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Moderate pulmonary edema slightly sparing the left upper lobe has worsened, and is now moderate. There is bibasilar atelectasis with probable small pleural effusion. There is no pneumothorax. A right-sided picc line ends in mid to lower svc.
patient with metastatic bladder cancer, has effusions, worsening tachypnea, interval change.
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As compared to the previous radiograph, there is unchanged complete opacification of the left hemithorax. The right lung, at lower inspiratory levels, is not substantially changed. No right pleural effusions. Unchanged right aspect of the heart border.
mucus plugging.
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Semi upright views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Bilateral apical scarring is similar to prior.
history: <unk>m with dyspnea, wheezing, chest discomfort // evaluate for acute process
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Endotracheal tube terminates approximately <num> cm above level the carina. Recommend advancement by approximately <num> into cm for more optimal positioning. There are moderate bilateral pleural effusions with overlying atelectasis. Bilateral perihilar opacities may relate to combination of pulmonary edema and pleural effusions. Left base opacity may represent combination of pleural effusion and atelectasis although infection is not excluded in the appropriate clinical setting. The cardiac and mediastinal silhouettes are similar. Hilar contours are somewhat more prominent, likely related to pulmonary edema. There is moderate to severe pulmonary edema.
history: <unk>f with resp failure // ett placement
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Portable frontal chest radiograph demonstrates no focal consolidation, pleural effusion, or pneumothorax. The heart size is normal. The cardiac, mediastinal and hilar contours are normal.
positional chest pain. evaluate for 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>m with assault, known sdh/sah.
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Heart size is mildly enlarged. The aorta is tortuous. Focal convexity inferior to the aortic arch at the level of the ap window could reflect a vascular structure such as a pseudoaneurysm, or other mediastinal mass. Hilar contours are otherwise unremarkable. Pulmonary vasculature is normal. Streaky opacities are seen within the retrocardiac region with tram tracking suggestive of bronchiectasis. No focal consolidation, pleural effusion or pneumothorax is present. Moderate multilevel degenerative changes are noted in the thoracic spine. Multiple old right-sided rib fractures are noted posteriorly.
history: <unk>m with right shoulder pain, occipital headache, and right middle finger pain with swelling status post fall?
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Left-sided aicd device is noted with single lead terminating in the right ventricle. Moderate enlargement of the cardiac silhouette is unchanged. The mediastinal and hilar contours are unremarkable. The pulmonary vasculature is not engorged. Lungs are clear focal consolidation. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>m with chest pain
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Frontal and lateral views of the chest demonstrate mild improved aeration compared to the prior exam. There small bilateral pleural effusions. There is volume loss at the bases. Right ij line tip is in the distal svc. There is a tiny left apical pneumothorax, smaller than on the prior study.
<unk> year old man with s/p cabg // f/u effusions, atx
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Frontal and lateral views of the chest were obtained. The heart size and cardiomediastinal contours are normal. The lungs are hyperinflated with flattening of the diaphragms. No focal consolidation, pleural effusion, or pneumothorax. No radiopaque foreign body.
<unk>-year-old male with decreased breath sounds.
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Heart size, mediastinal, and hilar contours appear normal. Lungs are clear without pleural effusions, focal consolidation, or pneumothorax. Multiple small calcified granulomas are identified in the lungs.
<unk>m with concern for stroke. evaluate for pneumonia.
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
history of hypertension. please evaluate for cardiomegaly.
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There is a moderate left apicolateral pneumothorax with small basilar hydro-pneumothorax component. The lungs are e clear.the cardiac, hilar and mediastinal contours are normal. No rib fractures.
history: <unk>m with l sided sharp chest pain.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>m with chest pain
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Pa and lateral views of the chest provided. Surgical clips noted in the upper abdomen. 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 cough // eval infiltrate
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Frontal and lateral views of the chest were obtained. Patchy right basal opacity is seen, which could be due to aspiration or infection. The left lung is clear. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable. No displaced fracture is seen.
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Low lung volumes cause bibasilar linear atelectasis. There is no pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal silhouette is normal. The known mildly displaced rib fracture is not appreciated.
