic sulci are blunted bilaterally, likely related to pleural thickening. There is no pneumothorax. The cardiomediastinal and hilar contours are within normal limits.
<unk>-year-old male patient with cirrhosis, encephalopathy, new o<num> requirement. study requested for evaluation of interval change.
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In comparison with study of <unk>, the monitoring and support devices have all been removed. No evidence of pneumothorax. Persistent bibasilar opacifications are most likely consistent with atelectasis and effusion. In the appropriate clinical setting, the possibility of supervening pneumonia would have to be considered.
chest tube removal, to assess for pneumothorax.
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Patient is with rotated somewhat to the right. There is thoracolumbar scoliosis. Minimal basilar atelectasis is seen without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. There is persistent elevation or eventration of the right hemidiaphragm.
history: <unk>f with hypoxia // acute process?
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Lungs are well-expanded and clear. Cardiomediastinal and hilar contours are normal. No consolidation, pleural effusion, mass, or pneumothorax.
history: <unk>f with seizure // chest mass
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As compared to the previous radiograph, there is no relevant change. Large bilateral symmetrical hilar structures are likely caused by a slight pectus. They are unchanged as compared to previous image. There currently is no evidence of parenchymal opacities, in particular no evidence of pneumonia. No pneumothorax. No pleural effusions. No lung nodules or masses. Borderline size of the cardiac silhouette with tortuosity of the thoracic aorta.
multiple myeloma and cough, shortness of breath, rule out pneumonia.
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The lungs are well expanded and clear. There is no focal consolidation, effusion, or pneumothorax. The tip of a right-sided picc line remains in superior right atrium, approximately <num> cm beyond the cavoatrial junction. There is no focal pulmonary consolidation, effusion, or pneumothorax. Cardiac and mediastinal contours are normal.
fever and neutropenia.
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The lungs are clear without consolidation or edema. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal. There has been no change from the prior radiograph.
history of smoking with persistent cough since viral infection in <unk>.
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As compared to the recent study of one day earlier, there has been little change in the appearance of the chest except for slight improved aeration in the left retrocardiac region.
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Frontal and lateral radiographs of the chest demonstrate clear lungs. The cardiac and mediastinal contours are normal. No pleural abnormality is detected.
cough. evaluate for infiltrate.
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As compared to the previous radiograph, there is no relevant change. No evidence of left pneumothorax. No other parenchymal changes. Borderline size of the cardiac silhouette without pulmonary edema.
lymphadenopathy, status post lymph node biopsy, evaluation for pneumothorax on the left.
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There is a focal opacity at the right lung base. A linear region of opacification at the left lung base most likely represents atelectasis. The lungs are hyperinflated. There is no pleural effusion or pneumothorax. Cardiomediastinal contour is normal. There is dilation of the central pulmonary arteries.
<unk>-year-old man with fever, uri symptoms, evaluate for pneumonia, hiv positive.
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The lung volumes are normal. There are no pleural effusions. Normal aspect of the lung parenchyma, without evidence of lung nodules or masses. No pulmonary edema. No pneumonia. Mild enlargement of the cardiac silhouette, mild tortuosity of the thoracic aorta. Slightly atypical calcification at the level of the right first rib costochondral junction.
questionable pulmonary nodules.
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Two portable chest radiographs were obtained. Endotracheal tube remains in the mid airway. A left-sided subclavian line terminates in the mid svc. Enteric catheter projects over the stomach. Two left pleural drains are in unchanged positions. A disconnected atrial cardiac lead is stable. Extensive bilateral pulmonary opacities have not changed in the preceding <num> hours. Small bilateral effusions are similar. Previously seen small pneumothoraces are not apparent. No new consolidation or pneumothorax is present.
<unk>-year-old man with esophageal perforation status post repair.
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Pa and lateral views of the chest provided. Overlying ekg leads are present. Bilateral breast implants are noted. Lungs are clear. No pleural effusion or pneumothorax. Cardiomediastinal silhouette appears normal. Bony structures are intact.
<unk>m with b cell lymphoma with fevers, cough diarrhea for <num> week.
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Diffuse, bilateral, extensive parenchymal opacities with air bronchograms persist and are minimally changed from the prior exam when accounting for interval improved lung volumes. Elevation of the right hemidiaphragm persists. No large pleural effusion. No pneumothorax. The heart is normal in size. The descending thoracic aorta is tortuous and ectatic, unchanged. Dextroconvex scoliosis of the thoracolumbar spine is moderate with associated distortion of thoracic cage.
<unk> year old man with hypoxia // interval change?
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Mild cardiomegaly is stable compared to the prior exam. There are no definite signs of pulmonary edema or vascular engorgement. There is no evidence of large pleural effusion or pneumothorax. Linear opacities in the retrocardiac region are likely secondary to atelectasis. There is no evidence of pneumothorax. The visualized osseous structures are unremarkable.
history of afib, hypertension, who presents for evaluation of chest pain. please evaluate.
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Cardiac silhouette size is mild to moderately enlarged. Mediastinal and hilar contours are unchanged. The pulmonary vasculature is not engorged. Patchy opacities in the lung bases likely reflect areas of atelectasis. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
history: <unk>f with code stroke