<unk>f with chest pain after car accident with +airbag deployment evaluate for rib fracture.
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Frontal and lateral chest radiographs demonstrate low lung volumes, with increased prominence of the cardiac silhouette and bronchovascular crowding. Even allowing for low lung volumes, there is at least mild cardiomegaly. Again seen is a rounded structure in the left hilus and possibly another in the right hilus. These again may represent lymphadenopathy versus parenchymal lesions. A <num> mm nodular opacity projecting over the left hilus is unchanged, may represent an end on vessel. No new opacity or focal consolidation is identified. There is no pleural effusion or pneumothorax. The visualized upper abdomen is unremarkable.
evaluate for infiltrate in a patient with fever.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There are no pleural effusions or pneumothorax. The lungs appear clear.
chest pain and shortness of breath.
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The endotracheal tube has been removed. The position of the right port-a-cath is unchanged. A pleural tube or chest wall drain been placed in the left lung and is projected against the left border of the mediastinum. There is no pneumothorax. Left lung volume is reduced following left wedge resections. There is a new right patchy basal opacity. Heart size is enlarged with prominent profile of aorta there is no pleural fluid.
<unk> yo m hx of sarcoma p/w lll pulmonary nodules s/p l vats wedge resection x <num>
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Cardiomediastinal silhouette is within normal limits. The hilar contours are normal. Lung volumes are well expanded and clear. No focal consolidation concerning for pneumonia is identified. There are no pleural effusions or pneumothorax. There are severe degenerative changes along the lower thoracic spine.
<unk>-year-old male patient with cholangiocarcinoma, presenting with confusion. study requested for evaluation of acute cardiopulmonary process.
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<num> views were obtained of the chest. The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The heart is stably enlarged with otherwise normal mediastinal and hilar contours. Mild bilateral gynecomastia and splenomegaly are again suggested. No displaced rib fractures are identified.
assaulted.
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No previous images. There are low lung volumes that may account for some of the prominence of the transverse diameter of the heart. Increased opacification with obscuration of the right heart border is seen. This could well represent a middle lobe consolidation, though a lateral view would be necessary to confirm this if the condition of the patient permits. The pulmonary vascularity is essentially within normal limits. No definite pleural effusions.
shortness of breath.
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Bilateral symmetrical apical thickening of mild severity. In addition, the radiograph shows a soft tissue density <num>-cm lung nodule in the right lung apex, visible on the frontal radiograph only. This nodule needs to be further followed up by ct. An according entry was made to the radiology dashboard. No other abnormalities in the lung parenchyma. Normal size of the cardiac silhouette. No pleural effusions. No hilar or mediastinal abnormalities.
no significant medical history, chronic cough, right-sided chest pain.
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The lungs are clear. There is no consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with seen at outside facility - just need to medically clear // rule out pleural effusion
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Mild cardiomegaly and moderate interstitial pulmonary edema is noted. A small right pleural effusion is seen. There is no left-sided pleural effusion. No pneumothorax or focal consolidation. The heart is mildly enlarged. The patient is status post median sternotomy and cabg.
history: <unk>m with cough // eval for pna
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
<unk> year old woman with second episode of syncope preceded by lightheadedness/dizziness.
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There is a very tiny left apical pneumothorax. There are small bilateral pleural effusions, left side worse than right. The left side effusion has markedly improved since the prior study. There is no focal consolidation or signs for overt pulmonary edema.
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Persistent cardiomegaly accompanied by mild pulmonary vascular congestion. Patchy bibasilar opacities probably reflect atelectasis, and note is made of small bilateral pleural effusions.
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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>m with fever and cough
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There may be subtle increase in opacity at the right lung base which could be due to atelectasis although underlying aspiration or pneumonia is not excluded. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
<unk>f w/frequent aspirations, worried she aspirated, cough, fevers, please eval for aspiration // <unk>f w/frequent aspirations, worried she aspirated, cough, fevers, please eval for aspiration
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Interval placement of left-sided dual lead pacer device with lead extending to the expected positions of the right atrium right ventricle. Cardiac and mediastinal silhouettes are grossly stable. There is left upper to mid lung opacity, more consolidated peripherally, as also seen on recent prior head ct from <unk>. As also mentioned on that study, differential diagnosis includes metastatic disease and/or post obstructive pneumonia. No pleural effusion or pneumothorax is seen. Punctate radiodensity is seen overlying the right hilum.
history: <unk>m with hx of copd, lung cancer status post cyberknife therapy presenting with syncopal episode. // pneumonia?
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Frontal and lateral views of the chest were obtained. The heart is of normal size with normal cardiomediastinal contours. Linear opacities in lung bases, left greater than right, are compatible with bronchiectasis with likely atelectasis, though pneumonia is not excluded. No evidence of pleural effusion or pneumothorax. Osseous structures are unremarkable. No radiopaque foreign body.
two weeks of productive cough and possible fever.
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The heart appears mildly enlarged. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear.
right-sided chest pain and vomiting.
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Pa and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding portable single view chest examination of <unk>. Comparison is also extended to a pa and lateral chest examination of <unk>. In the present examination both diaphragms rather high positioned indicative of poor inspirational effort resulting in some crowded appearance of the pulmonary vasculature on the bases. Acute parenchymal infiltrates, however, cannot be identified and the lateral and posterior pleural sinuses are free from any fluid accumulation. No acute pulmonary infiltrates are identified anywhere and there is no pneumothorax in the apical area. Skeletal structures of the thorax is grossly unremarkable. In the next preceding portable chest examination, the patient had a right-sided diaphragmatic elevation, the course of which was unknown. No acute pulmonary abnormalities are present. On the pa and lateral chest examination of <unk>, the chest findings were considered to be normal. The relatively high positioned diaphragms could be explained by patient's personal constitution. Comparison with today's pa and lateral chest examination indicates several gain in body weight.
<unk>-year-old male patient with two months of cough, assess for interstitial infiltrate or nodule.
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Pa and lateral views of the chest were obtained. Midline sternotomy wires and mediastinal clips are again noted. Cardiomegaly is mild-to-moderate. There is pulmonary interstitial and alveolar edema. No large pleural effusions are seen. A coarse calcification residing in the superior mediastinum may represent a lymph node. Imaged osseous structures appear intact. Dish-related changes of the t-spine noted.
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The lungs are hyperinflated with marked emphysematous changes noted. Lungs are otherwise clear without focal consolidation. Chain sutures are noted in the left apex, and scarring is noted within both upper lobes. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. Surgical clips are noted in the mid upper abdomen and persistent contrast is seen in the bilateral renal collecting systems compatible with recent ct examination.
<unk>f with fall
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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.
increasing left bilateral upper quadrant abdominal pain, distention and shortness of breath.
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Pa and lateral views of the chest provided. There is no focal consolidation. Pulmonary vasculature is normal. Heart size is normal. There are no pleural effusions.
<unk> year old man with persistent cough
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A portable upright chest radiograph shows elevation of the left hemidiaphragm which is poorly defined probably due to overlying subsegmental atelectasis. Air-filled splenic flexure and stomach are seen beneath this. A pigtail catheter projects above the left hemidiaphragm and no pneumothorax is seen. There is slight mediastinal shift rightward
<unk> year old man s/p chest tube insertion // effusion f/u
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The cardiac size appears enlarged as compared to prior examination. Lungs are clear. There is no new focal consolidation. Blunting of the left costophrenic angle and increased retrocardiac opacity are likely a combination of increased pleural effusion and atelectasis. There is no definite pneumothorax.
<unk>-year-old man status post cabg, chest tubes discontinued. evaluate for pneumothorax.
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Bilateral moderate to severe pleural effusion, bigger on the left side is stable. Mediastinal and cardiac contours are unchanged, top normal. Right jugular sheath ends in the lower jugular vein. The right apical area of consolidation is unchanged since yesterday but new since <unk> and still is concerning for pneumonia. There is no pneumothorax. The patient had recent surgery of upper abdomen. Area of round calcification that could go up to <num> cm is unchanged.
patient with hypoxia, rule out pleural effusion.
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The lungs are clear of focal consolidation, pleural effusion or pneumothorax. The heart is normal in size. There is no pulmonary edema.
<unk>-year-old male with copd, asthma, here with wheezing. evaluate for infectious process or effusion.
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As compared to prior chest radiographs, left lung remains aerated with no evidence of reaccumulating pleural fluid. There is no evidence of pneumothorax. Right lung is essentially unchanged. Et tube is slightly lower than on prior examination. Otherwise, remaining support and monitoring devices are in unchanged position.
<unk>-year-old female patient status post tevar. study requested for evaluation of right effusion.
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Rounded densities projecting over the lung bases likely represent nipple shadows. The lung fields are otherwise clear. Cardiomediastinal silhouette is unremarkable.
history: <unk>m with meth ingestion, some cp // acute intrathoracic process?
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In comparison to prior radiograph from <unk>, there is now complete opacification of the right hemithorax, likely due to reaccumulation of known large right pleural effusion/hepatic hydrothorax, with complete right lung collapse. There is mild leftward shift of mediastinal structures, similar to prior exams. The visible cardiomediastinal silhouette is unchanged. Increased left central bronchovascular prominence and diffusely prominent interstitial markings throughout the left lung are compatible with pulmonary vascular congestion and mild pulmonary edema. There are no focal lung consolidations. There is no pneumothorax or left pleural effusion.
a <unk>-year-old man with confusion, evaluate for infiltrate.
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Left pigtail pleural drain has been removed. Left pleural effusion is smaller. Reticular opacity at the right base is unchanged. There is no pneumothorax. The heart is not enlarged. Mediastinal contours are normal.
<unk> year old man with chylothorax s/p pleurodesis // effusion f/u
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Frontal and lateral views of the chest were obtained. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. There is no overt pulmonary edema. The aorta is slightly tortuous. The cardiac silhouette is not enlarged. There may be minimal left base atelectasis.
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Chest pa and lateral radiograph demonstrates decreased right upper lobe opacifications as well as decreased central lucent cavity. However, there has been interval increase in size of the right middle lobe opacification with greater lateral expansion of consolidation and with a greater area of central lucency. No pneumothorax evident. Blunting of the right costophrenic angle likely represents a new small pleural effusion. Cardiac size is not enlarged.
patient with pneumonia, abscesses, new acute chest pain, please evaluate for pneumothorax.
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Elevation of the right hemidiaphragm is chronic. The cardiac, mediastinal and hilar contours are unchanged with similar postradiation paramediastinal changes. Mild atelectasis is noted within the right lung base. The left lung is clear. Blunting of the left costophrenic angle posteriorly is unchanged, and likely reflects chronic pleural thickening. No pulmonary edema or pneumothorax is seen. There are mild degenerative changes in the thoracic spine.
right-sided weakness.
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Pa and lateral chest radiograph demonstrate clear lungs bilaterally. No focal opacity convincing for pneumonia is identified. Cardiomediastinal and hilar contours are within normal limits. There is no pleural effusion or pneumothorax. Visualized osseous structures demonstrates no acute abnormality.
<unk>-year-old female with chest pain.
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Lung volumes are low. There are bilateral pleural effusions, right greater than left, with adjacent compression atelectasis. No pneumothorax. Stable cardiomegaly. Right picc line terminates in mid-svc and left pigtail catheter is unchanged in position.
<unk> year old woman with pleural effusion, s/p pigtail placement // ?interval change, atelectasis, pna
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Ap and lateral views of the chest are compared to previous exam from <unk>. Dense retrocardiac opacity with air-fluid level is compatible with hiatal hernia as previously seen. The lungs are otherwise grossly clear based on this exam which has poor inspiratory effort. There is no pleural effusion. Cardiomediastinal silhouette is otherwise unremarkable as are the osseous structures.
<unk>-year-old female with fever and nausea. question pneumonia.
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Lungs are well-expanded and clear. The heart is not enlarged. The hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.
history: <unk>m with cirrhosis p/w abdominal distention and melena // eval for effusion
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The cardiomediastinal silhouette is unremarkable. There is no pleural effusion or pneumothorax. The lung fields are clear. The upper abdomen is unremarkable.
history: <unk>m with productive cough // eval for pneumonia
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The lungs are well expanded and clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is unremarkable.
history: <unk>m with left sided chest pain // eval for infiltrate or widened mediastinum
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Tip of endotracheal tube is <num> cm above the carina and an orogastric tube courses below the diaphragm into the stomach, appropriate in position. Over last <num> hours, bilateral, confluent pulmonary opacities have asymmetrically improved, predominantly in the left upper lung. The extent of opacities in the left lower lung is unchanged. Possibilities incluide pulmonary edema or aspiration or combination. Persistent opacities could be either a residual edema or aspiration. Bilateral small pleural effusions are similar. Top normal heart size, mediastinal and hilar contours are unchanged.
<unk>-year-old woman with status post arrest with bilateral pneumonia, evaluate for interval changes.
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In comparison with the study of <unk>, the lungs are clear without evidence of vascular congestion, pleural effusion, or enlargement of the cardiac silhouette.
elevated inflammatory markers, to assess for pneumonia.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. Lung volumes are somewhat low. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. Left humeral head prosthesis again noted. No free air below the right hemidiaphragm is seen.
<unk>f with dizziness // acute process?
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The lung volumes are stable. There are small multifocal peribronchial calcifications in the right upper and right lower lobes. These findings may be underestimated on chest radiograph and suspicious for <unk> acute infection. The cardiomediastinal and hilar contours are normal. The pleural surfaces are normal.
<unk> year old man with sob, dob for <num> days // need cxr for v/q scan to eval doe
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There is mild elevation of the left hemidiaphragm with bowel beneath. There is blunting of the posterior left costophrenic angle which may be due to a trace pleural effusion with overlying atelectasis. Left basilar consolidation is not excluded. Minor lateral right basilar atelectasis is seen. No evidence of pneumothorax. The cardiac and mediastinal silhouettes are stable. Again noted is cement from prior vertebroplasty.
history: <unk>m with cough and wheeze // eval for pna, effusions
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old female with fever. evaluate for evidence of pneumonia.
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The right picc terminates in the mid to lower svc. Heterogeneous airspace opacities in the mid and lower left lung have improved. Right lower lung is also better aerated. Moderate bilateral pleural effusions right more than left, have slightly decreased. Chronic right apical pleural thickening. Cardiomediastinal silhouette is stable. Prosthetic mitral valve and sternotomy wires are noted.
<unk> year old woman with hypoxia. now s/p diuresis // interval change in infiltrates after diuresis?
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An <num> mm right upper lung nodule is again identified. A rounded <num> cm opacity at the left hemidiaphragm could represent diaphragm eventration or pleural/parenchymal nodule. Right picc line remains unchanged in the mid svc. Lung parenchyma is unchanged from prior. Cardiomediastinal silhouette is unchanged. Median sternotomy wires are intact. Left costophrenic angle blunting stable since <unk>, likely represents pleural thickening rather than pleural fluid.
<unk> year old man with l knee septic arthritis, with wheezing and crackles on exam, evidence of volume overload on exam.
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There is a new right-sided pigtail catheter with interval decrease in the right pleural effusion. There continues to be left pleural effusion of volume loss at the bases.
<unk> year old woman with right pleural effusion // chest tube placement, r/o ptx
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The previously seen right-sided chest tube has been removed. There has been interval resolution of small right apical pneumothorax. The cardiomediastinal silhouette is within normal limits with no significant interval change. The lungs are clear without evidence of focal consolidation. There is no evidence of pulmonary vascular congestion. There are small bilateral pleural effusions with no significant interval change.
<unk> year old man with ptx. // please eval upright pa and lateral films to assess ptx s/p removing chest tube. exam to be done at midnight on <unk> thanks
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A right internal jugular central venous catheter has been placed. Its tip terminates at the cavoatrial junction. An endotracheal tube terminates about <num> cm of the carina, somewhat more proximal than seen previously. The lung volumes remain low. The lungs appear clear. There is no pleural effusion or pneumothorax. The cardiac, mediastinal and hilar contours appear stable.
status post right internal jugular placement.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear.
chest pain.
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In comparison with the study of <unk>, there is no evidence of acute pneumonia, vascular congestion, or pleural effusion. The calcified granuloma in the right apical region is not well seen on the current study.
resolving infiltrate.
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Improved lung volumes particularly at the right lung base. Heterogeneous right middle lobe opacity may represent continued sequela of aspiration. Left lung is clear. Cardiomediastinal silhouette is normal.
<unk> year old man with altered mental status and hypoxemic respiratory failure with leukocytosis, now with worsening hypoxia // eval ?worsening fluid, pna, atelectasis or other acute processes
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Ap portable upright view of the chest. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact.
<unk>f with sob
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Pa and lateral views of the chest. The lungs are clear besides a calcified granuloma at the right lung base. There is no effusion or pneumothorax. Cardiomediastinal silhouette is normal. No free air seen below the diaphragm.
<unk>-year-old male with right upper quadrant pain radiating to the scapula.
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The tip of the endotracheal tube lies <num> cm from the carina and can be retracted slightly. A gastric tube extends into the stomach. No focal consolidation, pleural effusion or pneumothorax identified. There are low bilateral lung volumes. The size and appearance of the cardiomediastinal silhouette is unchanged. Displaced left rib fractures are again visualized.
<unk> year old woman s/p mvc with polytrauma, intubated. spiked fever to <num> and tachy to <num> // please eval for pneumonia
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There is no consolidation, pleural effusion, or pneumothorax. There is no evidence of tuberculosis cardiomediastinal silhouette and hilar structures are normal.
<unk> year old woman with colitis, concern for <unk>, <unk> start tnf inhibitor, want to r/o tb (quant gold pending) // evidence of tb
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Lung volumes are low. No focal opacity to suggest pneumonia is seen. No pleural effusion, pulmonary edema or pneumothorax is present. The heart size is accentuated by ap technique and low lung volumes, however, is at the upper limits of normal. There is a remote right-sided eighth rib fracture.
alcohol intoxication. pain in the right chest.
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The lungs are well expanded. There is minimal left basilar atelectasis but no focal opacities concerning for pneumonia. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax. No subdiaphragmatic air is seen.
patient with ethanol intoxication and epigastric pain. evaluate for pneumoperitoneum.
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Tracheostomy. Right ij central line tip in the low svc. Single right chest tube. Surgical clip right axilla. Right basilar pneumothorax has mildly decreased. Small right pleural effusion is more prominent. There is tiny left pleural effusion, stable. Mildly improved right mid lung, basilar opacity. Left lung is clear.
<unk>f w/history of lung ca, s/p left vats and lul wedge resection in <unk>, right vats w/rul wedge resection in <unk>, found to have residual cancer at staple line, now s/p right-sided thoracotomy with rul resection on <unk> with significant intra-operative anemia. // please perform at <time> today. chest tube unclamped due to significant r basal pneumothorax after clamp trial. eval for change
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There has been interval replacement of the mitral and aortic valves with corresponding sternotomy closed with plates and screws for which there are no obvious hardware complications. Moderate right subpulmonic effusion and right-sided layering effusion is seen. Left side is clear. There is no pneumothorax. Cardiomediastinal silhouette is stable and demonstrates an enlarged heart and mildly tortuous aorta.
<unk>-year-old male with pleural effusion.
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Pa and lateral views of the chest are obtained. There is mild bibasilar atelectasis. No definite signs of pneumonia or chf. No pleural effusion or pneumothorax is seen. Cardiomediastinal silhouette is normal. No free air below the right hemidiaphragm. Imaged osseous structures are intact.
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The heart is mildly enlarged, and allowing for differences in technique, likely is slightly increased compared to the prior study. The aorta remains tortuous. The mediastinal and hilar contours are within normal limits. The pulmonary vascularity is not engorged. The lungs are hyperinflated. Emphysematous change is redemonstrated. Consolidative opacity in the left lower lobe is concerning for pneumonia. Right lung is grossly clear. There is likely a trace left pleural effusion. No pneumothorax is demonstrated.
hypoxia and shortness of breath.
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There is mild bibasilar atelectasis. Left lung base atelectasis is slightly improved compared to <unk>. Cardiomediastinal silhouette is unchanged. Left picc line terminates in the upper svc.
<unk>f paraplegic, h/o l bka p/w pressure ulcer on stump with clinical osteomyelitis s/p bka revision, wound vac <unk> // increase shortness of breath. mild rhoncus on rml
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Cardiac silhouette size remains mildly enlarged. The aorta is diffusely calcified and mildly tortuous. Mediastinal and hilar contours are unchanged. Pulmonary vasculature is normal. Minimal atelectasis is seen in the left lung base. No focal consolidation, pleural effusion or pneumothorax is present. The patient is status post vertebroplasty of the l<num> vertebral body with inferior vena cava filter seen in the upper abdomen.
history: <unk>m with altered mental status
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The heart size is top normal with unchanged mediastinal silhouette and hilar contours. There is a large heterogeneous consolidation of the right lower lung with air bronchograms compatible with pneumonia. There also increased reticulonodular opacities in the upper right lung field likely as a component of asymmetric pulmonary edema or multifocal pneumonia. Small right pleural effusion may be present. There is also a small left-sided effusion with subtle opacities at the left lung base which could be atelectasis or a further component of pneumonia. There is no pneumothorax.
shortness of breath.
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Pa and lateral views of the chest provided. Scattered left perihilar opacities most pronounced in the left lower lobe compatible with pneumonia. Right lung appears clear. No large effusion or pneumothorax. Heart and mediastinal contours are normal. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>f with ?multifocal pna per pcp. // pneumonia?
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Cardiomediastinal contours are within normal limits without change. Bilateral upper lobe volume loss and scarring are similar. However, there are new confluent opacities in the right middle lobe, lingula and left lower lobe, possibly with accompanying bronchiectasis in the right middle lobe and lingula. No pleural effusion or pneumothorax.
chronic cough.
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In comparison with the study of <unk>, there is little change. Displacement of the trachea to the right is again appreciated. Tip of the port-a-cath is again in the distal brachiocephalic vein. No evidence of pneumothorax.
bronchoscopy, to assess for pneumothorax.
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Cardiac silhouette is mildly enlarged but stable. There is continued improvement of central vascular engorgement and right effusion. The left base consolidation with small to moderate effusion is slightly worse and is likely atelectasis, although infection cannot be excluded given the appropriate clinical setting. A left pacer and right internal jugular catheter are unchanged in position. There is no pneumothorax.
shock and respiratory failure.
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Lung volumes are low which exaggerates heart size and pulmonary vasculature. Heart size is difficult to evaluate due to poor inspiratory effort. There is central vascular congestion with mild interstitial edema. Low lung volumes are associated with bibasilar atelectasis. Multiple bilateral chronic rib fractures with callus formation are similar in appearance to prior study. There is no large pleural effusion or pneumothorax.
bilateral leg swelling, afib with rvr.
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The lungs are clear. But hyperinflated. Mediastinal and cardiac contours are normal. There is no pleural effusion or pneumothorax.
patient with positive quantiferon gold tb infection.
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Cardiac silhouette size remains mildly enlarged. The mediastinal and hilar contours are similar. Lungs remain hyperinflated. No pulmonary vascular congestion is demonstrated. Rounded opacity projecting over the posterior aspect of the right diaphragm is compatible with a bochdalek's hernia. There is no focal consolidation, pleural effusion or pneumothorax. Subsegmental atelectasis is noted in the lung bases. Please note that the previously described small airways disease seen on ct is not well assessed on the current radiograph. Ossification of the anterior longitudinal ligament with vertebral body fusion is seen in the mid thoracic spine.
history: <unk>f with palpitations and chest pressure/pain.
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Pa and lateral views of the chest provided. Lung volumes are low. There has been interval removal of left-sided picc since chest radiograph <unk>. There is a small right pleural effusion. Linear opacities in the bilateral lobes are compatible with subsegmental atelectasis there is no pneumothorax. Osseous structures are normal. Clip in the right upper quadrant compatible with prior cholecystectomy.
history: <unk>m with fever, s/p chole last week // r/o pna
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The lungs are clear. Blunting of the posterior costophrenic angles is unchanged since <unk> and may be chronic. There is no large effusion or pneumothorax. Pleural based scarring seen at the left lung apex. The cardiomediastinal silhouette is within normal limits. Descending thoracic aorta is noted. S shaped thoracolumbar scoliosis is again noted.
<unk>f with chest pain // eval for pneumo or widened mediastinum
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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. C-spine hardware is partially imaged.
history: <unk>f with dyspnea, wheeze // infiltrate?
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Lungs are clear without consolidation or effusion. Mild biapical scarring is noted. Slightly coarse interstitial markings seen, particularly on the right laterally. Blunting of the left lateral costophrenic angle may be due to a underlying pleural scarring or thickening. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>m with syncope unclear origin, bibasilar crackesl // eval pna vs edema
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Cardiac silhouette size is normal. The mediastinal and hilar contours are unchanged. The pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is present. Minimal subsegmental atelectasis is seen in the lung bases. There are no acute osseous abnormalities.
history: <unk>f with cough
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Pa and lateral views of the chest provided demonstrate no focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm seen.
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Compared to the prior study there is no significant interval change in the large for of venous access catheter, dense retrocardiac opacity, right-sided pigtail catheter,. There is increase right lower lobe volume loss. There is a slight increase in the small right-sided pneumothorax. There is contrast within at dilated abnormal appearing loop of bowel in the right abdomen.
<unk>f w/ adpkd here with aockd stage v c/b agma, hyperkalemia in the setting of c diff infection now with hypoxemia (resolving) and asymptomatic hypotension, pleural effusions s/p right sided chest tube, with worsening chest pain. // evaluate for expanding pneumothorax
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Asymmetric increased opacity in the right lung is substantially improved since yesterday, suggesting component of edema. Consolidation the right infrahilar region persists but is overall similar to the prior exam and could represent atelectasis, aspiration appropriate clinical setting cannot be excluded. Retrocardiac opacity is now increased from the prior exam with silhouetting of the lateral border the descending thoracic aorta, and is likely atelectasis. No pleural effusion or pneumothorax. The heart is normal in size. The mediastinum and hilar contours are overall unchanged. Ett is in standard position. Nasogastric tube in side-port traverses the diaphragm, of the side port may be at the gastroesophageal junction. The right internal jugular venous catheter ends in the low svc, unchanged.
<unk> year old man intubated/sedated // pna? tube position correct?
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There is stable mild cardiomegaly. The aorta is mildly tortuous, otherwise the hilar and mediastinal contours are stable. There has been interval improvement of the right lower right lung base heterogeneous opacities, which were likely from re-expansion edema. New left lung base opacities may be secondary to re-expansion edema. There are small bilateral pleural effusions and mild bibasilar atelectasis. No definite pneumothorax is seen. There is kyphosis of the spine. There is a wedge-compression deformity of the low-thoracic spine, which appears to be progressed from the ct of <unk>, but stable since the exam from <unk>.
<unk>-year-old female status post left thoracentesis who presents for interval evaluation. question of right lung process.
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As compared to the previous radiograph, the air inclusion in the left lateral postoperative pleural fluid collection has resolved. The atelectasis at the left lung base has decreased in extent and severity. The right lung base, however, shows minimally newly appeared parenchymal atelectatic opacities. Mild fluid overload is present and unchanged. An air-fluid level is seen projecting over the esophagus, potentially suggesting esophagus motility disorder. Borderline size of the cardiac silhouette.
vats left lower lobe wedge resection, evaluation.